A5013263391- Healthcare innovation and challenges
- Primary Care and Health Outcomes
- Health Services Management and Policy
- Mental Health and Patient Involvement
- Health Promotion and Cardiovascular Prevention
- Healthcare Systems and Challenges
- Health Systems, Economic Evaluations, Quality of Life
- Telemedicine and Telehealth Implementation
- Global Public Health Policies and Epidemiology
- Obesity and Health Practices
- Interprofessional Education and Collaboration
- Diabetes Management and Education
- Healthcare Policy and Management
- Pelvic floor disorders treatments
- Pelvic and Acetabular Injuries
- Cardiac Health and Mental Health
- Healthcare Quality and Management
- Public Health Policies and Education
- Global Health Care Issues
- HIV/AIDS Impact and Responses
- Chronic Disease Management Strategies
- South African History and Culture
- Legal Issues in South Africa
- Anorectal Disease Treatments and Outcomes
- Health Literacy and Information Accessibility
University of Manchester
2011-2023
Manchester University NHS Foundation Trust
2020
Manchester Academic Health Science Centre
2015-2020
St Mary's Hospital
2020
St. Mary's Hospital
2020
Primary Health Care
1997-2016
University of Kent
2013-2014
The Centre for Health (New Zealand)
2013
Institute of Health Services and Policy Research
2013
University of Lincoln
2013
To develop a conceptual model for effective use of telehealth in the management chronic health conditions, and to this evaluate an intervention people with two exemplar conditions: raised cardiovascular disease risk depression.
Shifting the balance of care towards home and community is viewed as requiring interventions which enhance or complement primary care. Technology-based are seen key to future in this work. Telehealthcare implicates a new agenda for inter-professional working across boundaries healthcare. One such interface between telehealthcare professionals located This study reports findings from qualitative forming part broader project examining potential developing implementing telehealth support...
Abstract Context The use of the internet for health information by those with long‐term conditions is growing. It has been argued that this represents a form empowerment patients, as it enables them to control content and flow available them. To explore this, online discussion groups diabetes was examined. Method Semi‐structured interviews were conducted 21 participants type 1 2 analysed using thematic analysis. Participants recruited via offline routes, namely boards, newsletters, research...
One of the key goals current reforms in English National Health Service (NHS) under and Social Care Act, 2012, is to increase accountability those responsible for commissioning care patients (clinical groups (CCGs)), while at same time allowing them a greater autonomy. This study was set out explore CCG's developing relationships.We carried detailed case studies eight CCGs, using interviews, observation documentary analysis their multiple accountabilities.We interviewed 91 people, including...
The internet is increasingly being used as a source of health advice and information by individuals with long term conditions (LTCs). Specifically, online forums allow people to interact others similar conditions. However, it not clear how assessed those LTCs. This study aims address this gap exploring contested uncontested LTCs utilise forums. Semi-structured interviews were conducted 20 participants ME/CFS 21 type 1 2 diabetes analysed using thematic analysis. Participants recruited via...
The ethics of research into online communities is a long-debated issue, with many researchers arguing that open-access discussion groups are publically accessible data and do not require informed consent from participants for their use purposes. However, it has been suggested there discrepancy between the perceived actual privacy user-generated content by community members.There very little regarding how experienced enacted online. objective this study to address gap qualitatively exploring...
Statutory responsibility for health care and social has long been separated between National Health Service (NHS) bodies local government authorities. Repeated policy attempts to promote service integration through collaboration such authorities have achieved little. The latest of interventions are the Wellbeing Boards (HWBs) established by 2012 Social Care Act (HSCA) alongside a range other organisational innovations, including Clinical Commissioning Groups (CCGs). These organisations await...
Objective The 2010 healthcare reform in England introduced primary care-led commissioning the National Health Service (NHS) by establishing clinical groups (CCGs). A key factor for success of is provision excellent support services to CCGs. Government's aim create a vibrant market competing providers such (from both for-profit and not-for-profit sectors). Until this develops, however, units (CSUs) have been created from which CCGs are buying functions. This study explored attitudes towards...
Debates over the efficacy of complementary and alternative medicine (CAM) are highly polarized have received much publicity late. While 'believers' in CAM campaign for its integration into NHS, 'sceptics' call withdrawal any public funding such services. These debates take place context a steady rise usage both UK abroad. Critics often point to lack scientific evidence demonstrating efficacy. The gathered by means randomized controlled trials is used make claim that no more effective than...
The current reorganisation of the English NHS is one most comprehensive ever seen. This study reports early evidence from development clinical commissioning groups (CCGs), a key element in new structures.To explore CCGs context what known previous studies GP involvement commissioning.Case analysis sites chosen to provide maximum variety across number dimensions, September 2011 June 2012.A case was conducted using eight detailed qualitative supplemented by descriptive information web surveys...
Following the Health and Social Care Act in England, public health teams were formally transferred from NHS to local authorities April 2013. Online survey of Directors Public (DsPH) England (n = 152) investigate their experience within government 1 year on. Tests association used explore relationships between perceived integration influence health, changes how budget was being spent. The organization managerial arrangements for councils varied. Most DsPH felt that good had been established...
The inclusion of health and social care as part Greater Manchester devolution took many by surprise. Health practitioners managers have been working together in differing ways across the conurbation for years. formalisation this a set new organisational structures brings both opportunities challenges. Social Care Act 2012 created organisations within English National Service (NHS) added greatly to complexity system. Since 1990s, system has characterised split between purchasers providers...
Abstract The optimal balance between central governmental authority and the degree of autonomy local public bodies is an enduring issue in policy. UK National Health Service no exception, with NHS history, part at least, a history repeated cycles centralisation decentralisation decision-making power. Most recently, significant reorganisation 2012–13 was built around creation new supposedly more autonomous commissioning organisations (Clinical Commissioning Groups – CCGs). Using Bossert's...
Personal or individual budgets for purchasing health and social care are intended to offer more choice, control flexibility service users when compared with agency-directed care. They becoming an increasingly common feature in high-income countries personal that often lies on the border line between In England, they have recently been introduced explicitly of There some key motivations behind their introduction: expected give individuals choice about receive; expand options care; improve...
Embracing the future is second nature in North West and Greater Manchester particular no stranger to innovation change—as long ago as 1600s residents were adopting vegetarianism a...
The English National Health Service (NHS) is undergoing significant reorganization following the 2012 and Social Care Act. Key to these changes shift of responsibility for commissioning services from Primary Trusts (PCTs) general practitioners (GPs) working together in Clinical Commissioning Groups (CCGs). This article based on an empirical study that examined development emerging CCGs eight case studies across England between September 2011 June 2012. findings are interviews with GPs...
Abstract Introduction and hypothesis The Variation in Surgical Technique study (VaST), demonstrated the large variation surgical techniques used native tissue (NT) anterior pelvic organ prolapse (POP) repairs. However, there are few comparative studies of different techniques. This was aimed at exploring whether technique influenced outcomes NT POP Methods 22 consultant surgeons performing repairs were filmed categorised. These performed 809 within PROlapse Surgery: Pragmatic Evaluation...
Abstract Introduction The PROSPECT study found that outcomes for native tissue and mesh prolapse repairs are similar but have a 10% risk of exposure. current UK surgical pause has led to renewed interest in surgery. Previous studies anterior repair techniques been limited by the questionnaire design. objective this was describe categorise techniques. Methods This prospective qualitative used purposive sampling strategy recruit surgeons. Data were collected through video-recorded observations...
Background Health services internationally are exploring the potential of telehealth to support management growing number people with long-term conditions (LTCs). Aim To develop, implement and evaluate new care programmes for patients LTCs, focusing on two common LTCs as exemplars: depression or high cardiovascular disease (CVD) risk. Methods Development We synthesised quantitative qualitative evidence effectiveness conducted a study based interviews staff undertook postal survey explore...
The purpose of this paper is to explore the early experiences those involved with development Clinical Commissioning Groups (CCGs), examining how aspiration towards a "clinically-led" system being realised. authors investigate emerging leadership approaches within CCGs in light criterion for authorisation that calls "great leaders".Qualitative research was carried out eight case studies (CCGs) across England over nine-month period (September 2011 May 2012) when were their development....