A5049072001- Healthcare Decision-Making and Restraints
- Healthcare cost, quality, practices
- Venous Thromboembolism Diagnosis and Management
- Intensive Care Unit Cognitive Disorders
- Emergency and Acute Care Studies
- Healthcare Systems and Technology
- Chronic Disease Management Strategies
- Innovations in Medical Education
- Healthcare innovation and challenges
- Mental Health and Patient Involvement
- Healthcare Quality and Management
- Geriatric Care and Nursing Homes
- Dementia and Cognitive Impairment Research
- Clinical Reasoning and Diagnostic Skills
- Diagnosis and Treatment of Venous Diseases
- Radiation Dose and Imaging
- Health and Medical Research Impacts
- Psychiatric care and mental health services
- Child and Adolescent Health
- Hip and Femur Fractures
- Radiology practices and education
- Global Health Workforce Issues
- Diversity and Career in Medicine
- Medical Education and Admissions
- COVID-19 and Mental Health
Surrey and Borders Partnership NHS Foundation Trust
2021-2024
Ashford and St Peter's Hospitals NHS Foundation Trust
2023
South West London and St George's Mental Health NHS Trust
2019
King's College London
2013-2016
Northampton Community College
2013
Age UK
2013
Abstract Background the 4AT (Alertness, Abbreviated Mental Test-4, Attention and Acute change or fluctuating course), a tool to screen cognitive impairment delirium, has recently been recommended by Scottish Intercollegiate Guidelines Network. We examined its ability predict health outcomes among patients admitted with hip fractures single hospital between January 2018 June 2019. Methods was performed within 1 day after surgery. A score of 0 means unlikely delirium severe (reference group);...
Summary Recent concerns about the future of psychiatry have led to various calls for action. We argue that an overhaul postgraduate training in is necessary first step ensuring a strong profession. Central these improvements are reaffirming ideals psychiatric training, appropriate prominence crucial knowledge and skills curriculum providing tailored placements with emphasis on excellence. It imperative short-term service-provision need does not adversely impact needed ensure excellent...
Aims and method We assessed venous thromboembolism (VTE) risk, barriers to prescribing VTE prophylaxis completion of risk assessment in psychiatric in-patients. This was a cross-sectional study conducted across three centres. used the UK Department Health tool which had been adapted for patients. Results Of 470 patients assessed, 144 (30.6%) were at increased VTE. Patients on old age wards more likely be than those general adult (odds ratio = 2.26, 95% CI 1.51–3.37). higher VTE, auditors...
Summary The development of the concept clinical leadership over past 5 years, in conjunction with an ever-increasing emphasis on its importance medical world, has led to explosion reviews, resources, fellowships and other academic programmes this area. Arguably, focus clinicians as individual leaders, teamworking is a fundamental aspect effective that perhaps received less attention. This article explores aspects team setting covers theories concepts relating dynamics, roles functioning....
Aims This re-audit of rapid tranquillisation (RT) practices in patients over the age 65 at a district general hospital took place as part wider quality improvement project to assess whether had improved following previous audits. Methods Data was accessed using hospital's electronic patient record system. Drug charts for admitted six wards (total n = 172) were reviewed. The comprised three geriatric wards, two medical and one surgical ward. reviewed audit tool developed audits, which has...
Dr Barber: Member of the Faculty Old Age Psychiatry Executive Committee and Lead for New Therapy Working Group. In his NHS capacity, investigator on commercial clinical trials in AD. Received ad hoc payments advisory roles with Roche Biogen no currently active roles. CRN Speciality Dementias Neurodegeneration Diseases (DeNDRoN) North East Cumbria England national Industry Dementia portfolio (part DeNDRoN). Ivenso: Biogen, Eisai Eli Lilly current Volunteer Health Care Research Wales....
Even this consultation seems to be conducted with indecent haste.If others in the profession agree that package is unacceptable I urge them write DHSS.I realise rejecting proposals we will left our present considerable manpower problems, but of all people should know there are times when remedy worse than disease.
Aims To audit VTE risk assessment compliance across psychiatric inpatient wards at three different sites within Surrey and Borders Partnership NHS Foundation Trust (SABP), to highlight the importance of completing assessments for safety care as set out by NICE guidelines (2019). Method Numbers completed (within 24 hours, those any time during stay) not were collected via SABP electronic mental health records. Percentage each ward hospital involved in study calculated. Chi square statistical...
Older people with mental health problems who meet needs based criteria for National Health Service (NHS) continuing care funding may be cared in a variety of settings. These services have evolved due to socio-economic and political pressure, the extent movement from traditional NHS run long stay units into private sector being unclear. Little attention has been paid best model service provision this group terms quality care, patient outcomes, cost effectiveness.A literature review was...
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Aims Differential attainment is a term used to describe variation in the achievement of groups doctors based on certain characteristics. Evidence suggests that international medical graduates (IMGs) UK struggle at different stages training many specialties including psychiatry. This project aims explore experience psychiatry trainee and their trainers SABP understand this issue identify areas for quality improvement. Methods was an exploratory study using mixed methods approach. Qualitative...
Aims A previous audit of use rapid tranquillisation in older adults conducted 2019 identified high rates sedation, and poor adherence to local guidelines. Following this audit, a number quality improvement (QI) initiatives were undertaken order try improve practice, including multiple teaching sessions variety staff. This re-audit was study whether had been effective line with the Plan Do Study Act cycle Quality Improvement. Methods Using same tool developed 2019, six wards (2 geriatric, 3...
Aims General hospital inpatients are routinely risk assessed for associated venous thromboembolism (HAT) and given appropriate thromboprophylaxis if indicated. However, mental health trusts have not taken a similar approach in psychiatric inpatients, despite known factors, including some unique to inpatients. We explored current practice of HAT prevention English Methods A Freedom Information Act (FOI) request was sent all 71 trusts, asking whether there Venous Thromboembolism (VTE) policy,...
Aims Our aim is to establish a network for clinicians working in or with an interest the growing specialty of old age liaison psychiatry provide peer support (inclusive disciplines and geography) access CPD opportunities, raise profile this subspecialty enable it continue develop, facilitate collaboration integration related pathways strengthen voice lobbying improvements mental health services older people general hospital. Methods Old Age Liaison Psychiatry UK nationally, following...
Aims Social isolation and living alone have been associated with increased suicidality in older adults. During the SARS-CoV-2 pandemic, adults were advised to keep isolated maintain social distancing. Lockdown periods England may led loneliness people, possibly resulting an rates of DSH suicide. This study aimed explore whether numbers referred liaison services deliberate self harm changed during pandemic. Method Reason for referral total number referrals data collected across 6 mental...