National Institute for Health Research (NIHR) Blogs This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Variation in compulsory psychiatric inpatient admission in England: a cross-sectional, multilevel analysis
NHS National Institute for Health Research (NIHR) -The onjective of this study was to quantify and model variances in the rate of compulsory admission in England at different spatial levels and to assess the extent to which this was explained by characteristics of people and places. Full report Summary report NIHR - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - December 12, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: NHS measurement and performance Source Type: blogs

Explaining variation in emergency admissions: a mixed-methods study of emergency and urgent care systems
This study aimed to understand variation in avoidable emergency admissions between different emergency and urgent care systems in England. It concluded that deprivation explained most of the variation in avoidable admission rates. Full report Summary report NIHR - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - December 12, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: NHS measurement and performance Source Type: blogs

A mixed-methods evaluation of transformational change in NHS North East
National Institute for Health Research (NIHR) - This evaluation study examines the North East Transformation System (NETS), an experiment in adopting large-scale transformational change across a NHS region in England. It found that transformational change in a complex system takes time and demands consistency, constancy of purpose and organisational stability. The NETS was seriously disrupted by the NHS changes announced in July 2010. Progress was sustained at four of the study sites, but slowed or ceased at the other sites. Leadership style was found to be critical to the success of transformational change. Report ...
Source: Health Management Specialist Library - December 5, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Changing configuration of health services Leadership and leadership development Source Type: blogs

Responsiveness of primary care services: development of a patient-report measure: qualitative study and initial quantitative pilot testing
This study aimed to explore the meaning of responsiveness in primary care and develop a patient-report questionnaire for use as a measure of patient experience of responsiveness. It found that responsiveness is a complex concept which involves alignment between service delivery and the needs of diverse patient groups. Reactive and proactive strategies at individual and population level are required, but primary care organisations mainly rely on reactive approaches. Report Summary Abstract (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - December 5, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Developments in primary and community care Patient involvement, experience and feedback Source Type: blogs

Can valid and practical risk-prediction or casemix adjustment models, including adjustment for comorbidity, be generated from English hospital administrative data (Hospital Episode Statistics)? A national observational study
NHS National Institute for Health Research -To derive robust risk-adjustment models for various patient groups, including those admitted for heart failure, acute myocardial infarction, colorectal and orthopaedic surgery, and outcomes adjusting for available patient factors such as comorbidity, using England’s Hospital Episode Statistics data. It concludes that many practical risk-prediction or casemix adjustment models can be generated from HES data using logistic regression, though an extra step is often required for accurate calibration. Full report Plain English summary NHS National Institute for Health Research - pu...
Source: Health Management Specialist Library - November 13, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Quality of care and clinical outcomes Source Type: blogs

Rethinking resistance to ‘big IT’: a sociological study of why and when healthcare staff do not use nationally mandated information and communication technologies
This study examines why nationally mandated information and communication technology systems are often locally resented and little used, from a sociological perspective. The analysis focused on the Choose and Book system for outpatient referrals and makes suggestions to counteract resistance to the implementation of new systems. Report Summary NIHR publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - November 11, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: New technologies Workforce and employment Source Type: blogs

Improving the effectiveness of multidisciplinary team meetings for patients with chronic diseases: a prospective observational study
This study aimed to identify the key characteristics of chronic disease MDT meetings that are associated with decision implementation, a measure of effectiveness, and to derive a set of feasible modifications to MDT meetings to improve decision-making. Full report Plain English summary NHS National Institute for Health Research - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - November 7, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Quality of care and clinical outcomes Workforce and employment Source Type: blogs

The efficient use of the maternity workforce and the implications for safety and quality in maternity care: a population-based, cross-sectional study
The objective of this research was to understand the relationship between organisational factors, maternity workforce staffing and skill mix, cost and indicators of safe and high-quality care. Full report Plain English summary NHS National Institute for Health Research - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - November 7, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Patient safety Quality of care and clinical outcomes Workforce and employment Source Type: blogs

Staff engagement guides
NHS Employers - These guides were developed in conjunction with the National Institute of Health Research (NIHR) and were based on the evidence from NIHR's review of staff engagement in the NHS. The guides are aimed at workforce leaders and cover engagement for HR, senior leaders and line managers as well as case studies and a guide on the measurement of engagement. Resources (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - October 31, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs

A systematic review of the effectiveness and cost-effectiveness of peer-based interventions to maintain and improve offender health in prison settings
This study aimed to synthesise the evidence on peer-based interventions in prison settings by carrying out a systematic review and holding an expert symposium. It found that there is consistent evidence from a large number of studies that being a peer worker is associated with positive health. Full report Scientific summary Plain English summary NIHR - publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - October 16, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Local authorities, public health and health inequalities Source Type: blogs

The use of a collaborative structured methodology for the development of a multifaceted intervention programme for the management of asthma (the MIA project), tailored to the needs of children and families of South Asian origin: a community-based, partici
National Institute for Health Research (NIHR) - This project aimed to test an iterative multiphase participatory approach to intervention development underpinned by the socioecological model of health, producing an intervention-planning framework and enhancing an evidence-based understanding of asthma management in South Asian and White British children. It demonstrated barriers to optimal asthma management in children at the family, provider and healthcare system levels and across the whole asthma pathway. Interventions need to address each of these levels to be effective. Minority ethnic communities can be successf...
Source: Health Management Specialist Library - September 12, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Integrated care Local authorities, public health and health inequalities Source Type: blogs

An ethnographic study of knowledge sharing across the boundaries between care processes, services and organisations: the contributions to ‘safe’ hospital discharge
This study aimed to identify interventions and practices that support knowledge sharing and collaboration in the processes of discharge planning and care transition. Report Summary NIHR publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - September 12, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: NHS measurement and performance Patient safety Source Type: blogs

Collaborative postdoc fellowship opportunities
I interrupt this long blogging hiatus to point out two potential postdoc fellowship opportunities to work with our group at the EMBL-EBI. One is the EIPOD program that is an EMBL wide interdisciplinary program. For this fellowship the project is collaboration with Nassos Typas (genetics) and Jeroen Krijgsveld's (proteomics) groups at the EMBL in Heidelberg. Successful candidates would be studying how Salmonella uses post-translational modification effector proteins to regulate and subvert the host cell. It is important to note that EIPOD applicants must be interested in doing both the computational and experimental as...
Source: Evolution of Cellular Networks - September 5, 2014 Category: Cytology Tags: positions Source Type: blogs

Frequency of visual field testing when monitoring patients newly diagnosed with glaucoma: mixed methods and modelling
This study explores the clinical effectiveness and cost-effectiveness of using different monitoring intervals to detect visual field progression in newly diagnosed glaucoma patients. Report Summary NIHR publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 29, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Commissioning Source Type: blogs

Keeping knowledgeable: how NHS chief executive officers mobilise knowledge and information in their daily work
This study aimed to investigate how chief executive officers of NHS trusts make decisions and mobilise particular knowledge and ‘evidence’ in the course of their day-to-day activities. Report Summary NIHR publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 20, 2014 Category: UK Health Authors: The King's Fund Information & Knowledge Service Tags: Leadership and leadership development Workforce and employment Source Type: blogs