All Outputs (11)

Streaming and redirection of lower acuity adult patients attending the ED: Patient and staff experience (2025)
Journal Article

Background Streaming and redirection in the ED involves the assessment, triage and prioritisation of patients. Lower acuity patients can be streamed to alternative services within the hospital or redirected to off-site services with the aim of allevi... Read More about Streaming and redirection of lower acuity adult patients attending the ED: Patient and staff experience.

“It’s difficult when everyone else is drinking, you don’t feel part of the tribe”: A Delphi study of barriers and enablers to alcohol reduction in mid-life women (2025)
Journal Article

Objectives
Midlife women are an important group to target for alcohol reduction, but there is a lack of research on drinking behaviour in this population. To address the gap, this study applied the Behaviour Change Wheel framework, and identified ba... Read More about “It’s difficult when everyone else is drinking, you don’t feel part of the tribe”: A Delphi study of barriers and enablers to alcohol reduction in mid-life women.

Clinical and cost effectiveness of paramedics working in general practice: A mixed-methods realist evaluation (2025)
Journal Article

Background:
General Practice (GP) services are under pressure due increased demand . Alongside substantial national recruitment challenges, there exists a shortage of GPs to meet current need. Resultingly, allied healthcare professionals (AHPs), inc... Read More about Clinical and cost effectiveness of paramedics working in general practice: A mixed-methods realist evaluation.

Clinical and cost-effectiveness of first contact physiotherapy for musculoskeletal disorders in primary care: The FRONTIER, mixed method realist evaluation (2024)
Journal Article

Background First-contact physiotherapists assess and diagnose patients with musculoskeletal disorders, determining the best course of management without prior general practitioner consultation. Objectives The primary aim was to determine the clinical... Read More about Clinical and cost-effectiveness of first contact physiotherapy for musculoskeletal disorders in primary care: The FRONTIER, mixed method realist evaluation.

A multiple criteria decision analysis to establish the use cases and candidate point of care tests to enter into a platform trial of multiple in vitro diagnostic point of care tests in the prehospital environment (2024)
Journal Article

Background
There are increasing demands on Emergency Medical Services. More efficient treatment pathways are required to support conveyance decision making and patient referral in prehospital care. Point of Care testing is increasingly available and... Read More about A multiple criteria decision analysis to establish the use cases and candidate point of care tests to enter into a platform trial of multiple in vitro diagnostic point of care tests in the prehospital environment.

Paramedic utility in screening patients who present to Emergency Medical Services and who may benefit from an Advance Care Plan: A mixed methods study with explanatory sequential design (2024)
Journal Article

We used a two-phased mixed methods study with an explanatory sequential design to understand how frequently paramedics attend patients who, on paramedic assessment with the Gold Standards Framework Proactive Identification Guidance, are end-of-life a... Read More about Paramedic utility in screening patients who present to Emergency Medical Services and who may benefit from an Advance Care Plan: A mixed methods study with explanatory sequential design.

First contact physiotherapy: An evaluation of clinical effectiveness and costs (2024)
Journal Article

Background: First Contact Physiotherapy Practitioners (FCPPs) are embedded within general practice, providing expert assessment, diagnosis and management plans for patients with musculoskeletal disorders (MSKDs), without the prior need for GP consult... Read More about First contact physiotherapy: An evaluation of clinical effectiveness and costs.

Understanding paramedic work in general practice in the UK: A rapid realist synthesis (2024)
Journal Article

Background: General practice in the UK is under substantial pressure and practices are increasingly including paramedics as part of their workforce. Little is known about how different models of paramedic working may affect successful implementation... Read More about Understanding paramedic work in general practice in the UK: A rapid realist synthesis.

How do emergency department staff respond to behaviour that challenges displayed by people living with dementia? A mixed-methods study (2023)
Journal Article

Objectives: To investigate staff experiences of, and approaches to behaviour that challenges displayed by patients with dementia in the emergency department (ED). Behaviour that challenges is defined as ‘actions that detract from the well-being of in... Read More about How do emergency department staff respond to behaviour that challenges displayed by people living with dementia? A mixed-methods study.

Paramedic use of the ‘gold standards framework proactive identification guidance’ in screening patients for end of life: A mixed methods study with explanatory sequential design (2023)
Presentation / Conference Contribution

Background
The role of the Emergency Medical Service (EMS) in End of Life (EOL) is often overlooked. The Gold Standards Framework Proactive Identification Guidance (GSFPIG) is an evidence-based screening tool to identify patients nearing EOL. We c... Read More about Paramedic use of the ‘gold standards framework proactive identification guidance’ in screening patients for end of life: A mixed methods study with explanatory sequential design.

Benefits of realist evaluation for rapidly changing health service delivery (2022)
Journal Article

Realist evaluation is a methodology that addresses the questions: 'what works, for whom, in which circumstances, and how?'. In this approach, programme theories are developed and tested against available evidence. However, when complex interventions... Read More about Benefits of realist evaluation for rapidly changing health service delivery.