Taking advanced clinical practice to the streets: an evaluation of the benefits and challenges in homeless health care

2021 ◽  
Vol 30 (20) ◽  
pp. 1184-1188
Author(s):  
Rosa Ungpakorn ◽  
Kirit Sehmbi ◽  
Katrina MacLaine
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Lived Experience ◽  
Health Inequalities ◽  
Evidence Base ◽  
Service Development ◽  
Episodes Of Care ◽  
The Uk ◽  
Significant Health ◽  
Recommended Action

Homelessness in the UK continues to rise. People who are homeless are more likely to have poor health and die early, and face multiple barriers to accessing health care. Ten years have passed since the Marmot review recommended action on these disparities. In the context of significant health inequalities, advanced clinical practitioners (ACPs) offer a different approach to homeless health care, providing complete episodes of care in complex situations and leading in integrating multiple agencies, service development and strategic advocacy. ACPs can use their expertise in this specialty to deliver education that raises awareness and reduces prejudice. Their research skills can identify gaps and expand the evidence base to improve practice at local and national levels. However, ACPs must promote their own roles, work closely with people with lived experience and be supported by their employers to embrace all four pillars of advanced clinical practice for the full benefits to be realised.

Intensive care

2016 ◽  
Keyword(s):  
Intensive Care ◽  
Clinical Practice ◽  
Evidence Base ◽  
Cutting Edge ◽  
Direct Impact ◽  
Independent Research ◽  
Everyday Clinical Practice ◽  
Distinct Distance ◽  
Short Space ◽  
The Uk

In the last two decades, intensive care has progressed significantly. The phenomenal developments clinically, academically, organizationally, and professionally during this relatively short space of time have all helped to define a specialty that has not only come of age, but also has established a distinct distance from its parent specialties. Intensive care in the UK now has an established Faculty and continues to forge ahead in expanding an independent research and evidence base. The field is rapidly changing, with cutting-edge ideas driving clinical progress. Through the papers considered in this chapter, various innovations are described that have had a direct impact on everyday clinical practice.

scholarly journals Implementation of treatment guidelines for specialist mental health care

2014 ◽  
Vol 20 (2) ◽  
pp. 82-82
Author(s):  
C. Barbui ◽  
F. Girlanda ◽  
E. Ay ◽  
A. Cipriani ◽  
T. Becker ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Clinical Practice ◽  
Mental Health Care ◽  
Patient Outcomes ◽  
Psychotic Disorders ◽  
Treatment Guidelines ◽  
Evidence Base ◽  
Provider Performance

A huge gap exists between the production of evidence and its take-up in clinical practice settings. To fill this gap, treatment guidelines, based on explicit assessments of the evidence base, are commonly employed in several fields of medicine, including schizophrenia and related psychotic disorders. It remains unclear, however, whether treatment guidelines have any impact on provider performance and patient outcomes, and how implementation should be conducted to maximise benefit.

Partnerships, primary health care and health inequalities: problems and possibilities

2004 ◽  
Vol 10 (3) ◽  
pp. 38 ◽  
Author(s):  
Jenny M Lewis
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Inequalities ◽  
Political Support ◽  
Network Characteristics ◽  
Traditional Health ◽  
Primary Health ◽  
The Social ◽  
The Uk ◽  
The Impact

Partnerships have become a widespread tool for coordinating the disconnected components of primary health care. They are based on network modes of governing which are seen as less susceptible to power disparities and as being more democratic than hierarchies, and more inclusive and egalitarian than markets. This paper examines whether government mandated partnerships, which mix network characteristics with aspects of hierarchies and markets, can contribute to ameliorating the effects of inequities and their impacts on health. Partnerships have benefits but are complicated and time consuming. They have theoretical appeal in addressing health problems which require solutions that reach beyond traditional health boundaries to be more interconnected and inclusive. Evaluations of partnerships in the UK indicate their substantial coordination benefits. But reducing the impact of inequities also requires shifting to a conception of health that emphasises the social and environmental context. This is the case even where partnerships have political support and health inequalities are on the agenda. Partnerships are not a quick fix, but they are a necessary component of tackling the impacts of inequities on health. They create possibilities for reducing the impacts of inequities on health by providing a platform on which additional measures can be built.

Tackling malnutrition: improving patient outcomes and reducing demand on healthcare services

2021 ◽  
Vol 27 (7) ◽  
pp. 176-181
Author(s):  
Anne Holdoway
Keyword(s):  
Health Care ◽  
Early Intervention ◽  
Patient Outcomes ◽  
Health Care Services ◽  
Healthcare Services ◽  
Care Services ◽  
Health Burden ◽  
The Uk ◽  
Significant Health

Malnutrition represents a significant health burden in the UK, affecting patient outcomes and costing health care services over £20 billion. Anne Holdoway discusses opportunities for early intervention and explains how healthcare managers can help to address this issue.

Psychological therapies and people who have ID: a report from the Royal College of Psychiatrists and British Psychological Society

2017 ◽  
Vol 11 (1) ◽  
pp. 24-26 ◽  
Author(s):  
Nigel Beail
Keyword(s):  
Royal College ◽  
Evidence Base ◽  
Service Development ◽  
Emotional Needs ◽  
Content Type ◽  
Psychological Therapies ◽  
Extensive Coverage ◽  
Covering Method ◽  
The Uk ◽  
Practical Implications

Purpose Over a decade ago “Psychotherapy and learning disabilities” was published by the UK Royal College of Psychiatrists. It was decided by the Royal College and British Psychological Society’s faculties for people who have ID to revise and update this report. The paper aims to discuss these issues. Design/methodology/approach Experts in the field were invited to make a contribution on their approach covering method, adaptations, service user views and outcomes. Findings A great deal has changed in the last decade in terms of service development and research resulting in a much wider range of therapies being made available and there being a growing evidence base. Research limitations/implications Further work needs to be carried out to make such information accessible to carers and service users. Practical implications The report is a useful resource for professionals involved in the support of the mental health and emotional needs of people who have ID. Social implications The report should help expand the range of therapies available to people who have ID who need then so they can live more fulfilling lives. Originality/value The report provide extensive coverage of the range of psychological therapies available to people who have ID along with their evidence base.

scholarly journals Characterising the evidence base for advanced clinical practice in the UK: a scoping review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e036192 ◽  
Author(s):  
Catrin Evans ◽  
Brenda Poku ◽  
Ruth Pearce ◽  
Jeanette Eldridge ◽  
Paul Hendrick ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Scoping Review ◽  
Health Workforce ◽  
Grey Literature ◽  
Evidence Base ◽  
Current Evidence ◽  
Multiprofessional Team ◽  
Wide Range ◽  
Current Evidence Base ◽  
The Uk

IntroductionA global health workforce crisis, coupled with ageing populations, wars and the rise of non-communicable diseases is prompting all countries to consider the optimal skill mix within their health workforce. The development of advanced clinical practice (ACP) roles for existing non-medical cadres is one potential strategy that is being pursued. In the UK, National Health Service (NHS) workforce transformation programmes are actively promoting the development of ACP roles across a wide range of non-medical professions. These efforts are currently hampered by a high level of variation in ACP role development, deployment, nomenclature, definition, governance and educational preparation across the professions and across different settings. This scoping review aims to support a more consistent approach to workforce development in the UK, by identifying and mapping the current evidence base underpinning multiprofessional advanced level practice in the UK from a workforce, clinical, service and patient perspective.Methods and analysisThis scoping review is registered with the Open Science Framework (https://osf.io/tzpe5). The review will follow Joanna Briggs Institute guidance and involves a multidisciplinary and multiprofessional team, including a public representative. A wide range of electronic databases and grey literature sources will be searched from 2005 to the present. The review will include primary data from any relevant research, audit or evaluation studies. All review steps will involve two or more reviewers. Data extraction, charting and summary will be guided by a template derived from an established framework used internationally to evaluate ACP (the Participatory Evidence-Informed Patient-Centred Process-Plus framework).DisseminationThe review will produce important new information on existing activity, outcomes, implementation challenges and key areas for future research around ACP in the UK, which, in the context of global workforce transformations, will be of international, as well as local, significance. The findings will be disseminated through professional and NHS bodies, employer organisations, conferences and research papers.

scholarly journals Identifying research priorities for occupational therapy in the UK: A James Lind Alliance Priority Setting Partnership

2021 ◽  
pp. 030802262110265
Author(s):  
Jo Watson ◽  
Katherine Cowan ◽  
Hannah Spring ◽  
Jenny Mac Donnell ◽  
Ruth Unstead-Joss
Keyword(s):  
Lived Experience ◽  
Nominal Group Technique ◽  
Research Priorities ◽  
Occupational Therapists ◽  
Evidence Base ◽  
Nominal Group ◽  
Future Research ◽  
Health And Social Care ◽  
James Lind Alliance ◽  
The Uk

Introduction As the scope and nature of practice evolves in an ever-changing health and social care landscape, it is imperative the profession continues to expand the evidence base underpinning interventions. The Royal College of Occupational Therapists partnered with the James Lind Alliance to bring together people with lived experience, occupational therapists and other people working in the health and care sector to identify contemporary research priorities for the profession in the United Kingdom. Method The JLA’s well-established methodology was adopted. An opening consultation survey gathered unanswered questions. Analysis of responses and evidence checking preceded an initial prioritisation survey. The final prioritisation workshop drew on nominal group technique. Findings 927 respondents submitted 2193 questions. Those within the project’s scope were captured in 66 overarching summary questions using thematic analysis. These were initially ranked by 1140 respondents. 18 questions comprising the 10 most highly ranked by people with lived experience and by those with professional experience were considered by 19 participants in the final workshop. Together, they reached consensus on the Top 10 priorities. Conclusion These research priorities provide a contemporary framework influencing and guiding future research, ensuring it addresses the issues of greatest importance to people accessing and delivering services.

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