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Professor Denise Kendrick Dr Blerina Kellezi Trevor Jones

Falling Through the Cracks: Patients’ Experiences of Care after Injury Sarah Earthy, Denise Kendrick, Blerina Kellezi, Judith Sleney, Jo Barnes, Kate Beckett and Trevor Jones on Behalf of the Impact of Injury Group.

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Professor Denise Kendrick Dr Blerina Kellezi Trevor Jones

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  1. Falling Through the Cracks: Patients’ Experiences of Care after InjurySarah Earthy, Denise Kendrick, Blerina Kellezi, Judith Sleney, Jo Barnes, Kate Beckett and Trevor Jones on Behalf of the Impact of Injury Group Elevator Pitch presentation at the 43rd Annual Conference of the Society for Academic Primary Care, Edinburgh, 11th July 2014

  2. Collaboration for Leadership in Applied Health Research and Care Nottingham, Derbyshire & Lincolnshire Dr Jo Barnes Prof. Andrew Morris Professor Denise Kendrick Dr Blerina Kellezi Trevor Jones Dr Sarah Earthy Judith Sleney Kate Beckett Professor Elizabeth Towner SAPC 2014: Falling Through the Cracks: Patients’ Experiences of Care after an Injury

  3. Injury is physical but… …the impact is also psychological, emotional, financial and social “it impacts on every aspect of your life; your work, your social life, your family, everything” (59 year old man) “and I couldn’t sort of cope with things, which is not me at all” (69 year old woman) • Multicentre longitudinal (12 months) quantitative study • 668 working age adults admitted to acute NHS Trusts in 4 study centres • (Protocol in Kendrick, D., et al., BMC Public Health, 2011.) • Nested qualitative interview study • 45 patients • 40 service providers (including 3 GPs) 18 carers SAPC 2014: Falling Through the Cracks: Patients’ Experiences of Care after an Injury

  4. “You just wish there was something for them because I don’t have time or the capacity to deal with it. I don’t even have the skill set to sit there and listen and talk somebody through that.” (Orthopaedic Surgeon) Secondary Care – clinical management of the physical injury Patients - isolated, anxious, distressed “I’ve got to stop being so afraid of doing things. […] Some days were like swimming through mud, I didn’t feel I was getting anywhere.” (68 year old woman, lower limb injury) Primary Care – relatively uninvolved post-injury; potential for improving psychological support to injured patients? “Their anxiety and depression in a way is not different from somebody who maybe lost their job or had several bereavements in the family and how the therapist would work to help them will be similar. [..] But you’re talking about quite a few months down the line because we expect most people just to cope with it and get over it.”(GP) “My GP… is absolutely brilliant and she phoned me up when I came out of hospital to find out how I was and if there was anything she could do.” (54 year old woman) SAPC 2014: Falling Through the Cracks: Patients’ Experiences of Care after an Injury

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