Cardio renal metabolic (CaReMe) integrated model of care

• Research type

  Research Study

• Full title

  Cardiorenal and metabolic (CaReMe) syndrome, co-producing a multi-disciplinary shared model of care.

• IRAS ID

  313241

• Contact name

  Ian Jones

• Contact email

  I.D.Jones@ljmu.ac.uk

• Sponsor organisation

  Liverpool John Moores University

• Duration of Study in the UK

  1 years, 5 months, 1 days

• Research summary

  Background
  Cardio-renal metabolic (CaReMe) syndrome can be defined as a group of interactive conditions of the heart and circulation, kidneys, and diabetes. These diseases independently affect each other’s response to treatment and influence patient outcomes. The literature advocates a multidisciplinary (MDT) multi speciality approach to CaReMe decision making, which can lead to improved patient and resource outcomes. A new award winning model of care incorporating team meetings where CaReMe patients' management options are discussed and agreed by healthcare professionals from different specialties has been initiated at one NHS Trust. This service is estimated to include 180-210 patients over an 18 month period. However, the model lacks formal evaluation including the impact on patents and staff and while innovative, it was developed without patient input. An enhanced model of care based on the findings of previous research and the lessons of the current model of care will be developed in collaboration with patients and clinicians.

  Aims
  To co-produce an integrated care model for patients with CaReMe disease by understanding current care models and the individual roles and experiences of staff, patients, and carers.
  Design
  The study design incorporates different research methods across 3 phases.
  Phase 1- Aims to undertake a narrative review of the literature to describe the current models of care used for patients with more than one illness

  Phase 2 Aims to understand individual roles, contributions, experiences and the decisions made within the current service model of care using a combination of observation of meetings (to explore the process and dynamics), qualitative interviews (to explore roles and views on merit) and an analysis of patient health records (track the decisions' made).

  Phase 3 Aims to co-produce an integrated model of care for CaReMe patients with staff, patients, carers, and stakeholders.

• REC name

  East Midlands - Leicester South Research Ethics Committee

• REC reference

  25/EM/0092

• Date of REC Opinion

  7 Aug 2025

• REC opinion

  Further Information Favourable Opinion