medical-equipment

medical-equipment

What we do

Primary care redesign

Theme lead: Professor Joanne Reeve

The changing needs of our patients are driving a paradigm shift in healthcare design from disease-focused to person-focused care (Reeve 2017). Person-centred primary care is a priority for patients, practitioners and healthcare policy.

Despite this, data suggests we are still not consistently achieving person-centred care – and indeed that in some areas, care may be worsening.

Whole person care is the expertise of the medical generalist – an area of clinical practice that has been neglected by research and health policy for some time.

Drawing on 15 years of scholarship in the field of medical generalism, this theme of work supported a 3-tiered approach to primary care redesign on generalist, person-centred principles; describing changes needed at the level of the consultation, practice set up, and strategic planning.

Projects

TAILOR

Contact: Professor Joanne Reeve

Funding: NIHR Health Technology Assistant

Growing numbers of patients report feeling burdened by taking multiple medicines on a daily basis. Doctors and patients alike want to know how best to safely tailor medication plans to each individual. This research will use advanced review methods to describe a new model of best practice for individual tailoring of medicines, and so provide medicine users (patients and clinicians) with the help they need to improve care.

PRIME prescribing

Contact: Professor Joanne Reeve

Funding: Previous work has been funded by NIHR CSA, PenCLAHRC. Further applications in progress.

PRIME Prescribing refers to a body of work to develop, deliver and evaluate a new complex intervention in primary care supporting the safe, effective tailoring of medication and medical care to individuals at risk of healthcare burden.

Led by Joanne Reeve, the PRIME team consists of clinicians, academics and patients from across the UK. Our work to date has described the core components of a new complex intervention.

We are now working in partnership with Humber NHS Foundation Trust using an Implementation Lab approach to deliver the next stages in this work.

Generalist excellence

Contact: Professor Joanne Reeve

Funding: In application

We need generalist care, now more than ever. International consensus recognises a paradigm shift in medical care: moving away from the current over-focus on disease/condition-specific specialist medical care to a revitalisation of whole-person generalist medical care.

We know what generalist care is - doing the right thing for the whole person, not just the right thing for their condition/disease. However, we struggle to articulate what that means for practice and policy redesign.

Joanne Reeve leads a body of work in this field – including chairing an international Special Interest Group of clinicians and academics looking at Advancing Generalist Expertise.

Work within this workstream includes a new multidisciplinary collaboration with Prof Quassim Cassam (The University of Warwick) and Dr Demain Whiting (University of Hull) to take a critical look at Generalist Excellence.

Clinical decision making in ambulatory care setting

Local contact: Professor Joanne Reeve

Funding: Oxford CLAHRC

Led by Dr Sara McKelvie (University of Oxford), this innovative work examines the Clinical Decision Making processes of doctors working in the acute ambulatory care setting. Using observation methods, Sara is developing new insights into the daily work of clinicians in a complex and high-risk setting. Her findings will offer insights into how we train, support and possibly select clinicians to work in interface and primary care contexts. From the original Oxford based study, we are developing new links with teams at Hull Royal Infirmary including Dr Will Townend.

Person centred care in primary care

Lead: Myriam Dell’Olio

Funding: University of Hull PhD cluster funding

In the United Kingdom, people with long-term conditions, whose numbers are rising, and who would greatly benefit from a person-centred approach, are receiving care that does not meet their needs.

This doctoral study will use qualitative methodologies to explore the perspectives of both patients and healthcare staff, to eventually inform the implementation of person-centred care in a way that is meaningful to the people for whom it is meant.