SUSTAIN: "Over 75 Service" and "Home First: Swale"

• Research type

  Research Study

• Full title

  Sustainable Tailored Integrated care for older people (SUSTAIN): "Over 75 Service" at Sandgate Road Surgery and the "Home First: Swale" service.

• IRAS ID

  216930

• Contact name

  Jenny Billings

• Contact email

  j.r.billings@kent.ac.uk

• Sponsor organisation

  University of Kent Canterbury

• Duration of Study in the UK

  2 years, 1 months, 3 days

• Research summary

  SUSTAIN is a four-year initiative (2015-2019) funded through Horizon 2020 (http://ec.europa.eu/programmes/horizon2020/). Seven European countries are involved: The Netherlands, The UK, Norway, Austria, Spain, Estonia, Germany. Each will evaluate two integrated care initiatives that have already been implemented to some extent but seek to improve their programmes. The aim is to improve integrated care for older people living at home with multiple long-term conditions and to ensure that improvements to the initiatives are applicable to other healthcare systems in Europe. The project will focus on four domains– patient-centredness, prevention, safety, efficiency.

  Initiatives must meet these criteria:
  • Focus on people 65+ who live at home, have multiple health & social care needs
  • Address patients’ multiple needs
  • Keep people living at home for as long as possible
  • Multidisciplinary teams
  • Improve patient-centredness, prevention-oriented, safety, efficiency

  Two UK sites will be investigated:
  • Swale Social Services "Home First: Swale" team (see below for more detail)
  • Sandgate Road Surgery (see below for more detail).
  This application is seeking approval for Swale Social Services' "Home First" project and Sandgate Road Surgery's "Over 75 Service" project, but the overall research design is based around all seven European countries (more detail in following questions).

  The SUSTAIN team will:
  • Conduct baseline assessments of sites using quantitative/qualitative indicators to examine the four domains (see attached questionnaires and list of quantitative indicators);
  • Work with local stakeholders (staff, CCGs, patients/carers) over an 18-month period to (co)design and implement tailored sets of improvements
  • At six-monthly intervals, patients will complete surveys, attend qualitative interviews and have their care plans analysed to see how well the health and care professionals are working together to identify users' needs and plan suitable care. We will also be using this information to examine aspects such as, service use, number of times medication reviews are conducted, the type of advice provided to patients.
  • Conduct a post-implementation evaluation to identify how the initiatives have improved (or not).

• REC name

  Social Care REC

• REC reference

  16/IEC08/0045

• Date of REC Opinion

  21 Mar 2017

• REC opinion

  Further Information Favourable Opinion