Pictured front row (L-R): Emma Pearson, Parkinson鈥檚 Disease Nurse
Specialist; Alyson Evans, Project Manager from UHPNT; Steve Ford, Chief
Executive of Parkinson鈥檚 UK; Fiona Murphy, Parkinson鈥檚 Disease Nurse
Specialist; Dr Camille Carroll, project lead; and Rebecca Partridge, Design
Researchers in Lab4Living at Sheffield Hallam University.

Pictured front row (L-R): Emma Pearson, Parkinson鈥檚 Disease Nurse Specialist; Alyson Evans, Project Manager from UHPNT; Steve Ford, Chief Executive of Parkinson鈥檚 UK; Fiona Murphy, Parkinson鈥檚 Disease Nurse Specialist; Dr Camille Carroll, project lead; and Rebecca Partridge, Design Researchers in Lab4Living at Sheffield Hallam University.


A project that could revolutionise care for Parkinson鈥檚 patients and staff has been launched at a national event.

Entitled 'Developing Home-based Parkinson's Care', and led by the 精品无码国产自产 and University Hospitals 精品无码国产自产 NHS Trust (UHPNT), the project will focus on co-designing a new service to help Parkinson鈥檚 patients, carers and healthcare staff monitor a person鈥檚 condition remotely 鈥 ensuring care remains person-centred, while improving wellbeing of healthcare staff. 

The launch took place on Tuesday 23 July at Future Inn in 精品无码国产自产, following the recent announcement of 拢75,000 funding from The Health Foundation and 拢15,500 from a Parkinson鈥檚 UK Excellence Network Service Improvement Grant.

Project partners include Cure Parkinson鈥檚 Trust, Flourish Workplace, Sheffield Hallam University, Global Kinetics Corporation, Parkinson鈥檚 UK, Fre-est, Radboud University, the South West Academic Health Science Network (SWAHSN) and UCB Pharma 鈥 along with people with Parkinson鈥檚 and their carers. 

Why is the work necessary?

Current guidelines from the National Institute from Health and Care Excellence suggest that people with Parkinson鈥檚 should receive specialist review at least every six months, usually provided by a consultant and community Parkinson鈥檚 disease nurse specialist (PDNS). But a recent audit of patient experience, conducted by the project team, found that 46% have consultant appointments delayed by more than six months, and 60% have not seen the community nurse within the last year. Some regions of the UK don鈥檛 have the specialist service, and 50% of vacant PDNS posts are due to long-term sick leave or resignation.

What will the new service look like?

The key aim is to bring together necessary stakeholders (people with Parkinson鈥檚, carers, researchers and PDNS) to co-design the service. One of the main focuses will see patients use a wrist-worn device known as a Personal Kinetigraph (PKG庐) to help them and a specialist team monitor their condition at home. 

Another vital element is that the service will work better for healthcare staff; removing some of the frustrations and isolation of working in the current system, and resulting in enhanced wellbeing.

The service will also deliver an education package, letting people know how to ensure the service works best for them, as well as providing people with the knowledge they need to manage their Parkinson鈥檚 symptoms better themselves and 鈥榣ive well鈥 with Parkinson鈥檚.

PKG

Who will it be delivered to?

The service will initially be delivered to 150 patients in 精品无码国产自产 city, West Devon and East Cornwall, as a pilot. If successful, the team hopes the system could be rolled out across the UK following the project鈥檚 completion in March 2020.

The launch event brought together people with Parkinson鈥檚, their families, healthcare teams, technology experts and project partners to ensure that care delivery really meets the needs and expectations of people living with the condition.

Dr Camille Carroll

What the experts say

Project lead Dr Camille Carroll, Associate Professor in the 精品无码国产自产鈥檚 Institute of Translational and Stratified Medicine (ITSMed) and Consultant Neurologist at UHPNT, said: 

鈥淭he UK prevalence of Parkinson鈥檚 disease will increase by a fifth by 2025, so the challenges associated with providing a timely and patient-centred service will also be much higher. 

"To have this project off the ground with the involvement of partners and service users is fantastic, and having an advisor such as Professor Bas Bloem from Radboud University 鈥 internationally-renowned for developing innovative Parkinson鈥檚 care pathways 鈥 will really help us to drive forward.

鈥淲e want to help people with Parkinson鈥檚 to live the best lives they can for as long as they can, and this project aims to empower patients to take control of their own condition.鈥

Parkinson鈥檚 patient John Whipps, from Looe in Cornwall, is taking part in the pilot and said: 

鈥淚 hadn鈥檛 seen a Parkinson鈥檚 specialist for over a year, and my symptoms were fluctuating. Something in the system needs to change and it鈥檚 great that steps like are being taken to raise awareness of the service problem. Hopefully the new service design will make life easier for others like myself living with the condition.鈥 

Steve Ford, Chief Executive of Parkinson鈥檚 UK, said: 

鈥淥ne of the challenges with Parkinson鈥檚 is that it鈥檚 such a complex condition, and the current six-month clinic visit doesn鈥檛 necessarily match how often people might want to speak to their doctor. This is a fantastic project looking at how we might redesign services that make the best use of the clinicians鈥 time, and providing support when patients most need it. We鈥檙e really pleased to be supporting the work, and the launch event has been great.鈥

Helen Matthews, Deputy Chief Executive of The Cure Parkinson鈥檚 Trust, said: 

鈥淭his visionary project really puts the needs of individuals living with Parkinson鈥檚 and their care partners at the heart of service delivery, with objective data informing how treatment should be optimised and personalised, which will have a significant impact on quality of life. For the first time Parkinson鈥檚 specialists will have an insight into the impact of Parkinson鈥檚 at home 鈥 this has important implications for being able to evaluate new treatments in clinical trials in the future.鈥

Sarah Henderson, Assistant Director of Improvement Programmes at the Health Foundation, said: 

鈥淲e鈥檙e excited to support this project, one of 23 that have been developed by frontline teams to improve health and social care across the UK. We are looking forward to working with the teams to develop their innovative ideas, put them into practice, and gather evidence about how their projects are improving care for patients.鈥

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