A5042827063- Interprofessional Education and Collaboration
- Healthcare innovation and challenges
- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Fungal Infections and Studies
- Child and Adolescent Health
- Syphilis Diagnosis and Treatment
- Palliative Care and End-of-Life Issues
- Geriatric Care and Nursing Homes
- Healthcare Systems and Technology
- Chronic Disease Management Strategies
- Healthcare Systems and Challenges
- Patient-Provider Communication in Healthcare
- Global Healthcare and Medical Tourism
- Medicine and Dermatology Studies History
- Health Systems, Economic Evaluations, Quality of Life
- Clinical practice guidelines implementation
- Parasitic Infections and Diagnostics
- Healthcare Quality and Management
- Behavioral Health and Interventions
- Telemedicine and Telehealth Implementation
- Cardiovascular and exercise physiology
- Delphi Technique in Research
- Career Development and Diversity
- Drug-Induced Adverse Reactions
University of Winchester
2020-2024
Marymount University
2022
University of Warwick
2004-2021
Shropshire Council
2019
HM Prison and Probation Service
2019
Community Hospital
2016-2018
Unity Hospital
2018
National Institute for Health and Care Excellence
2008-2016
Kaiser Permanente
2013
Norfolk County Council
2011-2012
Six weeks after acute myocardial infarction, 303 men were randomly divided into exercise and control groups. The group attended the hospital gymnasium twice weekly for a three-month supervised course. Both groups tested before course at subsequent follow-up. increased their physical fitness greatly compared with group. Eight per cent of died during period follow-up, 14 group; this difference is not significant. There was an apparent improvement in mortality those inferior MI who completed...
Background Community hospitals have been part of England’s health-care landscape since the mid-nineteenth century. Evidence on them has not kept pace with their development. Aim To provide a comprehensive analysis profile, characteristics, patient experience and community value hospitals. Design A multimethod study three phases. Phase 1 involved national mapping construction new database through data set reconciliation verification. 2 nine case studies, including interviews focus groups...
Background Community hospitals are small providing local inpatient and outpatient services. National surveys report that rehabilitation for older people is a core function but there large differences in key performance measures. We have investigated these variations community hospital ward performance. Objectives (1) To measure the relative of wards (studies 1 2); (2) to identify characteristics optimise 3); (3) develop web-based interactive toolkit supports operational changes (study 4);...
Purpose – The purpose of this paper is to explore the presence and nature integrated care in community hospitals. Design/methodology/approach Staff reported their views experiences 48 questionnaires for a Community Hospitals Association programme. An analytical framework was developed based on eight types integration, hospital services concerned were grouped into nine service categories. Findings multiple averaging four (median), with range two (of studied). integration most frequently...
Introduction To understand the variation in performance between community hospitals, our objectives are: to measure relative (cost efficiency) of rehabilitation services hospitals; identify characteristics hospital that optimise performance; investigate current impact inpatient for older people on secondary care and potential if was optimised best practice nationally; examine relationship configuration intermediate bed use; develop toolkits commissioners providers performance. Methods...
This article outlines the recommendations, clinical and cost-effectiveness evidence Appraisal Committee's considerations for recently published NICE technology appraisal on stapled haemorrhoidopexy treatment of haemorrhoids.1 Estimates proportion UK population affected by haemorrhoids range from 4.4–24.5%. In 2004–2005, approximately 23,000 procedures listed as ‘main operations haemorrhoids’” were performed in England Wales. Haemorrhoids are classified ‘first-degree’ if they bleed but...
As one of the 16 pilots in Department Health Integrated Care Organisation (ICO) programme, Norfolk is exploring ways integrating primary, community and social care services six localities. Progress first few months assessed within framework laws integration developed by Leutz. The initiative has a high degree support across County, local practitioners are taking opportunity being national programme to redesign their for benefit patients carers. There work do at every level align strategy,...
This article updates an in Issue 12 (5) of the Journal Integrated Care, which explained first two phases ICON project Midland Area Ireland. It describes systems and processes put place to support improving practice, focusing on process, culture context, illustrates impact so far individual clients families, how this information is being shared.
There is a strong tradition of integration in rural community hospitals which has been largely unrecognised the past. The national strategy for health England now gives central role providing integrated and social care, policy referred to as ‘care closer home’. evidence emerging from international studies demonstrating benefit hospital model care. Public support over their 100‐year history strong, with value being placed on accessibility, quality continuity. is, however, tension between...
GPs were a key driving force for the development of network community hospitals across England, and have provided medical cover most them. However, during past decade there has been significant shift, with dominant trend appearing to be one declining GP involvement.To explore how why role within in England is changing.Qualitative study sample nine diverse England.Qualitative interviews hospital clinical staff.In all, 20 conducted two models care observed: employed by practice trust-employed...
Purpose – This paper aims to demonstrate the approach taken in Norfolk, UK, engage patients and staff develop improve services by stimulating improvements integrated working. The two year programme focused on making specific that said they wanted see working with who volunteered take part programme.