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Despite the proven effectiveness of cardiac rehabilitation programmes in reducing readmissions and risk of death from heart disease, attendance varies widely across the UK and is generally poor. An NIHR-funded trial involving researchers from PenCLAHRC has found that home-based rehabilitation for people with heart failure improves quality of life at 12 months compared with usual care.
216 people with heart failure, predominantly men with an average age of 70, were recruited from primary and secondary care in the UK, for a home-based programme. The programme, facilitated by a trained cardiac nurse or physiotherapist and developed from health behaviour change theory, was co-developed...Read more
Dr Daniel Chalk, PenCLAHRC’s Lead for the Health Services Modelling Associates (HSMA) Programme, considers the HSMA to ‘represent the future of operational research and decision making in the NHS.’ At a final seminar event in December 2018, delegates heard about the impact projects are having on positive outcomes for patients and NHS workers.
Each year, as part of the health service modelling programme, a number of health service employees are given training, a mentor and day release, to undertake advanced modelling, simulation and analysis work on a research project, culminating in an annual presentation seminar.
Associates from the HSMA programme’s 2018 cohort presented...Read more
Stroke is a very serious medical emergency and expert care needs to be rapidly accessed in order to guarantee the best outcome for the patient. To ensure this, specialist health centres are necessary to manage patient flow 24/7, and research conducted by PenCLAHRC’s Health Services Modelling team has identified the optimal number and locations for stroke services such as thrombolysis and thrombectomy, across England.
As a direct result of operational research carried out by PenCLAHRC's PenCHORD team, the NHS Long Term Plan published in January 2019 has proposed that stroke services may be restructured over the next five years, with sustainability and transformation programmes and integrated care systems reconfiguring stroke services...Read more
Peninsula Public Involvement Group (PenPIG) member, Malcolm, has recently embarked on a journey to become a Cochrane Citizen Scientist. According to Cochrane, ‘Citizen Scientists’ play an important role in the research community and ‘help identify the evidence needed to make informed healthcare decisions.’ For Malcolm, becoming a ‘Citizen Scientist’ was an obvious choice due to his experience and background.
Throughout his lifetime, like many of us, Malcolm has witnessed his friends and family endure multiple health complications. His experiences sparked an interest in medical research, and he soon found himself on various boards and groups; from leading health walks for his...Read more
Estimates suggest that 6% of doctors in the hospital workforce may be performing below the standard that is expected of them at any time. While serious cases will see doctors struck off, there are others where a doctor could benefit from help via a process called remediation.
Dr Nicola Brennan from the University of Plymouth is leading a review to explore if and how remediation programmes work for practising doctors and – as training a doctor costs around £500,000 to the UK taxpayer – how these processes might be improved in order to retain talent, save money for the NHS and...Read more
PenCLAHRC researchers have published further findings from their review of the use of probiotics for the management of recurrent abdominal pain in children.
Recurrent abdominal pain is the second commonest reason for seeing a paediatrician after asthma. Affected children can be deeply distressed, and can often miss out on school and social activities.
PenCLAHRC Evidence Synthesis Team member, Dr Rebecca Abbott and University of Exeter researchers, Dr Tamsin Newlove-Delgado and Dr Alice Martin, brought together the research from recent updated Cochrane reviews in a clinical evidence review for JAMA Pediatrics.
They found that after three months of taking probiotics, in particular Lactobacillus...Read more
Researchers who specialise in optimising health services worked with health trusts to produce evidence that secured £8 million in funding for a new mental health ward at Torbay Hospital.
The new ward, which will be operated by Devon Partnership NHS Trust (DPT), will reduce the number of placements that have to be made away from Devon, keeping people closer to home for their care and treatment.
The research, which involved University of Exeter academics, was supported by PenCHORD (the Peninsula Collaboration for Health Operational Research and Development), PenCLAHRC's operational research team.
PenCHORD is a group of specialists that help healthcare professionals, commissioners and patients...Read more
PenCLAHRC’s Operational Research team, PenCHORD (the Peninsula Collaboration for Health Operational Research and Development), are a group of specialists that assist healthcare professionals, commissioners and patients make informed decisions about change in the NHS using Operational Research (OR). The team run an annual Health Service Modelling Associates (HSMA) programme where they provide a number of health service employees from across the South West with training, a mentor and day release, one day a week, to tackle a work based research project that can be used by the NHS Trust to solve a specific issue or question.
Karl Vile, Programme Manager for...Read more
On 5th December 2018 a broad range of delegates from the NHS, HE and related public sector organisations attended the Health Service Modelling Associates (HSMA) Presentation Seminar, the closing event of PenCHORD’s 2018 HSMA Programme. The HSMA Programme is a joint initiative between PenCHORD (PenCLAHRC’s Operational Research team) and the South West Academic Health Science Network (SW AHSN) that aims to support the increased use of Operational Research for development and decision making within the health service.
Each year a number of health service employees (Associates) are given training, a mentor and day release, one day a week, to tackle a...Read more
A support programme to help parents of disabled children stay healthy in mind and body will begin its first trial in the coming months, and is looking for participants.
Healthy Parent Carers is a programme which aims to help parents cope with the strain of being carers by encouraging them to take a bit of time to focus on their own wellbeing.
The study, run by the Peninsula Childhood Disability Research Unit (PenCRU) at the University of Exeter, will investigate the effectiveness and feasibility of implementing the scheme in Devon, Cornwall and Somerset. It is funded by the National Institute for Health...Read more