Ray Fitzpatrick
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View article: Assessing clinical and cost effectiveness of total versus partial knee replacement (TOPKAT): 10-year follow-up of a multicentre, randomised controlled trial
Assessing clinical and cost effectiveness of total versus partial knee replacement (TOPKAT): 10-year follow-up of a multicentre, randomised controlled trial Open
National Institute for Health and Care Research Health Technology Assessment Programme.
View article: D-15 | Trends and Disparities in Premature Heart Disease Mortality in the United States, 2018–2023
D-15 | Trends and Disparities in Premature Heart Disease Mortality in the United States, 2018–2023 Open
View article: Measures to assess and improve quality in Integrated Care Systems in England
Measures to assess and improve quality in Integrated Care Systems in England Open
Background: In England, 42 Integrated Care Systems (ICS) have been responsible for organising and delivering integrated health and social care services since July 2022. ICSs bring together previously siloed organisations to deliver quality…
View article: Patient-reported harm from NHS treatment or care, or the lack of access to care: a cross-sectional survey of general population prevalence, impact and responses
Patient-reported harm from NHS treatment or care, or the lack of access to care: a cross-sectional survey of general population prevalence, impact and responses Open
Objectives The aim of this article is to provide an estimate of the proportion of the general public reporting healthcare-related harm in Great Britain, its location, impact, responses post-harm and desired reactions from healthcare provid…
View article: New Ways of Working to Manage and Improve Quality in Integrated Care Systems in England
New Ways of Working to Manage and Improve Quality in Integrated Care Systems in England Open
Background: Integrated Care Systems (ICSs) in England were formally established in July 2022 to coordinate the planning and delivery of health and care services. A key responsibility was to address the quality of these services. Our study …
View article: Implementation of RESTORE2 in Care Homes in England: A Mixed-Methods Evaluation
Implementation of RESTORE2 in Care Homes in England: A Mixed-Methods Evaluation Open
Context: Older adults are more susceptible to acute deterioration. Delayed recognition or response is linked to poor health outcomes and adverse events. Identification and management of deterioration is more difficult in this population du…
View article: Racial Change in Suburbia: America’s Diversifying Elementary Districts and Their Effect on School Segregation
Racial Change in Suburbia: America’s Diversifying Elementary Districts and Their Effect on School Segregation Open
The ethnic and racial makeup of the United States has changed during the last several decades. Scholars have qualitatively shown how these changes affect school districts but have not identified their scale. We examine residential demograp…
View article: Floundering or Flourishing? Early Insights from the Inception of Integrated Care Systems in England
Floundering or Flourishing? Early Insights from the Inception of Integrated Care Systems in England Open
Despite ICS's investing in the structural and relational components of integrated care, the unprecedented pressures on systems to reduce demand on primary and emergency care tackling elective backlogs may detract from a key goal of ICSs, i…
View article: A rationing framework for Integrated Care Systems.
A rationing framework for Integrated Care Systems. Open
Background: Over the last 20 years, the NHS has introduced multiple changes in the commissioning structures, aiming at promoting integrated care in England. The Health and Care Bill 2021 is the latest and farthest-reaching reform, under wh…
View article: Integrated Care Systems in England: Progress towards forming new multi-stakeholder partnerships to develop quality.
Integrated Care Systems in England: Progress towards forming new multi-stakeholder partnerships to develop quality. Open
Background: Health and social care services in England have been restructured to 42 Integrated Care Systems (ICS). ICSs are responsible for delivering integrated services in their local area to prevent illness; identify and treat illness e…
View article: Commissioning [Integrated] Care in England: An Analysis of the Current Decision Context
Commissioning [Integrated] Care in England: An Analysis of the Current Decision Context Open
Background: The emergence of Integrated Care Systems (ICSs) across England poses an additional challenge and responsibility for local commissioners to accelerate the implementation of integrated care programmes and improve the overall effi…
View article: Care Planning Interventions for Care Home Residents: A Scoping Review
Care Planning Interventions for Care Home Residents: A Scoping Review Open
Context: Previous reviews of care planning (CP) interventions in care homes focus on higher quality research methodologies and exclusively consider advanced care planning (ACP), thereby excluding many intervention-based studies that could …
View article: Assessing progress in managing and improving quality in nascent integrated care systems in England
Assessing progress in managing and improving quality in nascent integrated care systems in England Open
Objectives In 2022, England embarked on an ambitious reorganisation to produce an integrated health and care system, intended also to maximise population health. The newly created integrated care systems (ICSs) aim to improve quality of ca…
View article: Living well while providing support: validation of LTCQ-Carer for assessing informal carers’ quality of life
Living well while providing support: validation of LTCQ-Carer for assessing informal carers’ quality of life Open
Purpose Despite international policies to support the health and wellbeing of informal (family) caregivers, there is no consensus on how to evaluate the effectiveness of carer support. We aimed to develop and validate a new quality-of-life…
View article: The core outcomes for open lower limb fracture study
The core outcomes for open lower limb fracture study Open
Aims A core outcome set for adult, open lower limb fracture has been established consisting of ‘Walking, gait and mobility’, ‘Being able to return to life roles’, ‘Pain or discomfort’, and ‘Quality of life’. This study aims to identify whi…
View article: Development of a core outcome set for open lower limb fracture
Development of a core outcome set for open lower limb fracture Open
Aims Open lower limb fracture is life-changing, resulting in substantial morbidity and resource demand, while inconsistent outcome-reporting hampers systematic review and meta-analysis. A core outcome set establishes consensus among key st…
View article: An exploration of hospital pharmacists’ attitudes and opinions towards undertaking research
An exploration of hospital pharmacists’ attitudes and opinions towards undertaking research Open
Objectives This research aimed to explore the attitudes and opinions of hospital pharmacists to undertaking research to understand the drivers, drawbacks, barriers and enablers to engagement and explore the characteristics of research-acti…
View article: What outcomes have been reported on patients following open lower limb fracture, and how have they been measured?
What outcomes have been reported on patients following open lower limb fracture, and how have they been measured? Open
Aims Open lower limb fracture is a life-changing injury affecting 11.5 per 100,000 adults each year, and causes significant morbidity and resource demand on trauma infrastructures. This study aims to identify what, and how, outcomes have b…
View article: 143 ASSOCIATIONS BETWEEN NTPROBNP AND COGNITION IN THE IRISH LONGITUDINAL STUDY ON AGEING (TILDA)
143 ASSOCIATIONS BETWEEN NTPROBNP AND COGNITION IN THE IRISH LONGITUDINAL STUDY ON AGEING (TILDA) Open
Background Cardiovascular insults increase the risk for future neurological diseases in late life. NT-proB-type Natriuretic Peptide (NTproBNP) is a hormone released in response to pressure changes inside the heart, often related to heart f…
View article: Commissioning [Integrated] Care in England: An Analysis of the Current Decision Context
Commissioning [Integrated] Care in England: An Analysis of the Current Decision Context Open
Background: The emergence of Integrated Care Systems (ICSs) across England poses an additional challenge and responsibility for local commissioners to accelerate the implementation of integrated care programmes and im…
View article: Assessing the Validity of the Long-Term Conditions Questionnaire (LTCQ) in Women During Pregnancy and the First Year Following Birth
Assessing the Validity of the Long-Term Conditions Questionnaire (LTCQ) in Women During Pregnancy and the First Year Following Birth Open
Background: The aim of this study was to validate a generic patient-reported outcome measure, the Long-Term Conditions Questionnaire (LTCQ), among pregnant and postpartum women living with a pre-existing long-term conditio…
View article: Adjuvant radiotherapy in patients with high-risk cutaneous Squamous Cell Carcinoma After surgery (SCC-AFTER): patient and carer views regarding a proposed clinical trial
Adjuvant radiotherapy in patients with high-risk cutaneous Squamous Cell Carcinoma After surgery (SCC-AFTER): patient and carer views regarding a proposed clinical trial Open
View article: Reliability and validity of the FORUM-P and FORUM-C: two novel instruments for outcome measurement in forensic mental health
Reliability and validity of the FORUM-P and FORUM-C: two novel instruments for outcome measurement in forensic mental health Open
We conducted a series of tests on the FORensic oUtcome Measure (FORUM), a novel tool for measuring outcomes in forensic mental health services, which consists of complementary patient-reported (FORUM-P) and clinician-reported instruments (…
View article: Correction: Refinement of the Well-being in Pregnancy (WiP) questionnaire: cognitive interviews with women and healthcare professionals and a validation survey
Correction: Refinement of the Well-being in Pregnancy (WiP) questionnaire: cognitive interviews with women and healthcare professionals and a validation survey Open
View article: Refinement of the Well-being in Pregnancy (WiP) questionnaire: cognitive interviews with women and healthcare professionals and a validation survey
Refinement of the Well-being in Pregnancy (WiP) questionnaire: cognitive interviews with women and healthcare professionals and a validation survey Open
View article: A core outcome set for randomised controlled trials of physical activity interventions: development and challenges
A core outcome set for randomised controlled trials of physical activity interventions: development and challenges Open
View article: Understanding the Impact of a New Approach to the Safeguarding of Children at Risk: An Evaluation Protocol
Understanding the Impact of a New Approach to the Safeguarding of Children at Risk: An Evaluation Protocol Open
This project has been registered with the OCC as a service evaluation. The qualitative studies will seek ethical approval from Oxford University Ethics Committee. A local data sharing agreement will govern the transfer of quantitative data…
View article: Long-term Effectiveness of Adjuvant Treatment With Catechol-O-Methyltransferase or Monoamine Oxidase B Inhibitors Compared With Dopamine Agonists Among Patients With Parkinson Disease Uncontrolled by Levodopa Therapy
Long-term Effectiveness of Adjuvant Treatment With Catechol-O-Methyltransferase or Monoamine Oxidase B Inhibitors Compared With Dopamine Agonists Among Patients With Parkinson Disease Uncontrolled by Levodopa Therapy Open
isrctn.org Identifier: ISRCTN69812316; EU Clinical Trials Register Identifier: 2005-001813-16.
View article: Burden of cancer trial participation: A qualitative sub-study of the INTERIM feasibility RCT
Burden of cancer trial participation: A qualitative sub-study of the INTERIM feasibility RCT Open
Objective A qualitative sub-study was carried out within a larger phase II feasibility trial, to identify and describe the burden experienced by advanced melanoma patients participating in a clinical trial and the factors affecting their c…
View article: Ten outcome measures in forensic mental health: A survey of clinician views on comprehensiveness, ease of use and relevance
Ten outcome measures in forensic mental health: A survey of clinician views on comprehensiveness, ease of use and relevance Open
Background Measurement of outcomes in forensic mental health services is essential to ensure that these services are delivering good quality care and treatment. Instruments for outcome measurement should cover all important domains, be eas…