ECPs are an excellent example of a really successful new form of advanced front-line clinician. They were developed from the ground up, harmonised across the country by sharing benefits and picking the best from each site.
Initially involved with the 17 pilot sites the national team encouraged local innovation, my work was twofold:
ECPs continue to remain a distinct and homogeneous new profession, one of very few widely adopted new professionals in 15 years, and I continue to serve on the national panel steering the profession to registration. See also Contributions to publications (at end page) including ‘Measuring the Benefits of the Emergency Care Practitioner’ (a review of the literature) 2007.
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John Thorp's book "the information paradox" is probably the foundation on which future benefits realisation has been based. Although it is based around IT projects (notoriously, with a 70% "failure" rate), there is much that can be applied to all environments.
The Demos report "measuring social value: the gap between policy and practice" asks a very important question 'is there a standard method of measuring SROI?'.
The answer is: that depends.
When planning a new project, or evaluating whether an existing service has been successful, financial success is often the only thing that gets counted.