What are the fresh ideas to reduce A&E overcrowding? Dr Tom Monks CLAHRC Wessex Methodological Hub

Spring.  The headlines about A&E overcrowding are beginning to disappear just as a fresh wave of news reports burst forth with the NHS priorities for the next government.  We now have the luxury of a brief respite to reflect on how we can improve the lot of our hospital A&E’s before the seasonal cycle repeats itself.  I have spent my winter looking at A&E data examining the question – could the answer to A&E attendance lie in providing GP appointments for urgent – but non-emergency – care at the weekend?

Continue reading What are the fresh ideas to reduce A&E overcrowding? Dr Tom Monks CLAHRC Wessex Methodological Hub

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Where do people want to draw the line? Making shared decisions about treatment. Professor Alison Richardson

Professor Alison Richardson is Clinical Professor of Cancer Nursing and End of Life Care at the University of Southampton and University Hospital Southampton NHS Foundation Trust
Professor Alison Richardson is Clinical Professor of Cancer Nursing and End of Life Care at the University of Southampton and University Hospital Southampton NHS Foundation Trust

Many patients whose condition becomes worse during their stay in hospital face uncertainty about the likelihood of recovery. For patients, families and healthcare professionals deciding on the best thing to do can be hard.

Continue reading Where do people want to draw the line? Making shared decisions about treatment. Professor Alison Richardson

Involving patients and the public in research: Reflecting back and looking ahead

By Claire Ballinger and Mark Stafford-Watson – Chairs, Wessex Inclusion in Service Design and Delivery (WISeRD) group

It’s the end of our first year in CLAHRC Wessex, we have been thinking about our progress in involving patients and the public in our work (or PPI as it’s called), and reviewing where our focus should be for the coming year.  We have settled on five strategic aims:

  • Develop our capacity for patient and public involvement (PPI) in research and implementation programmes
  • Promote our CLAHRC Wessex activities to the wider public (public engagement)
  • Evolve and measure ways to include patients and the public to identify research priorities
  • Develop a group of patient and public researchers
  • Measure the impact of patient and public involvement within CLAHRC Wessex

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Appetising research – How we’re Introducing Volunteer Mealtime Assistants for older inpatients across University Hospital Southampton

Associate Professor in Geriatric Medicine Theme 2 lead for Improving Routine Care for Ageing and Dementia
Dr Helen Roberts is Associate Professor in Geriatric Medicine and Theme 2 lead for Improving Routine Care for Ageing and Dementia for NIHR CLAHRC Wessex

Poor nutrition in hospital inpatients is a problem that is becoming increasingly recognised both in the UK and worldwide, and requires a multifaceted approach, including protected meal times, red trays and protein and energy supplementation as required. One factor that particularly affects older inpatients is the amount of assistance they receive at mealtimes. Time-pressured nursing staff may not have the time they need to help patients with their meals.

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APPLIED HEALTH RESEARCH – GET A GRiP – Professor Anne Rogers Research Director of the NIHR CLAHRC Wessex

In the many discussions I’ve had people about our newly established and growing CLAHRC programme of research and implementation, it often centres on the question of what is Applied Health Research? Is it different from more conventional bio-medical research?  It made me think that we need to be a bit more explicit about this thing called Applied Research. So here goes.

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Can we discuss end of life care with patients with COPD?

Nuno Caixinha Tavares - Staff Nurse at Queen Alexandra Hospital Clinical Academic Fellow in the University of Southampton NIHR CLAHRC Wessex - Theme 1 – Integrated Respiratory Care
Nuno Caixinha Tavares – Staff Nurse at Queen Alexandra Hospital
Clinical Academic Fellow in the University of Southampton
NIHR CLAHRC Wessex – Theme 1 – Integrated Respiratory Care

I’m Nuno Tavares, a staff nurse at Queen Alexandra Hospital and I’m also a PhD student carrying out research for NIHR CLAHRC Wessex and Portsmouth Hospitals NHS Trust. My research is about improving end of life care for patients with COPD.

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The GENIE is out of the bottle – but who controls it? – Dr Anne Kennedy, Principal Research Fellow, Faculty of Health Sciences, University of Southampton

Here at the CLAHRC Wessex we have been using and developing an interactive tool called GENIE . This is designed to engage and link people with long-term health conditions to social activities and support they value and find useful.

We have been working on the Isle of Wight with the My Life a Full Life team and other organisations to see how we can integrate GENIE as part of day-to-day support for people. Last week we had our first meeting, after months of using the system there to work towards making GENIE ‘Business as Usual’.

Continue reading The GENIE is out of the bottle – but who controls it? – Dr Anne Kennedy, Principal Research Fellow, Faculty of Health Sciences, University of Southampton

Are you 1 of the MISSING 200? – Tackling the Hepatitis C virus by Bicycle

I’m Ryan Buchanan, a specialist registrar doctor in liver disease and a PhD student carrying out research for NIHR CLAHRC Wessex. My project is centred on Hepatitis C in the Isle of Wight community.

Hepatitis C is a virus, which unlike other viruses such as ‘flu’ or the common cold directly affects your liver. It is usually passed from person to person via blood and develops into a long lasting infection. The virus actually causes very few symptoms allowing it to hide within the body making people unaware they carry it.

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Why staying well is hard work. Professor Carl May – Healthcare Innovation

Living with a serious long-term condition is often hard and complex work. My team and I are interested in finding ways to reduce complexity and lift the burden for people with these conditions, and their families, at end of life.

To help us think about the kind of research questions we should be asking we held a research forum at Freemantle Community Centre in Southampton. We invited people with a range of conditions to join us and to inform our work.

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Tackling operational problems in health care using modelling and simulation – Dr Tom Monks

NHS clinical commissioning groups across the UK are all focused on improving patient care while facing the pressures of an aging population, increasing volumes of patients with multiple complex health problems and the stark political reality of the need to cut costs. 

The complexity of these decisions and how to improve care is often enormously underestimated in the popular media. Take for example, the waiting time performance of accident and emergency (A&E) departments in the UK. 

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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