Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
ObjectivesThe NHS Health Check offers adults aged 40–74 an assessment of their risk of developing cardiovascular disease. Attendees should be offered appropriate clinical or behavioural interventions to help them to manage or reduce these... more
ObjectivesThe NHS Health Check offers adults aged 40–74 an assessment of their risk of developing cardiovascular disease. Attendees should be offered appropriate clinical or behavioural interventions to help them to manage or reduce these risks. This project focused on understanding variation in the advice and support offered to Health Check attendees.DesignWe conducted a realist review, assembling a diverse body of literature via database searches (MEDLINE, Embase, CINAHL, HMIC, Web of Science) and other search methods, and synthesised data extracted from documents using a realist logic of analysis. Our aim was to develop an understanding of contexts affecting delivery of the NHS Health Check and the underlying mechanisms producing outcomes related to the offer for attendees post-Check.ResultsOur findings demonstrate differences in how NHS Health Check commissioners, providers and attendees understand the primary purpose of the programme. A focus on screening for disease can produc...
Research Interests:
Research Interests: Psychology, Nursing, Mixed Methods, Health Care, Implementation Science, and 15 moreParticipation, Shared decision making, Medicine, Inventory, Older people, Programs, Involvement, Public health systems and services research, Adults, Patient Centeredness, Service Provider, European Research, Integrated Care, service Business, and Comprehensive Care
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Research Interests:
Background The 2012 Health and Social Care Act in England replaced primary care trusts with clinical commissioning groups (CCGs) as the main purchasing organisations. These new organisations are GP-led, and it was claimed that this... more
Background The 2012 Health and Social Care Act in England replaced primary care trusts with clinical commissioning groups (CCGs) as the main purchasing organisations. These new organisations are GP-led, and it was claimed that this increased clinical input would significantly improve commissioning practice. Aim To explore some of the key assumptions underpinning CCGs, and to examine the claim that GPs bring ‘added value’ to commissioning. Design and setting In-depth interviews with clinicians and managers across seven CCGs in England between April and September 2013. Method A total of 40 clinicians and managers were interviewed. Interviews focused on the perceived ‘added value’ that GPs bring to commissioning. Results Claims to GP ‘added value’ centred on their intimate knowledge of their patients. It was argued that this detailed and concrete knowledge improves service design and that a close working relationship between GPs and managers strengthens the ability of managers to negotiate. However, responders also expressed concerns about the large workload that they face and about the difficulty in engaging with the wider body of GPs. Conclusion GPs have been involved in commissioning in many ways since fundholding in the 1990s, and claims such as these are not new. The key question is whether these new organisations better support and enable the effective use of this knowledge. Furthermore, emphasis on experiential knowledge brings with it concerns about representativeness and the extent to which other voices are heard. Finally, the implicit privileging of GPs’ personal knowledge ahead of systematic public health intelligence also requires exploration.
Research Interests:
If you believe this document infringes copyright then please contact the KAR admin team with the take-down information provided at http://kar.kent.ac.uk/contact.html Citation for published version Gadsby, Erica W. and Peckham, Stephen and... more
If you believe this document infringes copyright then please contact the KAR admin team with the take-down information provided at http://kar.kent.ac.uk/contact.html Citation for published version Gadsby, Erica W. and Peckham, Stephen and Kvit, Anna and Ruskykh, Kateryna (2017) Public health programmes and policies in Ukraine: development, design and implementation Working Paper 3. Working paper. Centre for Health Services Studies, Kent
Research Interests:
Research Interests:
The causes of obesity are complex; tackling the problem requires evidence-led action at every level, from the individual to society, and across all sectors. As part of their whole system strategy to halt and reverse the rising trend in... more
The causes of obesity are complex; tackling the problem requires evidence-led action at every level, from the individual to society, and across all sectors. As part of their whole system strategy to halt and reverse the rising trend in childhood obesity, the London Bi-borough Public Health team are delivering Go Golborne, an innovative 3 year community-based pilot (2015-2018), in a highly diverse and deprived ward in the Royal Borough of Kensington and Chelsea (RBKC), with elevated levels of childhood obesity. CHSS is conducting a 4 year theory-led evaluation of the pilot to assess the effectiveness, feasibility and replicability of this ‘whole place’ multi-stakeholder approach. This presentation details the early findings of an online survey distributed to project partners and interview findings with project partners.
Research Interests:
Elaboration of a conceptualized framework for evidence informed national health policy making was considered a crucial component to guide development of this review. The present chapter sets out the core principles of such a framework,... more
Elaboration of a conceptualized framework for evidence informed national health policy making was considered a crucial component to guide development of this review. The present chapter sets out the core principles of such a framework, incorporating the three aspects of knowledge generation, health policy processes and capacity factors. A visual depiction is developed incrementally to guide the thought processes, this, in turn, is accompanied by explanatory narrative. The ultimate aim of the framework is to help guide the process of drawing pragmatic lessons about what the government, civil society, research institutions, donors and multi-lateral organisations can do to promote capacity development, seeking to be as operational and practical as possible.
Research Interests:
Research Interests:
Introduction: While several evaluation studies on (cost-)effectiveness of integrated care have been conducted in recent years, more insight is deemed necessary into integrated care from the perspective of service users. In the context of... more
Introduction: While several evaluation studies on (cost-)effectiveness of integrated care have been conducted in recent years, more insight is deemed necessary into integrated care from the perspective of service users. In the context of a European project on integrated care for older people living at home (SUSTAIN), this paper shares the experience and methodological reflections from applying a Patient Reported Experience Measure (PREM) on person-centred coordinated care -the P3CEQ- among this population. Methods: A combination of quantitative and qualitative data and analysis methods was used to assess the usability and the quality of applying a PREM among older people presenting complex care needs, using the P3CEQ delivery in SUSTAIN as a case study. 228 service users completed the P3CEQ and nine SUSTAIN researchers participated in a consultation about their experience administering the questionnaire. P3CEQ scores were analysed quantitatively using principal component analysis an...
Research Interests:
Research Interests:
ject on integrated care for older people called ‘SUSTAIN’ (see Textbox 1 below). We initiated the project to help address the challenges faced by those practicing integrated care, including how to successfully collaborate with... more
ject on integrated care for older people called ‘SUSTAIN’ (see Textbox 1 below). We initiated the project to help address the challenges faced by those practicing integrated care, including how to successfully collaborate with organisations and professionals from different sectors; how to incorporate integrated working in one’s service delivery; and how to provide integrated care tailored to the needs of one’s older service users [1–5]. The SUSTAIN project was designed to support the development of integrated care for older people living at home with health and social care needs. Its objectives were twofold: 1. To support and monitor improvements to established integrated care initiatives and 2. To contribute to the adoption and application of such improvements to other health and social care systems and regions in Europe. The project adopted a participatory implementation approach, meaning that stakeholders from thirteen established integrated care initiatives across Europe collabo...
Research Interests:
Research Interests:
Neil Perkins, BA(Hons), MPhil, Research associateCentre for Primary Care, University of Manchester, Manchester, UK.Anna Coleman, BA(Soc Sci), MA, PhD, Research fellowCentre for Primary Care, University of Manchester, Manchester,... more
Neil Perkins, BA(Hons), MPhil, Research associateCentre for Primary Care, University of Manchester, Manchester, UK.Anna Coleman, BA(Soc Sci), MA, PhD, Research fellowCentre for Primary Care, University of Manchester, Manchester, UK.Michael Wright, MSc, FRACGP, GPCentre for Health Economics Research and Evaluation, University of Technology, Sydney, NSW, Australia.Erica Gadsby, BSocSc, PGDipPH, DPhil, Research fellowCentre for Health Services Studies, University of Kent, Canterbury, Kent, UK.Imelda McDermott, BSc(Hons), Grad Dip, PhD, Research associateCentre for Primary Care, University of Manchester, Manchester, UK.Christina Petsoulas, BA, MPhil, DPhil, Research fellowDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.Kath Checkland, BMedSci, MA(Econ), PhD, MRCGP, Reader in Health Policy and Primary Care, GPCentre for Primary Care, University of Manchester, Manchester, UK.Address for correspondence Neil Perkins, Centre for P...
Background The 2012 Health and Social Care Act in England replaced primary care trusts with clinical commissioning groups (CCGs) as the main purchasing organisations. These new organisations are GP-led, and it was claimed that this... more
Background The 2012 Health and Social Care Act in England replaced primary care trusts with clinical commissioning groups (CCGs) as the main purchasing organisations. These new organisations are GP-led, and it was claimed that this increased clinical input would significantly improve commissioning practice. Aim To explore some of the key assumptions underpinning CCGs, and to examine the claim that GPs bring ‘added value’ to commissioning. Design and setting In-depth interviews with clinicians and managers across seven CCGs in England between April and September 2013. Method A total of 40 clinicians and managers were interviewed. Interviews focused on the perceived ‘added value’ that GPs bring to commissioning. Results Claims to GP ‘added value’ centred on their intimate knowledge of their patients. It was argued that this detailed and concrete knowledge improves service design and that a close working relationship between GPs and managers strengthens the ability of managers to negot...
Research Interests:
Background and problem statement: Team climate describes shared perceptions of organisational policies, practices and procedures. A positive team climate has been linked to better interprofessional collaboration and quality of care. Most... more
Background and problem statement: Team climate describes shared perceptions of organisational policies, practices and procedures. A positive team climate has been linked to better interprofessional collaboration and quality of care. Most studies examine team climate within health or social care organisations. This study uniquely explores the team climate of integrated health and social care teams implementing integrated care initiatives for older people in thirteen sites across seven European countries, and examines the factors which contribute to the development of team climate. Theory and methods: In a multiple case study design, data collected as part of the European SUSTAIN (Sustainable Tailored Integrated Care for Older People in Europe) project were analysed. The short-form Team Climate Inventory (TCI-14) was administered before and after implementation of the integrated care initiatives. Qualitative data was used to explain the changes in TCI-14 scores over time. Results and ...
Research Interests:
Background Go-Golborne was a 3-year pilot programme to test an innovative, community-based approach to preventing overweight in children in Golborne ward, London. This paper describes the findings of the evaluation of Go-Golborne. The... more
Background Go-Golborne was a 3-year pilot programme to test an innovative, community-based approach to preventing overweight in children in Golborne ward, London. This paper describes the findings of the evaluation of Go-Golborne. The evaluation uses a case study design, a theory of change approach and multiple methods to assess the effectiveness of the intervention according to a range of expected outcomes and with consideration to unanticipated outcomes. The RE-AIM framework is used to synthesise findings and examine public health impact. Methods Height/weight measurements of primary school children in the six participating primary schools were recorded each year for four years. For behavioural outcomes, children aged 6-11 completed four annual on-line surveys (with a total of 4331 responses). Parents were surveyed in year 1 and year 4 (177 responses). Three focus group discussions were held with children aged 10-11 (N=21); interviews were conducted with parents (N=11), and school...
Research Interests:
Research Interests:
BackgroundThe WHO recently recognised stigma as a fundamental cause for health inequalities. Weight stigma is associated with negative health consequences, and patients experience it commonly in healthcare settings. This study forms part... more
BackgroundThe WHO recently recognised stigma as a fundamental cause for health inequalities. Weight stigma is associated with negative health consequences, and patients experience it commonly in healthcare settings. This study forms part of systematic review that aimed to understand how weight stigma can be reduced through the adoption of whole systems approaches.AimTo generate new understandings of the roles primary care can take in reducing weight stigma.MethodA systematic international literature review of peer-reviewed articles utilising EPPI guidance, and using PICOS terms in Web of Science searches. Recommendations for policy, practice and/or research were extracted and conceptually synthesised as guided by Research Unit for Research Utilisation.ResultsThe search identified 194 full texts with 540 total recommendations. Approximately 45% of recommendations (248 of 540) were coded under healthcare, of which 75% were in primary care including general practice (189 of 248). Findi...
Research Interests:
The 2013-2016 Ebola virus disease (EVD) epidemic in West Africa was the largest in history and resulted in a huge public health burden and significant social and economic impact in those countries most affected. Its size, duration and... more
The 2013-2016 Ebola virus disease (EVD) epidemic in West Africa was the largest in history and resulted in a huge public health burden and significant social and economic impact in those countries most affected. Its size, duration and geographical spread presents important opportunities for research than might help national and global health and social care systems to better prepare for and respond to future outbreaks. This paper examines research needs and research priorities from the perspective of those who directly experienced the EVD epidemic in Guinea. The paper reports the findings from a research scoping exercise conducted in Guinea in 2017. This exercise explored the need for health and social care research, and identified research gaps, from the perspectives of different groups. Interviews were carried out with key stakeholders such as representatives of the Ministry of Health, non-governmental organizations (NGOs), academic and health service researchers and members of re...
Research Interests:
Research Interests:
Research Interests:
ABSTRACT
Research Interests:
The 2012 Health and Social Care Act in England replaced primary care trusts with clinical commissioning groups (CCGs) as the main purchasing organisations. These new organisations are GP-led, and it was claimed that this increased... more
The 2012 Health and Social Care Act in England replaced primary care trusts with clinical commissioning groups (CCGs) as the main purchasing organisations. These new organisations are GP-led, and it was claimed that this increased clinical input would significantly improve commissioning practice. To explore some of the key assumptions underpinning CCGs, and to examine the claim that GPs bring 'added value' to commissioning. In-depth interviews with clinicians and managers across seven CCGs in England between April and September 2013. A total of 40 clinicians and managers were interviewed. Interviews focused on the perceived 'added value' that GPs bring to commissioning. Claims to GP 'added value' centred on their intimate knowledge of their patients. It was argued that this detailed and concrete knowledge improves service design and that a close working relationship between GPs and managers strengthens the ability of managers to negotiate. However, responders...
Research Interests:
Page 1. Religion and HIV/AIDS Policy in Faith-Based Organizations Rosemary Morgan, Professor Andrew Green, Dr. Erica Gadsby ARHAP Conference July 13-17 2009 Cape Town, South Africa Conference Title: When Religion ...