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Browsing by Author "Gage, Heather"
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Can district nurses and care home staff improve bowel care for older people using a clinical benchmarking tool?
Goodman, Claire; Davies, Susan; Norton, Christine; Fader, Mandy; Morris, Jackie; Wells, Mandy; Gage, Heather (2013-12)A quasi-experimental study tested a clinical benchmarking tool (Essence of Care) to improve bowel-related care for older people living in six care homes. In the intervention care homes, district nurses and care home staff ... -
Effective health care for older people resident in care homes : The Optimal study protocol for realist review
Goodman, Claire; Gordon, Adam L; Martin , Finbarr; Davies, Susan; Iliffe, Steve; Bowman, Clive; Schneider, Justine; Meyer, Julienne; Victor, Christina; Gage, Heather; Gladman, John; Dening, Tom (2014-05-24)Background: Care homes in the UK rely on general practice for access to specialist medical and nursing care as well as referral to therapists and secondary care. Service delivery to care homes is highly variable in both ... -
The effectiveness of inter-professional working for older people living in the community : A systematic review
Trivedi, Daksha; Goodman, Claire; Gage, Heather; Baron, Natasha; Scheibl, Fiona; Iliffe, Steve; Manthorpe, Jill; Bunn, Frances; Drennan, Vari (2013)Health and social care policy in the UK advocates inter-professional working (IPW) to support older people with complex and multiple needs. Whilst there is a growing understanding of what supports IPW, there is a lack of ... -
Frailty scales - their potential in interprofessional working with older people: a discussion paper
Poltawski, Leon; Goodman, Claire; Iliffe, Steve; Manthorpe, Jill; Gage, Heather; Shah, Dhrushita; Drennan, Vari (2011-07)New models of interprofessional working are continuously being proposed to address the burgeoning health and social care needs of older people with complex and long-term health conditions. Evaluations of the effectiveness ... -
How Quality Improvement Collaboratives Work to Improve Healthcare in Care Homes: A Realist Evaluation
Devi, Reena; Chadborn , Neil H; Meyer, Julienne; Banerjee, Jay; Goodman, Claire; Dening , Tom; Gladman, John; Hinsliff-Smith, Kathryn; Long, Annabelle; Usman, Adeela; Housley, Gemma; Lewis, Sarah; Glover , Matthew; Gage, Heather; Logan , Philippa A; Martin , Finbarr; Gordon, Adam L (2021-02-16)Background Quality Improvement Collaboratives (QICs) bring together multidisciplinary teams in a structured process to improve care quality. How QICs can be used to support healthcare improvement in care homes is not fully ... -
Integrated working between residential care homes and primary care : a survey of care homes in England
Gage, Heather; Dickinson, Angela; Victor, Christina; Williams, Peter; Cheynel, Jerome; Davies, Susan; Iliffe, Steve; Froggatt, Katherine; Martin, Wendy; Goodman, Claire (2012-11-14)Older people living in care homes in England have complex health needs due to a range of medical conditions, mental health needs and frailty. Despite an increasing policy expectation that professionals should operate in ... -
‘’It just happens’. Care home residents’ experiences and expectations of accessing GP care.
Victor, Christina; Davies, Sue L; Dickinson, Angela; Morbey , Hazel; Masey, Helen; Gage, Heather; Froggatt, Katherine; Iliffe, S.; Goodman, Claire (2018-11-01)Background: Care homes provide personal care and support for older people who can no longer be supported in the community. As part of a larger study of integrated working between the NHS and care homes we asked older people ... -
Living and dying : Responsibility for end of life care in care homes without on-site nursing provision - a prospective study
Handley, Melanie Jane; Goodman, Claire; Froggatt, Katherine; Mathie, Elspeth; Gage, Heather; Manthorpe , Jill; Barclay, Stephen; Crang, Clare; Iliffe , Steve (2013-12-08)The aim of the study was to describe the expectations and experiences of End-of-life care of older people resident in care homes, and how care home staff and the healthcare practitioners who visited the care home interpreted ... -
Living in Uncertain Times: trajectories to death in residential care homes
Barclay, Stephen; Froggatt, Katherine; Crang, Claire; Mathie, Elspeth; Handley, Melanie; Iliffe, Steve; Manthorpe, Jill; Gage, Heather; Goodman, Claire (2014-09-01)Abstract Background Older people living in care homes often have limited life expectancy. Practitioners and policymakers are increasingly questioning the appropriateness of many acute hospital admissions and the quality ... -
Managing behavioural and psychological symptoms in community dwelling older people with dementia: 2. A systematic review of qualitative studies : 2. A systematic review of qualitative studies
Braun, Andreas; Trivedi, Daksha; Dickinson, Angela; Hamilton, Laura; Goodman, Claire; Gage, Heather; Ashaye, Kunle; Iliffe , Steve; Manthorpe , Jill (2018-03-20)Background: People living with dementia often develop distressing behavioural and psychological symptoms (BPSD) that can affect their quality of life and the capacity of family carers and staff providing support at home. ... -
Managing behavioural and psychological symptoms in community dwelling older people with dementia:1. A systematic review of the effectiveness of interventions
Trivedi, Daksha; Braun, Andreas; Dickinson, Angela; Gage, Heather; Hamilton, Laura; Goodman, Claire; Ashaye, Kunle; Iliffe , Steve; Manthorpe , Jill (2018-03-20)Background: Two-thirds of people living with dementia live at home in the UK and many experience distressing behavioural and psychological symptoms. This systematic review evaluates the effectiveness of non-pharmacological ... -
Managing behavioural and psychological symptoms in people with dementia and their carers living at home/community- A mixed methods evidence synthesis for non-pharmacological interventions
Trivedi, Daksha; Braun, Andreas; Dickinson, Angela; Gage, Heather; Hamilton, Laura; Goodman, Claire; Ashaye, Kunle; Iliffe , Steve; Manthorpe , Jill (University of Hertfordshire, 2015-12-16)Plain English Summary Background Two-thirds of people with dementia live at home and many experience distressing symptoms such as aggression, wandering, agitation, emotional problems, known as behavioural and psychological ... -
Models of Inter Professional Working for older people living at home : a survey and review of the local strategies of English health and social care statutory organisations
Goodman, Claire; Drennan, Vari; Scheibl, Fiona; Shah, Dhrushita; Manthorpe, Jill; Gage, Heather; Iliffe, Steve (2011)BACKGROUND: Most services provided by health and social care organisations for older people living at home rely on interprofessional working (IPW). Although there is research investigating what supports and inhibits how ... -
Nurse case management and general practice : implications for GP consortia
Iliffe, Steve; Drennan, Vari; Manthorpe, Jill; Gage, Heather; Davies, Susan; Massey, Helen; Sott, Cherill; Brearley, Sally; Goodman, Claire (2011-10)Reducing hospital admission rates by nurse-led case management (community matrons) is attractive in theory but in practice is challenging for a range of reasons that need to be understood in commissioning similar services ... -
Nurse-led case management in the National Health Service : bridging clinical and social worlds
Manthorpe, Jill; Goodman, Claire; Drennan, Vari; Davies, Susan; Masey, Helen; Gage, Heather; Scott, Cheryll; Brearley, Sally; Iliffe, Steve (2012)To understand the effects of Nurse Case Managers (NCMs) working in primary care in the English National Health Service (NHS) from multiple perspectives and how this new role impacts on social workers, this paper reports ... -
Optimal healthcare delivery to care homes in the UK: a realist evaluation of what supports effective working to improve healthcare outcomes
Gordon , Adam; Goodman, Claire; Davies, Sue L; Dening , Tom; Gage, Heather; Meyer, Julienne; Schneider, Justine; Bell , Brian; Jordan , Jake; Martin , Finbarr; Iliffe , Steve; Bowman, Clive; Gladman, John; Victor, Christina; Mayrhofer, Andrea; Handley, Melanie; Zubair , Maria (2018-07-01)Introduction: care home residents have high healthcare needs not fully met by prevailing healthcare models. This study explored how healthcare configuration influences resource use. Methods: a realist evaluation using ... -
Optimal NHS service delivery to care homes: a realist evaluation of the features and mechanisms that support effective working for the continuing care of older people in residential settings
Goodman, Claire; Davies, Sue L; Gordon , Adam; Dening , Tom; Gage, Heather; Meyer, Julienne; Bell , Brian; Jordon , Jake; Martin , Finbarr; Iliffe , Steve; Gladman, John; Victor, Christina; Mayrhofer, Andrea; Handley, Melanie; Zubair , Maria (2017-11-01)The OPTIMAL study argued that it is probable that there are key activities within different models of health-care provision that are important for residents’ health care. Objectives: To understand ‘what works, for whom, ... -
A protocol for a systematic review of research on managing behavioural and psychological symptoms in dementia for community-dwelling older people
Trivedi, Daksha; Goodman, Claire; Dickinson, Angela; Gage, Heather; McLaughlin, Jennifer; Manthorpe , Jill; Ashaye, Olakunle; Iliffe , Steve (2013)Background:Non-cognitive behavioural and psychological symptoms of dementia affect up to 90% of people with dementia at some point in the disease course and result in distress, increased carer burden, high service utilization ... -
Provision of NHS generalist and specialist services to care homes in England : review of surveys
Iliffe , Steve; Davies, Susan; Gordon, Adam L; Schneider, Justine; Dening , Tom; Bowman, Clive; Gage, Heather; Martin , Finbarr; Gladman, John; Victor, Christina; Meyer, Julienne; Goodman, Claire (2016-03-01)Background: The number of beds in care homes (with and without nurses) in the UK is three times greater than the number of beds in NHS hospitals. Care homes are predominantly owned by a range of commercial, not-for-profit ... -
The SEE-IT Trial: emergency medical services S treaming E nabled E valuation I n T rauma: study protocol for an interventional feasibility randomised controlled trial
on behalf of the SEE-IT Trial Group; Ollis, Lucie; Skene, Simon S; Williams, Julia; Lyon, Richard; Taylor, Cath; Bennett-Eastley, Kate; Cropley, Mark; Gage, Heather; Holah, Janet; Maben, Jill; Magnusson, Carin; Mortimer, Craig; Munro, Scott (2023-04-24)Introduction: Accurate and timely dispatch of emergency medical services (EMS) is vital due to limited resources and patients’ risk of mortality and morbidity increasing with time. Currently, most UK emergency operations ...