Improving prevention of vascular events in Leeds
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Improving prevention of vascular events in Leeds Allan House & Kate Hill CLAHRC Vascular Theme Leeds Institute of Health Sciences PowerPoint PPT Presentation


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Improving prevention of vascular events in Leeds Allan House & Kate Hill CLAHRC Vascular Theme Leeds Institute of Health Sciences. Improve Partnerships. EPAP: Online training for PPI. Healthy Living Centre Evaluation. HAMARA. ELF. Local partnership Groups. Patient & Public Involvement.

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Improving prevention of vascular events in Leeds Allan House & Kate Hill CLAHRC Vascular Theme Leeds Institute of Health Sciences

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Improving prevention of vascular events in leeds allan house kate hill clahrc vascular theme leeds institute of health

Improving prevention of vascular events in Leeds

Allan House & Kate Hill

CLAHRC Vascular Theme

Leeds Institute of Health Sciences


Improving prevention of vascular events in leeds allan house kate hill clahrc vascular theme leeds institute of health

Improve Partnerships

EPAP: Online training for PPI

Healthy Living Centre Evaluation

HAMARA

ELF

Local partnership

Groups

Patient & Public

Involvement

Pudsey

Wellbeing

Centre

IMPROVE

Leeds City

Council

Health Checks & Lifestyle studies

LYB CLAHRC

Vascular Theme

Healthwatch

GPs

NHS Leeds

York

Leeds

Dental

Inst.

BBC

CLAHRC

Dental Lifestyle Study

LTHT

Learning Events

CR

LNR

CLAHRC

GM

CLAHRC

TPP

Data Linkage

E-Referrals

PH

WYCN

Solus

HHT

Trial


Improving prevention of vascular events in leeds allan house kate hill clahrc vascular theme leeds institute of health

Improve Work Strands

Reviews:

Main barriers and facilitators to lifestyle change

Qualitative studies:

Exploring experiences of health checks and delivery of lifestyle change

Q-sort:

Attitudes of staff towards delivery of health check with focus on health equalities

Development of an evaluation framework for Healthy Living Centres


Tailoring lifestyle referrals

Tailoring lifestyle referrals…..

  • Evidence synthesis – revealed 5 factors influencing uptake of lifestyle behaviour change:

    • Emotions

    • Knowledge

    • Support from family & friends

    • Transport & cost

    • Beliefs

  • Development of algorithm - shift from ‘one size fits all’ to tailored approach (based around the needs of patients) to help staff match patient need with service response at the point of referral to lifestyle support

  • Qualitative studies reveal interpersonal and organisational factors that impact on the delivery of lifestyle advice and uptake of behaviour change.


  • Improving prevention of vascular events in leeds allan house kate hill clahrc vascular theme leeds institute of health

    Using research to improve population health

    Inform the delivery of vascular healthcare and improve prevention of vascular events

    Pilot RCT:

    Lifestyle Referral Assess-ment

    Reviews:

    Main barriers and facilitators to lifestyle change

    Qualitative studies:

    Exploring experiences of health checks and delivery of lifestyle change

    Training

    &

    Service develop-ment

    Q-sort:

    Attitudes of staff towards delivery of health check with focus on health equalities

    Development of an evaluation framework for Healthy Living Centres


    Improving prevention of vascular events in leeds allan house kate hill clahrc vascular theme leeds institute of health

    What lessons have we learned.....?

    • Re-structuring of Primary Care

      • Flexibility to respond to changing landscape

    • NHS versus academic pace

      • Reconciling incompatible expectations and systems

    • CLAHRC funding streams

      • New partnerships; new projects but how to sustain?

    • Political awareness


    Improving prevention of vascular events in leeds allan house kate hill clahrc vascular theme leeds institute of health

    Challenges for research and care....?

    • To think differently about how we conceptualise care

    • To build integrated care networks

    • To coordinate them for healthcare and research

    • To develop ways of evaluating their impact/effectiveness


    Communication networks in acute stroke care and rehabilitation

    Communication Networks in Acute Stroke Care and Rehabilitation


    Improving prevention of vascular events in leeds allan house kate hill clahrc vascular theme leeds institute of health

    What next…..?

    • A definitive trial based on the findings of the Improve and the addictions theme (ARiAS) pilot work

    • Lifestyle support services – improving promotion of long-term maintenance of lifestyle behaviour change

    • Lifestyle support in dental practice

    • Gendered ageism and cardiovascular prevention

    • Data linkage

    • Develop and study care networks in pilot centres

    CLAHRC


    The improve team

    The Improve Team

    Thank you to all our partners

    For more information contact:

    [email protected] or [email protected]


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