Recent Primary Care Informatics News…

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We have had great results with our diabetes research this year and have succeeded in getting four poster presentations into the highly regarded Diabetes UK Professional Conference. The conference which takes place this year in the SECC, Glasgow (2 – 4 March 2016) is one of the largest healthcare conferences in the UK and covers a wide range of scientific and clinical themes related to diabetes care. We will be presenting data from some of our earliest research at our newly created Real World Evidence Centre.

Click here for more details

 

December 2015:  Simon de Lusignan appointed as new Head of Department of Clinical and Experimental Medicine.

Professor Simon de Lusignan was as the new Head of the Department of Clinical and Experimental Medicine within the School of Biosciences in the Faculty of Health and Medical Sciences at the University of Surrey on 1st December 2015.

The Department of Clinical and Experimental Medicine is divided into three sections:

* Clinical Research Centre (CRC) & newly approved Clinical Trials Unit. The CRC is also the home of the Surrey Sleep Centre

* Surrey Cancer Research Institute which includes the Oncology Section

* Clinical Medicine & Ageing: This section contains a wide range of research expertise: diabetes (including the Eli Lilly Real World Evidence Centre), DNA ageing, cardiology, ophthalmology, and disease surveillance (including the Royal College of General Practitioners Research and Surveillance Centre).

Simon is keen to build strong relationships within the Department – within the tough competitive world he sees strong supportive relationships as key to improving the research environment.

His research interests are in disease surveillance, quality improvement, how to measure health outcomes from routine data, and incorporating new technology into clinical practice.  He is keen to develop more robust methods of collecting and try it buying propecia harnessing real world evidence (RWE).  His role includes the Directorship of the Royal College of General Practice (RCGP) Research and Surveillance Centre (RSC); England’s primary care flu and infectious disease surveillance system; and leading a Lilly supported European RWE centre conducting research into type 2 diabetes.

Simon has been a partner in his practice for over twenty years and has been active in the local health community.  His practice has always been innovative and active in the local health community

As new Head, Simon is looking forward to improve the Department’s chances of being successful in clinical and experimental medicine research. A particular area he is looking to focus on is how to improve the number of people enrolled in trials of all types. Some will be the Department’s own investigator led work, though on others it will be providing a research venue for other investigator’s studies.  Key in this will be working ever more closely with Surrey Health Partners (SHP), the Academic Health Sciences Network (AHSN), and the NIHR Comprehensive Research Network (CRN). The SHP Clinical Academic Groups (CAGs) will largely be led from within the Department. 

 

Local GP and Department Research Fellow contributes to a blog about challenges of research in primary care.

We encourage local GPs to conduct research in the Department.  One of our Research Fellows – Dr Helen Carr – submitted the following blog to the Canadian Medical Association Journal about the challenges of getting GPs interested in research:  

Primary care research: a minority sport?

 

Public Health England (PHE) Report describes how the Royal College of General Practitioners (RCGP) Research and Surveillance Centre (RSC) has contributed to our understanding of how the new childhood flu vaccines may be effective.

This report written by PHE describes the contribution from the RCGP RSC to understanding the effectiveness of Live Attenuated Intranasal influenza Vaccination (LAIV) in children.  Key roles in the RCGP RSC are provided from within this research group – Prof Simon de Lusignan – Medical Director; David Mullett – Senior Analyst; Ivelina Yonova – Practice Liaison Officer; and Sameera Pathirannehelage – SQL Developer.

View report

 

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Guildford Hypertension 2000 (GHT2000), a  randomised trial of exercise interventions to increase levels of physical and sporting activity has now recruited over 330 patients. Patients are still able to sign up until August 2014. Click here to download more details about recruitment. Project website: https://clininf.eu/projects/ght2000.html

 

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Tom Milner, an academic F2 doctor, presented his work at the Association Of Breast Surgery Conference (19 – 20 May 2014) and was awarded the BJS oral presentation prize at this event. The presentation titled “Sentinel lymph node metastasis burden predicts risk of further axillary metastases following analysis using OSNA” can be downloaded here.

 

Prof Simon de Lusignan – Invited speaker at the 2nd Annual Pediatric Symposium in collaboration with Al-Azhar Association of Pediatrics and Al-Azhar University: Children’s Rights and buy propecia online prescription Health Problems for Newborns. The conference was held in Medina, Saudi Arabia. Prof Lusignan spoke about his work in safeguarding. The photograph shows Prof Lusignan receiving his commemorative plaque for speaking at the event. [Presentation]

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Bernedette Carpenter, an academic F2 doctor, presented her work at the Irish Professional Development conference (27 – 28 February 2014) and was awarded the best presentation at this event. The presentation titled “Overcoming the limitations of current data recording in pregnancy: Computerised algorithm to maximise the identification of hypertensive pregnancies” based on data collected for the Quality Improvement in Chronic Kidney Disease Trial (QICKD). [Presentation]

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Bookings are now open for the Surrey Informatics Summer School (SISS2014)

SISS teaches how to measure quality and health outcomes from routine health data contained in computerised medical records.  A course for: Health care researchers (from clinical and non-clinical backgrounds), data analysts, health care managers, and all interested in measuring quality and improving health outcomes.

For further details: SISS2014 webpage

Click here to book online

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Diabetes UK annual conference is the key national meeting for those working in diabetes care in the UK. The Department of Health Care Management and Policy (HCMP) has poster presentations reviewing the quality of diabetes care among individuals with mental health problems, the impact of hypoglycaemia on people with diabetes and their families, the psychological effect of diabetes on families of those affected by the condition and the current state of patient and professional diabetes education in the UK . A track chaired by a member of the department (Professor Neil Munro) will include the main findings in the Diabetes Attitudes, Wishes and Needs second study (DAWN2) study – a large cross-national benchmarking of diabetes-related psychosocial outcomes for people with diabetes and their families.’

View abstracts

 

The article “Calling a spade a spade: Early days for safeguarding” appearing in the British Association for Community Child Health Informatics news (Dec. 2013) discusses work carried out by the Clinical Informatics Research Group in relation to safeguarding child maltreatment. 

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View article

 

ADVANCE kick off meeting in Barcelona

The ADVANCE kick off meeting took place in Barcelona on the 17th October and viagra delivered overnight was attended by Harshana Liyange and Simon de Lusignan.

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Audit-based education commentary in Kidney International

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Recently our QICKD paper was commented on and received very positive remarks in Kidney International. 

Click the above document to view or download the commentary document, alternatively download the above document from kidney international at the following link :

 http://www.nature.com/ki/journal/v84/n3/pdf/ki2013179a.pdf 

 

The staff of Surrey university celebrated their success at being placed 8th in the Guardian League Tables with a celebratory tea party at the hillside restaurant on campus.img_0627-8276632

 

Monday 3 June 2013

Professor Sir Christopher Snowden, the University’s President and Vice-Chancellor, welcomed the news that the University had been placed at 8th position and said it reflected Surrey’s strength and ambitions.

He said: “I am absolutely delighted that we have reached eighth place and that all of the hard work our colleagues has been recognised in this prestigious league table.

“The University always seeks to maximize the quality of our teaching, learning and http://portalcomunitario.jor.br/index.php/order-cialis-online-order-cialis research, which together with our investment in resources has contributed to our success. Surrey’s high scores for student satisfaction and high entry qualifications have helped us become recognised as a leading university in the UK and internationally.”

Last year, the Guardian’s Guide placed Surrey at 12th, which was seventh place up on the 2011 position of 19th. This follows a recent ranking of 13th in the Complete University Guide.

The world renowned School of Hospitality and Tourism has been given top billing in the Guardian newspaper’s guide for the 5th time.

Professor Graham Miller, Head of the School of Hospitality and Tourism Management, said: “We are delighted to have retained our place at the top of the Guardian league table for another year. It is especially pleasing as The Guardian gives more emphasis to the student satisfaction survey results.”

Other departments that have achieved Top Ten status in the subject areas are: Chemistry at 9th, Electronic and Electrical Engineering at 2nd, Nursing at 7th, Politics at 7th place, Economics at 2nd, Sociology at 6th, Civil Engineering at 6th, Mechanical Engineering at 5th and Psychology at 8th.

The table is part of the Guardian Good University Guide, which is published annually as a guide to all UK universities ranked according to teaching excellence. The Guide is used by prospective undergraduate students and their parents to make informed decisions about which University to choose.

The Guardian’s guide also ranks university subjects using a formula composed of “surveys of current students on satisfaction and teaching quality, staff-student ratios, spending, careers, admissions data and a value-added score comparing degree result with entry qualifications”.

This year’s success reflects a broad improvement and success in a range of other guides.

Over the last few years the University has dramatically strengthened its league table position consistently across all the main university league tables, including the Guardian, The Times, and the Sunday Times.

One of the elements that have made Surrey ever more popular with prospective students are our Open Days where they get a feel for the environment and what it means to be a Surrey student as 92% of attendees indicate that they are more likely to apply to Surrey.

 

QICKD published in Kidney International

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This is a major quality improvement trial (run in a Nationally representative sample of 1 million patients, costing >£1million).   There are few groups that can run a quality improvement trial on this scale. 

It demonstrates that an educational intervention can achieve a modest reduction in BP in people with chronic kidney disease (CKD).  This has been a real team effort.  Thanks to everyone for their input.

 Kidney International is probably the world’s highest ranked renal journal (4/73 Urology & Nephrology).   Impact factor 6.6

The paper can be viewed at :

 http://www.nature.com/ki/journal/vaop/ncurrent/full/ki201396a.html

   

The GP Academic Clinical Fellowship post

Meena , who is an academic F2 at RSCH but on attachment supervised by Dr Simon Jones and Dr Simon de Lusignan has just been offered the General Practice GP Academic Clinical Fellowship post at UCL. The GP Academic Clinical Fellowship post is a very much sought after post with much competition. This is the second such award by UCL. Dr. Amber Appleton was awarded the same post last year.  

The recently published RCGP document ‘Patient Online: The Road Map’2 details the findings from the working groups, provides key messages and outlines some of the work that will be necessary to support practices and patients. There are a range of items that could be offered by GP practices to their patients by 2015. Full details are contained in the Road Map.

Click on the link for a PDF summary:

Patient Online: The Road Map Summary for General Practice.pdf

 

ckdpostersmall-4208750Andrew McGovern presented a poster at the Oxford Foundation Symposium on Saturday 3rd November 2012 on the impact of anaemia and high serum phosphate on mortality in people with chronic kidney disease, and a second poster with Luci Butler (a foundation doctor and honorary research assistant with the group) on the quality of diabetes screening in primary care in women who have had gestation diabetes. He was also able to give an oral presentation on the relationship between serum phosphate and adverse outcomes in people with chronic renal impairment at the National Foundation Doctors Presentation Day on the 18th January 2013 hosted by the Severn Foundation School in Bristol.

Meena Rafiq and Andrew McGovern academic foundation doctors presented research developed as part of their academic foundation attachment with the Clinical Informatics Group at University of Surrey.  They presented research based on data collected for the Quality Improvement in Chronic Kidney Disease Trial (QICKD).

Click here for Chronic Kidney Disease poster

Click here for Quality of Primary Care poster

 

Meena Rafiq and Andrew McGovern are academic foundation doctors attached to the Clinical Informatics Group at the University of Surrey. They have both successfully completed research projects during their academic placements and have presented their research findings at National meetings.  Their research is based on data collected for the Quality Improvement in Chronic Kidney Disease Trial (QICKD).

Meena Rafiq had an abstract accepted for oral presentation at the National Foundation Doctors Presentation Day in Bristol on prediction of falls in the elderly – a large community based cohort study, which is the largest study its kind in this field. The results will be compiled to construct a falls-risk model for use in a general practice setting.

Click here for presentation slides

 

6th annual Quebec City Healthcare Industry Forum From innovation to integration in the

healthcare 
system 

Sharing of health data though the effective deployment of information systems should allow safer and more efficient health systems. However, to date many large IT system deployments in health care have had major short comings. This paper critically appraises the UK National Programme for IT and suggests where there are important lessons of for other large scale eHealth projects.

Financial incentives promoted uptake and use of IT systems at all levels. Health service level interventions that were capable of incorporation into clinical workflow were used. These included: a national unique identifier, creation of national registries and electronic transfer of data, records, and results. At the regional and major provider level we identified how vendors offer very different electronic patient record (EPR) systems which influence what is recorded and health care delivery. Using the EPR at the point of care takes longer, but this investment of time creates a more usable record and facilitates quality. National IT systems need to be clinically orientated, patient accessible, and underpinned by a secure, standardized back office system that enables messaging and information sharing between authenticated users.

Learning the lessons from the UK and other large system deployments might enable other countries to leap to the forefront of health care computing.

 

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Simon de Lusignan – Presented at 10 Congresso Brasileiro de Sade Coletiva  

http://www.saudecoletiva2012.com.br/home.asp

Simon shared a platform with the Coordinator General from the Brazilian Ministry of Health – Dr Paulo Sellara – Our colleagues in Brazil are keen to learn from the English (NHS) National Programme for IT.

The invitation to give this presentation came from: Prof Alvaro Escrivao Junior – Alvaro is based at the Sao Paulo business school: Escola de Administraçao de Empresas de Sao Paulo – Fundaçao Getulio Vargas www.fgv.br

FGV are  in an established collaboration with USP Medical School. See:

http://www.hcnet.usp.br/proahsa/links.htm

We are looking to develop a research collaboration in two areas:

1.       National IT systems to support health care

2.       Quality and safety, and cost effectiveness in population based health systems.

Potentially through: University or the Global Partnership http://www.ugpn.org/

Simon’s presentation can be downloaded from the following link:   Brazil Presentation

 

simon_jones_1-4976875Professor Simon Jones from the Clinical Informatics Research Group at the University of Surrey was quoted in Monocle Magazine talking about problems of low weekend staffing in hospitals.  Monocle is an internationally renowned magazine with circulation  of 150 thousand  readers.

For more information follow the following link: http://www.monocle.com/sections/culture/Magazine-Articles/Whats-up-doc/

 

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