Nearly two thirds (65%) of people admitted to hospital in the UK are aged over 65 years old. Many of them are frail and at high risk of poor healthcare outcomes – like staying longer in hospital, reduced physical abilities, becoming dependant, going to a care home, and even death.
National recommendations suggest that these high-risk older individuals should be routinely identified when they are admitted to hospital to allow healthcare teams to provide appropriate individual care that meets patient’s needs (1). It is unclear whether and how those people are identified in hospital. Therefore our study looked at the current practice in one hospital with regard to identification of patients at high-risk of poor healthcare outcomes. To do that, we reviewed a random sample of patient’s clinical notes and interviewed staff members who worked at five acute medicine for older people wards (2).
We were privileged to be able to attend a 2-day event in London for Dementia Care Doctoral Fellows from Wessex, East of England, Greater Manchester and the Peninsula CLAHRCs. This is the third such event and as before was packed with opportunities for learning, sharing and networking. It truly reflected the essence of CLAHRC – challenging practice, transforming healthcare, improving quality and involving patients and their carers.
This week has been World Antibiotic Awareness Week to be followed tomorrow (Friday 18 November) by European Antibiotic Awareness Day. So what all the urgent action?
Well it’s well documented that resistance by bacteria to the existing supply of antibiotics is growing. The World Health Organisation has estimated that by 2050 deaths caused by antibiotic resistant bacteria could number 10 million people a year.
This week NIHR CLAHRC Wessex hosted the Southampton Premiere of the award winning short film Catch, which tells the story of a family broken apart and facing difficult choices in a post antibiotic world.
When people talk about managing mental health the most frequent thing to do is to recourse to self help or looking to services to help. There is less recognition of the power of social networks for help and support based on connections and reciprocity around us.
Separating out the individual from their need for other people and ability to mobilise resources in order to manage effectively, has meant that the notion of a personal community of support (the array of personal ties with which people are located and embedded) has not tended to be included in understanding or responding to mental health need.
Now there’s a nascent social movement about networks.
It’s common for academics to be found popping up at conferences and even music festivals these days, telling people what they have been finding out in an effort to spread the word and get the message heard. This was just the activity we were engaged in and one of the benefits for us as academics is that we also get to hear about others work and this gives us ideas.
The MWF takes place over 3 days in London . The first day takes place in the Houses of Parliament where Baroness Hollins hosts panel discussions on aspects of mental well-being and the next two days take place predominantly in City Lit, a further education college that serves London. Throughout these two days there is a plethora of wonderful sessions that can be accessed, free of charge, by those registered for the event. Attendees include those with lived experience of mental distress, both themselves and as carers; interested members of the public; policy makers; commissioners and professionals from every group with a role in helping those in mental distress.
It really is the most eclectic, informative and creative space to find yourself in. A place where many, sometimes opposing, worlds collide.
Our talk was full, so we had a great audience of interested people who asked questions all the way along and shared their own experiences of being pet owners. What stood out particularly, and resonated with the findings from our study, was the way in which pets give unconditional love which is consistently there regardless of how we are feeling.
Pets are trusted more than people many said and seem to have an intuitive understanding of their owners, knowing just when to demand to go out or to curl up for a cuddle.
For me most important was the knowledge, which we gained from the study, that for our cohort none of the participants had their pets considered as important network members as part of their care and yet all that had pets stated that they were essential.
The room completely agreed with this and the professionals in the room were clear that pets will be considered more seriously in future, in fact two of the attendees stated that they were relieved to have some research evidence to back up something they had wanted to attend to for a while but had felt reluctant to do so in case they were laughed at.
More and more of us are looking online for information to support our health (see Chris Allen’s work on support in Online Communities). In my research, I have found that the ability to get hold of that information and support, which is personal to you, can make a huge difference to how well you are.
I’m focusing on insulin pumps, which are an alternative means to deliver insulin to people with diabetes – compared to the more traditional multiple daily injections.
Insulin pumps have been developed to help people with Type 1 diabetes manage the condition better; both in terms of their quality of life and by more closely resembling a fully-functioning pancreas.
However, introducing a new health technology to an already difficult to manage condition is not necessarily simple, or easy.
Let me tell you a secret… I am proud of being a nurse but when I was 18 I wasn´t that sure. Finally, advised by friends and family I ended up starting the nursing degree at an excellent and powerful University in Spain… so that was a fair trade for me… Ok… I will do nursing!
Like many other nurse students, at that time I faced several fundamentalcrises and I even thought of quitting nursing because I had never thought of myself as a nurse and sometimes others’ pain and disgrace gave me the chills.
It was palpable with research geekery excitement while travelling to Nottingham for the 2017 Health Services Research UK Conference. I needed this, I thought, an opportunity for positivity, to talk enthusiastically about how we as researchers can help sustain the future of the NHS and wider health services. The conference didn’t disappoint.
We are all too aware of the popular rhetoric that consumes newsfeeds and social media channels, with headlines like ‘The NHS is in Crisis’ and ‘too many people are pitching up to A&E’. All doom and gloom. The conference was a perfect antidote to this. While there are no panaceas to these ongoing issues, my fellow health services researchers offered positivity and direction against the troubling backdrop of public service austerity and Brexit uncertainty.
All of the women who have contributed to this article work in the Data Science team for NIHR CLAHRC Wessex. They are based at the University of Southampton and the city’s General Hospital, but their expertise comes from across the globe – making our research truly world class
Marion Penn – Research Fellow in Operational Research in our Data Science team
I’ve always enjoyed maths, I like the feeling when I get to the answer and that there is a correct answer. I have mild/moderate dyslexia, so language based subjects were harder work for me at school, increasing the appeal of maths.
When I came to choosing my degree subject it took me a while (I also enjoyed History and Biology at A-level), but once I’d thought about it maths was the obvious choice as I enjoy it and I’m good at it!
Esther Clift is a Consultant Practitioner Trainee in Frailty, and Vice Chair of the BGS nurses and AHP Council. She is undertaking a Doctorate in Clinical Practice at Southampton University on the uptake of exercise by older people. She was inspired by an interview with Dr Frankland on the Today Programme, and went to ask him about his own use of exercise.
‘I just think he should have told me, I’m not stupid!’ – Dr AW Frankland reflects on his introduction to Strength and Balance exercises.
Dr AW Frankland was born the year the Titanic sank, and started medical school in Oxford when Stanley Baldwin was Prime Minister. He was supervised by Sir Alexander Fleming at St Marys and is described as the ‘grandfather of allergy research’. His daily hour long supervisions with Fleming never included discussing patients – ‘he was a pure scientist, who wanted to talk about science.’
This site promotes independent research by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care (CLAHRC) Funding Scheme. The views expressed in this blog are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health