Comprehensive Care – NIHR themed review of research into older people with frailty in hospitals

John Gladman is Professor of the Medicine of Older People, Division of Rehabilitation and Ageing and Honorary Consultant in Health Care of Older People at Nottingham University Hospitals NHS Trust.

Vast sums are spent on research into the care of older people, but they are wasted if the findings are not put into practice.

I had an epiphany a few years ago. I looked at my carefully curated curriculum vitae, and noted that I had over 100 peer reviewed papers to my name. But I suddenly felt deflated when I realised that hardly anybody (apart from the journals’ editors) had ever read them. Deflation was followed by shame as I realised that I had made no effort to disseminate my findings to those who might find them useful, or to encourage the application of the findings in practice. I recovered a bit when I realised that it wasn’t just me. There is a real problem as the amount of research being published is monstrously huge. But I returned to shame again when I thought about how little effort I have taken to ensure that I keep up to date with other people’s research. Continue reading

Promoting Activity, Independence and Stability in Early Dementia (PrAISED)

Professor Rowan H Harwood is a geriatrician at Nottingham University Hospitals NHS Trust, and the University of Nottingham, with particular interests in delirium, dementia and end of life care, who maintains an active portfolio of research. He tweets @RowanHarwood 

Can exercise-based therapy prevent or delay disability and dependency in those in the early stages of dementia?

We have heard the drum beat of gloomy messages. We cannot continue to cope with ever greater demands for health and social care. Prevention is better than cure, but the NHS is ‘on the hook’ for failing to take prevention seriously.

There is a semblance of a response. Sustainability and Transformation Plans emphasise prevention. We know that some groups, such as people with frailty or dementia, are at risk of crises and functional decline, and on the cusp of dependency and need for services. It makes sense to identify people at risk earlier, and intervene. Continue reading