GPs' involvement to improve care quality in care homes in the UK: a realist review

Chadborn, Neil H; Devi, Reena; Williams, Christopher; Sartain, Kathleen; Goodman, Claire; Gordon, Adam L

doi:10.3310/hsdr09200

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This review found that GPs make valuable contributions to quality improvement, often in supporting other professionals who take the lead, and where working relationships are negotiated and resourced.

Neil H Chadborn , Reena Devi , Christopher Williams , Kathleen Sartain , Claire Goodman & Adam L Gordon .

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Neil H Chadborn ^1,^2,^*, Reena Devi ³, Christopher Williams ⁴, Kathleen Sartain ⁵, Claire Goodman ^6,⁷, Adam L Gordon ^1,²

¹ Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham, Nottingham, UK
² NIHR Applied Research Collaboration – East Midlands (ARC-EM), Nottingham, UK
³ School of Healthcare, Faculty of Medicine and Health, University of Leeds, Leeds, UK
⁴ Department of Health Sciences, University of Leicester, Leicester, UK
⁵ Dementia and Frail Older Persons Patient and Public Involvement Group, Division of Rehabilitation and Ageing, University of Nottingham, Nottingham, UK
⁶ Centre for Research in Public Health and Community Care, University of Hertfordshire, Hatfield, UK
⁷ NIHR Applied Research Collaboration – East of England (ARC-EoE), Cambridge, UK
^* Corresponding author Email: neil.chadborn@nottingham.ac.uk

Declared competing interests of authors: As a practising general practitioner, Christopher Williams is employed by a general practice that is paid by a standard NHS contract to provide general medical services care and enhanced services to care homes. In addition, Christopher Williams has supported training of care home staff as part of his university role, but has not received specific consultancy payment for this activity. Claire Goodman leads the Ageing and Multimorbidity theme for the Applied Research Collaboration – East of England and this project is an Applied Research Collaboration-endorsed study and is funded 0.2 full-time equivalent of her time. In addition, Claire Goodman is a National Institute for Research Health (NIHR) senior investigator and receives a £20,000 per annum award that recognises her research with older populations and those in long-term care settings. Claire Goodman is also the lead investigator for the Developing research resources And minimum data set for Care Homes’ Adoption (DACHA) study (NIHR Health Services and Delivery Research programme NIHR127234).

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