Professor Miriam Johnson Miriam.Johnson@hull.ac.uk
Professor
Professor Miriam Johnson Miriam.Johnson@hull.ac.uk
Professor
Professor Una Macleod U.M.Macleod@hull.ac.uk
Professor of Primary Care Medicine
Professor John Blenkinsopp
People with cancer need good access to palliative care to relieve distressing symptoms, but some get better access than others. Developed in Australia, the Needs Assessment Tool - Progressive Disease Cancer (NAT:PD-C) is a tested, "everyday practice" instrument to help doctors and nurses identify patients' and their caregivers' palliative care needs. It distinguishes needs that can be managed by the usual clinical team and those requiring specialist palliative care referral. We have adapted the NAT:PD-C for use in UK General Practices within a current YCR-funded programme. Now we need to test whether regular use of the NAT:PD-C by GPs improves patient care. During this programme, we will: a) produce a computer-based NAT:PD-C linked to GP systems, b) complete a training package using videos recorded in our current project, c) conduct a pilot trial leading onto d) conduct a full cluster randomized controlled trial to determine whether routine use of NAT:PD-C results in fewer unmet palliative care needs for patients and caregivers, support for their preferred place of care/death and is cost-effective. We will also assess GPs' palliative care training needs and explore the factors which will help or hinder use of the NAT:PD-C in routine clinical practice.
Project Acronym | CANAsses |
---|---|
Status | Project Complete |
Value | £277,985.00 |
Project Dates | Sep 1, 2016 - Jan 30, 2019 |
TRANSFORM: Reducing Inequalities in Cancer Outcomes in Yorkshire: Realising our potential for innovation in Diagnosis, Patient Management, Survivorship and Palliative Care Research Sep 1, 2017 - Dec 31, 2026
The death rate is higher in Yorkshire than the rest of England resulting in about 200 extra deaths each year of which more than half are in Hull. There are other significant cancer outcome inequalities between different groups; for example poorer pe...
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PEOPLE: Primary care and community Engagement to Optimise time to Presentation with Lung cancEr symptoms in HULL Jun 1, 2017 - Jun 30, 2023
More people are diagnosed with and die from lung cancer in Hull than any other place in Yorkshire. Our aim is to improve earlier diagnosis of lung cancer by [1] getting people to see their doctor if they get lung symptoms and [2] getting GPs to refe...
Read More about PEOPLE: Primary care and community Engagement to Optimise time to Presentation with Lung cancEr symptoms in HULL.
FRAIL-HEART: Assessment of Frailty in Elderly People with Ischemic Heart Disease being considered for Revascularisation: An Observational study Apr 1, 2017 - Mar 31, 2020
To summarise the study, we will recruit patients aged 80 years or more who attend the cardiology and cardio-thoracic departments of Castle Hill Hospital, Hull and who have been given a diagnosis of coronary artery disease. The patients will be identi...
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REDUCE: REviewing long term anti-Depressant Use by Careful monitoring in Everyday practice programme Oct 1, 2016 - Jun 30, 2023
There is considerable concern about increasing antidepressant use in England, as in other countries. Prescriptions have increased year on year since the early 1990s, and GPs in England are giving out more than 50 million prescriptions every year, to...
Read More about REDUCE: REviewing long term anti-Depressant Use by Careful monitoring in Everyday practice programme.
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