Presentations from the Directors of PRIME Centre Wales, 1st Annual Meeting, 22nd September 2015.

1. PRIME Centre Wales
1st
Annual Meeting:
22nd
September 2015
Wales Millennium Centre
Primed for research –
collaborate, listen, engage...

4. Strong primary and emergency care is
essential for the effective and efficient
functioning of the NHS as a whole
Strong academic base
must underpin this

5. Starfield;
Primary Health
Care: Balancing
Health Needs,

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

7. •Complexity
• Health needs
•Ageing
•Multi-morbidity
• Health care provision

8. Complexity
• Health needs
•Ageing
•Multi-morbidity
• Health & Social care provision

9. 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

11. Bangor
University
Swansea
University
Cardiff
University
University of
South Wales
Wrexham
All Wales Centre

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

13. 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

14. 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

15. 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

16. Who will we work with?
•Patients & Public
•Social Care Services
•Third sector
•Industry
•Health & Care Research Wales
• Infrastructure
• Centres
• Units

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

18. 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

19. Event invitation:
PRIME Centre Wales Social Care Consensus Meeting
Monday 5th October 2015, 10:00 - 15:00
Future Inn Cardiff Hotel
Bringing 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

20. Event invitation:
PRIME Centre Wales Long Term Conditions Meeting
Tuesday 10th
November 2015
The Priory, Abergavenny
Bringing 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

21. 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

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

23. 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.

25. 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

26. 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

27. 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)

28. 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

29. 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

30. 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