International migrants’ use of Emergency services in Sheffield, England (PhD research)

This research aims to explore whether there are difference in utilisation of emergency services in the UK by different migrant groups. In the first instance research activities included an analysis of routinely collected data and a systematic review. This is a new strand of work within the Avoiding Attendance and Admission Theme and started from a feasibility study subsequently developing into a larger PhD project. This study will strengthen existing themes of work in the area of ethnicity and health inequalities.

Project start date: 01/10/2015
Anticipated completion date: 31/12/2018
Status: In set-up.

The impact of models of primary care services provided with EDs on cost effectiveness and process outcomes (PhD research)
 
Dr Ramlakhan is looking at deriving a typology of all Primary care co-located services in England, Wales and Scotland according to key service model elements. This will be used to evaluate the impact of these elements on outcomes such as waiting times, LWBS, re-attendance rates, disposals using HES and Trust level data. He will then perform cost effectiveness modelling using the results.
 
Shammi Ramlakhan (s.ramlakhan@sheffield.ac.uk)
Project start date: 01/04/2015
Anticipated completion date: 31/03/2021
Status: In set-up.

Identification and evaluation of senior-emergency physician led triage (PhD research)

Senior doctor assessment for patients attending the emergency department offers rapid and expert review, potentially providing considerable benefits to patient safety and satisfaction. Although this practice is recommended by The Royal College of Emergency Medicine, there is a lack of robust evidence as to the effectiveness of this type of model. Building on the work undertaken in Yorkshire and Humber in collaboration with the AHSN Improvement Academy, this research aims to identify and evaluate  emergency departments in England that operate senior doctor triage and how interventions for improved patient flows may be developed in the future.

Maysam Abdulwahid (maabdulwahid1@sheffield.ac.uk
Project start date: 14/04/2014
Anticipated completion date: 14/04/2017
Status: Open.

Frailty assessment within the emergency department (MSc research) 

A scoping study using surveys and qualitative interviews to establish the configuration of services to manage the frail elderly in all EDs in Yorkshire and Humber will be undertaken in 2016/17. Initially a survey will collect information on the types of models in operation and any barriers and facilitators to their implementation. The survey to establish the typology of services is currently in design.

Project start date: 01/08/2015
Anticipated completion date: 31/07/2016
Status: Open.

Evaluating triage tools in the Emergency Department (BMedSci research)

The Glasgow Admission Prediction Score and the Amb score are two novel scoring systems that predict admission or discharge at triage. This is a prospective study, which will be carried out at the Northern General Hospital ED. The aim is to compare the two scoring systems prediction abilities, allowing us to determine which is more effective.

Dominic Jones (djones4@sheffield.ac.uk)
Project start date: 01/08/2015
Anticipated completion date: 30/09/2016
Status: Open.

Liaison Psychiatry Services in the Emergency Department: A survey of Yorkshire and the Humber’s Service Provision (BMedSci research)

This project will provide background information on the current state of psychiatric services within the ED throughout the country, and use a simple online questionnaire to find out what exact services are in place, in each of the 19 EDs throughout Yorkshire and the Humber.

Tristan Sawle (tgsawle1@sheffield.ac.uk)
Project start date: 01/08/2015
Anticipated completion date: 30/09/2016
Status: Open.

The proportion of avoidable attendances at UK emergency departments: an analysis of the RCEM Sentinel Site Survey (BMedSci research)

Crowding has been identified as a major issue in emergency medicine and avoidable attendances (AAs) are a factor to consider in crowding. Data from the Royal College of Emergency Medicine’s (RCEM) Sentinel Site Survey (SSS) was used to estimate the proportion of AAs in 12 Emergency Departments (EDs) on a standard day. Variability between departments in terms of performance, staffing and size was also assessed. Analysis of the SSS showed AAs constituted an average of 22.4% of total attendances. Younger age was shown to increase the likelihood of an AA. Variability in staffing needs to be addressed but may not have a significant effect on performance or AAs. 

Project start date: 01/08/2014
Completion date: 30/09/2015
Status: Closed. Follow-up complete.