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News & events updates from Wales Centre for Primary and Emergency (including Unscheduled) Care Research
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Edition #10 Autumn 2018

Recent news of interest

 


PRIME Centre Wales Annual Report 2017-18

We are delighted to publish the PRIME Centre Wales Annual Report for 2017-18, showcasing our activities for the year.

The report is available to read in English and Welsh, to view online or download as a pdf via the webpage: http://www.primecentre.wales/annual-report-2017-18.php

If you would like us to send you a hard copy, please email us at: info@primecentre.wales

 


Can social prescribing help improve health in Wales?

Meetings are being held across Wales to develop a project that will look at whether ‘social prescribing’ (SP) can be used to improve the nation’s health.

The Wales Social Prescribing Research Network (WSPRN) has been set-up to look at whether SP can be developed to have a bigger impact on communities across the country.

Social prescribing is a way of meeting the social, emotional and practical needs of people through services in the voluntary and community sector, rather than relying on health and social care services to provide a solution.

The project is being led by Wales Council for Voluntary Action (WCVA), the national membership organisation for the third sector in Wales, and Dr Carolyn Wallace, lead for the social care research theme in PRIME Centre Wales and Reader in Integrated Care at the University of South Wales (USW). Read more.
 


Patient safety in palliative care

Researchers including Dr Andrew Carson-Stevens, lead for the Patient Safety research workpackage at PRIME Centre Wales, have identified for the first time the extent of healthcare related harm experienced by patients receiving palliative care across the NHS.

Their in-depth analysis of 475 serious incidents reported to a central NHS database over a twelve-year period (2002-2014) reveals multiple risks for patients receiving palliative and end-of-life care.

The health and wellbeing of people with progressive, irreversible and life-limiting illnesses is known to be fragile. This latest study has found deficiencies in patients’ care leading to worsened symptoms from their disease, and disruption to both their care and their experience of dying.

Read the full publication at: https://doi.org/10.1177/0269216318776846
 


Person-centred care in care homes - summary report and images from the day

Following the 'Person-centred care in care homes - outcomes that matter' event held on 5th July,  Victoria Shepherd has produced a summary report of the event, including the priority areas for moving forward that were identified on the day.

A further report from Scarlet Design containing photos from the day, and images of each group’s table sheets is now also available to download and view .

We have included links to some resources on person-centred care in care homes in our report, if you have links to other resources we would be very happy to share those too.
 


Oral steroids not effective for most children with glue ear

A study led by Professor Nick Francis at PRIME Centre Wales, Cardiff University and Professor Chris Butler at the University of Oxford shows that a 1-week course of oral steroid tablets does not result in large benefits for most 2-8 year old children who have had glue ear with hearing loss for at least 3 months.

Read the full news item on Cardiff University website.

Read the publication: Francis NA, Cannings-John R, Waldron C-A, Thomas-Jones E, Winfield T, Shepherd V, Harris D, Hood K, Fitzsimmons D, Roberts A, Powell C, Gal M, Butler CC. Oral steroids for resolution of otitis media with effusion in children (OSTRICH): a double-blinded, placebo-controlled randomised trial. Lancet 2018; 392: 557–68.
 


Dentist examining patientImproving dental care

Dental experts have drawn up a definitive list of scenarios that patients should never face in a bid to ensure excellent patient care worldwide.

The checklist – which was developed in collaboration with researchers at PRIME Centre Wales, Cardiff University - includes failing to note patients’ allergies and not screening for mouth cancers during check-ups. It is the first international agreement of its type in dentistry and could be a major step forward in improving patient wellbeing across the globe.

The agreed list covers routine assessments as well as surgery and also includes equipment not being sterilised and dentists prescribing the wrong medication to children. Read more.
 


Dr Stephanie Smits awarded Health and Care Research Wales fellowship

Dr Stephanie Smits is a behavioural scientist who works for PRIME Centre Wales and the Wales Cancer Research Centre in the area of screening, prevention and early diagnosis of cancer.

We are delighted to hear that she has recently been successful in securing a Health and Care Research Wales Health Fellowship Award, which will allow her to continue her important research in bowel cancer.

Dr Smits starts the fellowship in October 2018 and it will last for three years. Read more.
 


Dr Ashra Khanom awarded Health and Care Research Wales fellowship

Dr Ashra Khanom is a Health Services Researcher who works for PRIME Centre Wales (Wales Centre for Primary and Emergency Care Research) in the area of pre-hospital and emergency care research.

We are delighted to announce that she has recently been successful in securing a Health and Care Research Wales Health Fellowship Award, which will allow her to conduct important research in pre-hospital care.

Dr Khanom who is based at Swansea University Medical School is looking forward to starting the fellowship in October 2018 and it will last for three years. Read more.
 


International Conference on Communication in Healthcare (ICCH), Porto

The recent International Conference on Communication in Healthcare (ICCH) brought together researchers, teachers, practitioners and policy makers from around the world to explore and to improve all aspects of communication in healthcare. 

This was a great conference for our researchers at PRIME Centre Wales and Cardiff Trials Unit to discover best practices and innovations in the field. Read full story.
 


Aspirin and the treatment of cancer

Against a background of controversy about the value of aspirin as a preventive in healthy subjects, a rather different use of the drug has recently been highlighted.

Fifty years ago evidence suggestive of benefit from aspirin beyond the reduction of pain and fever, was reported. In two remarkable papers published in 1968 and 1973 Gabriel Gasic and colleagues described the role of platelets in the metastatic spread of cancer.

They showed that a deficiency of platelets is associated with a reduction in the risk of cancer, and that experimentally-induced metastasis are reduced by aspirin.  They concluded that these findings ‘strongly support the role of platelet aggregation and the platelet release reaction in metastasis’. Read more.
 


Use of antipsychotic medication in care homes

Work by Professor Sue Jordan, PRIME faculty member, and research team at the School of Human and Health, Swansea University are featured in this Senedd report, published May 2018.

The report says ‘systemic changes’ needed for appropriate prescribing of antipsychotic medicines in Welsh care homes.

The research team developed ADRe, Adverse Drug Reaction Profile, which care home staff can use to monitor an individual’s use of antipsychotics. Read more.
 


Forthcoming events of interest


 


 


Health and Care Research Wales Conference 2018

Date: 25th October 2018
Time: 08:30 - 16:30
Venue: SWALEC Stadium, Cardiff

Plans for the Health and Care Research Wales Conference 2018 are now well under way.

Be sure to join us and learn more about research relating to this year’s theme: “Future-proofing research in Wales”.

Confirmed speakers include Vaughan Gething, cabinet secretary for Health and Social Services, and Dr Frank Atherton, chief medical officer for Wales. Read more
 


Improving Health through Education and Research

Date: 7 November 2018
Time: 18:00 - 19:30
Venue: Llandaff Campus, Cardiff Metropolitan University

Stroke Hub Wales invite you to the Stroke Research, Innovation, Education and Care Symposium.

A welcome reception will commence at 17:30 followed by the symposium at 18:00. Find out more
 


Are we making a difference? Understanding our impact on well-being

Date: Thursday 22nd November 2018
Venue: Cardiff City Stadium

This event is free to attend.

New legislation, new expectations and different ways of working mean those delivering public services in Wales need to think differently about how they evaluate and measure the effectiveness and impact of policies, actions and interventions. This event will explore what this means, provide practical ideas and solutions and show how these might be applied. There will also be an opportunity for attendees to get their questions and issues around this topic raised and discussed.

You should attend if you:

  • Play a leadership role in a public body, public services board or other organisation delivering public services.
  • Have responsibility for, or support, the delivery of well-being plans - including the area plans and local well-being plans.
  • Want to know more about measuring and evaluating the impact of policies and interventions.

Further information & registration: http://data.cymru/eng/nie2018

 

South West SAPC 2019 - Registration open & call for abstracts

Date: 13th-14th March 2019
Venue: Southampton

The Society of Academic Primary Care are now accepting abstracts for oral and poster presentations for SW SAPC 2019. We would like to include a ‘Patient and Public Involvement and Engagement’ theme in our conference and we would especially welcome abstracts submitted under this theme.

The balance of the conference themes will be decided based upon the remainder of the abstracts received.  Submitted work can include research in progress as well as educational or service developments.

Abstracts should be submitted on this link by 5pm on Friday 16 November 2018

Full details of the conference can be found on the SW SAPC website.
 


HealTAC 2019 – save the date!

Date: 24 -25 April 2019
Venue: Cardiff

Following the exciting HealTAC 2018, the UK healthcare text analytics network (Healtex) is organising the second conference in the series next April in Cardiff, Wales.

Healthcare narratives recorded in documents such as encounter notes, discharge letters, nurse handover notes, imaging/pathology reports, patient-generated data posts in surveys and social media, etc. represent a key communication stream that contains the majority of actionable and contextualised information. Despite them being increasingly available in a digital form, they are yet to be routinely analysed on a large scale. The conference aims to bring the academic, healthcare, industrial and patient communities together to explore the current state of the art and share best practice, key results and common challenges.

The first (formal) call for contributions will follow shortly, inviting full and short papers, posters, demos and special sessions. The event will also provide a forum for PhD students and industrial partners to present their work.

The conference will be subsidised by Healtex – so please start preparing you contributions!

Here are the key dates:

– Call for contributions: November 2nd, 2018
– Deadline for papers, posters, demos, special sessions: January 21th, 2019
– Notification of acceptance: February 18th, 2019
– Conference: April 24th and 25th, 2019

Further information: http://healtex.org/event/healtac-2019-save-date/


 

BJGP Research Conference

Date: 29 March 2019 
Venue: RCGP, London 

Following the success of their inaugural conference, the BJGP Research Conference returns for a second year. It’s an exceptional opportunity for researchers at all stages of their careers to acquire new research skills and present their work in a constructive, peer-reviewed environment.  

  • A unique opportunity to acquire new research skills  
  • Receive constructive feedback on research presentations  
  • Hear from leading figures in primary care research
  • Learn new skills in writing, critical appraisal, peer review and presentation
  • Workshops on many aspects of writing and publishing research
  • Poster presentations
  • Meet the editors and staff of the BJGP and BJGP Open.

Who should attend?

  • GP trainees and newly qualified GPs
  • Practising GPs with an interest in developing research skills
  • Early-stage clinical and non-clinical academics in primary care
  • More senior researchers wishing to hone or develop their presentation, writing and critical appraisal skills.

Register before 16 December 2018 to save 15%

Further information and registration


Funding opportunities

 

Welsh Government & Health and Care Research Wales

 

Social care research fel­lowship award 

This award enables individuals to become independent researchers and to under­take high-quality research. The total budget of this call is approximately £900,000. Three to four awards are anticipated, and are expected to be up to three years in duration. 
Closing date: 28 November 2018

Health research grants 

 These grants support capacity-building in health research by funding high-quality research projects that demonstrate a clear benefit to patients, service users and carers or the organisation and delivery of effective healthcare service in Wales. Grants are worth up to £250,000 over a period of 24 months.
Closing date: 05 December 2018

Research for patient and public benefit scheme 

This scheme supports research directed at achieving benefit for users of the NHS or the public health of the people in Wales. Grants are worth up to £230,000 over a period of 24 months. 
Closing date: 05 December 2018


 


 

RCGP support for researchers

The Royal College of General Practitioners (RCGP) is supporting researchers to implement academic primary care findings into practice for GPs.

The Research programme includes:

  • Scientific Foundation Board grants
  • RCGP Marie Curie Palliative Care Research Fellowship
  • RCGP Research Ready®
  • RCGP Impact from Research
  • Influencing research
  • Research awards

The new Impact from Research programme offers to partner on research projects and support impact and dissemination through a range of activities.

Further information: www.rcgp.org.uk/research

 



Academic Fellowship scheme

The Academic Fellowship scheme enables academics at a senior (post-PhD) career level to spend time working with the Research Service on a specific project, where this will have mutual benefit to the academic and to the National Assembly for Wales.

The scheme aims to:

  • Provide access to expertise on topics of relevance to priority areas;
  • Promote public understanding of the Assembly amongst the research community;
  • Cultivate relationships between Assembly staff and the research community; and
  • Support the Assembly Commission’s strategic goals of providing outstanding parliamentary support and engaging with all the people of Wales.

We are looking for senior academics to work with our Research Service as a fellow sometime during 2019. The call for applications is now open.

There are two routes to apply:

  • Directed call – Responding to an invitation to submit a bid to research a pre-identified topic. The topics are shown below.
  • Open call – Propose a project of your choosing.

The Fellowship scheme is open to senior (post-PhD) academics who are employed at a UK higher education institution.  All applicants must have the right to work in the UK.

Closing date: 1 November 2018

Further information: http://www.assembly.wales/en/bus-home/research/academic-engagement/Pages/Academic-Fellowship-scheme.aspx

 



NIHR

Health Technology Assessment Programme

Health Services and Delivery Research Programme
PRIME Centre Wales website features listings of regularly updated funding opportunities of interest:
http://www.primecentre.wales/funding-opportunities.php

Collaboration enquiries are welcomed at: info@primecentre.wales


Job/Studentship opportunities

 

A Realist Evaluation of staying well in your community: Identifying social prescribing intervention profiles for type and impact (PhD studentship)

Ref: PDC/USW MAXI 21444

Here is an exciting opportunity to conduct a Realist Review and Evaluation which could lead to entirely new approaches in the future commissioning and delivery of social prescribing community interventions.

The selected candidate will apply their research skills and ambition to conduct applied research with the University of South Wales and Interlink RCT. This research project, will allow the student to develop transferable knowledge and skills in this most exciting and active field of evaluation research.

This Knowledge Economy Skills Scholarship (KESS) project will be held in the Faculty Life Sciences and Education at the University of South Wales. KESS is a programme funded by the European Social Fund (ESF) awarded by the Welsh European Funding Office (WEFO) in the Welsh Government. The PhD will be associated with Interlink RCT.

The project will focus on investigating interventions in Cwm Taf, develop an explanatory theory of intervention profiles around how, why, for whom and to what extent they work so that learning can be translated across Wales. The project is backed by Interlink RCT, the community voluntary council (CVC) for Rhondda Cynon Taf.

Closing date for applications: 28th October 2018

Further information and apply: http://gro.southwales.ac.uk/media/files/documents/2018-09-28/Final_21444advert.pdf

 


PhD: Social prescribing in the Welsh Valleys: a quasi-experimental design to compare the effect of social prescribing in community and GP practice settings on well-being (PhD studentship)

Ref: PDC/USWKESS MAXI 21438

This is a funded PhD, including a generous stipend and tuition fees, with well-resourced circumstances for a successful scholarship.

Here is an exciting opportunity to conduct a quasi-experimental design which could lead to entirely new approaches in the future delivery of social prescribing (SP) by comparing the effect of the social prescriber models on patients’ wellbeing.

The selected candidate will apply their research skills and ambition to conduct applied research with the University of South Wales and Cwm Taf University Health Board. This research project, will allow the student to develop transferable knowledge and skills in this most exciting and active field of applied health and social science research.

This Knowledge Economy Skills Scholarship (KESS) project will be held in the Faculty Life Sciences and Education at the University of South Wales. KESS is a programme funded by the European Social Fund (ESF) awarded by the Welsh European Funding Office (WEFO) in the Welsh Government. The PhD will be associated with Cwm Taf University Health Board. The project will focus on comparing the effect of two SP models on patient wellbeing; and to develop a logic model to express the mechanism(s) behind the effect of Social Prescribing on participants. The outcomes of this research will have the potential to influence social prescribing service delivery in Wales and the UK.

The project is backed by Cwm Taf University Health Board, which was established in October 2009 and provides primary, community, hospital and mental health services to almost 300,000 people living in Merthyr Tydfil and Rhondda Cynon Taf. Ideally situated between Wales’ capital city, Cardiff to the South and the stunning scenery in the Brecon Beacons National Park to the North, we operate within a vibrant community, rich with history and heritage.

Our philosophy ‘Cwm Taf Cares’ is at the heart of everything we do. Our commitment to the health, wellbeing and development of our staff is recognised with the highly coveted Platinum Corporate Health Standard.

Closing date for applications: 28th October 2018

Further information and apply: http://gro.southwales.ac.uk/media/files/documents/2018-09-27/KESS2advert21438.pdf 

 


Developing the health workforce in genomics: a longitudinal, cross-Wales, multicentre, interdisciplinary case study (PhD studentship)

This is a funded PhD, including a generous stipend and tuition fees, with well-resourced circumstances for a successful scholarship.

Here is an exciting opportunity to study the processes of education and behaviour change that could lead to entirely new approaches to health professional education.

The selected candidate will apply their research skills and ambition to deliver this very topical project. This mixed methods study, will allow the student to develop transferable knowledge and skills in this most exciting and active field of genomics education research.

The PhD will be undertaken in association with Genomics Partnership Wales - a newly formed initiative that has been established to ensure a united approach to genomics in Wales. It represents the coming together of a number of organisations including NHS Wales’ All Wales Medical Genetics Service, Public Health Wales’ Pathogen Genomics Unit and Wales Gene Park, to deliver a programme of work that will enable the ambition and commitment laid out in the Welsh Government’s Genomics for Precision Medicine Strategy to be realised.

The project will focus on understanding the ‘what, when and how’ to teach genomics to qualified health professionals.

The project is backed by Genomics Partnership Wales, whose vision is “Working together to harness the potential of genomics to improve the health, wellbeing and prosperity of the people of Wales.”

Closing date for applications: 28th October 2018

Further information and apply: http://gro.southwales.ac.uk/media/files/documents/2018-10-09/21434_-_ETonkin_GenomicsPartnershipWales_East_Wales_Advert_.pdf 

 

Recent publications
 



Cooper J, Williams H, Hibbert P, Edwards A, Butt MA, Wood F, Parry G, Smith P, Sheikh A, Donaldson L, Carson-Stevens A. Classification of patient-safety incidents in primary care. Bull World Health Organ. 2018 Jul 1; 96(7): 498–505. Published online 2018 Apr 23. doi: 10.2471/BLT.17.199802

 




Phillips R, Williams D, Bowen D, Morris D, Grant A, Pell B, Sanders J, Tayor A, Choy E, Edwards A. Reaching a consensus on research priorities for supporting women with autoimmune rheumatic diseases during pre-conception, pregnancy and early parenting: A Nominal Group Technique exercise with lay and professional stakeholdersWellcome Open Res 2018, 3:75





Francis NA, Cannings-John R, Waldron C-A, Thomas-Jones E, Winfield T, Shepherd V, Harris D, Hood K, Fitzsimmons D, Roberts A, Powell C, Gal M, Butler CC. Oral steroids for resolution of otitis media with effusion in children (OSTRICH): a double-blinded, placebo-controlled randomised trial. Lancet 2018; 392: 557–68.




Smith P, Smits S, Owen S, Wood F, McCutchan G, Carter B, Edwards A, Robling M, Townson J, Brain K. Feasibility and acceptability of a cancer symptom awareness intervention for adults living in socioeconomically deprived communities. BMC Public Health 201818:695 https://doi.org/10.1186/s12889-018-5606-3





Porter A, Dale J, Foster T, Logan P, Wells B, Snooks H. Implementation and use of computerised clinical decision support (CCDS) in emergency pre-hospital care: a qualitative study of paramedic views and experience using Strong Structuration Theory. Implementation Science 2018 13:91 https://doi.org/10.1186/s13012-018-0786-x
 





Yardley I, Yardley S, Williams H, Carson-Stevens A, Donaldson LJ. Patient safety in palliative care: A mixed-methods study of reports to a national database of serious incidents. Palliat Med. 2018 Sep;32(8):1353-1362. doi: 10.1177/0269216318776846. Epub 2018 Jun 1.





Cope AL, Francis N, Wood F, Chestnutt IG. Systemic antibiotics for symptomatic apical periodontitis and acute apical abscess in adults. Cochrane Database of Systematic Reviews 2018, Issue 9. Art. No.: CD010136. DOI: 10.1002/14651858.CD010136.pub3.



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