SlideShare ist ein Scribd-Unternehmen logo
1 von 11
Managing Chronic Disease
Sally Singh, Theme Lead, MCD Theme

CLAHRC East Midlands is hosted by
Nottinghamshire Healthcare
Background
15.4 million people in England have a long term condition
People with long term conditions use a significant proportion of health care
services (50% of all GP appointments and 70% of days spent in hospital beds), and
their care absorbs 70% of hospital and primary care budgets in England.
Cardiovascular diseases account for most deaths (17.3 million worldwide),
followed by followed by cancers (7.6 million), respiratory diseases (4.2 million),
and diabetes (1.3 million).
They share four risk factors: tobacco use, physical inactivity, the harmful use of
alcohol and unhealthy diets.
Outcome frameworks
Overarching indicators
• Health-related quality of life for people with long-term
conditions

• Improvement areas
• Ensuring people feel supported to manage their LTC
• Improving functional ability in people with LTC
• Reducing time spent in hospital by people with LTC
• Enhancing quality of life for carers
Why us?

Strong track record of research and innovation
Excellent research infra-structure across the EM

(Biomedical Research Units)
National Centre for Sports and Exercise Medicine
Our proposed areas of focus
• Long term conditions• the use of IT systems to support decision making and delivery of
care (diabetes and chronic kidney disease)
• interventions designed to support and educate patients
(COPD and cardiac disease).
These are components of an integrated care pathway that
personalise and stratify care appropriately; an important feature
of the overall strategy to manage chronic disease
Our projects (1)
To develop an effective primary care intervention to reduce

mortality and morbidity in patients with type 2 diabetes and
(Kamlesh Khunti Leicester &Nadeem Qureshi, Nottingham).
• An intervention at GP level using GP computer prompts in
conjunction with enhancing the skills of key practice staff, with
the aim of supporting individuals with microalbuminuria and
diabetes, who are at high risk of CVD and CKD.
• To test for feasibility and generalisability of this approach in the
East Midlands.
Our projects (2)

• The IMPAKT CKD tool (Nigel Brunskill)

IMproving Patient care and Awareness of
Kidney disease progression Together

Aim - to use a primary care
informatics solution to identify
patients with chronic kidney disease
(CKD) and other long term conditions
in primary care who are at risk of
AKI, needing unscheduled care or
acute admission.
- to deliver a self-management
intervention to prevent admission.
Our projects (3)
• Self management - for COPD (Sally Singh & Katy Mitchell)
• Previously tested a supported self management approach
• Aim - to test wider roll out and local delivery based in primary
care
Our projects (4)
•

Maintenance post cardiac rehabilitation (post MI patients)

To determine whether implementation of a structured education and physical
activity programme in primary care, to people who are at high future risk of diabetes
following a myocardial infarction, will reduce cardiovascular risk and dysglycaemia
•

Use of technology in cardiac rehabilitation (web based intervention)

To determine whether a Web-Based Cardiac
rehabilitation programme is a realistic
alternative for those declining or dropping

out Of conventional rehabilitation
Thank you
MLTC theme contact: sally.singh@uhl-tr.nhs.uk
www.clahrc-em.nihr.ac.uk
@CLAHRC_EM

This research was funded by the National Institute for Health Research Collaboration for Leadership in Applied
Health Research and Care East Midlands (NIHR CLAHRC EM). The views expressed in this presentation are those of
the speaker(s) and not necessarily those of the NHS, the NIHR or the Department of Health.

Weitere ähnliche Inhalte

Mehr von CLAHRC-NDL

Stroke Event 13 Sep - Afternoon presentations
Stroke Event 13 Sep - Afternoon presentationsStroke Event 13 Sep - Afternoon presentations
Stroke Event 13 Sep - Afternoon presentations
CLAHRC-NDL
 
Stroke Event 13 Sep - Second morning presentations
Stroke Event 13 Sep - Second morning presentationsStroke Event 13 Sep - Second morning presentations
Stroke Event 13 Sep - Second morning presentations
CLAHRC-NDL
 
Stroke Event 13 Sep - First morning presentations
Stroke Event 13 Sep  - First morning presentationsStroke Event 13 Sep  - First morning presentations
Stroke Event 13 Sep - First morning presentations
CLAHRC-NDL
 
Dame sallydaviesv24thrm15.40 ik final
Dame sallydaviesv24thrm15.40 ik finalDame sallydaviesv24thrm15.40 ik final
Dame sallydaviesv24thrm15.40 ik final
CLAHRC-NDL
 
East Midlands Local Education and Training Board (EMLETB)
East Midlands Local Education and Training Board (EMLETB)East Midlands Local Education and Training Board (EMLETB)
East Midlands Local Education and Training Board (EMLETB)
CLAHRC-NDL
 
EMAHSN standard presentation nov 2012
EMAHSN standard presentation nov 2012EMAHSN standard presentation nov 2012
EMAHSN standard presentation nov 2012
CLAHRC-NDL
 

Mehr von CLAHRC-NDL (8)

NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 2
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 2NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 2
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 2
 
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 1
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 1NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 1
NIHR CLAHRC East Midlands Annual Meeting 2015 presentations - Day 1
 
Stroke Event 13 Sep - Afternoon presentations
Stroke Event 13 Sep - Afternoon presentationsStroke Event 13 Sep - Afternoon presentations
Stroke Event 13 Sep - Afternoon presentations
 
Stroke Event 13 Sep - Second morning presentations
Stroke Event 13 Sep - Second morning presentationsStroke Event 13 Sep - Second morning presentations
Stroke Event 13 Sep - Second morning presentations
 
Stroke Event 13 Sep - First morning presentations
Stroke Event 13 Sep  - First morning presentationsStroke Event 13 Sep  - First morning presentations
Stroke Event 13 Sep - First morning presentations
 
Dame sallydaviesv24thrm15.40 ik final
Dame sallydaviesv24thrm15.40 ik finalDame sallydaviesv24thrm15.40 ik final
Dame sallydaviesv24thrm15.40 ik final
 
East Midlands Local Education and Training Board (EMLETB)
East Midlands Local Education and Training Board (EMLETB)East Midlands Local Education and Training Board (EMLETB)
East Midlands Local Education and Training Board (EMLETB)
 
EMAHSN standard presentation nov 2012
EMAHSN standard presentation nov 2012EMAHSN standard presentation nov 2012
EMAHSN standard presentation nov 2012
 

Kürzlich hochgeladen

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
adilkhan87451
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
adilkhan87451
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Sheetaleventcompany
 

Kürzlich hochgeladen (20)

Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated  Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...Top Rated  Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
Top Rated Hyderabad Call Girls Chintal ⟟ 9332606886 ⟟ Call Me For Genuine Se...
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
Andheri East ) Call Girls in Mumbai Phone No 9004268417 Elite Escort Service ...
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service Avai...
 
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 

Professor Sally Singh - Managing Chronic Disease

  • 1. Managing Chronic Disease Sally Singh, Theme Lead, MCD Theme CLAHRC East Midlands is hosted by Nottinghamshire Healthcare
  • 2. Background 15.4 million people in England have a long term condition People with long term conditions use a significant proportion of health care services (50% of all GP appointments and 70% of days spent in hospital beds), and their care absorbs 70% of hospital and primary care budgets in England. Cardiovascular diseases account for most deaths (17.3 million worldwide), followed by followed by cancers (7.6 million), respiratory diseases (4.2 million), and diabetes (1.3 million). They share four risk factors: tobacco use, physical inactivity, the harmful use of alcohol and unhealthy diets.
  • 4. Overarching indicators • Health-related quality of life for people with long-term conditions • Improvement areas • Ensuring people feel supported to manage their LTC • Improving functional ability in people with LTC • Reducing time spent in hospital by people with LTC • Enhancing quality of life for carers
  • 5. Why us? Strong track record of research and innovation Excellent research infra-structure across the EM (Biomedical Research Units) National Centre for Sports and Exercise Medicine
  • 6. Our proposed areas of focus • Long term conditions• the use of IT systems to support decision making and delivery of care (diabetes and chronic kidney disease) • interventions designed to support and educate patients (COPD and cardiac disease). These are components of an integrated care pathway that personalise and stratify care appropriately; an important feature of the overall strategy to manage chronic disease
  • 7. Our projects (1) To develop an effective primary care intervention to reduce mortality and morbidity in patients with type 2 diabetes and (Kamlesh Khunti Leicester &Nadeem Qureshi, Nottingham). • An intervention at GP level using GP computer prompts in conjunction with enhancing the skills of key practice staff, with the aim of supporting individuals with microalbuminuria and diabetes, who are at high risk of CVD and CKD. • To test for feasibility and generalisability of this approach in the East Midlands.
  • 8. Our projects (2) • The IMPAKT CKD tool (Nigel Brunskill) IMproving Patient care and Awareness of Kidney disease progression Together Aim - to use a primary care informatics solution to identify patients with chronic kidney disease (CKD) and other long term conditions in primary care who are at risk of AKI, needing unscheduled care or acute admission. - to deliver a self-management intervention to prevent admission.
  • 9. Our projects (3) • Self management - for COPD (Sally Singh & Katy Mitchell) • Previously tested a supported self management approach • Aim - to test wider roll out and local delivery based in primary care
  • 10. Our projects (4) • Maintenance post cardiac rehabilitation (post MI patients) To determine whether implementation of a structured education and physical activity programme in primary care, to people who are at high future risk of diabetes following a myocardial infarction, will reduce cardiovascular risk and dysglycaemia • Use of technology in cardiac rehabilitation (web based intervention) To determine whether a Web-Based Cardiac rehabilitation programme is a realistic alternative for those declining or dropping out Of conventional rehabilitation
  • 11. Thank you MLTC theme contact: sally.singh@uhl-tr.nhs.uk www.clahrc-em.nihr.ac.uk @CLAHRC_EM This research was funded by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care East Midlands (NIHR CLAHRC EM). The views expressed in this presentation are those of the speaker(s) and not necessarily those of the NHS, the NIHR or the Department of Health.

Hinweis der Redaktion

  1. Reiterate Justin’s presentation from earlier
  2. Based on overview of the things that CLAHRC projects in the other themes are focusing on, we are planning to investigate three ways of translating evidence into practice that are most prominent in their plans (describe each and give examples)
  3. Based on overview of the things that CLAHRC projects in the other themes are focusing on, we are planning to investigate three ways of translating evidence into practice that are most prominent in their plans (describe each and give examples)
  4. Based on overview of the things that CLAHRC projects in the other themes are focusing on, we are planning to investigate three ways of translating evidence into practice that are most prominent in their plans (describe each and give examples)
  5. Based on overview of the things that CLAHRC projects in the other themes are focusing on, we are planning to investigate three ways of translating evidence into practice that are most prominent in their plans (describe each and give examples)
  6. Based on overview of the things that CLAHRC projects in the other themes are focusing on, we are planning to investigate three ways of translating evidence into practice that are most prominent in their plans (describe each and give examples)
  7. Based on overview of the things that CLAHRC projects in the other themes are focusing on, we are planning to investigate three ways of translating evidence into practice that are most prominent in their plans (describe each and give examples)
  8. Based on overview of the things that CLAHRC projects in the other themes are focusing on, we are planning to investigate three ways of translating evidence into practice that are most prominent in their plans (describe each and give examples)
  9. Based on overview of the things that CLAHRC projects in the other themes are focusing on, we are planning to investigate three ways of translating evidence into practice that are most prominent in their plans (describe each and give examples)
  10. Based on overview of the things that CLAHRC projects in the other themes are focusing on, we are planning to investigate three ways of translating evidence into practice that are most prominent in their plans (describe each and give examples)