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Dementia research in care homes Claire Goodman (on behalf of ENRICH) Centre for Research in Primary and Community Care. c.goodman@herts.ac.uk. Care homes. 167,000 NHS hospital beds 18,255 care homes provide 459,448 beds Overlap’ in care needs between types of home
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Dementia research in care homes Claire Goodman (on behalf of ENRICH) Centre for Research in Primary and Community Care c.goodman@herts.ac.uk
Care homes • 167,000 NHS hospital beds • 18,255 care homes provide 459,448 beds • Overlap’ in care needs between types of home • 355,000 care workers and senior care workers • Unknown how many nurses working in care homes
Size of care homes at 31 March 2010 (CQC, 2010)* * Based on J.Meyer slide City University
Care home population • 75% of care home population have dementia > 30% have advanced dementia • Median life expectancy of an older person admitted to a care home that offers personal care is between 2-3 years and 1-2 years in a nursing home • 19% of people die in their own home, 35% if care homes are considered to be their home
Research’s relationship with care homes • Care homes the “solution” (and the problem) to NHS long term care needs= intervention studies designed to address NHS issues • Minimal evidence of care home staff, residents and relatives’ priorities informing research priorities • Tradition of within institution research that blurs with practice development • Unlike USA no minimum data set or adoption of single assessment/data capture tool e.g.Inter RAI • Initiatives to support knowledge transfer under developed
Dementia research and care homes • Negotiating access • Costs and resource use • Working in a different culture • Consent and ethics review • Access to data • Liaison with and across multiple stakeholders
Enabling New Research In Care Homes (ENRICH) Project DeNDRoN
Drivers • Ministerial Advisory Group for Dementia Research • Improve links to the National Dementia Strategy • Using Project Management approach to focus delivery • Delivery of DeNDRoN and NIHR core objectives • Improved links to core NHS services • Improved patient and carer access to research • All to be achieved in 2011/12
ENRICH • Build on existing systems and best practice to deliver three objectives: • Agreement on funding sources for the different component of research in care homes • A tool kit to support researchers developing and delivering research in care homes • A network of “research enabled” care homes
Toolkit The toolkit (web based) will include; • Tariff clarifying the funding arrangements for each component of the research process • Practical guidance on ethics, consent, recruitment, and undertaking a study • Practical tips • Case studies • Templates for readers to take away • Signposts to important websites e.g. NIHR SSCR
Get Involved Are you interested in knowing more? • Put a study or organisation forward for a case study • Help to test the funding tariff • Sign up to the consultation group to provide feedback on the ENRICH toolkit Email: programme-office@dendron.org.uk
If you are interested in getting involved please contact us at programme-office@dendron.org.uk