Martin Severs

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BACKGROUND Rehabilitation for older people has acquired an increasingly important profile for both policy-makers and service providers within health and social care agencies. This has generated an increased interest in the use of alternative care environments including care home environments. Yet, there appears to be limited evidence on which to base(More)
Restructuring junior doctors' patterns of work has led to several changes, including the increasing implementation of shift and partial-shift rotas. These changes heighten the necessity for good communication between the doctors responsible at different times for the patients. We sent a questionnaire to all junior doctors in two district general hospitals;(More)
BACKGROUND falls disproportionately affect older people, who are at increased risk of falls and injury. This pilot study investigates shock-absorbing flooring for fall-related injuries in wards for frail older people. METHODS we conducted a non-blinded cluster randomised trial in eight hospitals in England between April 2010 and August 2011. Each site(More)
UNLABELLED Falls are an issue disproportionately affecting older people who are at increased risk of falls and injury. This protocol describes a pilot study investigating shock-absorbing flooring for fall-related injuries in wards for older people. OBJECTIVES To inform future research by evaluating fall-related injuries on the intervention and existing(More)
It is hard to imagine a greater range of challenges than those currently facing the providers, purchasers, and consumers of medical education—a clear case of multipathology, with several vital systems facing the prospect of becoming overwhelmed. How will our patient, “medical education”, as an undergraduate (“paediatric”), postgraduate (“mediatric”) or in(More)
BACKGROUND hospital falls place a substantial burden on healthcare systems. There has been limited research into the use of hospital flooring as an intervention against fall-related injuries. OBJECTIVE to assess the cost-effectiveness of shock-absorbing flooring compared with standard hospital flooring in hospital wards for older people. DESIGN a(More)
We studied the appropriateness of admissions to our acute geriatric unit to determine whether they were clinically indicated and to test the Appropriateness Evaluation Protocol (AEP), an instrument previously validated for general hospital admissions. An admission is appropriate according to the AEP if at least 1 of its 16 criteria is met. At the next ward(More)
ABSTRACT The emergence of the intermediate care agenda has added momentum to the debate on the use of alternative care settings for the delivery of rehabilitative interventions for older persons. This paper reports on the findings of the first stage of a research programme to investigate the extent of the use of care home environments for the rehabilitation(More)