Publications by authors named "John Bankart"
Introduction: We have previously developed a supported self-management programme (SMP): Self-management Programme of Activity, Coping and Education for chronic obstructive pulmonary disease (COPD), which was successfully delivered on an individual basis. Payers expressed an interest in delivering the intervention in groups.
Aim: To explore the feasibility, acceptability and clinical effectiveness of the intervention delivered and supported by healthcare professionals (HCPs) in groups within primary care.
Article Synopsis
- - COVID-19 has led to over 3.5 million deaths and more than 160 million infections, with many individuals experiencing neurological issues, including loss of smell, seizures, and strokes, which can lead to long-term cognitive and neuropsychiatric problems regardless of the severity of respiratory symptoms.
- - The article explores potential links between COVID-19 and neurological symptoms, particularly focusing on Alzheimer's disease and related dementias, while examining factors like inflammation and viral mechanisms that may cause such issues.
- - A global research effort, the CNS SC2 consortium, is underway to standardize methods for studying the long-term effects of COVID-19 on brain health, with data collection occurring across multiple countries to improve overall understanding.
Background: A 2018 review into continuity of care with doctors in primary and secondary care concluded that mortality rates are lower with higher continuity of care.
Aim: This association was studied further to elucidate its strength and how causative mechanisms may work, specifically in the field of primary medical care.
Design And Setting: Systematic review of studies published in English or French from database and source inception to July 2019.
Background: The incidence of dementia in Black, Asian and minority ethnic (BAME) groups is increasing in the UK, with concern about underdiagnosis and late presentation.
Aims: By reviewing referrals to memory clinics from Leicester City we examined whether the following differed by ethnicity: the proportion with a diagnosis of dementia, type of dementia and severity at presentation.
Method: We examined referrals between 2010 and 2017: all those whose ethnicity was recorded as Black (n = 131) and a random sample of 260 Asian and 259 White British referrals.
Aims And Method: We aimed to explore access by Black, Asian and minority ethnic (BAME) elders to the memory services in Leicester and Leicestershire, examining any trends over time. We then compared the odds of referral by ethnicity, using observed versus expected referrals for the city of Leicester. We gathered data on a comprehensive county-wide memory clinic used by people with suspected dementia and memory problems from the Trust electronic record system during the period 2011-2017.
View Article and Find Full Text PDFAim: To examine system characteristics associated with variations in unplanned admission rates in those aged 85+.
Design: Mixed methods.
Setting: Primary care trusts in England were ranked according to changes in admission rates for people aged 85+ between 2007 and 2009, and study sites selected from each end of the distribution: three 'improving' sites where rates had declined by more than 4% and three 'deteriorating' sites where rates had increased by more than 20%.
Background: A previous study found that variables related to population health needs were poor predictors of cross-sectional variations in practice payments.
Aim: To investigate whether deprivation scores predicted variations in the increase over time of total payments to general practices per patient, after adjustment for potential confounders.
Design And Setting: Longitudinal multilevel model for 2013-2017; 6900 practices (84.
The higher prevalence of autism reported in blind children has been commonly attributed to the confounding effects of an underlying intellectual disability. The aim of this study was to explore the relationship between symptoms of autism and blindness in adults with intellectual disability. We hypothesized that blindness can increase the probability of the autism phenotype, independent of known risk factors, that is, severity of intellectual disability and gender.
View Article and Find Full Text PDFBackground: Increased relationship continuity in primary care is associated with better health outcomes, greater patient satisfaction, and fewer hospital admissions. Greater socioeconomic deprivation is associated with lower levels of continuity, as well as poorer health outcomes.
Aim: To investigate whether deprivation scores predicted variations in the decline over time of patient-perceived relationship continuity of care, after adjustment for practice organisational and population factors.
Objectives: In England, many hypertensives are not detected by primary medical care. Higher detection is associated with lower premature mortality. We aimed to summarise recent evidence on detection and interventions to improve detection in order to inform policies to improve care.
View Article and Find Full Text PDFArticle Synopsis
- - The institution has created a structured self-management program called SPACE for COPD(C), which aims to help patients with chronic obstructive pulmonary disease (COPD) manage their condition better through group-based sessions led by healthcare professionals.
- - A randomized controlled trial will evaluate the program's feasibility, acceptability, and effectiveness, with participants either receiving the SPACE intervention over six sessions or usual care, and outcomes will be measured at 6 and 9 months.
- - Ethics approval for the study has been granted, and the research will include discussions with healthcare providers and focus groups with participants to gather qualitative insights on implementing the program in practice.
Objectives: The aim of this study was to determine if an interactive web-based pulmonary rehabilitation (PR) programme is a feasible alternative to conventional PR.
Design: Randomised controlled feasibility trial.
Setting: Participants with a diagnosis of chronic obstructive pulmonary disease were recruited from PR assessments, primary care and community rehabilitation programmes.
Background: NHS general practice payments in England include pay for performance elements and a weighted component designed to compensate for workload, but without measures of specific deprivation or ethnic groups.
Aim: To determine whether population factors related to health needs predicted variations in NHS payments to individual general practices in England.
Design And Setting: Cross-sectional study of all practices in England, in financial years 2013-2014 and 2014-2015.
Background: The epidemiology of autism in adults has relied on untested projections using childhood research.
Aims: To derive representative estimates of the prevalence of autism and key associations in adults of all ages and ability levels.
Method: Comparable clinical diagnostic assessments of 7274 Adult Psychiatric Morbidity Survey participants combined with a population case-register survey of 290 adults with intellectual disability.
Objectives: Health systems with strong primary care tend to have better population outcomes, but in many countries demand for care is growing. We sought to identify mechanisms of primary care that influence premature mortality.
Design: We developed a conceptual model of the mechanisms by which primary care influences premature mortality, and undertook a cross-sectional study in which population and primary care variables reflecting the model were used to explain variations in mortality of those aged under 75 years.
Introduction: Pulmonary Rehabilitation (PR) is an evidence-based intervention that has been recommended in guidelines to be available to those who may benefit. However, not all patients with chronic obstructive pulmonary disease (COPD) have access to this service. Healthcare services have shown the need for the provision of PR in other forms to enable patient choice and service capacity.
View Article and Find Full Text PDFStudies of programmes of self-management support for chronic obstructive pulmonary disease (COPD) have been inconclusive. The Self-Management Programme of Activity, Coping and Education (SPACE) FOR COPD is a 6-week self-management intervention for COPD, and this study aimed to evaluate the effectiveness of this intervention in primary care. A single-blind randomised controlled trial recruited people with COPD from primary care and randomised participants to receive usual care or SPACE FOR COPD.
View Article and Find Full Text PDFObjectives: To determine to what extent underlying data published as part of Quality and Outcomes Framework (QOF) can be used to estimate smoking prevalence within practice populations and local areas and to explore the usefulness of these estimates.
Design: Cross-sectional, observational study of QOF smoking data. Smoking prevalence in general practice populations and among patients with chronic conditions was estimated by simple manipulation of QOF indicator data.
Objective: To investigate whether an early rehabilitation intervention initiated during acute admission for exacerbations of chronic respiratory disease reduces the risk of readmission over 12 months and ameliorates the negative effects of the episode on physical performance and health status.
Design: Prospective, randomised controlled trial.
Setting: An acute cardiorespiratory unit in a teaching hospital and an acute medical unit in an affiliated teaching district general hospital, United Kingdom.
Objectives: To identify features of primary care quality improvement associated with improved health outcomes using premature coronary heart disease (CHD) mortality as an example, and to determine impacts of different modelling approaches.
Design: Cross-sectional study of mortality rates in 229 general practices.
Setting: General practices from three East Midlands primary care trusts.