Research Projects

CRN East of England website:

https://local.nihr.ac.uk/lcrn/east-of-england/ 

Parsonage Surgery Research Performance Dashboard:

click here -->: Research Performance Dashboard (PDF, 162KB)

During the period Sept 2018-Dec 2020, a team of researchers at the University of Manchester conducted a comprehensive study of the changing composition of the general practice workforce.

Funding from the NIHR (National Institute for Health Research)  Health Services and Delivery programme allowed researchers  to conduct an in-depth case study at 5 GP practices, using interviews, observations with staff and surveys, and focus groups with patients to understand how things have changed as the workforce composition has changed.  An online survey of Practice Managers also allowed them to explore why specific types of practitioners were employed.

Among the most prominent findings from this study, they discovered that a lot of background work is needed to make sure that practices are able to appropriately distribute the limitless variety and unpredictability of problems brought by patients. Processes need to be in place to ensure that each type of problem is allocated to a practitioner whose skills allow them to deal with it. In addition, practitioners need to have access to ad hoc advice and support from more experienced colleagues when unable to fully resolve the problem/s.  

The processes of sorting and matching, as well as in-built flexibility to access support and advice, are not always clear to patients, particularly when their team is changing rapidly and they have limited information about what newer practitioners can do. Based on the findings, a short video was prepared that spells out how the general workforce is changing, explains the principles of ‘getting the right patient to the right practitioner’ through matching their problem with a practitioner’s skills or competencies, but also recognises the importance of immediate access to advice and support.

The video is readily accessible on YouTube.  We feel it may prove of particular interest for individual patients and patient groups in explaining new appointment systems, new practitioners, etc.  The video is available at https://youtu.be/-wEvQtgpkAE  


The ERICA study
Electronic Risk Assessment for Cancer

Our practice is one of over 500 GP surgeries across England working with researchers at the University of Exeter on a large research study

The researchers are trying to find out if a new computer-based risk assessment tool can help to identify cancer earlier

Half of the GP surgeries will be given access to the risk assessment tool and half will not

We are taking part in the study

Patients may be contacted by us and invited to take part in the research to:

  • Explore your experience of care
  • Discuss your current health
  • Look at the NHS services you are using

Do You Suffer From Chronic Lower Back Pain?

Opportunity to take part in the MODULATE-LBP research study, using minimally invasive implant technology in the treatment of lower back pain with no prior surgery.

YOU COULD BE ELIGIBLE IF YOU HAVE…

  • Chronic predominant back pain (for over 12 months)
  • Moderate or sever intensity (over 6/10 pain score)
  • No previous spinal surgery
  • Failed to respond to previous treatment
  • Over 18 year old

For further details:
Please contact the Pain Research Department at St Thomas’ Hospital:
Phone: 02071883237
Email: GST-TR.MODULATE-LBP@NHS.NET


Do You Have Chronic Pain? CALL FOR PARTICIPANTS

Volunteers are needed to take pair in psychological research wihich aims to help explain distress and disability in chronic pain.

You may qualify if you:

  • Suffer from chronic pain
  • Are aged 18 and over
  • Are English-speaking

To take part, read our information leaflet and complete the short screening-questionnaire or get in touch with us.

Contact us:

WITHIN Study
Warwick Sleep & Pain Lab
Withinstudy@warwick.ac.uk
Tel: 07385600421
Visit our webpage: https://warwick.ac.uk/fac/sci/psych/research/lifespan/sleeplab/projects/within


Research Promotion event for PPG's:

Here are some useful and very popular upcoming online free events for your diary which PPG members may wish to attend if interested:

Patient and Public Involvement (PPI) in Research conference

The conference will:

  • Focus on hearing the voice of the PPI contributor, of the patient, the member of the public, who is working in partnership with researchers
  • Allow PPI contributors, both those new to PPI and those with experience of PPI, an opportunity for some online “networking”
  • Explore some innovative PPI approaches
  • Showcase the award winners of the inaugural PPI Excellence in Research awards at NUI Galway
  • Provoke reflection, discussion and debate on PPI

Want to have a say on how you think your NHS Health Data should be shared?

Parsonage Surgery are taking part in the below survey & would appreciate your support by completing an online survey.

Researchers from the CLIMB Project team (Clinical Informatics for Mind and Brain Health) based at the University of Cambridge would like to know your views on health data sharing. You can find more information on the CLIMB Project team and their aims at www.climbproject.org.uk

Health data is information collected in the course of health care provided by the NHS (or HSC in Northern Ireland). It is used to provide care, and sometimes also for research to improve care for others. However, there are ways of controlling how health data is used.

The team are looking for men and women aged 16 or over (or under 16 with parental permission), who currently live in the UK, to visit www.climbproject.org.uk website and take part in an anonymous online survey about health data sharing. The team have found that the survey takes on average between 15 and 20 minutes to complete but you can take a break in the middle if you prefer, and all questions have a prefer not to say option. There is the optional opportunity to leave an email address at the end should you wish, to receive the results of the survey when it has finished. The survey will close at the end of September 2020.

Further details, including an online version of the information leaflet is available on the front page of the teams website www.climbproject.org.uk where one ‘click’ will take you to the actual survey. The research team are hoping to gather over 20,000 responses from across the UK.

It is important for the research that you confirm where you heard about the survey, if you are happy to do so. When asked ‘we would like to know where you heard about this survey..’ please tick the ‘GP via SOCIAL MEDIA box and when prompted click PARSONAGE SURGERY.

Should you have any further questions, please contact Linda Jones (laj28@cam.ac.uk) who is co-ordinating the survey, and would be pleased to help.

Thank you very much for taking the time to read this invite.

COVID-19 Research - Help the fight against COVID-19

Join a COVID-19 clinical trial - The PRINCIPLE Trial

The PRINCIPLE trial aims to find treatments that reduce hospital Admission and improve symptoms for people with COVID-19. You could be eligible to join if & self refer through the trial website if:

You have had these symptoms for fewer than 15 days:

  • a continuous new or worsening cough
  • a high temperature
  • You are aged 50 to 64 with a pre-existing illness:
    • High blood pressure and/ or heart disease
    • Diabetes not treated with insulin
    • Asthma or lung disease
    • Weakened immune system due to serious illness or medication (e.g. chemotherapy).
    • Stroke or neurological problems
    • Liver disease
  • You are aged 65 and above

Find out more via www.principletrial.org

Click here to download a poster with this information (PDF, 196KB)

Click here to download this information in an easy read format (PDF, 813KB)


Be Part Of Research

https://bepartofresearch.nihr.ac.uk

This site gives patients the opportunity to take part in trials that they may be interested in.

We are a research active practice & participate in research studies. If you are contacted in relation to a study & require further information, please contact the surgery reception team.


Studies we are currently taking part in are:

The Live Well with Parkinson’s (sponsored by the Royal Free London NHS Foundation Trust)

  • To evaluate the effectiveness and cost-effectiveness of the “Live Well with Parkinson’s” facilitated self-management toolkit, which aims to enable personalised care for community-living people with Parkinson’s, to reduce disability and preventable hospital admissions and to improve quality of life.
  • Target Audience: Involves people with Parkinson's & Carers

HipDyS: (Evaluation of aid to diagnosis for congenital dysplasia of the hip in general practice: controlled randomised trial)

The HipDyS study is a phase III randomised controlled trial, which aims to evaluate an aid to diagnosis in the form of a checklist, for developmental dysplasia of the hip in general practice, over a 24-month period for each study participant.

Why is the HipDyS study needed?

Developmental dysplasia of the hip (DDH) is one of the most common congenital abnormalities. Early diagnosis, before the age of 8 weeks, is very important because at this age splinting the hips is successful in 85% of cases. Infant hips are initially examined at birth, however this cannot always detect cases of DDH, therefore all infants undergo a second examination with their GP at 6-8 weeks of age. Despite both of these hip checks, 1-2 in 1000 children are still diagnosed late with DDH, at which point splinting is no longer successful.

Rather, an operation is required, with a higher risk for early hip replacement in adult life.

Gendius AI Development (National Institute for Health Research)

The aim of this work is to develop risk models to predict the occurrence of: cardiovascular, kidney, eye and foot complications in diabetic patients using routinely collected patient and clinical information. Through the development of prognostic models for the four key complications listed above, we will be able to provide early warnings for individuals most at risk and allow early preventative action from patients and caregivers.

DI-FACTO (Digital Facilitation in Primary Care – Ethnographic study)

The project is about digital facilitation & aims to understand more about the different ways that practices support their patients and carers in accessing and using online services. Through doing this the potential benefits and challenges associated with different digital facilitation activities can be explored. 

Apple Tree Study: (Active Prevention in People at risk of dementia through Lifestyle, bEhaviour change and Technology to build REsiliEnce)

There is no current disease-modifying treatment for any common dementia, but there is evidence that lifestyle and psychological interventions can delay cognitive decline and prevent it. The study team wants to find out whether a low intensity, personally tailored intervention that targets older people with subjective memory decline, is flexible in delivery format and informed by best available behaviour change framework, can effectively reduce cognitive decline.
The study aims to evaluate the clinical effectiveness (in terms of reducing cognitive decline) of the APPLE-Tree intervention in individuals at high risk of dementia with Mild Cognitive Impairment (MCI) or Subjective Cognitive Decline (SCD) at 24-month follow-up.

Education and management of PAD in primary care:

To explore the educational experience of UK primary care health practitioners for peripheral arterial disease (PAD), including identification of factors that shape their preferred learning style and assess health professionals opinions of PAD recognition and management. 

Survey study - PCP Management of Paediatric Chronic Insomnia in Childhood:

Explores how chronic insomnia in otherwise healthy children up to 5 is managed in primary care.

NIHR research on locum doctors in the NHS in England: 

The University of Manchester conducted an NIHR research project examining the use of locum doctors in the NHS in England.  There is an increasing use of locum doctors who provide an important contribution to the medical workforce.  It is hoped that the research findings will contribute to the development of future policy and practice.

National GP Worklife Survey: 

The National GP Worklife Survey has been running for 20 years and provides the only consistent national picture of the working lives of GPs and how it is changing over time.  The survey is organised by Prof Kath Checkland, GP and Professor in Health Policy and Primary Care at the University of Manchester.

The summary findings are made available to the Department of Health, NHS England, the BMA, and the Doctors’ and Dentists’ Review Body, as well as GPs themselves.

Previous studies our patients have taken part in are:

All Heart (Allopurinol and cardiovascular outcomes in patients with ischaemic heart disease) - Primary Objective is to determine whether the addition of allopurinol 600mg daily to usual therapy improves cardiovascular outcomes.

Time Study (Treatment in Morning versus Evening Study) - A study to determine if antihypertensive therapy taken in the evening has improved cardiovascular outcomes compared with more conventional morning dosing.

Momms Study - Polypharmacy in chronic diseases: Reduction of Inappropriate Medication and Adverse drug events in elderly populations by electronic Decision Support / MoMMs trial (Management of Multiple Medications)

Ecass Study - Evaluation of a Computer Aid for assessing Stomach Symptoms

VBI Study - The objective of this trial is to obtain estimates of the efficacy and cost of a very brief pedometer-based intervention to promote physical activity in adults aged 40-74 years attending an NHS Health Check.

iQuit in Practice study - Improving quit rates among smokers in primary care with two parallel group randomised controlled. Aims/Objectives are to assess the effectiveness and cost-effectiveness of the iQuit in Practice intervention compared with usual care alone in a definitive pragmatic trial with 6-month follow-up and biochemical verification of abstinence. Recruitment of 44 smokers - The study will ran from 01/04/2016 to 01/03/2019

Learning about the lives of adults on the autism spectrum and their relatives - Observational Questionnaire/Survey

Aims and Objectives of study: There is a lack of evidence about effective interventions and no research knowledge regarding the impact of the relationship between ageing and autism.

This study is the first of its kind in the UK for adults with autism spectrum conditions, as part of a programme of research into ASD across the life course. Experts in ageing and life course, experienced autism researchers, and people on the autism spectrum and relatives will undertake this project. This study will involve engagement with people on the autism spectrum, their parents, siblings and partners, and meeting and discussing with them to understand much more about how living on the spectrum affects people’s daily lives as they age.

Recruitment in practice: Anticipated recruitment of 30 patients - recruitment up to June 2017.

Best3 Study - Barrett’s oESophagus Trial 3 (BEST3): Cluster randomised controlled trial comparing the CytospongeTM-TFF3 test with usual care to facilitate the diagnosis of oesophageal pre-cancer in primary care.

STILTS2 - A study examining the common and rare variants associated with thinness - patients aged 18 to 65, case-controlled study

Aims and Objectives: Genetic factors play a major role in determining the susceptibility to severe Obesity and several genes have been identified in the last 10 years by the team in Cambridge.

At the other end of the weight spectrum, there are people who are persistently thin despite living in an Obesity promoting environment. Thinness (BMI<18kg/m2) is as stable and heritable as severe obesity. However, to date no genetic studies have been conducted in thin people.

The aim of this study (STILTS2) is to recruit a substantial cohort of thin people for genetic studies.

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