The Norfolk condition management programme: a retrospective evaluation

Roberts, Stephen (2017) The Norfolk condition management programme: a retrospective evaluation. Doctoral thesis, University of East Anglia.

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This thesis is an evaluation of the Norfolk Condition Management Programme (CMP). The CMP was the health-related component of Pathways to Work, the last Labour government’s flagship welfare to work initiative. The programme delivered condition-specific health advice for Incapacity Benefit claimants with mild to moderate mental health problems.

This theory-driven evaluation identifies an explicit programme logic based on seven stages: problem conception, programme concept, programme theory, implementation theory, programme delivery programme outputs and programme outcomes. Using quantitative and qualitative data (see below), the study identifies where CMP delivery deviated from explicit programme logic and the impact of this deviation on the effectiveness of the programme. The study found that the programme yielded positive clinical outcomes but failed to translate these into desired programme outcomes (participants relinquishing benefits and seeking work).

Quantitative data were obtained from Hospital Anxiety and Depressions Score, Occupational Self-Assessment, Work Confidence Questionnaire and predicted return to work timescale. Qualitative data were collected through exit and follow-up interviews with patients and practitioners. Interview transcripts were coded using Interpretative Phenomenological Analysis. This method identified causal mechanisms for change (or non-change) that were not stated explicitly by participants.

Case studies revealed unique formulations of factors maintaining each participant’s incapacity. HADS data indicated a weak association between health status and returning to work. Other measures, including increased confidence in ability to obtain work, revealed a stronger relationship. Health-specific advice could be regarded as helpful but only when accompanied by a decision to seek work.

Delivery of CMP sometimes deviated from explicit programme theory to reflect the interests and needs of group members. This appeared to encourage expression of participants’ experiences of receiving Incapacity Benefit. Group dynamics were seen to encourage reappraisal of benefit status and re-consideration of a decision to relinquish or remain on incapacity benefits.

Item Type: Thesis (Doctoral)
Faculty \ School: Faculty of Social Sciences > School of Education and Lifelong Learning
Depositing User: Jackie Webb
Date Deposited: 21 May 2018 09:08
Last Modified: 21 May 2018 09:08


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