Publications by authors named "N R Steel"

Article Synopsis
  • Access to urgent and emergency care in the UK decreased during COVID-19 lockdowns, but demand has risen since then, impacting a population of 1.1 million in eastern England.
  • During the lockdown, emergency department (ED) visits dropped by 10%, but increased by 7% post-lockdown, while ambulance arrivals decreased by 13% and other means increased by 17%.
  • Post-lockdown, ED waiting times have extended significantly, leading to delays in ambulances handing over patients, suggesting a need for improved patient flow and discharge processes in hospitals.
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Background: Medication reviews aim to support patients who take medicines, and they are often led by pharmacists. There are different types of medication reviews undertaken in various settings. Previous research undertaken in 2015 found mixed evidence that medication reviews in community settings improve clinical outcomes, but further work needs to be undertaken to establish their impact on patient-orientated and economic outcomes.

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Introduction: Pharmacist-led medication reviews are an established intervention to support patients prescribed multiple medicines or with complex medication regimes. For this systematic review, a medication review was defined as 'a consultation between a pharmacist and a patient to review the patient's total medicines use with a view to improve patient health outcomes and minimise medicines-related problems'. It is not known how varying approaches to medication reviews lead to different outcomes.

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The number of displaced people, including asylum seekers and refugees, in the UK continues to rise. This article highlights findings from two participatory community listening exercises on the topic of health of displaced people.

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Introduction: Demand for urgent and emergency health care in England has grown over the last decade, for reasons that are not clear. Changes in population demographics may be a cause. This study investigated associations between individuals' characteristics (including socioeconomic deprivation and long term health conditions (LTC)) and the frequency of emergency department (ED) attendances, in the Norfolk and Waveney subregion of the East of England.

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