Thankyou :) please do get in touch if you have any feedback.

Thanks for sharing!

Thankyou for reading and for your feedback. Yes absolutely, ideally to bridge some of the gaps (eg staff wanting to keep people on site but not able to get appropriate support / meds etc) and improve a sense that staff across different services all have a shared goal of supporting the person.

Thankyou for your kind feedback and for reposting! I am glad you found it interesting!

Care home residents have complex needs & staff supporting them make complex decisions. Rather than focussing on keeping residents out of hospital we need to design health services that better support them. If we don’t they will continue to be seen as ‘out of place’ in all settings they receive care.

Staff worried that in a busy hospital environment residents might require lots of support, receive poor care and ‘get worse’.

But they also feared that residents might not get the tests / treatments they needed in the care home and were worried about being accused of ‘not doing enough’.

We found that whether providing care in the home or transferring residents to hospital, staff saw residents as both potentially vulnerable (at risk themselves) and as potentially dangerous (posing a risk to others).

In this study we interviewed 30 staff across 6 homes. In 3 homes, we also observed staff, talked to them and looked at documents they used during deteriorations.

Fantastic news - very well deserved, important topic and you’re absolutely the person to be leading it. Congratulations!

Do you know is this work has been published? I am about to have a search but would love to read more. We have a PhD student at Uni of Leicester Jenny O’Donnell (not on this platform) who is currently looking at the acceptability of talking therapies for care home staff.