Meet the team
- Steven Robertson
- Philip Oliver, Tony Ryan, Angela Tod
What is the positive change that has emerged through new collaborations or partnerships during Covid-19 that your project is going to embed?
Results from early collaborations with academic research unit and a covid-19 lead in primary care have shown that staff in primary care settings are less protected and safe compared to staff in secondary care settings during Covid-19 pandemic. Also, the initial findings from a RCN administered survey indicate that some primary care staff have been more protected than others. Our preliminary work with a cohort of ANP’s in primary care also suggests that there are differences in experience between primary and secondary care. Whilst there has been an organised blanket approach to organisation and planning for safe practice, the approach has been less organised in primary care. The main difference in primary care is that the initiative and the plan have been up to each practice cluster to decide upon and implement. The reason for these two findings has not yet been fully explored.
What does your project aim to achieve?
The aim of this research is to identify the processes which enable safe working in primary care by involving stakeholders to identify what the important factors are. By measuring the presence and/or absence of key factors in case studies of practices across the UK, we will describe the processes and key conditions that enable staff and patient safety. This will be a lesson for all successful and less successful practices in implementing safe practice. We expect to be able to make recommendations that could reduce risk to health care professionals in primary care settings.
How will the project be delivered?
Our study will be carried out in three phases.
Phase I will be primarily to collect qualitative and quantitative data in order to identify barriers and enablers as well as provide data to identify case studies for Part II. We will invite all participants in Part I to consent to taking part in Part II of the study. Part II of the study will involve interviews with participants from case study (primary care sites). Findings from Part II of the study will then be used as a basis for workshops with participants and CCGs (Phase III). The aim of this final phase III will be to co-create best practice guidelines and develop policy recommendations with the phase II participants and a local CCG.
We will work with the Clinical Research Network (CRN) leads and GP leads in the CRN clusters, and the Primary Care Services research group for recruitment support.
How is your project going to share learning?
The knowledge transfer of best practice guidelines to primary care practices and professionals would help improve respiratory virus transmitted safety and shielding practices. The policy recommendations would help demonstrate some of the resource and process factors at an organisational and system level that might be required to facilitate this best practice and thereby help improve safety at this organisational and system level. Currently, there is no foreseeable end to the ongoing Covid-19 pandemic. The eradication of Covid-19 Is unlikely until there is an effective vaccine. Therefore, any findings that have an impact on safety by reducing transmission can bring valuable improvement to the current situation. Health care services and in particular, primary care services are facing unprecedented challenges. Any knowledge generated from this research could be beneficial to any future similar pandemic outbreak. In particular, for best approach to safe management and delivery of health services in primary care.
How you can contribute
- Comments on variables:
- Proportion of Complex Patients (complex patients may require face-to-face etc.)
- Respondent’s: Grade, Years in Service, Age, Pre-existing conditions, Full time/Part-time, Type of Role, Sub-setting (would allow to determine who can shield) Team Size (Small teams may not be able to rotate and may work more frequently)
- Access to Information and Guidance
- Team Cohesion/ Teamwork (Not supported by the team may mean more exposed)
- Patient Demographics
- Implemented Policy/own strategy and coping system
- Workload Changes (due to lack of support from Specialist Routine Services in Secondary Care not running), COVID cases
- Support (mental health, physical health, other)
- Team Demographics (Age, Sex, BAME, proportion who are in the Risk group) Training and Equipment (training provision how to stay safe, PPE)
- Staffing Levels Pre-Covid
- Leadership and Communication
- Staffing Levels during Covid-19 outbreak Sickness Rate
- Patient Population (Patient demographics eg. Age, ethnicity, socio-economic etc)
- Use of Digital Technologies
|1 Apr 2021||First Stakeholder involvement|
|1 May 2021||Ethical and Governance Approval|
|1 Jun 2021||Recruitment of Practice Clusters, Data Collection|
|1 Aug 2021||Data Analysis part I|
|1 Sep 2021||Part II Case Studies Data Collection|
|1 Nov 2021||Data Analysis, Integration of Part I and Part II Findings|
|1 Dec 2021||Co-creation workshop with CCGs and local stakeholder groups|
|1 Apr 2022||Collation of Findings and Start of Dissemination, HF Report|