Transcript Return to Work - Community Action Derby

Research making a
difference to practice
Collaboration for Leadership in Applied
Health Research and Care: Nottinghamshire,
Derbyshire and Lincolnshire
Health and Social Care Forum
Community Action Derby: 12th January
2010
Overview
•Overview of CLAHRC NDL
•Themes: clinical and implementation
research themes
•Studies taking place in Derby
•Return to work in Stroke study
From what we know to what we do
• CLAHRC’s pull together
researchers/clinicians/commissioners/
users/carers to work together to get what we
know into standard practice.
• 9 CLAHRCs across the country – all working
slightly different ways
Partnership Working
• Building partnerships
• Multiple perspectives
• Learning together
Diffusion Fellows and CLAHRC associates are
vital to partnership working
How does CLAHRC work?
Applies an Organisational Learning model: Researchers
work alongside (not decoupled from) healthcare staff
(Diffusion Fellows) to do the research & support its
implementation in a situated way in real time as
evidence-based innovation is translated into practice
CLAHRC Associates (from any sector or background) form
networks around Diffusion Fellows to help the research
to practice process
CLAHRC NDL: Structure
The NIHR CLAHRC NDL is funded by the National Institute for
Health Research
IMPLEMENTATION THEME
(to facilitate the transfer of research into practice and to research implementation)
Lead: Graeme Currie
Programme
Manager
Implementation
Research Fellow
CLINICAL THEME
MENTAL HEALTH
Lead: Richard Morriss
4 Projects
Programme Manager
Research
Fellows/Associates
Diffusion Fellows
CLINICAL THEME
STROKE
REHABILITATION
Implementation
Educator
Diffusion Fellows
Lead: Marion Walker
4 Projects
Programme Manager
Research
Fellows/Associates
Diffusion Fellows
Director of Research: Richard Morriss
Programme Manager
Engagement
Research Fellow
CLINICAL THEME
CHILDREN AND
YOUNG PEOPLE
Lead: Chris Hollis
4 Projects
Programme Manager
Research
Fellows/Associates
Diffusion Fellows
CLINICAL THEME
PRIMARY CARE
Lead: Joe Kai
4 Projects
Programme Manager
Research
Fellows/Associates
Diffusion Fellows
Engagement Fellow
(commissioning and
service users and
carers)
Diffusion Fellows
Patient/
Service users
ENGAGEMENT, SYNTHESIS AND DISSEMINATION THEME
(building bridges to add value and increase impact)
Lead: Justine Schneider
CLAHRC NDL Projects
Stroke Rehabilitation
Mental Health
Primary Care
Children and Young
People
Return to work after
stroke
Readiness for
psychological treatment in
people with Personality
Disorders
Reducing diabetes risk
in people with South
Asian origin
Developing consensus on
treatment outcome
measures in CAMHS
Home visiting prior to
discharge from hospital
Dental and physical health
in people with mental
health problems
Pre-conception screening
Translating evidence
based medication
management for ADHD
into routine NHS practice
Early supported discharge
after stroke
Chronic mood disorder:
the effectiveness of
specialist experts
Morbidity post injury
Group parenting and other
early interventions for
children at risk of ADHD
Home based computer
rehabilitation after stroke
Supported employment
and CBT (Individual
Placement and Support)
Stepped care for medically
unexplained symptoms
Exercise to prevent
obesity on children with
asthma
Return to Work After Stroke
Evidence from Stroke
• Less that one third of stroke survivors of working
age return to work
• Although severe disability accounts for a
proportion of this figure there remains significant
unmet need
• For many the primary goal is to return to work
Return to Work: Aims
• To design a vocational rehabilitation service specific to
the local needs of people with stroke in Derby, involving
key stakeholders and test its feasibility and cost
effectiveness, usefulness and acceptability in a pilot
randomized controlled trial (RCT).
• To determine what people with stroke, their employers
and other stakeholders (NHS, Job Centre Plus and the
Third Sector) want from a vocational rehabilitation
services, so that appropriate services can be designed.
Return to Work: The Projects 1
1.
2.
Interview and observational study of current
provision:
1.
What vocational rehabilitation services people in Southern Derbyshire
currently receive following a stroke and how and where are work
issues are currently addressed?
2.
What do people with stroke, their employers and other stakeholders
(NHS, social services Job Centre Plus and the Third Sector) want from
a vocational rehabilitation service?
Pre-trial intervention phase (case study design)
1.
Can we deliver this locally?
2.
Is it seen as acceptable and useful by recipients.
Return to Work: The Projects 2
3.
Pilot Randomised Controlled Trial
1.
4.
Can we design and test the feasibility and cost effectiveness of
delivering a vocational rehabilitation service for people with stroke?
Qualitative study to identify changes experienced
and valued as a result of participating in the
service.
1.
2.
What service interventions are most valued in practice by an
employee with stroke?
What service interventions are most valued in practice by an
employer?
Contact Details
• Nicola Wright:
[email protected]
• Return to Work after Stroke – Kate
Radford:
[email protected]