The CHA is involved in a number of studies being carried out.
We welcome the research and evaluations that are being
Managing Care for Older People in Community Hospitals
Professor Catherine Evans. Professor of palliative care and ageing, Kings College London
Professor Catherine Evans
To aim of the study is to develop and evaluate the feasibility of a new
Symptom Psychosocial & Assessment & Communication Evaluation (SPACE)
tool that intends to support the management of clinical uncertainty for older
people in community hospitals. The CHA is a partner in this
study. Dr David Seamark, our Vice President, is on the Project Board
and actively supporting the study.
Publications from the study
Tunnard, I., Yi, D., Ellis-Smith, C. et al. Preferences and
priorities to manage clinical uncertainty for older people with frailty and
multimorbidity: a discrete choice experiment and stakeholder
consultations. BMC Geriatr 21, 553 (2021).
The study examines patient and staff priorities to manage care for older
adults with multimorbidity and frailty receiving intermediate care to support
recovery at points of decline and to anticipate and plan for nearness of end
of life. The authors record that: "Family act as the 'glue' to
align care with patients' wishes at points of decline following a health
event such as a fall." Staff valued standardised tools to
create fluency across teams about patients' priorities and performance
status, such as level of frailty. Use of standardised tools was key to
improve communication and continuity of care at points of transition in care
setting and reduce demands on the family.'
Evans, C et. Al. (2021) Need for greater integration of palliative care in
This article makes the point that to deliver high quality care requires a
model of integrated care between community hospitals, geriatric care and
palliative care, and a skilled workforce to manage multiple care needs across
the continuum of care and into end of life. The article also gives links to
CHA and to resources concerning palliative and end of life care.
Evans CJ, Potts L, Dalrymple U, Pring A, Verne J, Higginson IJ, Wei
G (2021) Characteristics and mortality rates among patients
requiring intermediate care: a national cohort study using linked
databases. BMC Medicine 2021; 19(1): 48. Study
carried out on behalf of SPACE.
The impact advanced practice has upon people living with frailty from a
community hospital perspective.
Julian Kerr. Nurse Consultant, University of Portsmouth
Julian is currently undertaking a Doctorate in Nursing and Nurse Science,
and his dissertation is on the impact advanced practice has upon people
living with frailty from a community hospital perspective. Jules
(Julian) is a committee member of the CHA. The CHA is supporting the
study through our networks and resources.