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Spring 2018 (Pdf) Spring 2018 The biology of being sedentary Marginal Voices: A quest to improve mental health diagnosis among the deaf community Clinical pharmacists in Primary Care: A safe solution to the workforce crisis? Should doctors be criminalised? Building a coaching culture across the medical school and beyond Spring 2018 In 2018, the National Health Service (NHS) celebrates its 70th anniversary. With the creation of the NHS in 1948, universal health coverage was finally implemented in the UK, with the NHS replacing the previous patchy health coverage schemes that had left many people with limited access to health services. Although the NHS has achieved much since 1948, in recent years we have seen the NHS facing new challenges such as the very slow real-terms per capita increase in NHS spending since the global financial crisis in 2008. In this edition of our newsletter, you can read about the work we are doing to help the NHS continue to deliver comprehensive and high-quality healthcare to the residents of the UK. This includes our work on the use of video-consultations and on using professional groups such as pharmacists to take on some of the work currently carried out by doctors. Professor Azeem Majeed Head of Department of Primary Care and Public Health Imperial College London We welcome feedback on the newsletter and are taking submissions for future issues. ARCHIVE Email your news, events, achievements and stories to us. [email protected] PCPH eMagazine Team Subscribe Unsubscribe Javier Gallego Mehrosa Memood Copyright © 2018 Department of Primary Care & Public Health, Imperial College London In the News Photo: Doctor by MIKI Yoshihito - Creative Commons A study published in the journal BMJ Quality and Safety concluded that extending GP opening hours will not ease the rising burden on Accident and Emergency departments. The observational study was led by Imperial College London. Lead author Dr Thomas Cowling from Imperial College's Department of Primary Care and Public Health and colleagues compared patients' experiences of GP surgeries with the number of Accident and Emergency visits in their areas in England from 2011- 2012 to 2013-2014. They examined reports from NHS England's annual GP Patient Survey, and included patients registered to 8,124 GP surgeries. They measured levels of patient satisfaction using The study suggests that better satisfaction with three factors: the ease of making an appointment, GP hours, for example because of extended opening hours, and overall opening hours, does not experience. They then "The government must find affect the number of visits matched these responses with alternative ways to handle made to A&E in their A&E departments in their area geographical area. to observe any correlation current pressures on Accident However, making the with the number of visits to and Emergency departments. appointment booking A&E. Overall, areas where This could include for example process easier for patients patients were happier with was associated with the ease of making improving access to GP slightly fewer A&E visits in appointments, which could be appointments during normal that area. The research for example by using online opening hours rather than supports finding booking systems, saw slightly spending scarce NHS resources alternative options for fewer visits to A&E easing the burden on departments. However, on extended opening schemes." Accident and Emergency satisfaction with surgery Senior Author Professor Azeem Majeed departments, and casts opening hours and overall doubt on the patient experience seemed to have no impact on Government's proposals to extend GP surgery A&E visit rates. hours to ease the burden. Times Belfast Telegraph OnMedica Pulse Daily Mail Eureka Alert Evaluating health system in Brazil covered the environmental problems Iraq Prof Christopher Millett, Dr Matthew is facing such as, Lack of Water, Desertification, Pollution, and the Harris and Dr Thomas Hone were recently environmental effect on Health in Iraq. awarded funding by the MRC/Newton It aimed at: Fund for collaborative research in Brazil. This was part of the Brazil CONFAP-MRC 1. Showing the current situation of Call for Health Systems Research Mental Health in Iraq. 2. Addressing the challenges that the Networks. The research project aims to Mental Health system is currently evaluate the health system and health facing. impacts of a major expansion of primary 3. Finding guidelines for the Iraqi care doctors in the country. The Mais government to improve the Medicos programme has imported over Mental Health system. 14,000 Cuban doctors into Brazil to work Professor Salman Rawaf and Dr Mays in primary care in underserved areas. Such Raheem (pictured) were both keynote a large expansion of human resources for speakers. Professor Salman gave a talk health in a middle-income country is entitled, ‘The Environment and Health in remarkable and likely to have major Iraq: what is next?’ Dr Mays Raheem effects. To-date, little has been published presented, ‘What we do not know about Mental Health in Iraq’. Both presentations on the impact of this programme. The were very well received. research will involve qualitative and quantitative research located in the Federal District and the state of Paraiba, in conjunction with Brazilian investigators based at the University of Brasilia and the Federal University of Paraiba. Research starts in April until Oct 2020. This will be a great opportunity for researchers at PCPH and the wider college to strengthen their relationships with Brazil. Contributing to improvements in Public Health in Iraq On the 18 February 2018 the Iraqi Environment and Health Society UK organised a conference ‘Degradation of the Environment in Iraq and its Impact on Public Health’. The conference was held at University College London (UCL) and . Sandpits event with SPHR in Cambridge The Sandpit event, held 13 -14 December, was attended by wide representation from across the SPHR (School for Public Health Research) members; 50 academic members of the School were joined by 13 national and 9 local policy or practice representatives. Much was achieved in the spirit of collaboration. There were three separate sandpit groups, one focussing on each of the agreed research programmes: 1. Children and Young People. 2. Public Mental Health 3. Places and Communities.. Potential research questions/plans were formulate innovative ideas about major developed by the groups, which where than European Healthcare challenges. shared with the wider audience. There was consideration to the three cross-cutting Dr Grazia Antonacci is a research associate in themes (Health Inequalities, Changing Healthcare Management at the NIHR CLAHRC Behaviour at Population Level and Equitable NWL and Imperial College London, School of and Efficient Public Health Systems). Public Health and Business School. She is also Moving forward, they need to reflect on the a member of the Centre for Health Economics outputs from the Sandpit and move to the and Policy Innovation. Her interest include next stage by agreeing the research the design implementation and sustainability programmes for SPHR over the next four of innovation in healthcare system. Grazia is years, what the key research questions are currently involved in research on the and to agreeing the programme of work introduction of approaches and technologies within each research theme. designed to improve the quality of health and healthcare services. Before joining CLAHRC CLAHRC Research Associate, Grazia NWL and Imperial College, she worked in a Antonacci, appointed to European pharmaceutical and consulting firm as well as Health Parliament in the administration of an Italian research hospital (8years), IRCCS Casa Sollievo della On 17 October 2017 the third edition of the Sofferenza (FG). Her Education includes a European Health Parliament (EHP) was European PhD in Enterprise Engineering officially launched in Brussels. Dr Grazia (healthcare management), a postgraduate Antonacci was selected to join the parliament Degree in Management of Healthcare along with 55 young professionals Organisation and a MSC in Management representing European Members States. The Engineering. ambition is to reinvent European Healthcare by enabling young professionals from For more information on the role of the EHP different backgrounds to debate and continue to the Imperial College Business School article. SAPC Madingley Hall Conference 2018 The Imperial College GP teaching team were well represented at this year’s Society for Academic Primary Care (SAPC) regional conference held on 25 & 26 January in Madingley Hall, Cambridge. Presentations from the team were positively received and included some of the following highlights: MADINGLEY 2018 Clockwise from top left: Ali Dhankot, Senita Mountjoy, Laura Storm, Maham Stanyon, Ellie Gunning, Ravi Parekh, Emma Keeling, Sonia Kumar, Jenna Mollaney MADINGLEY 2018 Sonia Kumar and Arti Maini presented the Ravi Parekh and Shivani Tanna presented educational Communities of Practice (eCoP) findings from research with GP tutors stating model that they developed together with Jo that, “Madingley was a great opportunity to Horsburgh (Lead for Educational Research). showcase the research we have carried out This model has been designed to support staff looking at the key barriers and motivators for to develop evidence-based, innovative community GP tutors taking on students in curricula while in turn contributing to the their GP Practice. One of the key areas
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