This blog was created to keep healthcare professionals, researchers, methodologists, and patients up to date with the latest primary care research. For more information about the Research Institute, visit our website;

Thursday, 31 January 2019

Strengthening links with the Chartered Society of Physiotherapy

Written by Keele's Impact Accelerator Unit | | @PCHS

The Impact Accelerator Unit (IAU) were excited to welcome three colleagues from the Chartered Society of Physiotherapy (Fran Hallam the Research into Practice Officer,  Ciara Younge the Professional Lead for Student Engagement, and Shan Aguilar-Stone the Professional Lead for Workforce), otherwise known as the CSP,  to Keele in November 2018 to discuss the IAU's implementation portfolio and find out more about the Unit.  

Several of Keele's research projects were showcased in the NIHR's recent 'Moving Forward themed review', and the team from the CSP were keen to discuss with us how we can further implement those featured evidence-based innovations even further into practice.  

The review, 'Moving Forward: Physiotherapy for Musculoskeletal Health and Wellbeing', brings together high-quality research from over the past decase, with the aim to provide clear direction to patients, physiotherapists, researchers, commissioners and planners of physiotherapy and musculoskeletal services. It also demonstrates how physiotherapy services can improve patients' lives whilst also reducing healthcare costs. As a consequence, the Impact Accelerator Unit held a successful meeting for strategic leaders in Staffordshire to launch the roll out of the First Contact Practitioners intervention. 

IAU Director, Professor Krysia Dziedzic kick-started discussions by outlining the aims of the IAU followed by a series of presentations showcasing the Unit's work, such as STarT BACK, First Contact Practitoners, Evidence into Practice groups and JIGSAW-E. 

Helen Duffy went on to provide an overview of the unit's strategic engagement with the NHS, Academic Health Science Networks and Muscuoloskeletal Networks. 

Dr Steven Blackburn summarised the role of patient involvement in research, followed by Laura Campbell's summary of the Lay Involvement in Knowledge Mobilisation's contributions. 

As a consequence to these discussions, Fran Hallam will be joining the Research Institute, where she will be occassionally hot-desking within the Impact Accelerator Unit, to develop a lay version of the Moving Forward review for the NIHR. 

Multimorbidity Workshop: Breaking down the silos.

Written by Dr Jonathan Quicke & Dr Tom Kingstone | | @PCSciences

In this blog, we summarise the outcomes of a recent stakeholder workshop which took place on the 20th November 2018 at the idyllic Keele Hall. Research from Keele University, which focuses on the managemet of people living with two or more long-term conditions, otherwise known as 'multimorbidities', was showcased throughout the event - opening up discussions with members of the public, academics, healthcare practitioners, healthcare managers and NHS commissioners. The event took place to provide invaluable insights on how we can improve the impact of our body of research within this field, as well as highlight future research priorities.  

The Presentations

Session one kicked off by highlighting the individual and societal burden and challenges of multimorbidity.  

Prof Carolyn Chew Graham offered a general practitioner’s perspective of a typical Monday morning surgery where most patients have multimorbidity, with challenges of providing complex patient-centred care in a ten-minute consultation.  

Stephen Dent offered a personal account of living with many interacting healthcare conditions - highlighting how he prioritised his symptoms and conditions, how drug treatments for one condition can have unintended consequences on another condition, and the burden of managing multiple appointments and conditions. 

He also offered valuable insight into the importance of social activities and physical activity in maintaining his wellbeing.

Prof Krysia Dziedzic
kicked off session two, with the introduction of the research excellence framework (REF) - a UK wide exercise which assesses the quality (and volume) of research before using the results to allocate future research funding to UK universities. 

Dr Jonathan Quicke and Dr Tom Kingstone shared the Keele Physical-mental multimorbidity REF case study, which showcases some of the most impactful Keele research and the processes of building a case study. 

Attendees had the opportunity to read and discuss the case study. This was followed with an 'elevator-style' summary of key Keele and collaboarative partner research on multimorbidity, which included: 

  • a study providing guiding principles for clinicians supporting people presenting with multimorbidity in primary care (Muth et al 2014)
  • a study providing guiding principles for clinicians supporting people presenting with multimorbidity in primary care (Muth et al 2014)
  •   the POST Trial- testing a new screening tool to identify and guide on anxiety and depression with patients consulting for OA (Mallen et al 2017)
  • the nurse led ENHANCE pilot study to identify and manage anxiety and depression in people with OA (Healey et al 2015)
  • the COINCIDE trial testing the acceptability, effectiveness and cost effectiveness of an intervention that identifies and supports collaborative care management in people with physical conditions (such as Type 2 Diabetes) and anxiety/ depression (Coventry et al 2015, Knowles et al 2015, Camacho et al 2016) 

Interactive discussion

An interactive afternoon stimulated conversation and feedback around the following questions; 

Where does Keele research fit in with the local and national research agenda? 

Nationally, Keele's research contributes to NICE decision-making, bringing the real world into guidelines.

How can we achieve impact at patient and practice levels between now and 2012? 

Dissemination of research findings locally can help inform practice and develop relationships with local and regional commissioning groups to influence strategic development.

How can we involve patients and the public to influence our agenda and maximise the impact of Keele research?  

Patient stories, public open days (like the Haywood “All about Arthritis day”), traditional, local and social media messages are important parts of patient and public engagement. 

What should our research and impact priorities be beyond 2021? 

Future research should focus on establishing the unmet needs of patients from different communities and service providers.
Information from these group discussions together with attendee feedback has been synthesised and will inform our research direction moving forward and how we increase the benefit and impact of our multimorbidity research. 

The future 

On the 19th March 2019, Keele in collaboration with Midlands Partnership Foundation Trust and the Society for Academic Primary Care, will host a national conference:

"A person-centred approach to physical-mental multimorbidity" 

This conference will build on the output from the workshop day, showcase Keele research nationally and bring together the public, NHS clinicians and national multimorbidity research leaders to build future collaborations, further shape and inform future Keele research strategy and help us in working together to meet the challenge of physical-mental multimorbidity.

Visit the website to book your place. 

We would like to thank everyone for their time and unique perspectives in contributing to this valuable day and to Keele Impact Accelerator Fund for supporting the event.