Selected past research projects
Can remote care be embedded in healthcare systems?
Governments around the word see ‘remote care’ – telecare or telehealth – as a key vehicle for improving the quality of care, increasing efficiency and controlling costs. The UK has spent at least £200m since 2006 supporting pilot projects and it has been highlighted in over 20 official reports and government white papers. Despite this activity, remote care has been slow to become mainstream. My interest is in how it can be sustainably and efficiently embedded into the care system.
New public-private partnerships in European healthcarePrompted in part by constrained national budgets, European governments are increasingly turning to the private sector to underwrite the costs of constructing and operating public hospitals and other healthcare facilities and delivering services. Through such public-private partnerships, governments hope to avoid up-front capital expenditure and to harness private-sector efficiencies, while private-sector partners aim for a return on investment. Some European countries are experimenting with healthcare PPPs that embrace clinical services as well as physical infrastructure and maintenance.
Managing major service and infrastructure transitions: A comparative study of UK, US and Canadian hospitals
‘Transformational change’ changes the basic character of an organisation – how it is structured, how it relates to its external environment and how its members perceive, think and behave in relation to work. It requires employees to replace the way they make ‘sense’ of the organisation and its processes. My colleagues Danielle Tucker, Jane Hendy and I are interested in exploring how this takes in hospitals undergoing major change programmes.
Technological and service innovation in stroke care
Stroke is the third leading cause of death and the single largest cause of long-term severe disability in the UK. The projects builds on our previous work on stroke care in the UK and focuses in particular on the impact changes in imaging technology could have on stroke service delivery.
Picture credits: all images from Wellcome Library, London.
Innovations in renal careChronic kidney disease is a growing problem, particularly in developed countries. The increase in its prevalence is linked to a rise in other chronic illnesses such as obesity, diabetes or hypertension. Frequent dialysis can mimic the normal functioning of the kidney much better than dialysis three times a week.
An organisational analysis of North West London Collaboration for Leadership in Applied Health Research and Care (CLAHRC).In 2007 nine ‘Collaborations for Leadership in Applied Health Research and Care’ (CLAHRC) were established, each with funding from the National Institute for Health Research matched by local NHS resources. The imperative was the desire of government to speed up the time it takes to translate innovations into better patient care. This has often proved hard in the NHS, leading to local variations in the take-up of promising innovations.