MOSELLE Study V1

  • Research type

    Research Study

  • Full title

    How do cross-organisational teams within health and social care systems work together to optimise medicines for older frail people?

  • IRAS ID

    333044

  • Contact name

    Beth Fylan

  • Contact email

    b.fylan@bradford.ac.uk

  • Sponsor organisation

    University of Bradford

  • Duration of Study in the UK

    2 years, 9 months, 1 days

  • Research summary


    The ageing population is one of the challenges facing the health and social care system. Older people require care from multiple teams to manage increasingly complex health conditions such as frailty, co-morbidity, and polypharmacy which demands a coordination of care. Medicines optimisation is a patient centred approach that improves the safety of medicines and can potentially reduce the risk of hospital admissions and other adverse outcomes.

    In this study, the aim is to explore and understand how organisations in the health and social care systems work together to deliver medicines optimisation to older frail people.

    Informed by Institutional Ethnography analytical tools and approaches, data will be generated in an iterative process of discovery from multiple sources via two collection methods: Interviews and text(document) analysis. The research participants include professionals working across Integrated Health Systems (ICSs) in North Yorkshire and West Yorkshire, and patients aged 65 and over with frailty. The participants will be recruited in emergency care (including Same Day Emergency Care) and equivalent services within three hospital sites (Leeds Teaching Hospitals, Harrogate District Foundation Trust, and Bradford Teaching Hospital Foundation Trust). The initial interviews will allow for further identification of professionals working across the two ICSs, whom they will be invited to participate.

    Organisational processes, practices or polices related to medicines optimisation in older frail people will be identified in the interviews, these will be further analysed and explored (Document analysis) to provide context for the data collected in the interviews.

    The study is funded by Leeds Teaching Hospital and sponsored by University of Bradford and it will last for 3 years.

  • REC name

    London - Surrey Borders Research Ethics Committee

  • REC reference

    24/PR/0840

  • Date of REC Opinion

    26 Jul 2024

  • REC opinion

    Further Information Favourable Opinion