PRIME Centre Wales1st Annual Meeting: 22nd September 2015Wales Millennium Centre

Primed for research – collaborate, listen, engage...

Strong primary and emergency care is essential for the effective and efficient functioning of the NHS as a whole

Strong academic basemust underpin this

Starfield; Primary Health Care: Balancing Health Needs, Services & Technology, OUP

Primary care rating•First contact•Person-centred over time•Comprehensiveness•Co-ordination•Family centredness•Community orientation

•Complexity• Health needs

• Ageing• Multi-morbidity

• Health care provision

Complexity• Health needs

• Ageing• Multi-morbidity

• Health & Social care provision

Challenges•Health needs and inequalities in Wales•Health care delivery•Reconfiguring health services•Re-thinking - more prevention and increased care in the community•Evidence base vital

Bangor University

Swansea University

Cardiff University

University of South Wales

Wrexham

All Wales Centre

Multi-disciplinary•Community-based •General practice•Emergency / Unscheduled care•Community nursing•Allied Health •Social Care, Social Policy, Social Sciences•Integrated and Intermediate care

Leadership team•Director: Adrian Edwards, Cardiff University•Partner University Leads:

• Professor Richard Neal, Bangor University

• Professor Helen Snooks, Swansea University

• Professor Joyce Kenkre, University of South Wales

Aims•PRIME Centre Wales aims to improve the health and well being of people in Wales and internationally through:

• high quality research• influencing policy and practice• growth, collaboration• translation, transfer & impact

Work Packages

1.Long term conditions & co-morbidity

2.Patient centred & prudent health care

3.Infections & antimicrobial resistance

4.Screening, prevention, & diagnosis in primary care

5.Unscheduled and emergency (including pre-hospital) care

6.Patient safety & health care improvement

7.Oral health & primary dental care

8.Methodological innovation

Links with Health and Care Research Wales

1.School of Social Care Research

2.Wales Cancer Research Centre

3.Clinical Trials Units

Who will we work with?•Patients & Public •Social Care Services•Third sector•Industry•Health & Care Research Wales

• Infrastructure• Centres• Units

How are we working?• Development of strategies• Collaborative working across sectors• Disseminating information• Introducing people to people

Social care research• Key planned activities:

- All Wales meeting open to all sectors- carers, 3rd sector, industry, councils, independent sector, primary

care and social care professionals- identify issues and research priorities

- Social Care Research Strategy for Wales document - with action plan for primary care

- Social Care Research Strategy Board - linked to School of Social Care.

- Cross-sector research programme- E.g. Family Resilience Assessment Tool and Instrument (FRAI) for

Health Visitors in Wales

Event invitation:

PRIME Centre Wales Social Care Consensus MeetingMonday 5th October 2015, 10:00 - 15:00

Future Inn Cardiff HotelBringing together health and social care researchers, representatives from government, local authorities, commercial sector, third sector, community

members and their supporters/carers Aim: To identify the research issues, prioritise these and establish how

they can be collectively delivered.

REGISTER for your place to attend: www.primecentre.wales/events

Event invitation:

PRIME Centre Wales Long Term Conditions MeetingTuesday 10th November 2015

The Priory, AbergavennyBringing together health and social care researchers, representatives from government, local authorities, industry & commercial sector, third sector,

community members and their supporters/carers Aim: To identify the research issues, prioritise these and establish how

they can be collectively delivered.

REGISTER for your place to attend: www.primecentre.wales/events

Social care research partners• Routinely included in research, even if project not social care

focused

• e.g.: SCHOOP study• Relationship between social care use and emergency hospital admissions for

people >65• Linking routine health and social care data at individual level

• City and County of Swansea (CCoS) and SAIL data. • Found:

• Social care targeted appropriately at the frailest people >65• Reduces emergency admissions and length of stay on admission

• Further research on variations between unitary authority areas

http://www.successinresearch.org/ Public and patients

Faculty•All PRIME Centre Wales Collaborators•PPI: all previous / current lay collaborators•Health care professionals:

• Welsh RCGP, RCN, Paramedic •Social care professionals:

• Care Forum Wales• Public Services Support Unit

•Government representatives •Third sector links (Tenovus; Age Cymru; BLF; Home-Start UK) •Industrial & commercial partners•Et al.

Early successes• New grant awards…

• RHiNO Respiratory Health in Preterm Neonatal Outcomes. - MRC £1.7 million; Dr Edgar Williams (USW, co-app) with Kotecha, Henderson, Doull, Marchesi (CU),

Wild (Sheffield) and Dr Z Hoare (NWORTH) • Epidemiology of Patient Safety in 1Care

- DH England, £350k, Nottingham (Avery – with Carson-Stevens, Edwards• Patient choices for prostate cancer treatment

- Tenovus, £60K, Wilkinson C, Neal RD• Evaluating cancer services across the NHS in Scotland, Wales and Northern Ireland.

- Cancer Research-UK, £73K, Morrison, Black, Donnelly, Gavin, Hubbard, Jones, MacDonald, McNeish, Neal RD (Bangor)

• Data linkage across ambulance services and acute trusts: assessing the potential for improving patient care

- Health Foundation, £475,696. Lead: Clark S, London Ambulance Service. Co-applicants: Porter A, Snooks H et al

• Using record linkage analysis to inform the development of an improved care pathway(s) for psychiatric and self-harm emergencies currently transferred by ambulance to Emergency Departments

• £30,000, Chief Scientific Office. Lead: Duncan E, University of Stirling. Co-applicant: Snooks H et al

PRIME Centre Wales adding value• Applications

• 55 submitted already, including • 5 with commercial / industry engagement & collaboration • 3 with social care partners on the bid e.g. • ‘A Realistic evaluation of BRAVE program work streams: investigating their evidence

base’ C Wallace, J Kenkre, partner Calan DVS. Funder: KESS • ‘Families First Qualifications Review’. Investigators C Wallace, J Kenkre, M Patel, O

Jones, B Dacey. £24,446. Funder: Vale of Glamorgan

• Social care partnerships established• Age Cymru (national)• Age Cymru Gwent• British Lung Foundation• Gwalia Housing• Linc-Cymru

Adding value…

• Grant successes…• Awarded the tender for the Care Council for Wales ‘Step up to Management’

social care programme pilot

• PhD / MRes supervision• 14 students currently supervised by PRIME Centre Wales• Projects include

• ‘Complexity instrument for District Nursing’ (Sue Thomas)• ‘Integrated working: A study of individual professional perception of identity and

decision making’ MRES studentship KESS Partner-Torfaen Local Service Board• '999 Take Home' (Naloxone Feasibility of Randomised Trial)• 'Emergency admission risk prediction tools in general practice: opportunities and

challenges’ (Mark Kingston)

TIER study• Transient Ischaemic Attack 999 Emergency Referral: feasibility study

- ABCD2 validation in paramedic setting- RfPPB award: £230,000 2015-17- PI: Rees (WAST)- Co-apps: Snooks, Porter, Edwards

Childhood UTI• Childhood UTI follow-up

- Data linkage, health outcomes- Health Awards: £250,000 2015-17- PI: O’Brien (Cardiff)- Co-apps: Francis, Hood, SAIL

Prudent Healthcare• Public (including patient & carer) and clinician understanding of and

attitudes towards a Prudent Healthcare approach• Develop intervention (communication strategy) • Health Awards: £250,000 2015-17

• PI: Wood (Cardiff)• Co-apps: Kenkre, Snooks, Neal, Edwards