IntroductionHealth and care data are routinely collected about care home residents in England, yet there is no way to collate these data to inform benchmarking and improvement. The Developing research resources And minimum data set for Care Homes’ Adoption and use study has developed a prototype minimum data set (MDS) for piloting.Methods and analysisA mixed-methods longitudinal pilot study will be conducted in 60 care homes (approximately 960 residents) in 3 regions of England, using resident data from cloud-based digital care home records at two-time points. These will be linked to resident and care home level data held within routine National Health Service and social care data sets. Two rounds of focus groups with care home staff (n=8–10 per region) and additional interviews with external stakeholders (n=3 per region) will explore implementation and the perceived utility of the MDS. Data will be assessed for completeness and timeliness of completion. Descriptive statistics, including percentage floor and ceiling effects, will establish data quality. For validated scales, construct validity will be assessed by hypothesis testing and exploratory factor analysis will establish structural validity. Internal consistency will be established using Cronbach’s alpha. Longitudinal analysis of the pilot data will demonstrate the value of the MDS to each region. Qualitative data will be analysed inductively using thematic analysis to understand the complexities of implementing an MDS in care homes for older people.Ethics and disseminationThe study has received ethical approval from the London Queen’s Square Research Ethics Committee (22/LO/0250). Informed consent is required for participation. Findings will be disseminated to: academics working on data use and integration in social care, care sector organisations, policy makers and commissioners. Findings will be published in peer-reviewed journals. Partner NIHR Applied Research Collaborations, the National Care Forum and the British Geriatrics Society will disseminate policy briefs.
This report presents the findings of an evaluation of the long-term impacts of the Mid-Nottinghamshire Better Together Integrated Care Transformation Programme (ICTP) over a 6-year period from its launch in April 2013 until March 2019. The programme was established by Mansfield and Ashfield clinical commissioning group (CCG) and Newark and Sherwood CCG, together with local partners. In March 2015, the Mid-Nottinghamshire Better Together programme achieved vanguard status as an integrated primary and acute care systems provider, one of the first of the new care models announced in the Five year forward view. 1The long-term impacts of new care models on hospital use 2 * www.nhs.uk/Services/Trusts/GPs/DefaultView.aspx?id=89801 and www.nhs.uk/services/trusts/gps/defaultview. aspx?id=89804 † ONS March 2018 Mid-year estimate.The long-term impacts of new care models on hospital use 4In April 2013, the Mid-Nottinghamshire Better Together ICTP was launched in partnership with M&A CCG, N&S CCG, Nottinghamshire County Council, Sherwood Forest Hospitals NHS Trust and other partners to develop a joined-up way of working for better health and social care outcomes for the population of Mid-Nottinghamshire.In March 2015, the Mid-Nottinghamshire Better Together programme achieved vanguard status as an integrated primary and acute care systems (PACS) provider, one of the first of the new care models vanguards announced in the Five year forward view. 1 The aim of PACS was 'to join up services to allow better decision-making and more sustainable use of resources, with a greater focus on prevention and integrated community based care, and less reliance on hospital care'. 9 The vanguard funding was used to support the ongoing ICTP in delivering new models of health and social care to transform the delivery of health and social care and drive system-wide financial benefits. An alliance contract * was agreed from April 2016 entering the partners into a contractual joint venture for a 3-year period until March 2019. The Mid-Nottinghamshire Alliance now operates as an Integrated Care Partnership as part of the Nottingham and Nottinghamshire Integrated Care System (ICS). Successful elements of the ICTP are now a key part of the changes being rolled out more widely to support the overarching ICS priorities.The ICTP was launched in April 2013 and comprised four main work programmes. 10 The Proactive and Urgent Care programme comprised interventions focused on long-term conditions, emergencies and urgent health problems. The Elective Care programme comprised a collection of approaches designed to improve elective referrals and processes. * An Alliance contract is a contractual arrangement between commissioners and an alliance of partners who deliver the services. See www.kingsfund.org.uk/sites/default/files/media/linda-hutchinson-alliancecontracting-27.03.14_0.pdf for more details. * Hereafter we refer to M&A and N&S CCGs as the Mid-Nottinghamshire CCGs; the GP practices in the Mid-Nottinghamshire CCGs as the treated group; the region covere...
The viewing time method (VT) is an indirect measure of sexual interest in which participants are usually asked to rate the sexual attractiveness of target stimuli while their response latencies are unobtrusively measured. Higher response latencies for a certain group of depicted individuals indicate sexual interest in that group. Contrary to the general assumption that the picture content accounts for this effect by eliciting affect- or attention-based response delays, we hypothesized that the attractiveness rating task might be responsible for the VT effect. To test this hypothesis, we used two different tasks. Our heterosexual and homosexual male participants (N = 50) were instructed to rate the attractiveness or the sex of the depicted individuals. As expected, VT effects only emerged in attractiveness rating trials. Based on these findings, we conclude that VT effects are task dependent and are unlikely to be caused by affective or attentional processes (at least when participants are instructed to rate the attractiveness of target stimuli). We argue that rating tasks in VT measures cause participants to use affect independent response strategies. These response strategies seem to undermine stimulus-driven processes (like increased attention directed toward salient stimuli) which were thought to cause VT effects according to previous hypotheses.
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