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The Trajectory of Health Care for Neurology Patients

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  • Full or part time
    Prof J Knight
    Prof H Emsley
  • Application Deadline
    No more applications being accepted
  • Competition Funded PhD Project (European/UK Students Only)
    Competition Funded PhD Project (European/UK Students Only)

Project Description

There are 2 million people in the UK with a neurological condition alongside a shortfall in neurologist capacity. In a systematic review we have been unable to locate any projects characterising service provision.

Our aim is to use routinely collected neurology data to fill this evidence gap in order to inform improvements. (This aligns with the faculty Health information theme.)

We have Neurology data from 4500 appointments seen over 3 years.

Aim1: We will use state sequence analysis to characterise patient’s healthcare journeys. This method allows us to explore factors such as how many and what type of appointments have patients had? What is their chronology of care?

Aim2: We will identify factors that impact on the patient journey and subsequent health outcomes using Dynamic simulation. This method allows us to explore how the patient journeys vary by diagnosis and services available. Also how outcomes vary by diagnosis, centre, journey and demographic factors.

Aim3: We will test the effect of change on the system. This work is contingent on early results but an example is given. We are using multi-level modelling to examine headache referrals from primary care. If we uncover variation that cannot be explained based on factors such as patient demographics we will explore the use of providing referral guidance to GPs.

Impact: We are developing this project in partnership with the regional integrated care system (ICS) which has clinical neurosciences services as an emerging priority. Furthermore we are in partnership with the Association of British Neurologists and the National Neurosciences Advisory Group. All our work will be used to guide decisions made by these groups and further disseminated through three academic papers, relevant conferences as well as profession groups for NHS business analysts. This work will contribute to an NIHR grant submission that we are planning.

Funding Notes

Applications should be made directly to Professor Jo Knight [Email Address Removed] and should include:

CV (max 2 A4 sides), including details of two academic references
A cover letter outlining your qualifications and interest in the studentship (max 2 A4 sides)

How good is research at Lancaster University in Allied Health Professions, Dentistry, Nursing and Pharmacy?

FTE Category A staff submitted: 64.40

Research output data provided by the Research Excellence Framework (REF)

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