Dementia research in care homes Claire Goodman (on behalf of ENRICH) Centre for Research in Primary and Community Care
Care homes 167,000 NHS hospital beds 18,255 care homes provide 459,448 beds Overlap’ in care needs between types of home 355,000 care workers and senior care workers Unknown how many nurses working in care homes
Size of care homes at 31 March 2010 (CQC, 2010)* * Based on J.Meyer slide City University
Population with ongoing and complex needs
Care home population 75% of care home population have dementia > 30% have advanced dementia Median life expectancy of an older person admitted to a care home that offers personal care is between 2-3 years and 1-2 years in a nursing home 19% of people die in their own home, 35% if care homes are considered to be their home
Research’s relationship with care homes Care homes the “solution” (and the problem) to NHS long term care needs= intervention studies designed to address NHS issues Minimal evidence of care home staff, residents and relatives’ priorities informing research priorities Tradition of within institution research that blurs with practice development Unlike USA no minimum data set or adoption of single assessment/data capture tool e.g.Inter RAI Initiatives to support knowledge transfer under developed
Dementia research and care homes Negotiating access Costs and resource use Working in a different culture Consent and ethics review Access to data Liaison with and across multiple stakeholders
Enabling New Research In Care Homes (ENRICH) Project DeNDRoN
Drivers Ministerial Advisory Group for Dementia Research Improve links to the National Dementia Strategy Using Project Management approach to focus delivery Delivery of DeNDRoN and NIHR core objectives –Improved links to core NHS services –Improved patient and carer access to research All to be achieved in 2011/12
Projects DEVELOPMENT PROGRAMME ENRICHRAFTINTERACT Recruitment & Feasibility Tools Enabling New Research in Care Homes Integrating Networks and Embedding Research in Clinical Practice
ENRICH Build on existing systems and best practice to deliver three objectives: 1.Agreement on funding sources for the different component of research in care homes 2.A tool kit to support researchers developing and delivering research in care homes 3.A network of “research enabled” care homes
Toolkit The toolkit (web based) will include; Tariff clarifying the funding arrangements for each component of the research process Practical guidance on ethics, consent, recruitment, and undertaking a study Practical tips Case studies Templates for readers to take away Signposts to important websites e.g. NIHR SSCR
Get Involved Are you interested in knowing more? Put a study or organisation forward for a case study Help to test the funding tariff Sign up to the consultation group to provide feedback on the ENRICH toolkit
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