Care City

The Nuffield Trust was commissioned to evaluate Care City, a test bed in East London focused on using new technologies to support people with long-term conditions.


Published: 29/10/2018

Project status: Completed

The NHS test bed programme brought together NHS organisations and industry partners to test combinations of digital technologies and pathway redesign in real world settings. Seven test bed sites across England were supported by NHS England and the Department of Health and Social Care, with financial assistance of approximately £7 million in total.

The Nuffield Trust has been commissioned to evaluate one of these sites at Care City in East London.  This site had a particular focus on using new technologies to support people with long-term conditions and to enhance workforce roles. The test bed was made up of three clusters that covered social, primary and secondary care:

  • Expert carers – domiciliary carers using digital diagnostics and data to spot deterioration and to better manage medication.
  • Digital prescribers in primary care – GPs, with support of health care assistants, prescribing digital applications, and supporting people to benefit from them, to prevent deterioration of long-term conditions.
  • Cardiac rehabilitation – supporting and enhancing cardiac rehabilitation programmes with digital technology.

The evaluation ran for 20 months and drew on quantitative and qualitative methods to evaluate impacts on patients, the workforce and the health care system. We also evaluated how the innovations were implemented, drawing out lessons for successfully spreading effective innovations at scale.

> Care City protocol

> Stats plan




The full evaluation of the Care City wave 2 test bed:

Download the full report

Another report to be published in due course will explore the factors which support patient engagement with digital innovations and provide practical insight on how to address some of the barriers.