Vote for oral presentations and posters at www.sli.do/HSRUK19 1
Welcome 3
Information 4
Programme 6
Session Summaries 10
Rapid Fire Session Listings 12
Posters 15
Speaker Biographies 20
Exhibitors 24
HSR UK Membership 25
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WELCOME
Welcome to the Health Services Research UK annual conference for 2019 We are delighted to welcome you to the largest and most diverse annual conference that HSR UK has ever organised. Our programme of five plenary sessions, and the dozens of workshops, invited sessions, oral paper presentations and poster presentations over two days are a testament to the growth in health services research over recent years in the United Kingdom, and the existence of a thriving and creative research community. With around 350 people from universities, thinktanks, research funders, NHS organisations, patient and public involvement groups and other stakeholders gathered in Manchester it presents an unparalleled opportunity to see the state of the science in HSR, meet and network with colleague and collaborators.
There are awards for the best oral presentations and posters at the conference, and this year we want everyone to contribute by voting for oral presentations and posters that they like – go to www.sli.do/HSRUK19 and enter the 3 digit code beside the presentation or poster in this programme. You can vote for as many different presentations/posters as you like but can only vote once for each one! The awards will be announced at the closing plenary.
These are uncertain and difficult times for the NHS in all four countries of the UK, but perhaps particularly in England where the difficult legacy of the Health and Social Care Act 2012 is slowly being unpicked. But healthcare policymakers and senior leaders across the UK are struggling with very similar problems – how to provide health and social care services to an ageing and multimorbid population, how to respond to the opportunities and costs of new medicines and technologies, and how to organise and deliver health and care as effectively and efficiently as possible. And the HSR community has a great deal to contribute to answering those questions and finding solutions to those problems.
We think that there is a growing recognition of the value and impact of HSR in the real world – and the importance of seeing HSR not as an alternative to or competitor for investment against other areas of health research, like precision medicine, genomics, or other areas of biomedicine, but as a necessary and welcome complementary partner in taking new ideas and innovations from the laboratory and seeking them used as part of often complex and changing care pathways in health and care organisations. We bring the social sciences to bear on some of the most important and difficult questions of the day.
These are exciting times for HSR in the UK and internationally. We have been working with colleagues across Europe in the TO- REACH programme to set the HSR research agenda for Horizon Europe, the next multi-year research programme of the European Union which starts in 2021. Despite the uncertainties of Brexit, it is essential that UK researchers have full access to Horizon Europe and HSR UK alongside others will continue to make that case very actively.
NIHR has just launched its first call for its new global health policy and systems research programme, which we helped them to scope out. It is a great opportunity for UK researchers to partner with those in low and middle income countries to do international health services research. NIHR is also about to announce the outcome of its funding call for Applied Research Collaborations (ARCs), the successors to CLAHRCs, and we look forward in HSR UK to collaborating with these important new centres for expertise in HSR.
One of the key growth areas in the last two years has been in the evaluation of new technologies in health and care – everything from smartphone apps and assistive technologies to new approaches to data analytics, artificial intelligence and machine learning. We held a very successful and oversubscribed one day meeting about this in May, and think there is a real need to do more to bring the research and evaluation communities together with innovators and service providers in this area.
Whether you are new to the HSR UK annual conference or have been many times before, it is worth mentioning that HSR UK exists to provide a collective voice for health services research nationally and internationally, and we need the support of organisations and institutions in joining as members and playing an active part in our programme of meetings, seminars, consultations and other work. So, please get your organisation to join (you then get discounted membership rates for conferences and meetings) and just as importantly, to get involved!
This year also marks an important transition for HSR UK itself. After many years of being hosted by Universities UK, the organisation has become an independent registered charity earlier this year, and will soon be moving its administrative base to the Nuffield Trust in London. We want to record our thanks to everyone who has been involved in helping to take HSR UK on the next stage of its evolution, and we look forward to working with colleagues across the UK on supporting, promoting, debating and realising the future for health services research.
Naomi Fulop Chair of the Board of HSR UK
Kieran Walshe Incoming Chair of the Board of HSR UK
Kym Lang Director of HSR UK
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INFORMATION
HEALTH SERVICES RESEARCH UK Health Services Research UK (HSR UK) is the UK association dedicated to the promotion of health services research in policy and practice. We are a registered charity. The collective voice of UK health services research, we connect researchers with health service leaders, managers and clinicians to drive improvement and innovation in the NHS. For more information and to join, see Membership on p25 of this guide or visit www.hsruk.org
Email: [email protected] Twitter: @HSRN_UK #HSRUK19
HSR UK ANNUAL GENERAL MEETING The HSR UK Annual General Meeting will be held at 1315hrs on Tuesday 2 July in Room D2. The AGM is open to all HSR UK members and non-members and is your chance to shape the future of HSR UK. Hear about the highlights of last year, discuss priorities for the year ahead and meet colleagues old and new. We are very keen to get your input, so please grab some lunch and come along.
CATERING ARRANGEMENTS Lunch will be provided on both days of the conference. If you requested a special diet when registering, please see a member of the catering staff who will assist.
All lunch and refreshment breaks will be on the C floor with additional lunch stations on the B floor. Some seating will be available in the Enigma Café on the C floor.
CLOAKROOM A cloakroom and left luggage facility will be available on the D Floor in Room D1. Opening times as follows: Tuesday 2 July 0930hrs – 1830hrs Wednesday 3 July 0830hrs – 1630hrs
PRAYER ROOM A prayer room is located on the B Floor of the Renold Building. Please ask a member of the Event Team for directions.
SOCIAL MEDIA We’ll be live tweeting across the two days. Follow us on twitter @HSRN_UK and use the conference hashtag #HSRUK19 so we can see and retweet your comments.
SPEAKER PRESENTATIONS Speaker presentations will be available to download after the conference at: www.eventsforce.net/hsruk2019
VOTE FOR ORAL PRESENTATIONS AND POSTERS There are awards for the best oral presentations and posters at the conference, and this year we want everyone to contribute by voting for oral presentations and posters that they like – go to www.sli.do/HSRUK19 and enter the 3 digit code beside the presentation or poster in this programme. You can vote for as many different presentations/posters as you like but can only vote once for each one! The awards will be announced at the closing plenary.
WIFI ACCESS If you have an eduroam please connect to the WiFi via this network. If you do not have access to eduroam please visit the Conference Information Desk to receive your WiFi access code.
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INFORMATION
WELCOME DRINKS RECEPTION: ALL WELCOME Supported by GM CLAHRC and the Institute for Health Policy and Organisation, University of Manchester A welcome reception with drinks and canapes will be held from 1900hrs – 2000hrs on Tuesday 2 July at the Alliance Manchester Business School (adjacent to Crowne Plaza Hotel). All conference participants are invited to attend.
CONFERENCE DINNER: TICKET REQUIRED The Conference Dinner will be held at the Crowne Plaza Manchester – Oxford Road (immediately adjacent to the Alliance Manchester Business School), 55 Booth St W, Manchester M15 6PQ; at 2000hrs. If you booked to attend the conference dinner this will be noted on the reverse of your badge and you will have received your ticket for download and print with your badge.
The map below details the route from the Renold Building to the Alliance Manchester Business School and the Crowne Plaza Manchester – Oxford Road.
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TUESDAY 2 JULY 0930-1030 REGISTRATION & REFRESHMENTS
THEATRE C16 1030-1040 1040-1125 Welcome PLENARY 1 The impact of health research: future priorities and strategies Naomi Fulop Chair HSR UK Chair: Jo Rycroft Malone, Director, NIHR HS&DR Speakers: James Wilsdon, Professor of Research Policy, Sheffield & Simon Denegri, NIHR National Director for Patients, Carers & the Public & Chair of INVOLVE
1135-1250 THEATRE C16 Getting published: an interactive workshop with journal editors and advisors Chair: Naomi Fulop, Professor of Health Care Organisation & Management, UCL Department of Applied Health Research Speakers: Ellen Nolte, Journal of Health Services Research & Policy; Peter Griffiths, International Journal of Nursing Studies; Paul Wilson, Implementation Science & Implementation Science Communications; Karen Lowton, Sociology of Health & Illness
1135 1150 1205 1220 1235 Longitudinal analysis of staff The NHS Well-Led Framework: The impact of management Q&A CLASSROOM E1 and patients’ perceptions and work in progress on an practices on NHS hospital P1.1 experiences of openness in evaluation of content, trust performance Leadership & the NHS context, applications and Nathan Proudlove Management Imelda McCarthy outcomes Practices 201 Naomi Chambers 202 203
Advocates, coordinators or Identifying and managing Examining medication safety A qualitative study of the Q&A CLASSROOM E2 detectives? A qualitative concerns about general incidents in in-patient mental medical examiner role in P1.2 study of a novel role to practitioners in England health settings: an 8-year reviewing cause of death and Patient Safety: support staff who raise Abigail Tazzyman analysis of incidents reported identifying quality of care Incidents & concerns about quality and to the National Reporting and issues safety in the English NHS Learning System Rachel O’Hara Concerns Graham Martin 204 205 Ghadah Alshehri 206 207
12-h shifts in nursing: do they Implementation and impact of The impact of extended shift Is it appropriate to use the Q&A CLASSROOM F1 remove unproductive time policies for safe staffing in hours on acute mental health average workload to set nurse P1.3 and harmful patient acute hospitals: a mixed wards for employee and staffing levels? A computer Workforce 1: handovers or do they reduce methods study organisational outcomes as simulation study Staffing Levels, education and discussion Jane Ball employees adapt and respond Christina Saville opportunities? A cross- to change Shifts & sectional study in 12 Tina Kowalski Workload European countries Chiara Dall’Ora 208 209 210 211
Cost, experience and health Integrated care at the Using reimbursement reform Q&A THEATRE E7 effects of re-orienting a health frontline: a participatory to drive healthcare P1.4 system with integrated care evaluation of locality level integration: making the case Integrated Care for patients with multi-professional teams in for bundled payments multimorbidity East London William Wynn-Jones Jonathan Stokes 212 Mirza Lalani 213 214
How do health system factors Have I (only) got good news Decision-making in systematic VICTOR (Visible ImpaCT Of Q&A THEATRE F14 impact on cancer survival? A for you? A multi-method reviews: exploring evidence Research) a tool for NHS systematic approach using a investigation of publication synthesis as a social process organisations. Uncovering the P1.5 system-level logic model and outcome reporting biases Liz Shaw impacts of undertaking Methods, Melanie Morris in Health Services Delivery research in the NHS Models & Tools Research (HSDR) Judith Holliday for HSR 215 Iestyn Williams 216 217 218
Content analysis of patient Improving hospital discharge Developing a core set of Q&A CLASSROOM F2 safety incident reports for arrangements for people who outcomes for research into P1.6 older adult patient transfers, are homeless: findings from a mental health discharge Transitions in handovers and discharges: do realist evaluation interventions Care they serve organisations, staff Michelle Cornes Natasha Tyler or patients?
Jason Scott 219 220 221
1250-1400 LUNCH | EXHIBITION | POSTER VIEWING
1315-1400 Health Services Research UK – Annual General Meeting ROOM D2 Open to all members and non-members – your chance to shape the future of HSR UK. Please feel free to bring your lunch in with you.
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TUESDAY 2 JULY 1400-1515 Rapid Fire 1: 20 x 2 minute oral poster presentations see page 12 for full listing THEATRE C16 Chair: Kieran Walshe THEATRE E7 Challenges of evaluating digital health technologies in the NHS Chair: Adam Steventon, The Health Foundation Speakers: Nick Hex, York Health Economic Consortium; Michael P Craven, University of Session S1.1 Nottingham, NIHR MedTech Cooperative; Shana Vijayan, Innovation, Research & Life Sciences Group NHS England CLASSROOM F2 Improving care with electronic patient-reported outcome feedback to patients and clinicians Chair: Carmen Tsang, Bristol Centre for Surgical Research, University of Bristol Session S1.2 Speakers: Alexander Smith, Division of Population Medicine, Cardiff University; Carmen Tsang, Bristol Centre for Surgical Research, University of Bristol; Barbara Woroncow, Patient Representative on eRAPID project, Leeds Teaching Hospitals NHS Trust CLASSROOM E1 Primary care networks and the NHS long term plan: bringing the evidence to bear? Chair: Rebecca Rosen, Nuffield Trust Speakers: Amelia Harshfield, RAND Europe; Stephanie Kumpunen, Nuffield Trust; Nicholas Mays, Session S1.3 London School of Hygiene & Tropical Medicine & Nuffield Trust; Ruth McDonald, University of Manchester; Luisa Pettigrew, London School of Hygiene & Tropical Medicine; Rebecca Rosen, Nuffield Trust; Judith Smith, University of Birmingham CLASSROOM E2 Can an interdisciplinary approach help improve implementation and spread of healthcare innovations? Chair: Yiannis Kyratsis, University of London Session S1.4 Speakers: Yaru Chen, University of London; Radhika Narasinkan, Public Health England; Alexandra Ziemann, University of London
CLASSROOM F1 Identifying and measuring spillover effects of changes to healthcare organization and delivery Chair: Matt Sutton, University of Manchester Session S1.5 Speakers: Rachel Meacock, University of Manchester; Philip Britteon, University of Manchester; Søren Rud Kristensen, Imperial College London 1520-1540 REFRESHMENTS | EXHIBITION | POSTER VIEWING
1545-1700 Rapid Fire 2: 20 x 2 minute oral poster presentations see page 13 for full listing THEATRE C16 Chair: Ruth Boaden 1545 1600 1615 1630 1645 Process evaluation of the How can ethnography Problems with composite The implementation and Q&A CLASSROOM E1 Perioperative Quality contribute to healthcare indicators of healthcare impact of ‘continuity of P2.1 Improvement Programme improvement? Lessons from a quality and safety midwifery care’ on women at Quality of Care (PQIP) scoping review Matthew Barclay higher risk of preterm birth Duncan Wagstaff 222 Georgia Black 223 224 Jane Sandall CBE 225
Clinical pharmacists in general Changing skill mix in primary Physician assistants “I think the challenge has Q&A THEATRE E7 practice: negotiating the role care: an analysis of the /associates and doctors in been still not knowing where I P2.2 and balancing needs employment of a wider range training providing emergency fit”: the experience, impact Workforce 2: Fay Bradley of practitioners in GP medicine consultations in and integration of physician Staffing & practices England: a pragmatic mixed associates in training and Sharon Spooner methods comparison beyond Changing Roles 226 227 Mary Halter 228 Sarah Howarth 229
Effects on patient outcomes “Localism and intimacy, and… Reflections on NHS England’s Evidence synthesis and Q&A THEATRE F14 and experience of a health other rather imponderable approach to evaluating qualitative exploration of the P2.3 coaching intervention in reasons of that sort”: a new complex change in the health locally commissioned New Models of primary care in England: a model of understanding and system: the New Care Models evaluations of the NHS Care difference-in-differences valuing patient experience in (NCM) Programme vanguard programme analysis community hospitals Samantha Hinks Paul Wilson
Vishalie Shah 230 Deborah Davidson 231 232 233
Conceptualising approaches A mixed method multi- Identifying care home Emergency admissions to Q&A CLASSROOM E2 to providing personalisation in component study to co-design residents in routine NHS hospital from care homes: P2.4 care homes for older people a care bundle intervention for datasets in England how often and what for? Care Homes & Stefanie Ettelt nursing homes Filipe Santos Therese Lloyd 234 Trish Gray 235 236 237 Nursing Homes Using animation to capture Paediatric Intensive Care Developing, implementing and Q&A CLASSROOM F1 the secondary healthcare Retrieval - engaging parents evaluating the Yorkshire Patient P2.5 experiences of people in to give feedback on their Experience Toolkit (PET): how Patient prison – an engagement tool experience process evaluation can Experience Chantal Edge Victoria Barber strengthen action research 238 239 Thomas Mills 240 THEATRE C16 1710-1725 1725-1810 NEWSFLASH: Global health policy PLENARY 2: Social care research, policy and practice and systems research funding Chair: Martin Knapp, Professor of Social Policy & Director of PSSRU, London School of Presented by: Mike Batley, Deputy Economics & Political Science, Director Research Programmes, Speakers: Richard Humphries, Senior Policy Fellow, King’s Fund & Visiting Professor at Department of Health & Social Care Worcester; Jill Manthorpe, Professor of Social Work & Director of Social Care Workforce Research Unit, King’s College London
Welcome Reception with drinks and canapes for all conference participants 1900 Alliance Manchester Business School (adjacent to Crowne Plaza Hotel) Supported by GM CLAHRC and the Institute for Health Policy and Organisation, University of Manchester
2000 HSR UK CONFERENCE DINNER | CROWNE PLAZA HOTEL, BOOTH STREET WEST (ticket required)
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WEDNESDAY 3 JULY 0830-0845 REGISTRATION & REFRESHMENTS
THEATRE C16 0845-0935 0935-0950 PLENARY 3: Researching the healthcare workforce: what do we need to know? NEWSFLASH: NIHR Applied Chair: Anita Charlesworth, Director of Research & Economics, The Health Foundation Research Collaborations Speakers: Peter Griffiths, Chair of Health Services Research, University of Southampton Presented by: Dame Nicky Cullum, and Candace Imison, Director of Strategy, Nursing & Midwifery Council NIHR CLAHRC Greater Manchester
1000-1115 Rapid Fire 3: 20 x 2 minute oral poster presentations see page 14 for full listing THEATRE C16 Chair: Naomi Fulop
THEATRE E7 In pursuit of cultural transformation: developing continuous improvement capability in the NHS Chair: Shaun Leamon, Research Manager, The Health Foundation Session S2.1 Speakers: Nicola Burgess, Warwick Business School & Virginia Mason Institute; John Richmond, Warwick Business School; Joy Furnival, NHSI; John Dean, MD FRCP, East Lancashire Hospitals NHS Trust
CLASSROOM E1 Online patient feedback about care: what difference is it making? Chair: Glenn Robert, King’s College London Session S2.2 Speakers: Louise Locock, University of Aberdeen; Lauren Ramsey, Bradford Institute for Health Research & The University of Leeds; Ann O’Brien, National University of Ireland, Galway; Rebecca Baines, University of Plymouth
THEATRE F14 Exploring governance and coordination in commissioning for integrated care: organisational realities in the English NHS Chair: Kath Checkland, University of Manchester Session S2.3 Speakers: Jonathan Hammond, University of Manchester; Valerie Moran, Luxembourg Institute of Health & Luxembourg Institute of Socio-Economic Research; Marie Sanderson, London School of Hygiene & Tropical Medicine; Pauline Allen, London School of Hygiene & Tropical Medicine; Imelda McDermott, University of Manchester; Dorota Osipovic, London School of Hygiene & Tropical Medicine
CLASSROOM E2 Caring for high need patients: evidence from an international comparative study across 12 countries Chair: Adam Steventon, The Health Foundation Speakers: Sarah Deeny, The Health Foundation; Mai Stafford, The Health Session S2.4 Foundation; Kosta Shatrov, University of Bern, & Swiss Institute of Translational and Entrepreneurial Medicine (sitem-insel AG), Switzerland; Enrique Bernal-Delgado, Institute for Health Sciences, IACS, Zaragoza, Spain
CLASSROOM F1 Continuity of care in complex health systems: evidence, measurement and research challenges Chair: Jocelyn Cornwell, Point of Care Foundation Session S2.5 Speakers: Rebecca Rosen, Nuffield Trust; Nina Hemmings, Nuffield Trust; Miranda Davies, Nuffield Trust; Louella Vaughan, Nuffield Trust
1115-1130 REFRESHMENTS | EXHIBITION | POSTER VIEWING
THEATRE C16 1135-1250 Future needs and priorities in health services research: an interactive workshop with funders Chair: Judith Smith, Director, Health Services Management Centre, University of Birmingham Speakers: Sabine Best, Marie Curie; Anne Cody, Health Research Board Ireland: Matt Sutton, NIHR HS&DR: Sue Ziebland, Research for Patient Benefit; Usha Booklay, Health Foundation
1135 1150 1205 1220 1235 Automation and the future of Mixed methods rapid-cycle Understanding the Video consultations as Q&A THEATRE E7 primary care evaluation of digital minor characteristics and business-as-usual: fantasy or P3.1 Digital Matthew Willis illness referral service pilot in healthcare utilisation of reality? Innovations North-East England patients registered with the Sara Shaw Kim Jeong Babylon GP at hand digital 301 302 practice Dilwyn Sheers 303 304
In the name of safety: Meeting 7 day standards: The quality and safety of Q&A CLASSROOM E1 identifying and letting go of what affects implementing locum doctors: an P3.2 low-value safety practices nationally imposed change? international rapid review Quality & Gillian Janes & Liz Sutton Jane Ferguson Abigail Albutt Safety 305 306 307
The importance of stories: Understanding job The potential impact of Care under pressure: a realist Q&A THEATRE F14 lessons from a rapid dissatisfaction, ‘burnout’ and Brexit and immigration review of interventions to P3.3 evaluation of the NHS alienation of labour in policies on the GP workforce tackle doctors’ mental ill- Workforce 3: Workforce Race Equality England’s NHS in England health and its impacts on the Standard Stephen Iliffe Evangelos clinical workforce and patient Wellbeing, Fiona Sampson Kontopantelis care Changing Makeup 308 309 310 Daniele Carrieri 311
Developing products for The challenge of intervention Achieving intervention Evaluation of the Q&A CLASSROOM E2 knowledge mobilisation: how spread and scale in a national fidelity ‘at scale’: an analysis implementation of the UK P3.4 best to get them used? organisation for stroke of the NHS diabetes antimicrobial resistance Implementation Charlotte Sharp survivors: lessons from a prevention programme strategy, 2013-2018, in process evaluation of Peter Bower diverse local settings innovative carer support Elizabeth Eastmure 312 Sarah Darley 313 314 315
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WEDNESDAY 3 JULY 1135 1150 1205 1220 1235 How can shared decision The co-production of chronic Can patients, carers and Q&A CLASSROOM F1 making for cardiovascular pain peer support groups: a clinicians co-produce P3.5 conditions be supported? qualitative study examining increased social, cognitive Rachel Johnson patients’ roles in and physical activity on acute Co-Production implementation stroke units? 316 Michelle Farr 317 Fiona Jones 318 Out of pocket costs for Healthcare utilisation among The associations between Q&A CLASSROOM F2 medicines: using model migrants to the UK: cross- deprivation and hospital patients to compare six sectional analysis of two service use for children and P3.6 countries national surveys young people locally and Service Access & Pauline Norris Catherine Saunders nationally Utilisation 319 320 Julia Forman 321 1250-1335 LUNCH | EXHIBITION | POSTER VIEWNG
THEATRE C16 1340-1415 PLENARY 4: Patient experience research and improvement Chair: Jocelyn Cornwell, CEO & Founder of The Point of Care Foundation Speakers: Glenn Robert, Professor of Health Care Quality & Innovation, King’s College London; Sue Ziebland, Professor of Medical Sociology & Director of the Health Experiences Research Group, University of Oxford
1425 1440 1455 1510 1525 Conflict in the CLAHRC? The What can ARCs learn from “If you wear a uniform you’re Taking the pulse of the health Q&A CLASSROOM E1 experiences of mid-level the emergence of CLAHRCs? a nurse. I don’t”: boundary services research community P4.1 Researching academics in an applied Paul Wilson spanning and identity work in in Australia and New health service research the clinical research Zealand: a cross-sectional Research/HSR organisation workforce; a qualitative study survey of research impact, Community Jo Shuttleworth of research nurses, midwives barriers, and support and allied health professionals Rachael Morton 322 323 Lisa Hinton 324 325
Public involvement in Co-research and involvement “But they’re not your average Building capacity for co- Q&A THEATRE E7 evidence synthesis of health of people living with patient”: representativeness, producing research with P4.2 services research: experience dementia in hospital based expertise and diversity in patients and carers within of the Sheffield Health mixed method research patient involvement global health research to Patient & Public Services & Delivery Research Faraz Ahmed Sarah Knowles improve stroke care in India: Involvement/ Evidence Synthesis Centre reflecting on evolving Voice Duncan Chambers practice and consequences 326 327 328 Caroline Sanders 329 The impact of emergency Interventions to improve The propensity to make The impact of alcohol Q&A CLASSROOM E2 care centralisation on service use and self-care clinically unnecessary use of intoxication management mortality, hospital discharge decision-making in patients emergency departments: a services on frontline work in P4.3 Emergency and readmission: an making clinically unnecessary vignette study the night-time economy: an Care observational study use of urgent and emergency Alicia O’Cathain ethnographic study Christopher Price care Joanne Blake 330 Jaqui Long 331 332 333 Innovating for improved Understanding social Towards a more pragmatic Intentional rounding in Q&A CLASSROOM F1 healthcare services: policy prescribing for people with vision for group consultations: hospital wards: what works, P4.4 Innovations and practice for a thriving co-morbid mental and participatory, ‘researcher-in- for whom and in what NHS physical health conditions. residence’ evaluation of circumstances? Sonja Marjanovic A realist evaluation group-based care for young Ruth Harris Emily Wood people with diabetes in ethnically diverse, socioeconomically deprived settings (TOGETHER study) 334 335 Chrysanthi Papoutsi 336 337
CLASSROOM F2 Optimising acute care for The VOICE study – a before National evaluation of Neighbourhoods & dementia Q&A people with dementia: a and after study of a dementia Dementia Friendly programme study: core P4.5 mixed-methods study communication skills training Communities: the DEMCOM outcome set for people living Dementia Rahil Sanatinia course project with dementia 338 Sarah Goldberg 339 Claire Goodman 340 Andrew Harding 341
Is increasing uptake in ‘On it like a car bonnet’: The impact of comorbidities Hiding in plain sight: using Q&A THEATRE F14 screening compatible with understanding how and in on the safety and routine data to identify P4.6 our move from the 'Era of what contexts National effectiveness of hip or knee opportunities to increase Routine Data & assessment and Clinical Audit data are used replacement surgery value and reduce waste in Analytics accountability' to the 'Era of to monitor and improve care Belene Podmore health systems systems and creativity' in the quality in the NHS Louise Hussey NHS Lynn McVey & Aileen Clarke 342 Natasha Alvarado 343 344 345 THEATRE C16 1550 1615 PLENARY 5: Health policy in Europe at a time of political change, turmoil and crisis Prizegiving and HSR UK 2020 Chair: Kieran Walshe, Professor of Health Policy & Management Alliance Manchester conference announcement Business School Speaker: Scott Greer, Professor of Health Management & Policy, Global Public Health & Political Science, University of Michigan
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SESSION SUMMARIES: 2 JULY
SESSION 1.1 Challenges of evaluating digital health technologies in the NHS Chair: Adam Steventon, Director of Data Analytics, The Health Foundation. Speakers: Nick Hex, Associate Director, York Health Economics Consortium; Dr Michael Craven, Senior Research Fellow, MindTech; Dr Shana Vijayan, National Lead, Innovation, Research & Life Sciences Group NHS England. Digital-first models of primary care, and other digital innovations, are playing a rapidly increasing role in the delivery of health care. These innovations have the potential to transform the way patients manage their own health and care, and present important challenges for health services research and evaluation. In this session, we invite speakers from some of the leading organisations involved in developing, implementing and evaluating new digital health technologies to present their insights with the aim of motivating a discussion around the key challenges and issues.
SESSION 1.2 Improving care with electronic patient-reported outcome feedback to patients and clinicians Chair: Carmen Tsang, Research Fellow, Bristol Centre for Surgical Research. Speakers: Alexander Smith, Stroke Association Postgraduate Fellow, Division of Population Medicine, Cardiff University; Carmen Tsang, Research Fellow, Bristol Centre for Surgical Research, Bristol University; Barbara Woroncow, Patient Representative on eRAPID project, Leeds Teaching Hospitals NHS. In this interactive session on electronic patient-reported outcomes (ePRO), experiences and challenges in developing and running ePRO systems will be considered from the perspectives of patients, researchers, clinicians and technology. Recent research will be presented on stroke care, surgery and cancer treatment. There will be small group discussions on potential solutions to common challenges in collecting and using ePRO data, including feedback to inform clinical care. The session will end with reflections on current and future directions of ePRO measurement and uses in research and patient care. All who have an interest in patient-reported data are welcome to attend.
SESSION 1.3 Primary care networks and the NHS long term plan: bringing the evidence to bear? Chair: Rebecca Rosen, Senior Fellow, Nuffield Trust Speakers: Amelia Harshfield, Analyst, RAND Europe; Stephanie Kumpunen, Senior Fellow in Health Policy, Nuffield Trust; Nicholas Mays, Professor of Health Policy, London School of Hygiene & Tropical Medicine & Senior Associate, Nuffield Trust; Ruth McDonald, Professor of Health Science & Research Policy, University of Manchester; Dr Luisa Pettigrew, NIHR Doctoral Research Fellow, London School of Hygiene & Tropical Medicine; Dr Rebecca Rosen, Senior Fellow, Nuffield Trust; Professor Judith Smith, Director of Health Services Management Centre, University of Birmingham. Primary care networks (PCNs) are a key part of the NHS Long Term Plan. It is anticipated that they will improve care and outcomes by delivering joined-up out-of-hospital services at the ‘neighbourhood’ level. The aims of each this interactive workshop are to: - Review lessons for PCNs from other ‘large-scale’ care providers - Examine staff and patient experiences in four contrasting GP federation - Describe options to assess success in PCNs A panel discussion will bring together the common themes and lessons from presentations, ensuring that the audience leaves with an evidence-informed opinion on PCN development and evaluation.
SESSION 1.4 Can an interdisciplinary approach help improve implementation and spread of healthcare innovations? Chair: Yiannis Kyratis, Co-Director Centre for Healthcare Innovation Research, City University London. Speakers: Yaru Chen, University of London; Radhika Narasinka, Head of Strategic Planning & Performance, Public Health England; Alexandra Ziemann, Senior Research Fellow, University of London. The session explores the value of an interdisciplinary approach to address the complex and dynamic character of the spread of healthcare innovations. Three presentations showcase examples of approaches from health sciences, organisational studies, health policy, and implementation science to the analysis of diverse innovation spread cases within the English NHS. The presentations explore crucial determinants in the spread process: the role of practitioners, the influence of external context and the value of adapting innovations. The subsequent 30-minute interactive debate discusses the contributions of different disciplines and the value of an interdisciplinary approach to improve the spread of innovations.
SESSION 1.5 Identifying and measuring spillover effects of changes to healthcare organization and delivery Chair: Professor Matt Sutton, University of Manchester. Speakers: Dr Rachel Meacock, Senior Lecturer in Health Economics, University of Manchester; Philip Britteon, PhD Student, University of Manchester; Dr Søren Rud Kristensen, Senior Lecturer in Health Economics, Imperial College London. Changes to the way in which healthcare services are organised and delivered have wider consequences beyond the patients or services targeted. These types of wider changes are called ‘spillovers’. They may be positive if more patients benefit than was originally intended, and/or they may be negative, because more attention is paid to some patients and activities at the expense of others. These spillover effects may be substantial enough to affect whether a proposed change in service organisation is cost-effective. This session will consist of three presentations covering the latest methodological advancements in the area of identifying and measuring spillover effects.
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SESSION SUMMARIES: 3 JULY
SESSION 2.1 In pursuit of cultural transformation: developing continuous improvement capability in the NHS Chair: Shaun Leamon, Research Manager, The Health Foundation. Speakers: Nicola Burgess, Associate Professor Operations Management, Warwick Business School & Virginia Mason Institute; John Richmond, Research Fellow, Warwick Business School; Joy Furnival, National Advisor for Improvement, NHSI; Dr John Dean, MD FRCP, East Lancashire Hospitals NHS Trust This session will describe and critique ongoing work to develop continuous improvement (CI) capability in the NHS. Participants will hear from researchers at Warwick Business School, discussing emergent findings from their evaluation of the NHS-VMI partnership alongside healthcare leaders involved in the ‘Vital Signs’ work. Both the NHS-VMI partnership and Vital Signs are NHS led initiatives that work closely with a small number of trusts to facilitate cultural ‘transformation’ through development of sustainable CI capability.
SESSION 2.2 Online patient feedback about care: what difference is it making? Chair: Professor Glenn Robert, Kings College London. Speakers: Louise Locock, Professor of Health Services Research, University of Aberdeen; Lauren Ramsey, Bradford Institute for Health & The University of Leeds; Ann O'Brien, PhD Candidate & Research Associate, National University of Ireland; Rebecca Baines, Researcher, Plymouth University Research into online patient feedback and the impacts it creates, and for whom, is now a rapidly developing field. Existing online feedback platforms differ in ways (ownership, intent, operation) which may affect use and impact by patients and staff. Online patient feedback is a growing phenomenon in many countries. A recent study found that 42% of UK adults had read online feedback about healthcare, tests or treatments in the past year.
SESSION 2.3 Exploring governance and coordination in commissioning for integrated care: organisational realities in the English NHS Chair: Kath Checkland, Professor of Health Policy & Primary Care, University of Manchester. Speakers: Jonathan Hammond, Research Fellow, University of Manchester; Valerie Moran, Luxembourg Institute of Health; Marie Sanderson, London School of Hygiene & Tropical Medicine Enhancing care integration and organisational co-ordination are key objectives of health systems globally. In the English NHS, various arrangements at different scales aim to realise this and overcome challenges associated with previous legislation. In this session, through three presentations – examining specialised services commissioning, inter-organisational accountability in Sustainability and Transformation Partnerships, new co-operative contractual models – we will explore factors, processes, and idiosyncrasies shaping dynamics between different organisational elements of the NHS, and efforts to enhance inter-organisational co-ordination and provision of more integrated care. Discussant Charles Tallack (The Health Foundation) will provide a policy development perspective and consider what role policy might play towards the goal of realising a more ‘joined up’ system.
SESSION 2.4 Caring for high need patients: evidence from an international comparative study across 12 countries Chair: Adam Steventon, Director of Data Analytics, The Health Foundation Speakers: Sarah Deeny, Assistant Director Data Analytics, The Health Foundation; Mai Stafford, The Health Foundation; Kosta Shatrov, Research Fellow, University of Bern & Swiss Institute of Translational and Entrepreneurial Medicine (sitem-insel AG); Enrique Bernal-Delgado, Principal Researcher, Institute for Health Sciences Identifying variation in care and outcomes across different health systems, could help researchers and policy makers identify strategies for improvement. This session reports findings from the High Cost High Need International Collaborative of health service researchers from twelve countries (Australia, Canada, England, France, Germany, the Netherlands, New Zealand, Norway, Spain, Sweden, Switzerland and the United States). Using linked data for two exemplar high need patient groups: older people with hip fracture plus hip operation, and older patients with heart failure; we compare healthcare utilisation across primary and secondary care pathways.
SESSION 2.5 Continuity of care in complex health systems: evidence, measurement and research challenges Chair: Jocelyn Cornwell, Point of Care Foundation. Speakers: Dr Rebecca Rosen, Senior Fellow, Nuffield Trust; Nina Hemmings, Researcher in Health Policy, Nuffield Trust; Dr Miranda Davies, Senior Research Analyst, Nuffield Trust; Dr Louella Vaughan, Senior Clinical Fellow, Nuffield Trust. Continuity of care is valued by patients and linked to improved outcomes but changes in service delivery organization may be making continuity of care harder to deliver. Research in this area is methodologically challenging, with no consistent definition of continuity of care and no widely agreed measures of continuity. This session will address methodological developments and findings from research into continuity of care in both primary and secondary settings, summarizing evidence on the challenges of delivering continuity and the impact of continuity on various outcomes. It will engage the audience in identifying future research questions and methodologies relevant to continuity.
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RAPID FIRE SESSION 1
2 JULY, 1400–1515, THEATRE C16 Presenting Author
MEMORABLE: MEdication Management in Older people: Realist Approaches Based on Literature and Ian Maidment Evaluation Using evidence synthesis to improve the experience of care for people with dementia in hospital: 3 linked Ruth Gwernan Jones systematic reviews The use of a data calculator to facilitate the introduction and use of a standardised outcome measure (Musculoskeletal Health Questionnaire) within the Musculoskeletal Physiotherapy Services across a Panos Sarigiovannis Trust in Staffordshire
Describing and enhancing audit and feedback in acute Trust dementia care: A co-production study Michael Sykes
Optimising the design of placebo-controlled surgical trials Sian Cousins
How are sustainability and transformation partnerships aiming to improve population health and Anya Gopfert prevent disease?
Evaluation of the Macmillan Integrated Therapy Service Tim Markham
Spatial distribution and temporal trends in social fragmentation in England, 2001 to 2011: a national Christos Grigoroglou study Uncharted territory: mixed-methods systematic review to map, characterise, and evaluate respite care Gerlinde Pilkington for young adults with complex healthcare needs
The journey of Looked After Children in developing a research Patient and public involvement group. Hayley Alderson
Evaluating non-medical prescribing by optometrists in Scotland Sven Jonuscheit
Patient, carer and care professional views and experiences of physical healthcare provided by pharmacy Dolly Sud to those with severe mental illness: a qualitative research study Motivations, experiences, and career aspirations of trainee nursing associates (TNAs) in the North of Rachel King England: A pilot study Ambulance paramedics Responding to urgent patient Requests In general practice for home Visits - Mark Kingston Evaluation development (ARRIVE) To Each According to Their Need: Evaluating a Fresh Approach to Offering Support to Children with Anna Moore Mental Health Problems
Exploring the Long-term Impact of Post-Sepsis Syndrome (ELIPSS) Ruth Louise Poole
Assessing lay persons’ understanding of head injury and when emergency services might be needed: a Mary Halter mixed methods study Data-driven integrated commissioning for prevention: A study of Clinical Commissioning Groups’ use of Julie George intelligence and risk prediction tools in decision-making The benefits and challenges of early dissemination strategies: reflections from the General Practitioners Helen Baxter in Emergency Departments (GPED) study. Evaluation of a community healthcare service innovation in real world conditions: a focus on stroke Early Adrian Byrne Supported Discharge
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RAPID FIRE SESSION 2
2 JULY, 1545–1700, THEATRE C16 Presenting Author
Optimising neonatal service provision for preterm babies born between 27 and 31 weeks of gestation Thillagavathie Pillay (OPTI-PREM) using national data, qualitative research and economic analysis: a study protocol An investigation into the use of digital technology on improving the quality of life for vulnerable adults Sian Cook and enhancing public service delivery
Patient and Public Involvement in Health Services Research: What is the Impact? Elspeth Mathie
You say patient, I say citizen: A qualitative study of the process of integration of health and social care Claire Mitchell
Organising Support for Carers of Stroke Survivors (OSCARSS): a national Cluster Randomised Controlled Emma Patchwood Trial (cRCT) exploring innovative carer support. An integrated economic evaluation of cognitive behaviour therapy in clozapine-resistant schizophrenia Gemma Shields within a randomised controlled trial
Implementing a transition pathway into a Paediatric hospital in England: A Realist Evaluation Julie Feather
Power bases and influence tactics of medical leaders Kirsten Armit
Chimdimma Noelyn Burns Patient Segmentation via Data Analytics Onah
Exploring the Influence of Healthcare Accreditation on the Psychosocial Work Environment Amna Alshamsi
The epidemiology and determinants of non-diabetic hyperglycaemia and its conversion to type 2 Rathi Ravindrarajah diabetes, 2000-2015: cohort population study using UK electronic health records.
Impact of introducing ward-based pharmacy services on delivery of safe care Sarah Willis
Exploring the determinants of Type 2 diabetes in severe mental illness using longitudinal primary care Lu Han data from the Clinical Practice Research Datalink (CPRD) and linked health data. How can the management of Heart Failure with Preserved Ejection Fraction (HFpEF) be improved? Emma Sowden Patients’ and providers’ perspectives How are vulnerable people protected during heatwaves? Findings from the evaluation of the Heatwave Lorraine Williams plan for England Project Proposal: What impact have inspections, reports and ratings had on the quality of care in general Luisa Pettigrew practice?
Periprosthetic fractures – the next fragility fracture epidemic? National observational study Alex Bottle
Transforming across boundaries: Diabetes Book and Learn in South London Sophie Harris
Opportunities for linking research to policy: lessons learned from implementation research in sexual and Emilomo Ogbe reproductive health within the ANSER network
Prioritising novel and existing national care standards for emergency departments in Wales Jo Mower
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RAPID FIRE SESSION 3
3 JULY, 1000 – 1115, THEATRE C16 Presenting Author
The development of a framework for the collaborative commissioning of health and social care. Kayleigh Nelson
Perinatal outcomes of gestational diabetes regarding management protocols Khawla Lamlum
Improving Urgent Suspected Lung Cancer Services in a DGH Usman Khan
Care Home staff’s experience of caring for residents with sepsis Sevim Hodge
Gaining entry access to primary and community health care services for adults with intellectual Anna Cantrell disabilities - mapping review and targeted systematic review
Analysis of Community Pharmacist Tasks in Practice Ahmed Ashour
Core outcome sets through the healthcare research ecosystem: a NICE example Paula Williamson
Challenges facing people affected by cardiovascular disease: a mixed methods observational study. Alan Poots
Thinking outside the (dosette) box: health professionals’ experiences of supporting medicines Eleanor Wilson management in the home environment for patients who are seriously ill.
Diagnosis of hearing loss in primary care: Evidence from the English Longitudinal Study of Ageing (ELSA) Dialechti Tsimpida
Philippa Olive and NEST@home: The Neonatal Early Supported Transfer home project Louise Richards
Can PROMs from population surveys provide accurate pre-admission estimates for emergency hospital Esther Kwong admissions?
Community-based support for people affected by young onset dementia: a mixed method study Andrea Mayrhofer
Embedding health inequalities in research and practice: CLAHRC NWC Partner’s Priority Programme Shaima Hassan utilisation of the Health Inequalities Assessment Tool A multi-stakeholder approach to evaluation of social franchising as a mechanism for scale in health and Diane Redfern-Tofts care
A creative co-production approach to promote exercise after stroke Remi Bec
Predicting treatment response to antidepressant medication – the PReDicT test: an exploration of Sue Brown acceptability and implementation
Developing a measure to assess the quality of care transitions for older people. Eirini Oikonomou
Compexifying adversity: first findings from the development of a professional training resource for Mary Adams improving the discussion of adverse events in maternity care
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POSTERS
Presenting Poster No. Title Author Complexifying adversity: first findings from the development of a professional training Mary Adams 101 resource for improving the discussion of adverse events in maternity care The journey of Looked After Children in developing a research Patient and public Hayley Alderson 102 involvement group.
103 Exploring the Influence of Healthcare Accreditation on the Psychosocial Work Environment Amna Alshamsi
104 Power bases and influence tactics of medical leaders Kirsten Armit
105 Mitigating medical overuse - how can we ensure ‘just enough medicine'? Natalie Armstrong
106 Analysis of Community Pharmacist Tasks in Practice Ahmed Ashour
107 Does the Duty of Candour process impact on improvements in practice? Jemma Barton
The benefits and challenges of early dissemination strategies: reflections from the General Helen Baxter 108 Practitioners in Emergency Departments (GPED) study.
109 A creative co-production approach to promote exercise after stroke Remi Bec
110 Periprosthetic fractures – the next fragility fracture epidemic? National observational study Alex Bottle
The Community Ageing Research 75+ (CARE 75+) cohort study: a resource for research with Lesley Brown 111 older people with frailty
112 The impact of pain in older people with frailty Lesley Brown
Predicting treatment response to antidepressant medication – the PReDicT test: an Sue Brown 113 exploration of acceptability and implementation Prehospital Recognition and Antibiotics for 999 patients with Sepsis: Feasibility Study Jenna Bulger 114 Results Evaluation of a community healthcare service innovation in real world conditions: a focus Adrian Byrne 115 on stroke Early Supported Discharge Gaining entry access to primary and community health care services for adults with Anna Cantrell 116 intellectual disabilities - mapping review and targeted systematic review Desired improvements in resilience in NHS top leadership? Characteristics of long serving Naomi Chambers 117 NHS CEOs
118 The development and organisation of clinical pharmacy services in China: a scoping study Li-Chia Chen
The North West Coast Atrial Fibrillation (AF) Collaborative: Preventing possible strokes Michelle Coleiro 119 through the diagnosis and improved management of people with AF in primary care An investigation into the use of digital technology on improving the quality of life for Sian Cook 120 vulnerable adults and enhancing public service delivery
121 Optimising the design of placebo-controlled surgical trials Sian Cousins
Understanding the use of placebo comparators in randomised controlled trials of invasive 122 Sian Cousins surgical procedures: A systematic review
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POSTERS
Presenting Poster No. Title Author Evaluating the care received by patients with oesophago-gastric cancer: the value of data David Cromwell 123 linkage Feasible Digital Interventions to improve quality and outcomes in homeless health care: an Gavin Daker-White 124 adapted systematic review The provision of services in the UK for armed forces veterans with post-traumatic stress Alison Eastwood 125 disorder: a rapid evidence synthesis Implementing a transition pathway into a Paediatric hospital in England: A Realist Julie Feather 126 Evaluation
127 Evaluation of the Surrey Heartlands Hackathon Project Julie George
Data-driven integrated commissioning for prevention: A study of Clinical Commissioning Julie George 128 Groups’ use of intelligence and risk prediction tools in decision-making How are sustainability and transformation partnerships aiming to improve population Anya Gopfert 129 health and prevent disease?
130 The effects of care bundles on patient outcomes: a systematic review and meta-analysis Trish Gray
Spatial distribution and temporal trends in social fragmentation in England, 2001 to 2011: Christos Grigoroglou 131 a national study Using evidence synthesis to improve the experience of care for people with dementia in Ruth Gwernan-Jones 132 hospital: 3 linked systematic reviews Assessing lay persons’ understanding of head injury and when emergency services might Mary Halter 133 be needed: a mixed methods study Exploring the determinants of Type 2 diabetes in severe mental illness using longitudinal 134 primary care data from the Clinical Practice Research Datalink (CPRD) and linked health Lu Han data. 135 Transforming across boundaries: Diabetes Book and Learn in South London Sophie Harris
Experiences and lessons of involving the public in the dissemination of the North West Shaima Hassan 136 Coast Household Health Survey Embedding health inequalities in research and practice: CLAHRC NWC Partner’s Priority Shaima Hassan 137 Programme utilisation of the Health Inequalities Assessment Tool
138 Care Home staff’s experience of caring for residents with sepsis Sevim Hodge Accelerometer and pedometer-based interventions to increase physical activity and 139 improve health in adults with cardiometabolic conditions: A systematic review with meta- Alex Hodkinson analysis and individual participant data meta-analysis A patient-orientated hospital discharge summary to promote self-care in older patients: a Alyson Huntley 140 mixed-methods study to determine suitability and outcome measures Impact of health and social care interventions on unplanned hospital admissions, timely 141 discharge and well-being of community dwelling older population: A mixed method meta- Alyson Huntley review of systematic reviews 142 Evaluating non-medical prescribing by optometrists in Scotland Sven Jonuscheit
143 Improving Urgent Suspected Lung Cancer Services in a DGH Usman Khan
Motivations, experiences, and career aspirations of trainee nursing associates (TNAs) in the Rachel King 144 North of England: A pilot study
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Presenting Poster No. Title Author Ambulance paramedics Responding to urgent patient Requests In general practice for Mark Kingston 145 home Visits - Evaluation development (ARRIVE) Drivers and barriers to implementing a Learning Health System: Qualitative evaluation of Sarah Knowles 146 four sites in the North of England The ideal urgent and emergency care system: A qualitative study of public and healthcare Maxine Kuczawski 147 professional perspectives Can PROMs from population surveys provide accurate pre-admission estimates for Esther Kwong 148 emergency hospital admissions?
149 Perinatal outcomes of gestational diabetes regarding management protocols Khawla Lamlum
Optimising the delivery of clinical pharmacy services: development of the Adult Complexity Penny Lewis 150 Tool for Pharmaceutical Care MEMORABLE: MEdication Management in Older people: Realist Approaches Based on Ian Maidment 151 Literature and Evaluation MEDREV: feasibility study of a combined pharmacy-health psychology intervention to limit 152 the inappropriate use of psychotropics for behaviour that challenges in people living with Ian Maidment dementia 153 Evaluation of the Macmillan Integrated Therapy Service Tim Markham
154 Patient and Public Involvement in Health Services Research: What is the Impact? Elspeth Mathie
Community-based support for people affected by young onset dementia: a mixed method Andrea Mayrhofer 155 study You say patient, I say citizen: A qualitative study of the process of integration of health and Claire Mitchell 156 social care To Each According to Their Need: Evaluating a Fresh Approach to Offering Support to Anna Moore 157 Children with Mental Health Problems
158 Prioritising novel and existing national care standards for emergency departments in Wales Jo Mower
The development of a framework for the collaborative commissioning of health and social Kayleigh Nelson 159 care Opportunities for linking research to policy: lessons learned from implementation research Emilomo Ogbe 160 in sexual and reproductive health within the ANSER network
161 Developing a measure to assess the quality of care transitions for older people. Eirini Oikonomou
Philippa Olive & NEST@home: The Neonatal Early Supported Transfer home project 162 Louise Richards
Chimdimma Noelyn Burns Patient Segmentation via Data Analytics 163 Onah Organising Support for Carers of Stroke Survivors (OSCARSS): a national Cluster Emma Patchwood 164 Randomised Controlled Trial (cRCT) exploring innovative carer support. Patient and staff experiences of follow-on peer support groups after pain management Rita Patel 165 programmes. Drug use in street sex workers (DUSSK) study: a feasibility and acceptability study of a Rita Patel 166 complex intervention to reduce illicit drug use in drug-dependent female street sex workers Participatory modelling with stakeholders to inform health and social service design and Mark Pearson 167 implementation: A systematic scoping review of descriptions and empirical research
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POSTERS
Presenting Poster No. Title Author Qualitative Research exploring education and training in relation to older people’s health Anna Perris 168 and social care Project Proposal: What impact have inspections, reports and ratings had on the quality of Luisa Pettigrew 169 care in general practice? Uncharted territory: mixed-methods systematic review to map, characterise, and evaluate Gerlinde Pilkington 170 respite care for young adults with complex healthcare needs Optimising neonatal service provision for preterm babies born between 27 and 31 weeks 171 of gestation (OPTI-PREM) using national data, qualitative research and economic analysis: Thillagavathie Pillay a study protocol 172 Exploring the Long-term Impact of Post-Sepsis Syndrome (ELIPSS) Ruth Louise Poole
Challenges facing people affected by cardiovascular disease: a mixed methods Alan Poots 173 observational study.
174 Electronic records in ambulances – an observational study (ERA) Alison Porter
The epidemiology and determinants of non-diabetic hyperglycaemia and its conversion to Rathi Ravindrarajah 175 type 2 diabetes, 2000-2015: cohort population study using UK electronic health records. A multi-stakeholder approach to evaluation of social franchising as a mechanism for scale Diane Redfern-Tofts 176 in health and care
177 Police-related mental health triage interventions: a rapid evidence synthesis Mark Rodgers
178 Digital-first primary care: a rapid responsive evidence synthesis Mark Rodgers The use of a data calculator to facilitate the introduction and use of a standardised outcome 179 measure (Musculoskeletal Health Questionnaire) within the Musculoskeletal Panos Sarigiovannis Physiotherapy Services across a Trust in Staffordshire A systematic review of on-screen design factors related to safe use of hospital electronic Naresh Serou 180 prescribing systems
181 Supracondylar fractures of humerus in children Shahzaib Shahzad
A review of cost-effectiveness evidence for psychological therapies for schizophrenia and Gemma Shields 182 bipolar disorder A cost-effectiveness evaluation of a service user and carer co-delivered training programme Gemma Shields 183 for mental health professionals to enhance involvement in care planning An integrated economic evaluation of cognitive behaviour therapy in clozapine-resistant Gemma Shields 184 schizophrenia within a randomised controlled trial How can the management of Heart Failure with Preserved Ejection Fraction (HFpEF) be Emma Sowden 185 improved? Patients’ and providers’ perspectives The role of pharmacy in the management of cardiometabolic risk and metabolic syndrome Dolly Sud 186 in severe mental illness: a mixed methods literature review. Patient, carer and care professional views and experiences of physical healthcare provided Dolly Sud 187 by pharmacy to those with severe mental illness: a qualitative research study Describing and enhancing audit and feedback in acute Trust dementia care: A co- Michael Sykes 188 production study
189 Health Care Assistants and 12-hour shifts: the impact on well-being and work-life balance Louise Thomson
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Presenting Poster No. Title Author Communication skills training for healthcare professionals caring for people with dementia: Louise Thomson 190 an interview study Diagnosis of hearing loss in primary care: Evidence from the English Longitudinal Study of Dialechti Tsimpida 191 Ageing (ELSA) Designing and developing educational resources for people with back pain using creative Richard Webber 192 co-production
193 A qualitative study of patients’ experiences of receiving intravenous infusions Carly Wheeler
How are vulnerable people protected during heatwaves? Findings from the evaluation of Lorraine Williams 194 the Heatwave plan for England
195 Core outcome sets through the healthcare research ecosystem: a NICE example Paula Williamson
196 Impact of introducing ward-based pharmacy services on delivery of safe care Sarah Willis
Thinking outside the (dosette) box: health professionals’ experiences of supporting Eleanor Wilson 197 medicines management in the home environment for patients who are seriously ill.
198 Building Resilience in Mental Health Nurses Working on Adult Acute Inpatient Wards Emily Wood
199 The Advanced Level Nursing Practice Cohort Study Emily Wood
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BIOGRAPHIES
ANITA CHARLESWORTH Anita Charlesworth is the Director of Research and Economics at the Health Foundation, and Honorary Professor in the College of Social Sciences at the Health Services Management Centre, University of Birmingham. Anita was Chief Economist at the Nuffield Trust (2010-14) and has held roles as Chief Analyst and Chief Scientific Advisor at DCMS (2007-10) and Director of Public Spending at the Treasury (1998-2007) alongside non-executive director roles at Islington Primary Care Trust (2007-2011) and the Whittington Hospital (2011-2016). Anita is a Trustee of Tommy’s, the baby charity. She was awarded a CBE in The Queen's 2017 Birthday Honours List for Services to Economics and Health Policy.
JOCELYN CORNWELL Jocelyn is the founder and chief executive of The Point of Care Foundation, an independent charity that aims to humanise health and care services and improve the experiences of both patients and staff. Jocelyn’s original training was as a medical sociologist and anthropologist. Her PhD thesis, an ethnographic study of beliefs about health and illness in East London, was published as Hard-Earned Lives by Tavistock Press in 1984. In the course of her career she has worked in universities and the NHS and for the Audit Commission, the Department of Health and the Commission for Health Improvement (CHI). She is a trustee of the Nuffield Trust.
SIMON DENEGRI Simon Denegri is currently National Director for Patients, Carers and the Public in Research at the National Institute for Health Research (NIHR) (2012-2019). He will take up the post of Executive Director at the Academy of Medical Sciences in October 2019. He was Chair of INVOLVE – the national advisory group for the advancement of public involvement in research– from 2011 until 2017. He was Chief Executive of the Association of Medical Research Charities (AMRC) from 2006 until 2011 and, prior to this, Director of Corporate Communications at the Royal College of Physicians from 2003. He also worked in corporate communications for Procter & Gamble in the United States from 1997 to 2000. He blogs at http://simon.denegri.com/ and also writes poetry which he publishes at http://otherwiseknownasdotcom.wordpress.com/ He was awarded the OBE in the Queen’s Birthday Honours 2018.
NAOMI FULOP Naomi Fulop is Professor of Health Care Organisation & Management in the Department for Applied Health Research, University College London. She was Professor of Health Policy at King’s College London (2005-2012) and Director of the NIHR King’s Centre for Patient Safety and Service Quality Research. From 1994 to 2005 Naomi was at the London School of Hygiene and Tropical Medicine, latterly as Senior Lecturer, and Director of the Centre which ran the then NHS Service Delivery and Organisation R&D programme, forerunner of the NIHR Health Services and Delivery Research programme. Naomi has led major research programmes on quality and safety improvement (funded by the EU) and on major system change (funded by NIHR). She is co-director of a rapid evaluation team funded by NIHR for five years to study service innovations in the NHS. Naomi is an NIHR Senior Investigator and the UCL nominated Non-Executive Director on the board of Whittington Health NHS Trust. She is the elected Chair of HSR UK.
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SCOTT GREER Scott L. Greer, a political scientist, is Professor of Health Management and Policy, Global Public Health, and Political Science (by courtesy) at the University of Michigan and is also Senior Expert Advisor on Health Governance for the European Observatory on Health Systems and Policies. He researches the politics of health policies, with a special focus on the politics and policies of the European Union and the impact of federalism on health care. Before coming to Michigan, he taught at University College London. He has published over fifty book chapters and articles in journals including the British Medical Journal, American Journal of Public Health, Social Science and Medicine, Journal of European Public Policy, Journal of European Social Policy, and Journal of Health Politics, Policy and Law.
PETER GRIFFITHS Peter Griffiths is Chair of Health Services Research at the University of Southampton, England and a Senior Investigator of the United Kingdom’s National Institute for Health Research (NIHR). He is lead of the fundamental care in hospitals research theme of the NIHR Collaboration for Leadership in Applied Health Research and Care (Wessex). His research focuses on the nursing workforce and factors influencing safe and effective nursing care delivery. He has published widely on safe nurse staffing and has worked closely with the National Institute for Health and Care Excellence and NHS Improvement on their work to develop guidance for safe nurse staffing levels and systems.
RICHARD HUMPHRIES Richard is Senior Fellow at the King's Fund and is a recognised national commentator and writer on social care reform, the funding of long-term care and the integration of health and social care. A graduate of LSE, his professional background is social work, and over the past 40 years he has worked in a variety of roles, including as a director of social services and health authority chief executive (the first combined post in England) and in senior roles in the Department of Health. Richard is a non- executive director of Wye Valley NHS Trust and also a Visiting Professor at the University of Worcester.
CANDACE IMISON Candace is Director of Strategy Development at the Nursing & Midwifery Council (NMC). She joined the NMC in April 2019 from the Nuffield Trust where she had been Director of Policy & Workforce Strategy. Candace was previously Deputy Director of Policy at The King’s Fund. She has researched and published on a wide range of topics including workforce redesign and planning, new models of care, future health care trends and service reconfiguration. She has extensive senior management experience in the NHS as both as an executive and non-executive director. She also worked on strategy and policy at the Department of Health for a number of years.
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BIOGRAPHIES
MARTIN KNAPP Martin Knapp is Professor of Social Policy at the London School of Economics and Political Science (LSE), based in the Care Policy and Evaluation Centre (formerly PSSRU) in the Department of Health Policy. He has been Director of the NIHR School for Social Care Research since 2009. Professor Knapp has been working for many years in the fields of long-term care, social care, and mental health policy and practice. His current research emphases are primarily mental health and long-term social care, with much of his work using economic arguments and evidence to inform policy discussion and influence practice development.
JILL MANTHORPE Jill Manthorpe is Professor of Social Work at Kings’ College London and Director of the NIHR Policy Research Unit on Health and Social Care Workforce. She is also an Associate Director of the NIHR School for Social Care Research. Her research spans homelessness, health and social care, gambling and children’s services. She is a member of several research funding panels and advisory groups. Jill was a Non-Executive Director (NED) of three NHS Trusts, and is currently a Trustee of three charitable bodies, one providing care services, the other open source intelligence, and another ageing policy.
GLENN ROBERT Glenn’s research at King's College London draws on the fields of organisational studies and organisational sociology. It incorporates the study of innovations in the organisation and delivery of health care services as well as quality improvement interventions. Current interests include collaborating with service designers to identify and test creative and participatory methods that may have value in addressing some of the challenges facing the NHS and working with third sector organisations in the coproduction of health. Recently completed and ongoing projects include exploring the 10 year legacy of a national QI programme (the ‘Productive Ward), a formative evaluation of Healthwatch in England, co-designing how the results of genomic sequencing test results are communicated to families in England and the Czech Republic, and a study of how patient experience data is collected and use in NHS acute hospitals.
JO RYCROFT-MALONE Professor Jo Rycroft-Malone is Programme Director and Chair of the HS&DR Commissioning Board (researcher-led workstream). She is Professor of Health Services and Implementation Research, Head of School for Healthcare Sciences and Academic Lead for Impact at Bangor University. Jo has established an international reputation for research that bridges the evidence – practice gap and has accumulated a body of work focussed on processes, interventions and outcomes for improving health services and care delivery through mixed methods.
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KIERAN WALSHE Kieran Walshe is Professor of Health Policy and Management at the University of Manchester, a non- executive director of the Christie NHS Foundation Trust, and a board member of HSR UK. He has previously been a REF2014 panel member for public health, health services research and primary care, associate director of the NIHR health services and delivery research programme, and head of the health management group at Alliance Manchester Business School. His research focuses on quality and performance in healthcare organisations; the governance, accountability and performance of public services; and the use of evidence in policy evaluation and learning. He has led a wide range of research projects funded by the ESRC, Department of Health, NIHR, and EU FP7 programmes, and other government departments and NHS organisations. He has advised many government agencies and organisations, in the UK and internationally, including acting as an advisor on health reforms to the House of Commons health select committee.
JAMES WILSDON James Wilsdon is Professor of Research Policy at the University of Sheffield and vice-chair of the International Network for Government Science Advice (INGSA). An interdisciplinary social scientist, he works on the politics and governance of research, and the relationship between evidence and decision-making. Over his career, in addition to posts at the universities of Sheffield, Sussex and Lancaster, he has worked in think tanks and as director of science policy for the UK’s national academy of science. His recent publications include (with Richard Jones) The Biomedical Bubble (Nesta 2018) and The Metric Tide (HEFCE/Sage, 2015). He is on the editorial board of the open access journal Palgrave Communications and on twitter @jameswilsdon.
SUE ZIEBLAND Sue’s background is in medical sociology, with increasing focus on qualitative research approaches. Sue has worked as a researcher in the academic, NHS and voluntary sectors and has published over 200 papers and chapters in social science and health publications. Sue was invited (by Ann McPherson) to be involved in the DIPEx (now Healthtalk) project in 1999 when it was still at the kitchen table stage. Her research group specialise in qualitative methods of understanding health experiences and using the understanding for experience- based health information, clinical education and service improvements.
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SPONSORS AND EXHIBTORS
THE HEALTH FOUNDATION The Health Foundation is an independent charity committed to bringing about better health and health care for people in the UK. Our aim is a healthier population, supported by high quality health care that can be equitably accessed. We learn what works to make people’s lives healthier and improve the health care system. From giving grants to those working at the front line to carrying out research and policy analysis, we shine a light on how to make successful change happen. We make links between the knowledge we gain from working with those delivering health and health care and our research and analysis.
Our aspiration is to create a virtuous circle, using what we know works on the ground to inform effective policymaking and vice versa. We believe good health and health care are key to a flourishing society. Through sharing what we learn, collaborating with others and building people’s skills and knowledge, we aim to make a difference and contribute to a healthier population.
THE INTERNATIONAL JOURNAL OF NURSING STUDIES The International Journal of Nursing Studies (IJNS) provides a forum for original research and scholarship about health care delivery, organisation, management, workforce, policy and research methods relevant to nursing, midwifery and other health related professions. The IJNS aims to support evidence informed policy and practice by publishing research, systematic and other scholarly reviews, critical discussion, and commentary of the highest standard. The journal has been publishing original peer-reviewed articles of interest to the international health care community since 1963, making it one of the longest standing repositories of scholarship in this field.
NIHR The National Institute for Health Research (NIHR) is funded through the Department of Health to improve the health and wealth of the nation through research. The NIHR funds high quality research to improve health, trains and supports health researchers, provides world-class research facilities, works with the life sciences industry and charities to benefit all, and involves patients and the public at every step. Together, NIHR people, facilities and systems represent the most integrated clinical research system in the world.
CLAHRC PARTNERSHIP PROGRAMME The 13 Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) are funded by the National Institute for Health Research and undertake high-quality applied health research focused on the needs of patients and support the translation of research evidence into practice with the wider NHS and Public Health.
CLAHRCs are collaborative partnerships between a university and the surrounding NHS organisations, focused on improving patient outcomes through the conduct and application of applied health research. They create and embed approaches to research and its dissemination that are specifically designed to take account of the way that health care is increasingly delivered across sectors and a wide geographical area.
HEALTH SERVICES MANAGEMENT CENTRE, UNIVERSITY OF BIRMINGHAM The Health Services Management Centre (HSMC) at the University of Birmingham is one of the UK’s leading centres for research, teaching, professional development and evaluation to health and social care agencies. Our research focuses on issues and problems facing health and care systems nationally and internationally. As a research-driven department we add value to these issues through the application of theory and high quality empirical research, as well as through our various dissemination activities.
HSMC leads the NIHR-funded Birmingham, RAND and Cambridge Evaluation (BRACE) Centre, carrying out rapid evaluations of innovations in health services organisation and delivery, and providing rigorous, timely and useful evidence for the NHS. HSMC’s social care researchers are members of the NIHR’S School for Social Care research which brings together leading academic centres for social care research in England. If you want to know more about our research please do meet us at our exhibition stand or visit us at www.birmingham.ac.uk/hsmc
24 Vote for oral presentations and posters at www.sli.do/HSRUK19
MEMBERSHIP
HEALTH SERVICES RESEARCH UK Health Services Research UK (HSR UK) is the UK association dedicated to the promotion of health services research in policy and practice. HSR UK is a registered charity. The collective voice of UK health services research, we connect researchers with health service leaders, managers and clinicians to drive improvement and innovation in the NHS.
We are a self-supporting organisation with a diverse membership of individuals and organisations across university research centres, NHS bodies, research charities, think tanks, health professional and patient groups and the private sector.
HSR UK is led by a board of trustees including representatives of health service leaders, funders, academics and early career researchers and leading academics.
Benefits of membership • Attend topical events with high profile speakers • Connect with the right people for your research needs, from patient groups to service leaders • Get involved in shaping our priorities and activity, to raise the profile of health services research • Keep informed with the latest research
Features • Join us at our annual Conference, presenting the latest in health services research and save £100 per person on registration fees • Discounted tickets to topical meetings and seminars with high profile speakers • Blogs, briefings and digests on key issues and landmark health services evidence • Frequent website and email updates curating the latest viewpoints, opportunities and events
For researchers • Join our active community of researchers • Access to NHS organisations and networks to understand their priorities and shape research • Input into national policy, from funding to the research environment
For NHS leaders, managers, clinicians, commissioners and providers • Real-time updates of the latest health services research, made relevant to you • Connect with leading academics and use their expertise to solve pressing service issues • Develop critical thinking and skills to make better use of research in your work
For associates: including research charities, funders, royal colleges, think tanks • Connection to the health services research community, from research to policy and practice • Access to leaders in the field • Insight to the latest developments and thinking in health services research
Membership is open to individuals and organisations who produce or use evidence to improve health services. To join, just complete our short application form: www.hsruk.org/join-hsruk then email your application to [email protected] (or email [email protected] before 31 July).
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26 Vote for oral presentations and posters at www.sli.do/HSRUK19
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28 Vote for oral presentations and posters at www.sli.do/HSRUK19