Ian Litchfield
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View article: Increasing the inclusivity of digital health co-production: an integrative review
Increasing the inclusivity of digital health co-production: an integrative review Open
Co-production is increasingly being used to develop sustainable improvements in health service delivery that are shaped by the experiences and needs of a diverse range of stakeholders including patients and healthcare providers. The proces…
View article: Understanding the influences on the design and delivery of an integrated child health and social care service in underserved communities in the UK: A qualitative exploration using the SELFIE framework
Understanding the influences on the design and delivery of an integrated child health and social care service in underserved communities in the UK: A qualitative exploration using the SELFIE framework Open
The pilot appeared to deliver multiple benefits for both patients and staff particularly through collocating health care and social support. However, sustainable integrated health and social care requires greater institutional commitment a…
View article: Mixed-method evaluation of the Fairer Futures Fund: a £22.2 m public health initiative designed to reduce health inequalities in Birmingham and Solihull (UK)
Mixed-method evaluation of the Fairer Futures Fund: a £22.2 m public health initiative designed to reduce health inequalities in Birmingham and Solihull (UK) Open
Introduction Birmingham and Solihull Integrated Care System created the £22.2 million Fairer Futures Fund to support community-centred collaborative innovation to address long-standing health inequalities in the region. The FFF supports th…
View article: Early activity and impact of a neighbourhood multidisciplinary team that integrates health and social support for underserved children and young people in Birmingham, UK: an observational study
Early activity and impact of a neighbourhood multidisciplinary team that integrates health and social support for underserved children and young people in Birmingham, UK: an observational study Open
Background The Sparkbrook Children’s Zone (SCZ) is an integrated health and social care offer for children and young people (CYP) in an economically marginalised area of Birmingham, UK. This study sought to measure: clinic reach to CYP liv…
View article: Early activity and impact of a neighbourhood multidisciplinary team that integrates health, and social support for underserved children and young people in Birmingham, UK: an observational study
Early activity and impact of a neighbourhood multidisciplinary team that integrates health, and social support for underserved children and young people in Birmingham, UK: an observational study Open
Objectives The Sparkbrook Children’s Zone (SCZ) is an integrated model of care for children and young people in an economically marginalised area of Birmingham, United Kingdom. It is an early example of the National Health Service’s planne…
View article: Treatment acceptability for disease‐modifying therapy for type 1 diabetes ( <scp>T1D</scp> )—Views from parents of children with presymptomatic <scp>T1D</scp>
Treatment acceptability for disease‐modifying therapy for type 1 diabetes ( <span>T1D</span> )—Views from parents of children with presymptomatic <span>T1D</span> Open
The first disease-modifying therapy for type 1 diabetes (T1D), teplizumab, became available in 2022 in the US.1 Teplizumab is currently undergoing review for licensing in the UK and delays symptomatic onset and need for insulin by approxim…
View article: A Policy Brief; An Evidence-Based Approach in Pain Medicine
A Policy Brief; An Evidence-Based Approach in Pain Medicine Open
Background: Chronic non-cancer pain (CNCP) affects approximately 20% of the global population, presenting significant challenges across health systems worldwide. Despite its high prevalence and impact on quality of life, CNCP remains inade…
View article: Factors Influencing the Implementation of a Multispecialty Virtual Ward Program in the United Kingdom: Qualitative Exploration of Staff Experiences and Perspectives
Factors Influencing the Implementation of a Multispecialty Virtual Ward Program in the United Kingdom: Qualitative Exploration of Staff Experiences and Perspectives Open
Background The National Health Service (NHS) in England is facing unprecedented demand for hospital services, with virtual wards (VW) being a central tenet of the strategy to manage these ongoing pressures on capacity. VWs combine digital …
View article: Establishing the performance and acceptability of dried blood spot sampling to screen for islet‐specific autoantibodies
Establishing the performance and acceptability of dried blood spot sampling to screen for islet‐specific autoantibodies Open
Background Islet‐specific autoantibodies predate and predict the onset of type 1 diabetes and can be used to screen for presymptomatic disease. Dried blood spots (DBS) offer a convenient and reliable method for community‐based capillary sa…
View article: Codevelopment of a complex intervention to reduce inequalities in paediatric diabetes secondary care outcomes for children with type 1 diabetes from underserved groups
Codevelopment of a complex intervention to reduce inequalities in paediatric diabetes secondary care outcomes for children with type 1 diabetes from underserved groups Open
Objectives To codevelop (with children and young people with diabetes (CYPD)) an intervention to improve diabetes control and future health outcomes of CYPD from ‘underserved’ groups, to reduce treatment outcome inequalities between differ…
View article: Exploring the design and impact of integrated health and social care services for children and young people living in underserved populations: a systematic review
Exploring the design and impact of integrated health and social care services for children and young people living in underserved populations: a systematic review Open
Objective To explore the evidence for interventions that integrate child health and social care and support programmes and the impact they have on child health and wellbeing. Data sources The Cochrane Library, Ovid Medline, Ovid Embase, Ov…
View article: Implementing a large multi-speciality virtual ward programme in the UK: A qualitative exploration of staff experiences and perspectives (Preprint)
Implementing a large multi-speciality virtual ward programme in the UK: A qualitative exploration of staff experiences and perspectives (Preprint) Open
BACKGROUND The National Health Service in England is facing unprecedented demand on hospital services with virtual wards being a central tenet of the strategy to manage these ongoing pressures on capacity. Virtual wards combine digital an…
View article: Integrating health care and early years support for children and young people living in deprivation: a cost-effectiveness analysis of the Sparkbrook Children’s Zone integrated clinic versus usual primary care in Birmingham, UK
Integrating health care and early years support for children and young people living in deprivation: a cost-effectiveness analysis of the Sparkbrook Children’s Zone integrated clinic versus usual primary care in Birmingham, UK Open
Background Increased use of emergency and secondary care by children and young people, especially in deprived populations, drives increased costs in health and social care systems in rich country settings, without necessarily delivering qu…
View article: A Systematic Review and Meta-Analysis on Infant Mortality among Children with Congenital Anomalies
A Systematic Review and Meta-Analysis on Infant Mortality among Children with Congenital Anomalies Open
Background: The World Health Organization (WHO) defines infant mortality as the death of a child before reaching one year of age. The infant mortality rate (IMR) specifically refers to the number of infant deaths per 1,000 live births with…
View article: A Rapid Scoping Review on the Use of Artificial Intelligence Applications in Women’s Health (MARIE WP1)
A Rapid Scoping Review on the Use of Artificial Intelligence Applications in Women’s Health (MARIE WP1) Open
Background: Artificial Intelligence (AI) has exponentially grown over recent years in women’s health, gaining momentum globally, offering transformative potential in diagnostics, personalized treatment, and healthcare delivery. AI te…
View article: Health coaching interventions across Global Maternity services; A Systematic Review and Meta-analysis
Health coaching interventions across Global Maternity services; A Systematic Review and Meta-analysis Open
Background Health and well-being coaching is a patient-centred approach that supports the achievement of health and wellness by way of guidance, motivation and behavioural change. Its ability to improve diet, life-style habits and stress m…
View article: Systematic Review and Meta-analysis Exploring Outcomes linked to the use of Physiotherapy in managing Pelvic Organ Prolapse
Systematic Review and Meta-analysis Exploring Outcomes linked to the use of Physiotherapy in managing Pelvic Organ Prolapse Open
Introduction Pelvic organ prolapse impacts millions globally, causing discomfort and reduced quality of life. Physiotherapy offers a potential non-invasive solution, strengthening pelvic muscles and appearing to offer an effective means of…
View article: Understanding “Alert Fatigue” in Primary Care: Qualitative Systematic Review of General Practitioners Attitudes and Experiences of Clinical Alerts, Prompts, and Reminders
Understanding “Alert Fatigue” in Primary Care: Qualitative Systematic Review of General Practitioners Attitudes and Experiences of Clinical Alerts, Prompts, and Reminders Open
Background The consistency and quality of care in modern primary care are supported by various clinical reminders (CRs), which include “alerts” describing the consequences of certain decisions and “prompts” that remind users to perform tas…
View article: Enhancing access to primary care is critical to the future of an equitable health service: using process visualisation to understand the impact of national policy in the UK
Enhancing access to primary care is critical to the future of an equitable health service: using process visualisation to understand the impact of national policy in the UK Open
Access to UK general practice is complicated by the need to provide equitable and universal care within a system adapting to workforce challenges, digital innovation, and unprecedented demand. Despite the importance of accessing primary ca…
View article: Systematic review and meta‐analysis of the pelvic organ prolapse and vaginal prolapse among the global population
Systematic review and meta‐analysis of the pelvic organ prolapse and vaginal prolapse among the global population Open
Background Pelvic organ prolapse (POP) occurs when one or more pelvic organs (uterus, bowel, bladder or top of the vagina) descend from their normal position and bulge into the vagina. Symptoms include pelvic discomfort, fullness, and chan…
View article: Protocol for a feasibility and acceptability study for <scp>UK</scp> general population paediatric type 1 diabetes screening—the <scp>EarLy</scp> Surveillance for Autoimmune diabetes (<scp>ELSA</scp>) study
Protocol for a feasibility and acceptability study for <span>UK</span> general population paediatric type 1 diabetes screening—the <span>EarLy</span> Surveillance for Autoimmune diabetes (<span>ELSA</span>) study Open
Aim The EarLy Surveillance for Autoimmune (ELSA) study aims to explore the feasibility and acceptability of UK paediatric general population screening for type 1 diabetes. Methods We aim to screen 20,000 children aged 3–13 years for islet‐…
View article: Understanding the influence of leadership, organisation, and policy on delivering an integrated child health and social care service in community settings: A qualitative exploration using the SELFIE framework
Understanding the influence of leadership, organisation, and policy on delivering an integrated child health and social care service in community settings: A qualitative exploration using the SELFIE framework Open
Background The Sparkbrook Children’s Zone is an example of a place-based integrated health and social care service developed to support children and young people living in marginalized populations in the United Kingdom. This model of care …
View article: Staff perspectives of a novel integrated community care hub in an urban underserved population (UK)
Staff perspectives of a novel integrated community care hub in an urban underserved population (UK) Open
O CONTEXT OR OBJECTIVE: The UK is witnessing an increase in emergency department use and hospital admissions for children and young people from underserved populations, exacerbated in the UK by continued issues around access to primary car…
View article: Impact of the clinically oriented roles of a general practice receptionist: a systematic review with narrative synthesis
Impact of the clinically oriented roles of a general practice receptionist: a systematic review with narrative synthesis Open
Background Modern general practice is characterised by increased demand and growing multidisciplinarity, including ring-fenced funding for additional non-clinical roles. For practice receptionists, however, training has remained unchanged …
View article: Understanding the influences on the design and delivery of an integrated child health and social care service in underserved communities in the UK: A qualitative exploration using the SELFIE framework
Understanding the influences on the design and delivery of an integrated child health and social care service in underserved communities in the UK: A qualitative exploration using the SELFIE framework Open
Background The UK’s National Health Service has provided funds for developing localized services integrating health and social care intended to address the health inequities prevalent in children and young people living in marginalized com…
View article: Preferences for Peer Support Amongst Families Engaged in Paediatric Screening Programmes: The Perspectives of Parents Involved in Screening for Type 1 Diabetes in Children Aged 3–13
Preferences for Peer Support Amongst Families Engaged in Paediatric Screening Programmes: The Perspectives of Parents Involved in Screening for Type 1 Diabetes in Children Aged 3–13 Open
Introduction This work describes a secondary analysis of a qualitative data set originally used to understand parent participants' preferences for the design and implementation of a screening programme for paediatric Type 1 diabetes (T1D).…