Can goal-setting for patients with multimorbidity improve outcomes in primary care? Cluster randomised feasibility trial.

Introduction: Goal-setting is recommended for patients with multimorbidity, but there is little evidence to support its use in general practice.

Objective: To assess the feasibility of goal-setting for patients with multimorbidity, before undertaking a definitive trial.

Design And Setting: Cluster-randomised controlled feasibility trial of goal-setting compared with control in six general practices.

Does practice analysis agree with the ambulatory care sensitive conditions' list of avoidable unplanned admissions?: a cross-sectional study in the East of England.

Objectives: To use significant event audits (SEAs) in primary care to determine which of a sample of emergency (unplanned) admissions were potentially avoidable; and compare with the National Health Service (NHS) list of ambulatory care sensitive conditions (ACSCs).

Design: Analysis of unplanned medical admissions randomly identified in secondary care.

Setting: Primary care in the East of England.

Positive effect of a targeted intervention to improve access and availability of fruit and vegetables in an area of deprivation.

Increasing fruit and vegetable intake has the potential to prevent chronic disease risk but substantial inequalities in intake exist between advantaged and disadvantaged communities. Access and availability of fruit and vegetables have been shown to be important determinants of intake. The current study aimed to evaluate the effectiveness of a Mobile Food Store intervention to improve access to fruit and vegetables by making cost-price produce available to targeted communities.

Evaluation of partnership working in cities in phase IV of the WHO Healthy Cities Network.

An intersectoral partnership for health improvement is a requirement of the WHO European Healthy Cities Network of municipalities. A review was undertaken in 59 cities based on responses to a structured questionnaire covering phase IV of the network (2003-2008). Cities usually combined formal and informal working partnerships in a pattern seen in previous phases.

The evolution of the WHO city health profiles: a content review.

The WHO European Healthy Cities project developed city health profiles (CHPs) to provide the evidence base for health planning. A CHP is a public health report that brings together key pieces of information on health and its determinants in the city and interprets and analyses the information. This CHP would then form the basis of a city health development plan that would set out strategies and programmes of intervention to improve the health of a city's population.

Partnership structures in the WHO European Healthy Cities project.

The development of new partnership structures for public health is an important goal of the World Health Organization's Healthy Cities project which covers a network of European municipalities. A review was carried out of the partnership structures and key changes arising from the project, based on the responses of 44 cities to a structured questionnaire, interviews with 24 city representatives and publications from the project from 1988 to 2003. Cities reported elaborate partnership mechanisms usually combining formal and informal working methods.

Effectiveness of visits from community pharmacists for patients with heart failure: HeartMed randomised controlled trial.

Objective: To test whether a drug review and symptom self management and lifestyle advice intervention by community pharmacists could reduce hospital admissions or mortality in heart failure patients.

Design: Randomised controlled trial.

Setting: Home based intervention in heart failure patients.

Does home based medication review keep older people out of hospital? The HOMER randomised controlled trial.

Objective: To determine whether home based medication review by pharmacists affects hospital readmission rates among older people.

Design: Randomised controlled trial.

Setting: Home based medication review after discharge from acute or community hospitals in Norfolk and Suffolk.