Making a difference

We are dedicated to ensuring that we are making a difference to the Greater Manchester healthcare and and research community, here is a snapshot of how a number of our projects are making a real difference

REmote MOnitoring of Rheumatoid Arthritis (REMORA) study

The REmote MOnitoring of Rheumatoid Arthritis (REMORA) study involved the development of a smartphone app for remote monitoring of symptoms, with the data being collected by patients and feeding directly into Salford Royal Foundation Trusts’ (SRFT) electronic patient record (EPR), to enable data collected between outpatient appointments to inform discussions between patients and their clinician at their next appointment. Remote monitoring has the potential to enable treatment decisions and appointment frequency to be more closely linked to patient needs. Read more here…..
 


Training events and internships

As part of NIHR CLAHRC Greater Manchester’s capacity building programme, we have designed, developed and delivered ‘evidence informed implementation and evaluation’ training events. These training events focus on defining implementation and implementation research, understanding and using theoretical frameworks for implementation, planning implementation, engaging and influencing stakeholders and evaluating implementation programmes. Through these we aim to enable NHS staff and others to pragmatically evaluate their own work and use the findings and learning to inform their future work. To date 150 participants have attended an event.

 

We also deliver an internship programme, which is a 30 day research programme conducted over nine months, which offers nurses and allied health professionals from our partner organisations an opportunity to experience research and consider it as a future career. As a result of our internships, many participants have had opportunities to present their work at academic conferences and publish in peer reviewed journals and gone on to study for masters degrees. Further details here…


Evidence-informed implementation of 7 day access to Primary Care

We have been working with NHS England Greater Manchester and now the Greater Manchester Health and Social Care Partnership (GM H&SCP) to evaluate implementation of 7-day access to primary care across the region. The work aims to examine the activity, processes and outcomes associated with the provision additional primary care appointments on evenings and weekends (i.e. 7 day access). We have contributed both locally, informing the initial piloting and subsequent roll-out of seven day access to the 4 million residents of GM, and also nationally as an academic partner on an evaluation of NHS England’s £100 million GP Access Fund programme. These activities have collectively ensured that decision making by commissioners about service models of 7 day access across the country, and the process by which such models are implemented and sustained, can be informed by a high-quality and reliable evidence base. Read more…


The Greater Manchester Stroke Assessment Tool (GM-SAT)

A post-stroke review at six months has been a requirement of the NHS CCG Outcomes Indicator Set (used to monitor quality and outcomes of care) since 2013. The NIHR CLAHRC Greater Manchester team created an evidence-based assessment tool (the Greater Manchester Stroke Assessment Tool (GM-SAT)). The Tool is used by the Stroke Association across England and beyond, to deliver six month post-stroke reviews for stroke survivors across 42 services, with almost 17,000 reviews having been conducted to date.

 

The GM-SAT was originally designed for use in the community, so we worked with healthcare professionals with experience of delivering post-stroke reviews in care homes to develop a modified version of the GM-SAT. Read more….


The Salford Diabetes Prevention Programme Evaluation

We were commissioned to conduct an independent three-stage evaluation of the Salford Diabetes Prevention Programme demonstrator model undertaken in Salford (a ‘demonstrator model’ refers to a new way of working that is being piloted in a specific area). This built on our previous work with the Care Call service [1], and our involvement in the ‘Comparison of active treatments for impaired glucose regulation’ (CATFISH) [2] study. The evaluation will inform health decision makers on the best ways to identify patients with Non-Diabetic Hyperglycaemia (NDH), in order to reduce their risk of developing Type 2 Diabetes. The NHS DPP is being rolled-out nationwide with capacity for 100,000 referrals annually by 2020.

 

The evaluation provided key data to inform local decision making; resulting in the decommissioning of an ineffective service which received few referrals from the community based NHS. Salford DPP included our evaluation reports as part of their successful bid to NHS England for continued funding and ‘accredited DPP status’ enabling the demonstrator model to form the basis of the new service to continue to provide better health outcomes for the NDH population. Further details here…


Implementing the COINCIDE collaborative care model in English low-intensity psychological services

This piece of work builds on the success of the COllaborative INterventions for CIrculation and DEpression (COINCIDE) trial (published in the BMJ in 2015) by developing the COINCIDE treatment model within Increasing Access to Psychological Therapy (IAPT) services to manage people with common mental health problems and long term conditions. The NIHR CLAHRC funded COINCIDE trial (GM CLAHRC  2008-2013) demonstrated that both depression and anxiety were significantly reduced in patients in the collaborative care arm of the trial and believed their care to be more patient centred. Key to delivery of COINCIDE in an IAPTs setting has been the development  and roll out of COINCIDE training model and programme. More information here…


Carer contribution to End of Life Care

We have worked together with the Dimbleby Cancer Care charity, and the Office for National Statistics, to design a survey which was issued to 5,271 cancer carers’ nationally; 1,502 (28.5%) carers completed and returned the survey. It is the first study to provide population-based information on the scale of cancer-related carer activity and out-of-pocket expenditures, to enable the economic value of carers’ contribution to end-of-life care to be calculated. The study highlights the extent of account carers’ contributions, both in terms of hours worked and out-of-pocket expenditure, and the value of these contributions to the economy to policymakers and service planners. Read more…


Learning and development scoping project: End of life (as part of the Macmillan Cancer Improvement Partnership)

We were commissioned by the Macmillan Cancer Improvement Partnership (MCIP - a partnership led by Macmillan and the Manchester North, Central and South Clinical Commissioning Groups and working with organisations across primary, community, acute and end-of-life care), to design and conduct a cancer-specific learning and development needs scoping project for the entire workforce caring for patients affected by cancer  across Manchester. This work led to development of a bespoke five-year ‘Cancer-specific Learning & Development Minimum Standard’, which was developed and proposed to the MCIP Board, with the recommendations made by us as part of the work utilised within the MCIP’s educational and training packages. Read more…


The Acute Kidney Injury Programme

Our Kidney Health programme has recognised that Acute Kidney Injury (AKI) was a crucial patient safety issue and sought to align local, regional and national initiatives with a view to improving health outcomes through the delivery of a range of projects to promote better prevention, detection and management of AKI in primary and secondary care. Expertise and learning from our work has contributed to a NHS England’s National ‘Think Kidneys’ Programme and resulted in the development of an RCGCP AKI Quality Improvement toolkit (to date accessed by almost 2,000 clinicians). Further details here…

OUR WORK