A5062778156- Geriatric Care and Nursing Homes
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Intergenerational Family Dynamics and Caregiving
- Healthcare Policy and Management
- Frailty in Older Adults
- Mental Health and Patient Involvement
- Healthcare innovation and challenges
- Emergency and Acute Care Studies
- Primary Care and Health Outcomes
- Healthcare Systems and Technology
- Dementia and Cognitive Impairment Research
- Global Cancer Incidence and Screening
- Pharmaceutical industry and healthcare
- Health disparities and outcomes
- Palliative Care and End-of-Life Issues
- Prostate Cancer Diagnosis and Treatment
- Global Healthcare and Medical Tourism
- Global Health Care Issues
- Interprofessional Education and Collaboration
- Biomedical and Engineering Education
- Hospital Admissions and Outcomes
- Prostate Cancer Treatment and Research
- Migration, Aging, and Tourism Studies
- Interdisciplinary Research and Collaboration
UK Health Forum
2025
Health Foundation
2016-2025
Improvement Service
2019
Prostate Cancer UK
2015
Abstract Background We developed a prototype minimum data set (MDS) for English care homes, assessing feasibility of extracting directly from digital records (DCRs) with linkage to health and social data. Methods Through stakeholder development workshops, literature reviews, surveys public consultation, we an aspirational MDS. identified ways extract this existing sources, including DCRs routine datasets. To address gaps, added validated measures delirium, cognitive impairment, functional...
In the UK, a man’s lifetime risk of being diagnosed with prostate cancer is 1 in 8. We calculated both and dying from by major ethnic group. Public Health England provided incidence mortality data for (2008–2010) Ethnicity were incomplete, requiring various assumptions adjustments before was using DevCan (percent, range). The approximately 8 (13.3 %, 13.2–15.0 %) White men, 4 (29.3 23.5–37.2 Black 13 (7.9 6.3–10.5 Asian whereas that 24 (4.2 4.2–4.7 12 (8.7 7.6–10.6 44 (2.3 1.9–3.0 men....
Abstract Background To maintain good standards of care, evaluations policy interventions or potential improvements to care are required. A number quality life (QoL) measures could be used but there is little evidence for England as which would appropriate. Using data from a pilot Minimum Data Set (MDS) home residents the Developing resources And minimum dataset Care Homes’ Adoption (DACHA) study, we assessed construct validity QoL and analysed factors associated with QoL. This was...
Abstract Background We developed a prototype minimum data set (MDS) for English care homes, assessing feasibility of extracting directly from digital records (DCRs) with linkage to health and social data. Methods Through stakeholder development workshops, literature reviews, surveys public consultation we an aspirational MDS. identified ways extract this existing sources including DCRs routine datasets. To address gaps added validated measures delirium, cognitive impairment, functional...
Information on care home residents in England is captured numerous data sets (care records, General Practitioner community nursing, etc.) but little of this information currently analysed a way that useful for providers, current or future and families realises the potential to enhance provision. The DACHA study aimed develop test minimum set (MDS) which would bring together support improve facilitate research. It utility underscores importance meaningful public involvement (PI) with range...
Abstract Background To maintain good standards of care, evaluations policy interventions or potential improvements to care are required. A number quality life (QoL) measures could be used but there is little evidence for England as which would appropriate. Using data from a pilot Minimum Data Set (MDS) home residents the Developing resources And minimum dataset Care Homes’ Adoption (DACHA) study, we assessed discriminant construct validity QoL measures, using hypothesis testing assess...
The insights available from linking routine data have transformative potential for understanding and improving population health wellbeing. People living in care homes could benefit greater accessibility utility of linked to allow better their needs. However, there are well-documented challenges achieving cross-sectoral linkage the UK, with slower progress incorporating social data. In this Perspectives paper we outline our experiences as researchers undertaking DACHA study (Developing...
Thirteen residential care homes and 10 nursing specialising in older people Rushcliffe, England, participated an improvement programme. The enhanced support provided included regular visits from named general practitioners additional training for home staff. We assessed compared the effect on hospital use residents homes, respectively.
To assess the effect of introducing named accountable general practitioners (GPs) for patients aged 75 years on patterns practice utilisation, including continuity care.Regression discontinuity design applied to data from Clinical Practice Research Datalink estimate treatment compliers 75.200 practices in England.255 469 between 65 and 85, after excluding those 75.From April 2014, England were required offer or over a GP. This study compared having GPs just with usual care provided under...
Abstract Introduction Information on care home residents is captured in lots of datasets (care records, GP community nursing etc) but little this information currently analysed a way that useful for providers, current or future and families realises the potential data to enhance provision. The DACHA study aimed develop test minimum set (MDS) which would bring together support improve facilitate research. It utility underscores importance meaningful public involvement with range groups people...
To derive two household context factors - living alone and in a two-person with person who is frail from routine administrative health data to assess their association emergency hospital use people aged 65 or over.Retrospective cohort study using national pseudonymised address derived minimised version of the Master Patient Index, central database all patient registrations England.England-wide.4 876 285 years older registered at GP practices England on 16 December 2018 were up six people,...
Many studies have investigated the presence of a 'weekend effect' in mortality following hospital admission, and these frequently use diagnostic codes from administrative data for information on comorbidities risk adjustment. However, it is possible that coding practice differs between week weekend. We assess patients with confirmed history certain long-term health conditions investigate how well are recorded subsequent weekend admissions. selected six commonly assessed when risk-adjusting...
Introduction: Increasing continuity of care has been identified as a strategy to improve patient outcomes, but previous studies integrated have tended focus on pilot areas, which limit their generalisability and the ability determine in contexts was most successful.Objective: This study protocol describes quantitative evaluation reform England that introduced named, accountable general practitioners for all National Health Service (NHS) patients aged 75 years or over. The national contract...
Objective and ApproachResearch on social care services requires large, comprehensive, routine datasets. Launched in November 2019, Developing resources And minimum data set for Care Homes’ Adoption (DACHA) study aims to develop a prototype dataset as proof of concept propose implementation. We describe our experience since 2021 identifying, applying for, linking home, local, integrated system (ICS) national datasets, including direct-care software-provider data, GP NHS England (NHSE)...
ObjectiveDeveloping resources And minimum data set for Care Homes’ Adoption (DACHA) is a four-year NIHR-funded project to establish what need be in place support research, service development and innovation uptake care homes older people. An aspirational (MDS) specification was identified, which included from several sources pilot variables. Approach767 home residents (with valid NHS number recorded) across three integrated systems consented linkage of their record with administrative health...
Reducing hospital use is often viewed as a possible positive consequence of introducing integrated care (IC). We investigated the impact an IC programme in North East Hampshire and Farnham (NEHF), southern England, on utilisation among older adults over 55 months period.We used Generalised Synthetic Control design to investigate effect implementing NEHF between 2015 2020. For range outcomes, we estimated trajectory that each would have followed absence compared it with actual estimate...