Christine Ingleton
Northern General Hospital
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Featured researches published by Christine Ingleton.
Palliative Medicine | 2012
Tony Ryan; Clare Gardiner; Gary Bellamy; Merryn Gott; Christine Ingleton
Background: The global prevalence of dementia is set to rise to almost 65 million people by 2030, providing policy makers and practitioners with significant challenges, not least within the realms of end-of-life care. The international literature would suggest that people with dementia may benefit from palliative forms of care, but evidence indicates that many fail to access such provision at the end of life. The role of the health care team is pivotal if people with dementia are to benefit from the transition to palliative care. Aim: This paper reports on qualitative research conducted in the UK that sought to explore the experiences of health care practitioners working in palliative care and sought to establish the issues relating to end-of-life care for people with dementia. Design: Eight focus groups and four individual interviews were held. Data were analysed using a thematic approach. Setting/participants: The study included palliative care practitioners (n = 58) including medical, nursing and allied health professionals. Participants were recruited from acute hospitals, general practice, hospices and specialist palliative care units in the UK. Results: Four themes were identified: Making the transition; Competence challenged; ‘The long view’ and Working together. Whilst there exists good practice in this area, the barriers to timely and appropriate transitions to palliative care for people with dementia and their families continue to exist. The paper concludes with recommendations for policy and practice development.
Progress in Palliative Care | 2011
Merryn Gott; Sue Ward; Clare Gardiner; Mark Cobb; Christine Ingleton
Abstract Background The need to more fully understand the economics of palliative care provision is widely acknowledged; however, the evidence base regarding the extent of potentially avoidable admissions in the last year of life, and the link between reducing/redistributing overall costs of end-of-life care has not been previously evaluated. Aim A narrative review of the evidence relating to the potential economic impact of reducing avoidable admissions among palliative care patients in the UK. Methods Ten electronic bases were searched in 2010 using key terms to identify UK literature relating to the economic consequence of avoidable hospital admissions among palliative care patients. Results Five studies met the inclusion criteria. Two were randomized controlled trials comparing the addition of new services to support patients in the community at the end of life with the existing standard service provided; one was a descriptive analysis of the change in usage and costs of health care services following the introduction of two community-based services; two were retrospective analyses of patient records for patient who had died in hospital to estimate the proportion of final admissions that could be classified as avoidable. Conclusions The evidence base from the UK relating to the economic impact of avoidable admissions in palliative care is limited. Although two recent retrospective studies suggest that there are currently high levels of avoidable admissions, the feasibility of avoiding such admissions and the full economic consequences of such changes have not been clearly demonstrated. Further evidence is needed to provide a more robust estimate of the extent to which the additional costs of providing high-quality community support are offset by reduced inpatient usage by palliative care patients. Prospective studies are needed which seek to demonstrate the scale of admissions which can actually be avoided in clinical practice, when issues such as capacity constraints come into play.
Archive | 2011
Merryn Gott; Christine Ingleton
Journal of Palliative Care | 2011
Emilie Green; Clare Gardiner; Merryn Gott; Christine Ingleton
Health Services and Delivery Research | 2013
Merryn Gott; Christine Ingleton; Clare Gardiner; Naomi Richards; Mark Cobb; Tony Ryan; B Noble; M Bennett; Jane Seymour; Sue Ward; C Parker
Journal of Palliative Care | 2013
Merryn Gott; Clare Gardiner; Tony Ryan; Chris Parker; Bill Noble; Christine Ingleton
BMJ | 2015
Jackie Robinson; Merryn Gott; Clare Gardiner; Christine Ingleton
Archive | 2015
Clare Gardiner; Tony Ryan; Merryn Gott; Christine Ingleton
Archive | 2012
Clare Gardiner; Merryn Gott; Christine Ingleton
BMJ | 2010
Clare Gardiner; Merryn Gott; Christine Ingleton