A5017442058- Healthcare innovation and challenges
- Geriatric Care and Nursing Homes
- Palliative Care and End-of-Life Issues
- Chronic Disease Management Strategies
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Quality and Management
- Patient Satisfaction in Healthcare
- Intergenerational Family Dynamics and Caregiving
- Mental Health and Patient Involvement
- Primary Care and Health Outcomes
- Elder Abuse and Neglect
- Patient-Provider Communication in Healthcare
- Interprofessional Education and Collaboration
- Evaluation and Performance Assessment
- Patient Dignity and Privacy
- Health disparities and outcomes
- Aging and Gerontology Research
- Clinical practice guidelines implementation
- Dementia and Cognitive Impairment Research
- Stroke Rehabilitation and Recovery
- Healthcare Systems and Practices
- Childhood Cancer Survivors' Quality of Life
- Healthcare Policy and Management
- Nursing Roles and Practices
- Medical Practices and Rehabilitation
University College London
2018-2023
University of York
2004-2019
National Institute for Health Research
2019
King's College London
2003-2004
King's College School
2003
Background Reablement is an intensive, time-limited intervention for people at risk of needing social care or increased intensity care. Differing from home care, it seeks to restore functioning and self-care skills. In England, a core element intermediate The existing evidence base limited. Objectives To describe reablement services in England develop service model typology; conduct mixed-methods comparative evaluation models investigating outcomes, factors that have impact on costs...
Aim To identify facilitators and barriers to implementing outcome measures. Methods An action-research approach within a hospice nursing home was used. Staff took part in semistructured interviews pre- post-implementation of the Palliative Care Outcome Scale (POS), completed diaries participated monthly meetings. Findings Qualitative content analysis identified implementation including: top-down decision-making approach; measures perceived as time-consuming use; limited resources for data...
Aspinal F., Gridley K., Bernard S. & Parker G. (2012) Promoting continuity of care for people with long‐term neurological conditions: the role neurology nurse specialist. Journal Advanced Nursing 68 (10), 2309–2319. Abstract Aims. To identify service models that provided co‐ordination conditions in UK. Background. The successful management needs sophisticated across several health, social and other boundaries, as well involvement their support network. Yet, fragmentation of, limited...
Reablement – or restorative care is a central feature of many western governments' approaches to supporting and enabling older people stay in their own homes minimise demand for social care. Existing evidence supports this approach although further research required strengthen the certainty conclusions being drawn. In countries where reablement has been rolled out nationally, an additional priority develop base on models delivery emerging. This paper reports prospective cohort study...
In palliative care, outcome measures are increasingly used to aid clinical practice, conduct audit and research. The objective of this study was elicit professionals’ views experiences using measures, paying special attention the Palliative care Outcome Scale (POS). This article presents results a qualitative 26 professionals, experienced in POS, who were invited participate semi-structured telephone interviews. Of those invited, 22 people took part. Participants’ comments noted verbatim...
Objectives To explore some of the key assumptions underpinning continued development general practitioner-led commissioning in health services. Methods Qualitative data from two studies service improvement English NHS were considered against England's plans for GP-led commissioning. These collected through in-depth interviews with a total 187 professionals and 99 people affected by services 10 different primary care trust areas across England between 2008 2009. Results Internationally, GPs...
Abstract With the continued implementation of personalisation policy, Personal Budgets (PBs) have moved to mainstream in adult social care England. The relationship between policy goals and safeguarding is contentious. Some argued that PBs potential empower recipients, while others believe PBs, especially Direct Payments, might increase risk abuse. This paper provides empirical evidence about levels uptake referrals England based on in-depth analysis national data at aggregate, local council...
Reablement is a time-limited intervention that aims to support people regain independence and enable them resume their daily activities after they return home from an in-patient care setting, or maintain remain at home. There some evidence reablement can enhance has the potential contain costs. However, services are funded provided in different ways by organisations, there limited research about effectiveness of service models. This study will evaluate cost-effectiveness models users'...
Objective To evaluate the impact of ‘Getting it Right First Time’ (GIRFT) national improvement programme in orthopaedics, which started 2012. Design Mixed-methods study comprising statistical analysis linked datasets (National Joint Registry; Hospital Episode Statistics; Patient-Reported Outcomes); economic and qualitative case studies six National Health Service (NHS) Trusts. Setting NHS elective orthopaedic surgery England. Participants 736 088 patients who underwent primary hip or knee...
Long-term neurological conditions are a major cause of disability in the UK and internationally. Their successful management, order to enhance health well-being, requires both sophisticated organisation across number health, social care other service boundaries, real involvement people with members their support networks.This paper reports on part preliminary scoping phase study designed evaluate impact National Service Framework for long-term integrated care. It describes current policies...
Background Failure to demonstrate the effect of integration on service users using conventional outcome measures suggests that research date has failed measure outcomes actually matter people with complex long-term conditions and might result from integrated health social care. Developing capture important issues for may also help better reflect particular ways teams work what such strive achieve in addressing user outcomes. Objectives The objectives this were (1) identify factors affect...
Patient or user engagement with health and social care interventions is receiving increased attention interest within practice settings research. An English evaluation of three reablement services wished to include a measure user-engagement so as explore its association outcomes. As no existed, an existing designed for use physical rehabilitation patients (the Hopkins Rehabilitation Engagement Rating Scale) was adapted psychometric properties were tested. The version completed by staff at...
Background Unpaid carers are the mainstay of support for people with dementia. Admiral Nursing (AN) is only specialist nursing service that specifically focuses on supporting such carers, but evidence its effectiveness, costs and relationships other health social care services limited. This project aimed to address this gap explore feasibility a full-scale formal evaluation. Objectives To between characteristics dementia, type input outcomes; develop test data collection methods subsequent...
Objective To describe the implementation and impact of Getting it Right First Time (GIRFT) national orthopaedic improvement programme at level individual National Health Service (NHS) Trusts. Design Qualitative case studies conducted six NHS Trusts, as part a mixed-methods evaluation GIRFT. Setting elective surgery in England. Participants 59 staff. Intervention Improvement bundle, including bespoke routine performance data recommendations for each organisation, delivered via ‘deep-dive’...
A number of palliative care outcome measures are used to facilitate the provision care. This short article reports use one measure, Palliative Outcome Scale, with people motor neurone disease (MND) living at home. The measure was generally viewed positively by those involved. However, problems this scale itself point need for a specialized instrument assess outcomes MND.
Purpose – The purpose of this paper is to report on a part study examining the interrelationships between personalisation and safeguarding practice. Specifically authors aimed examine how practice affected by roll out in adult social care, particularly when at risk has personal budget or considering this. Design/methodology/approach A sample annual reports from Adult Safeguarding Boards England was accessed for content analysis covering period 2009-2011. One local authorities selected...
Purpose This paper aims to report results from a national survey of primary care trusts (PCTs) that explored the strategic, organisational and practice context services for people with long‐term neurological conditions (LTNCs). It seeks provide benchmarks integrated service provision discuss possible reasons variability in progress. Design/methodology/approach Earlier phases research identified three models promoted continuity LTNCs: community interdisciplinary rehabilitation teams, nurse...