This document provides an overview of the Wales Centre for Primary & Emergency Care Research (PRIME Centre Wales). It describes the background and leadership team. The Centre aims to improve health through high quality primary and emergency care research. It has eight work packages focused on key areas like long term conditions, infections, and patient safety. The Centre will collaborate widely across universities, the NHS, social care services, patients, and industry. It hopes to increase research quantity and impact in Wales through activities like applying for funding, building capacity, and ensuring findings are implemented. The Centre has already achieved early successes in securing new grants.
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Dan Venables_LTC Consensus Meeting 10-Nov-2015angewatkins
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Dan Venables_LTC Consensus Meeting 10-Nov-2015angewatkins
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Age Alliances Wales_LTC Consensus Meeting 10-Nov-2015angewatkins
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Professor Richard Morriss - Enhancing Mental HealthCLAHRC-NDL
Presentation on Enhancing Mental Health theme research, by Professor Richard Morriss at the NIHR CLAHRC East Midlands launch event, 14 February 2014, Loughborough.
Patient involvement in medicines development – the views of patients and key ...Nowgen
"EUPATI – EU: An overview", held by Bella Starling & Suzanne Parsons (EUPATI / Nowgen) at the EUPATI-UK Network Conference on 6 March 2014 in Leeds, UK
Professor Justin Waring - Implementing evidence and improvementCLAHRC-NDL
Professsor Justin Waring presentation on Implementing evidence and improvement, delivered at NIHR CLAHRC East Midlands launch event on 14 February 2014, Loughborough.
Apresentação realizada no I Seminário Internacional de Atenção às Condições Crônicas, pela diretora do Programa da Gestão de Doenças Crônica dos Serviços Sanitários De Alberta/Canadá, Sandra Delon.
Belo Horizonte, 11 de novembro de 2014
Professor Kamlesh Khunti - Prevention of Chronic DiseaseCLAHRC-NDL
Presentation by Professor Kamlesh Khunti on Prevention of Chronic Disease. Professor Khunti is Director of NIHR CLAHRC East Midlands and leads the Preventing Chronic Disease research theme.
Mapping HIV Nursing Core Competencies at the Undergraduate Level : Framework,...griehl
Core Competencies for HIV/AIDS Nursing Education at the Undergraduate Level: Position Paper
This position paper was developed by the Canadian Association of Nurses in AIDS Care (CANAC) to advocate for the integration of core competencies in HIV/AIDS nursing education at the undergraduate level in Canada. It is designed to promote the development of educational strategies that prepare nursing students to fulfill their professional responsibilities by providing safe, compassionate, competent and ethical care to people living with HIV. The aim of this guide is to offer a comprehensive framework to provide essential education in HIV/AIDS nursing in all undergraduate nursing students in Canada.
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
A presentation by Craig Bardsley as part of the Sustainability and Ownership panel discussion at the International Symposium on Cohort and Longitudinal Studies in Developing Contexts, UNICEF Office of Research - Innocenti, Florence, Italy 13-15 October 2014
Bringing the patient voice into GSK for educational, awareness and patient ce...Nowgen
"Bringing the patient voice into GlaxoSmithKline for educational, awareness and patient centred decisions within medicine development", presented by Kay Warner, Global Manager, Focus on the Patient, GlaxoSmithKline, at the EUPATI-UK Network Conference on 6 March 2014 in Leeds, UK
Getting the balance right - Adult services role in improving transition Helena Gleeson
Leicester Royal Infirmary Representing RCP YAASG
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Helen Jones AHSC Presentation - CNRS Masterclass 2013angewatkins
Community Nursing Research Strategy Masterclass
13th September 2013
The WSPCR was requested to organise a research masterclass for the Directors of Nursing from all the Welsh Health Boards on Friday 11th Sept. It was funded by the Health Minister and attended by the CNO. It also included the Head of the NISCHR and the manager of AHSC. The masterclass included the presentation of the Welsh Community Nurse Research Strategy which aims to raise the quality and quantity of research in Community Nursing in Wales. The workshop also generated further areas for research activity/priority.
http://www.wspcr.ac.uk/crns-masterclass-sep-2013.php
Age Alliances Wales_LTC Consensus Meeting 10-Nov-2015angewatkins
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Professor Richard Morriss - Enhancing Mental HealthCLAHRC-NDL
Presentation on Enhancing Mental Health theme research, by Professor Richard Morriss at the NIHR CLAHRC East Midlands launch event, 14 February 2014, Loughborough.
Patient involvement in medicines development – the views of patients and key ...Nowgen
"EUPATI – EU: An overview", held by Bella Starling & Suzanne Parsons (EUPATI / Nowgen) at the EUPATI-UK Network Conference on 6 March 2014 in Leeds, UK
Professor Justin Waring - Implementing evidence and improvementCLAHRC-NDL
Professsor Justin Waring presentation on Implementing evidence and improvement, delivered at NIHR CLAHRC East Midlands launch event on 14 February 2014, Loughborough.
Apresentação realizada no I Seminário Internacional de Atenção às Condições Crônicas, pela diretora do Programa da Gestão de Doenças Crônica dos Serviços Sanitários De Alberta/Canadá, Sandra Delon.
Belo Horizonte, 11 de novembro de 2014
Professor Kamlesh Khunti - Prevention of Chronic DiseaseCLAHRC-NDL
Presentation by Professor Kamlesh Khunti on Prevention of Chronic Disease. Professor Khunti is Director of NIHR CLAHRC East Midlands and leads the Preventing Chronic Disease research theme.
Mapping HIV Nursing Core Competencies at the Undergraduate Level : Framework,...griehl
Core Competencies for HIV/AIDS Nursing Education at the Undergraduate Level: Position Paper
This position paper was developed by the Canadian Association of Nurses in AIDS Care (CANAC) to advocate for the integration of core competencies in HIV/AIDS nursing education at the undergraduate level in Canada. It is designed to promote the development of educational strategies that prepare nursing students to fulfill their professional responsibilities by providing safe, compassionate, competent and ethical care to people living with HIV. The aim of this guide is to offer a comprehensive framework to provide essential education in HIV/AIDS nursing in all undergraduate nursing students in Canada.
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
A presentation by Craig Bardsley as part of the Sustainability and Ownership panel discussion at the International Symposium on Cohort and Longitudinal Studies in Developing Contexts, UNICEF Office of Research - Innocenti, Florence, Italy 13-15 October 2014
Bringing the patient voice into GSK for educational, awareness and patient ce...Nowgen
"Bringing the patient voice into GlaxoSmithKline for educational, awareness and patient centred decisions within medicine development", presented by Kay Warner, Global Manager, Focus on the Patient, GlaxoSmithKline, at the EUPATI-UK Network Conference on 6 March 2014 in Leeds, UK
Getting the balance right - Adult services role in improving transition Helena Gleeson
Leicester Royal Infirmary Representing RCP YAASG
NHS Improving Quality held an event in London on 31 July 2013 to progress the children and young people transition to adult services work with a focus on turning the rhetoric into practice entitled “Working to Define a Generic Service Specification for Transition”
Helen Jones AHSC Presentation - CNRS Masterclass 2013angewatkins
Community Nursing Research Strategy Masterclass
13th September 2013
The WSPCR was requested to organise a research masterclass for the Directors of Nursing from all the Welsh Health Boards on Friday 11th Sept. It was funded by the Health Minister and attended by the CNO. It also included the Head of the NISCHR and the manager of AHSC. The masterclass included the presentation of the Welsh Community Nurse Research Strategy which aims to raise the quality and quantity of research in Community Nursing in Wales. The workshop also generated further areas for research activity/priority.
http://www.wspcr.ac.uk/crns-masterclass-sep-2013.php
Marcus Longley - Is the NHS sustainableangewatkins
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
Peter Elwood - The benefits of a healthy lifestyleangewatkins
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
Improving quality, safety and lives - the Patient Safety Collaborative Programme 2014-2019
Presentation from Chief Nursing Officer for England's Summit 2014
26 November 2014
How can and should Health Psychology and Public Health interact? What has been done so far? This is a keynote to the NHS Education for Scotland Trainee Health Psychologist Programme event in Stirling on 21st March 2018
Sharing and Learning Together to Deliver High Quality End of Life Care for AllNHS Improving Quality
Sharing and Learning Together to Deliver High Quality End of Life Care for All
Presentations from the Sharing and Learning Together to Deliver High Quality End of Life Care for All event held on
Tuesday 24 June 2014, Congress Centre, London, WC1B 3LS
#nhsiqeolcare
UCD Rare Disease Module 2017 - Dr Derick Mitchell - March 28th 2017ipposi
Medical students taking the elective course in rare diseases are provided a number of patient perspectives throughout the module. This is what IPPOSI presented in 2017.
Presentation to National Institute for Health Research (NIHR) Public Involvem...Simon Denegri
This presentation includes slides detailing the initial findings from the NIHR Strategic Review of public involvement in research entitled 'Breaking Boundaries.'
Professsor John Gladman - Caring for older people and stroke survivorsCLAHRC-NDL
Caring for older people and stroke survivors theme presentation by Professor John Gladman, delivered at the NIHR CLAHRC East Midlands launch event on 14 February 2014, Loughborough.
A presentation by Jimmy Whitworth as part of the Sustainability and Ownership panel discussion at the International Symposium on Cohort and Longitudinal Studies in Developing Contexts, UNICEF Office of Research - Innocenti, Florence, Italy 13-15 October 2014
Richard Neal LTC _Consensus Meeting 10-Nov-2015angewatkins
PRIME Centre Wales
Long Term Conditions Consensus Meeting
Tuesday 10th November 2015, St Mary's Priory, Abergavenny, NP7 5ND
http://www.primecentre.wales/ltc-consensus-meeting.php
Pace study training slides 22 09-2015 v2.1angewatkins
Primary care use of a C-Reactive Protein (CRP) Point of Care Test (POCT) to help target antibiotic prescribing to patients with Acute Exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) who are most likely to benefit.
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
Peter Elwood - The success of the caerphilly cohort studyangewatkins
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
Mansel Aylward - Transforming health improvement programme in wales and add t...angewatkins
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
Cardiff University Healthy Ageing Conference & Public Lecture
The importance of a healthy lifestyle
A Conference and a Public Lecture
Thursday 30th October 2014
http://medicine.cardiff.ac.uk/event/healthy-ageing-conference-public-lecture/
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
1. Wales Centre for Primary &
Emergency Care Research:
PRIME Centre Wales
Professor Adrian Edwards
Centre Lead
2. Background
• NISCHR infrastructure call for new research
Centres & Units - 2014
• Wales School for Primary Care Research (WSPCR)
2008-14: Universities of Cardiff, Bangor, South
Wales.
• Thematic Research Network for emergency,
UnScheduled, and Trauma care (TRUST) 2008-14:
University of Swansea
• Collaborative bid: Wales Centre for Primary &
Emergency Care Research – PRIME Centre Wales
4. 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
5. Aims
• PRIME Centre Wales aims to improve the
health and well being of people in Wales and
internationally through:
– undertaking high quality research on topics of
national policy priority which contributes to the
evidence base in primary and emergency care
– ensuring that research findings are translated into
policy and practice.
6. Objectives: growth, collaboration
1. Increase the quantity of large scale high quality research
- carried out or led from Wales
• attracting prestige funding into Wales
• leading prestige research
• collaborating across our participating universities
– funding applications, projects
– PhD studentships and fellowships
– collaborating in studies led from elsewhere
– encouraging recruitment of patients in Wales into high quality studies
– embedding Patient and Public Involvement in all research stages
– increasing the number of research leaders in primary and emergency care
research in Wales
– demonstrating collaboration with other NISCHR Centres and Units
– working with industry and the third sector in the prioritisation, design and
conduct of research
– promoting collaboration in multi-disciplinary research that includes the
contributions of relevant stakeholders.
7. Objectives: impact
2. Achieve high and demonstrable research impact by:
– publishing research findings
• high quality scientific and practitioner journals
• popular media
– working with policy-makers, public and practitioners to ensure
that findings are implemented and transferred to all relevant
settings
– presenting at academic, public and practitioner conferences
• nationally and internationally
– tracking evidence of impact across domains including health,
social care, wellbeing, economy and professional development
– raising the profile of research in primary and emergency care in
Wales on the national and international stages
– working with industry and the third sector in the reporting and
dissemination of research findings.
8. Objectives: PPI, capacity
3. Undertake research and dissemination
activities of key importance to patients and
the public
– involve service users, carers and wider public in
prioritisation, design, conduct, interpretation and
dissemination of research.
4. Build capacity for research in primary and
emergency care in Wales, across disciplines,
sectors, professional groups and levels of
seniority.
9. PRIME Centre Wales: Work Packages
1. Long term conditions
2. Patient centred & prudent health care
3. Infections & antimicrobial resistance
4. Prevention, screening & diagnosis
5. Emergency & unscheduled (includes pre-
hospital) care
6. Patient safety & health care improvement
7. Oral health
8. Methodological innovation
10. Who will we work with?
Public and patients
• Strategy Leads: Bridie Evans & Alison Porter, Swansea
University
• Service users involved in developing proposals
– named co-applicants
• Building on ‘SUCCESS’
– award-winning service user group - a network of service users
and carers across Wales
– developed expertise and understanding of the research process
– provide rich, wide-ranging contributions to TRUST-linked
research.
• Represented in PRIME Centre Organisational Structure:
– Executive Management Board – 3 members
– Faculty
– Infrastructure link with Involving People
11. Who will we work with?
Social Care Services
• Strategy Leads: Professor Joyce Kenkre & Dr Carolyn Wallace, University of
South Wales
• Represented in PRIME Centre Organisational Structure:
– Executive Management Board – Gideon Calder, social care representative
– Faculty – 4 members.
• Examples of engaging with social care services include:
– YMCA drop-in centre for young parents to help establish healthy, independent and happy
lives.
– Care home staff identifying and prioritising 23 research topics.
• Emergent themes: improving communication between hospital and care home staff;
• care home staff development;
• diagnosing UTIs in elderly women.
• Examples of Future work:
– Partnership with City and County of Swansea on the Social Care and Health of Older
People
• study of use of social care and unscheduled hospital admissions using routine anonymised data.
– Nursing and Care Homes, working closely with partners in the social care sector in
conducting research,
• e.g. the HTA PAAD and EME PRINCESS studies (Francis).
12. Who will we work with?
Third Sector
• Strategy Lead: Professor Richard Neal, Bangor
University
• Represented in PRIME Centre Organisational
Structure:
– Executive Management Board – Chris Mulholland,
British Lung Foundation
– Faculty links – Age Cymru, BLF, Home-Start UK.
• Future plans:
– Build on our experience and relationships with third
sector organisations
– Consensus building event inviting people from the
third sector to prioritise research issues and establish
how we can deliver these collectively.
13. Who will we work with?
Industry
• Strategy Lead: Professor Richard Neal, Bangor
University
• Represented in PRIME Centre Organisational
Structure:
– Executive Management Board – Strategy Lead: Richard
Neal
– Faculty links – Industrial & commercial partners.
• Future plans:
– Linking with Health Research Wales & SEWAHSP
(South East Wales Academic Health Science Partnership)
– Build upon existing industrial & commercial links
• All Themes continuing to identify and collaborate with
commercial partners for primary, community and emergency
and social care settings
14. NISCHR Infrastructure Links
• Trials Units: NWORTH, SEWTU, SCTU (formerly WWORTH), WCTU
• NISCHR CRC Research Professional Network
• Other units/centres:
•Wales Cancer Research Centre
•Centre for Ageing & Dementia Research
•Diabetes, Cardiovascular & Stroke Rehabilitation Centre, Cymru
•Wales Centre Population Health Res
•Centre for Mental Health
•Wales Brain Research Unit
• Health Information Research Unit (HIRU)
• Involving People
• NISCHR Faculty & AHSC
• Health Economics (WHESS)
• Wales School of Social Care
• PICRiS research ready practices
15. PRIME Centre Wales - Faculty
• All WCPECR Collaborators
• PPI: all previous / current PPI collaborators
• Health care professionals: Welsh RCGP, RCN, Paramedic
• Social care professionals via:
•Care Forum Wales
•Public Services Support Unit, Torfaen
• Government representatives
• Third sector links (Age Cymru; BLF; Home-Start UK)
• Industrial & commercial partners
• Et al.
17. PRIME Centre Wales: Work Packages
1. Long term conditions
2. Patient centred & prudent health care
3. Infections & antimicrobial resistance
4. Prevention, screening & diagnosis
5. Emergency & unscheduled (includes pre-
hospital) care
6. Patient safety & health care improvement
7. Oral health
8. Methodological innovation
18. WP1 – Long Term Conditions
– Leads: Professor Joyce Kenkre, Dr Carolyn Wallace,
University of South Wales
– Focus: Develop research in practice that is needs
led for LTCs
– Link professional groups, organisations, and users
across sectors, integrating with Social Care.
– Project: The Functional Recovery from stroke
during rehabilitation in the Cardiff Stroke unit and
home environment (Robert van Deursen, Alan
Preece, Allison Cooper).
19. • WP2: Patient Centred & Prudent Health Care
– Leads: Dr Fiona Wood & Professor Adrian Edwards,
Cardiff University
– Focus:
• Patient empowerment and co-production in engaging
patients and members of the public in health and
health care.
• (i) Shared Decision Making & Decision Aids
• (ii) Self-management support & health literacy
• (iii) Behaviour change.
• Innovation, implementation and evaluation of
interventions.
– Project: MAking Good decisions In Collaboration
with patients (MAGIC) (Adrian Edwards)
20. • WP3: Infections & Antimicrobial Resistance
– Lead: Dr Nick Francis, Cardiff University
– Focus:
• Maximise the understanding of infectious disease
epidemiology and mechanisms
• Develop and evaluate interventions to improve
management of common infections
• Enhance antimicrobial stewardship in primary care.
– Project: POETIC – point of care testing for urinary
tract infections in primary care.
21. • WP4: Prevention, Diagnosis & Screening
– Leads: Professor Richard Neal, Bangor University & Dr Kate
Brain, Cardiff University
– Focus:
• Public health problems and inequalities in Wales (smoking,
obesity, inactivity)
• Continuing strong work in cancer (2015-17; linking with NISCHR
Cancer Centre)
• Addressing other priority health areas (e.g. heart disease,
rheumatoid arthritis; 2017-18)
– Examples of work:
• Awareness and Beliefs about Cancer Care (ABACus programme) -
cancer Research UK and Tenovus
• ‘WICKED’ – Wales Interventions and Cancer Knowledge about
Early Diagnosis – programme to Cancer Research Wales
• Diagnostic Journeys in Sarcoma – PhD studentship to Sarcoma UK
• WG – Lung Cancer Awareness Campaign
22. • WP5: Emergency & Unscheduled Care
(includes pre-hospital)
– Lead: Professor Helen Snooks, Swansea University
– Focus:
• Appropriate (‘Prudent’) emergency and unscheduled
care, avoiding unnecessary contacts and streamlining the
emergency care system.
• Collaborations with UK-wide ambulance services to
develop and test alternative care models, linking closely
to the e-trials methodological theme
• Close connection with the 999 EMS Research Forum to
disseminate research and transfer knowledge to practice.
– Project: SAFER2 Trial - Evaluation of the clinical and
cost-effectiveness of assessment and referral of
older people who fall by emergency ambulance
paramedics to appropriate community care (RCT).
(Helen Snooks)
23. • WP6: Patient Safety & Healthcare Improvement
– Lead: Dr Andrew Carson-Stevens, Cardiff University
– Focus:
• epidemiology of care quality in terms of the frequency,
burden and preventability of harm
• Development, testing and implementation of interventions in
priority areas
• Development / refinement of methods to learn from routine
health care data (e.g. safety incident reports), existing
research and improvement activity, expert consensus, and
empirical data.
– Project: Characterising the nature of primary care
patient safety incident reports in England and Wales:
mixed methods study (PISA study) (Andrew Carson-
Stevens)
24. • WP7: Oral Health
– Lead: Professor Ivor Chestnutt, Cardiff University
– Focus:
• Quality research in Primary Dental Care
– preventive technologies, antibiotics, HSR / prudent dental care
• Collaborate where there is currently expertise in
Primary Medical Care research that could be applied to
Primary Dental Care / where oral health can reasonably
be incorporated into another study
– Project: Seal or Varnish? A randomised trial to determine
the relative cost and effectiveness of pit and fissure
sealants and flouride varnish in preventing dental decay.
25. • WP8: Methodological Innovation
– Leads: Dr Nefyn Williams, Bangor University &
Professor Kerry Hood, Cardiff University
– Focus: Cross-cutting work package that will promote,
identify and develop methodological innovation in the
7 other work packages within:
• systematic reviews and evidence synthesis
• randomised controlled trials
• qualitative research.
– Project: FP7 funded PREPARE study. Platform for
European Preparedness Against (Re-)Emerging
Epidemics.
• Work Package 1 (EARL): Rapid review & qualitative analysis of
focus groups to identify Ethical, Administrative, Regulatory &
Administrative solutions to conducting ‘live’ research during
an epidemic / pandemic.
26. 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
27. First Annual Event: Tuesday 22nd
September
• Confirmed speakers:
– Mark Drakeford AM, Health Minister
– Ruth Hussey, CMO Wales
– Jean White, CNO Wales
– Simon Denegri, PPI Lead, NIHR
– Niro Siriwardena, Lincoln University
– Fiona Godlee, BMJ Editor
• Venue: Wales Millennium Centre, Cardiff Bay