Presentation is loading. Please wait.

Presentation is loading. Please wait.

Update on Current Vascular Research Christi Deaton Professor of Nursing University Hospital of South Manchester NHS FT School of Nursing, Midwifery & Social.

Similar presentations


Presentation on theme: "Update on Current Vascular Research Christi Deaton Professor of Nursing University Hospital of South Manchester NHS FT School of Nursing, Midwifery & Social."— Presentation transcript:

1 Update on Current Vascular Research Christi Deaton Professor of Nursing University Hospital of South Manchester NHS FT School of Nursing, Midwifery & Social Work The University of Manchester

2 Vascular Research Broad area of research Broad area of research Heart disease Heart disease Diabetes Diabetes Stroke Stroke Kidney disease Kidney disease Focus on: Focus on: CLAHRC (implementation) CLAHRC (implementation) Examples of nurse-led cardiovascular research Examples of nurse-led cardiovascular research

3 CLAHRC Collaborations for Leadership in Applied Health Research and Care Collaborations for Leadership in Applied Health Research and Care Innovative programme from NIHR Innovative programme from NIHR The NIHR CLAHRC for Greater Manchester is a collaboration of Greater Manchester NHS Trusts and the University of Manchester The NIHR CLAHRC for Greater Manchester is a collaboration of Greater Manchester NHS Trusts and the University of Manchester Conduct high quality health services research Conduct high quality health services research Ensure knowledge gained from the research is translated into improved health care in the NHS Ensure knowledge gained from the research is translated into improved health care in the NHS “Knowledge Transformation” Greater Manchester

4 Why CLAHRCs? Aim to provide high quality research and apply it! Aim to provide high quality research and apply it! Addressing Cooksey’s second translational gap Addressing Cooksey’s second translational gap Major problem in the health service re “know how” Major problem in the health service re “know how” Evaluative component Evaluative component Greater Manchester

5 CLAHRC in UK Nine approved CLAHRCs in England Nine approved CLAHRCs in England Manchester, Birmingham, Leeds/York, Leicester, Exeter/Peninsula, London-Imperial, Sheffield, Nottingham, Cambridge. Manchester, Birmingham, Leeds/York, Leicester, Exeter/Peninsula, London-Imperial, Sheffield, Nottingham, Cambridge. Each receives £10 million over 5 years from the NIHR alongside £10 million in ‘matched funds’ Each receives £10 million over 5 years from the NIHR alongside £10 million in ‘matched funds’ Began in October 2008 Began in October 2008

6 NIHR CLAHRC Director Bonnie Sibbald Director Bonnie Sibbald Deputy Director Ruth Boaden Deputy Director Ruth Boaden Vascular disease focus Vascular disease focus Major health problem in GM Major health problem in GM Expertise in the University Expertise in the University Stroke, Kidney, Heart, Diabetes Stroke, Kidney, Heart, Diabetes Aims to improve the quality of care and the health of citizens suffering from these conditions Aims to improve the quality of care and the health of citizens suffering from these conditions

7 The WISE Approach LevelStrategyMethod People with long term conditions Improve information Develop information resources that combine lay with professional knowledge Practitioners Change professional response Introduce patient- centred care with negotiated self- management plans Services Improve access to services Promote patient-led follow up through service redesign Greater Manchester WISE: Whole-system Informing Self-management Engagement

8 People with Long Term Conditions Research Theme 1. Anne Rogers, Carolyn Chew-Graham  Develop new information resources to support patient self-management in diabetes, kidney and heart disease.  Adapt these resources to the needs of people living in poverty.  Assess cost and effectiveness through randomised controlled trials.

9 Health Care Practitioners Research Theme 2. Linda Gask, Christine Bundy & Chris Dickens  Develop better approach to the management of depression in patients with diabetes and heart disease.  Adapt this approach to meet the needs of people from ethnic minority groups.  Assess cost and effectiveness through randomised controlled trials.

10 Health Care Services Research Theme 3. Kinta Beaver  Develop patient-led access to specialist care for people with diabetes and kidney disease.  Adapt these to the needs of people from ethnic minority groups.  Assess cost and effectiveness through randomised controlled trials.

11 Health Information Systems Research Theme 4. Iain Buchan  Use existing NHS information systems to- Map clinical care pathways Map clinical care pathways Measure inequalities Measure inequalities  Develop simulation models to assess impacts of planned interventions on cost and quality of care.

12 CLAHRC Implementation Stroke – Pippa Tyrrell (Salford) Stroke – Pippa Tyrrell (Salford) Diabetes – Martin Gibson (Salford) Diabetes – Martin Gibson (Salford) Chronic Kidney Disease – Donal O’Donoghue/Janet Hegarty (Salford) Chronic Kidney Disease – Donal O’Donoghue/Janet Hegarty (Salford) Heart Disease – Christi Deaton (UHSM/UoM) Heart Disease – Christi Deaton (UHSM/UoM)

13 Academic Partners Prof. Ruth Boaden Professor of Service Operations Management quality frameworks and assessment Dr Gill Harvey Senior Lecturer in Healthcare and Public Sector Management evaluation of change Dr Anne McBride Senior Lecturer in Employment Studies workforce Dr David Bamford Senior Lecturer in Operations Management leadership and the knowledge transfer process Prof. Louise Fitzgerald Visiting Professor and Professor of HRM at de Montfort University, Leicester. change in professionalised organisations and the spread of change Prof. Heather Waterman Professor of Nursing and Ophthalmology, SNMSW action research methodology

14 Implementation Strategy Evidence-based framework* for change 1) Agree the goals of change 2) Determine how attainment of these goals will be measured 3) Identify what changes should be made to attain the goals 4) Implement change using Plan-Do-Study-Act cycles 5) Sustain and spread the change Model for Improvement and Promoting Action on Research Implementation in Health Services” (PARiHS) framework *

15 Implement Research Theme output Research Theme Improvement Intervention 1. People with long term conditions Information resources that combine lay with professional knowledge; guidebooks for patients, training for professionals 2. Practitioners Training to support negotiated patient self- management. Better treatments for depression in people with long term conditions. 3. Services Patient-led models of access to specialist care. 4. Systems Information systems to plan and monitor the impact of interventions.

16 Stroke Implementation of national stroke strategy  Work with emergency services to ensure people with acute symptoms are triaged without delay to specialist stroke centres  Develop patient-centred management plans to support people through the sequelae of stroke / TIA, and prevent future vascular injury and death.

17 Diabetes Improve access and quality of care  Nurse-led call centre management with regular proactive telephone advice  Nurse-led specialist ambulatory care clinic for people with hypertension and hyperlipidemia. Greater Manchester

18 Chronic Kidney Disease Improve general practice management  Local adaptation of national clinical guidelines, including referral protocols to specialist care  Training for nurses and GPs in chronic kidney disease management  Educational outreach by hospital specialists

19 Heart Disease Improve access and quality of care  Decrease stroke risk in AF through early diagnosis (pulse checks) and anti- coagulation management  Improve MDT management of chronic heart failure (CHF)  Optimal doses ACEI/ARB and BB  Discharge planning and follow-up

20 Implementation Sites

21 Patient and Public Engagement  Research themes Patient consultation and participation Patient consultation and participation  Implementation themes Patient consultation through new/existing patient engagement networks Patient consultation through new/existing patient engagement networks  Governance Patient representation on Steering Group Patient representation on Steering Group  Wider engagement Public dissemination of findings Public dissemination of findings Public debate/scrutiny:- use of NHS information resources for research Public debate/scrutiny:- use of NHS information resources for research

22 Step Change Implementation  Large-scale sustained knowledge transfer between University and NHS.  Increased capacity in the NHS to plan and implement evidence-based changes to service delivery  Inputting into commissioning

23 Other Vascular Research….

24 Examples of Nurse-Led Research in Cardiovascular Predictors of Impaired health related QoL in patients receiving thrombolysis or primary PCI Predictors of Impaired health related QoL in patients receiving thrombolysis or primary PCI Linda McGowan, Chris Dickens, Heather Iles-Smith, Cat Rogers, F. Fath-Ordoubadi Linda McGowan, Chris Dickens, Heather Iles-Smith, Cat Rogers, F. Fath-Ordoubadi 6 Month Interim Findings 6 Month Interim Findings Winner of best poster abstract at 9 th Annual Spring Meeting on Cardiovascular Nursing, Dublin, April 2009 (presented by Cat Rogers) Winner of best poster abstract at 9 th Annual Spring Meeting on Cardiovascular Nursing, Dublin, April 2009 (presented by Cat Rogers) Council on Cardiovascular Nursing and Allied Professions (CCNAP) of the European Society of Cardiology Council on Cardiovascular Nursing and Allied Professions (CCNAP) of the European Society of Cardiology

25 Doctoral Student Research An investigation of the role of anxiety and depression on representation rates post Primary PCI for STEMI An investigation of the role of anxiety and depression on representation rates post Primary PCI for STEMI Heather Iles-Smith Heather Iles-Smith The impact of anxiety on health status and quality of life of patients with heart failure The impact of anxiety on health status and quality of life of patients with heart failure Katherine Easton Katherine Easton

26 Doctoral Student Research The relationship between self-care and health related QoL in adult patients with dilated cardiomyopathy The relationship between self-care and health related QoL in adult patients with dilated cardiomyopathy Maria Kaprana Maria Kaprana An investigation into the factors that facilitate early help-seeking behaviour for CHD related conditions among Chinese Elders in NW England An investigation into the factors that facilitate early help-seeking behaviour for CHD related conditions among Chinese Elders in NW England Zhenmi Liu Zhenmi Liu

27 Conclusions Number of ongoing and developing projects Number of ongoing and developing projects Opportunities for research development and involvement connected to the CLAHRC programme and other studies Opportunities for research development and involvement connected to the CLAHRC programme and other studies


Download ppt "Update on Current Vascular Research Christi Deaton Professor of Nursing University Hospital of South Manchester NHS FT School of Nursing, Midwifery & Social."

Similar presentations


Ads by Google