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John Gladman

Professor of the Medicine of Older People, Faculty of Medicine & Health Sciences

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Biography

I am Professor in the Medicine of Older People.,

My research began with the DOMINO study (DOMiciliary therapy In NOttingham), a RCT in stroke patients, which formed the basis of my Nottingham DM (1991). I led TOTAL (the Trial of Occupational Therapy And Leisure), which was the first multi-centre stroke rehabilitation RCT in the UK. My later RCTs were in intermediate care. I am now Principal Investigator on a NIHR Programme Grant for Applied Research "Medical Crises in Older People". See www.nottingham.ac.uk/mcop to see outputs from it.

Over the years I led the British Stroke Research Group, took office in the Society for Research in Rehabilitation as Secretary and President, I was Chair of the British Geriatrics Society Academic and Research Committee, I have been a member of the Research Advisory Committee for Research into Ageing, I was Lead of the Age and Ageing Specialty Group for Trent CLRN, and have been on the editorial boards of Age and Ageing and CME Geriatric Medicine.

Expertise Summary

My areas of research expertise include:

- Research in clinical settings, both hospital and community

- Research into conditions affecting older people such as stroke, dementia, and falls

- Research involving complex interventions, such as services and rehabilitation packages

- Pragmatic RCTs

- Research involving mixed research methods

- Research leadership

Teaching Summary

I have a particular interest in undergraduate education in geriatric medicine: I lead the Health Care of the Elderly course in the University of Nottingham undergraduate medical course, and I was… read more

Research Summary

I am Principal Investigator of a National Institute for Health Research (NIHR) Programme Grant in Applied Research "Medical Crises in Older People". This is a £2m award for 5 years. The three work… read more

Selected Publications

I am a clinical academic, which means that I provide and clinical service to the NHS as well as academic duties such as teaching medical students, and research. As a clinician, and especially as an academic clinician, it is important to deliver, manage and lead top quality services. This means adhering fully to the requirements of the General Medical Council to ensure that my personal practice is sound, and also contributing to local, regional, national and international service delivery.

Roles I have undertaken include:

- Chair, Primary and Continuing Care Special Interest Group, British Geriatrics Society

- Stroke Association Expert Advisory Panel

- Royal College of Physicians' representative on the Specialist Advisory Committee for Geriatric Medicine

I delivered the FE Williams Lecture to the Royal College of Physicians in 2011.

I have a particular interest in undergraduate education in geriatric medicine: I lead the Health Care of the Elderly course in the University of Nottingham undergraduate medical course, and I was external examiner to Queen's University Belfast from 2006-2010.

I convene the Rehabilitation Research in Practice module of the MSc in Rehabilitation. I was External Examiner for the Keele MSc in Geriatric Medicine, 2007-2010.

My recent teaching publications include:

  • Conroy S, Witham MD, Myint PK, Gladman JRF. Non-clinical training of United Kingdom higher trainees in geriatric medicine. CME Geriatric Medicine 2008;10:37-38.
  • Gordon A, Blundell A, Gladman J, Masud T. Are we teaching our students what they need to know about ageing? - Results from the UK National Survey of Teaching in Ageing and Geriatric Medicine. Age Ageing. 2010 May;39(3):385-8.
  • Blundell A, Gordon A, Masud T, Gladman J. Innovations in teaching undergraduates about geriatric medicine and ageing - results from the UK National Survey of Teaching in Ageing and Geriatric Medicine. Eur Geriatr Med 2010 doi:10.1016/j.eurger.2010.11.013. European Geriatric Medicine;2(1):12-14.
  • Robbins TD, Crocker-Buque T, Forrester-Paton C, Cantlay A, Gladman JRF, Gordon AL. Geriatrics is rewarding but lacks earning potential and prestige: responses from the national medical student survey of attitudes to and perceptions of geriatric medicine. Age and Ageing 2011; doi: 10.1093/ageing/afr034
  • Blundell A, Gordon A, Masud T, Gladman J. Innovations in teaching undergraduates about geriatric medicine and ageing - results from the UK National Survey of Teaching in Ageing and Geriatric Medicine Age Ageing 2010; 39(2):ii54 http://ageing.oxfordjournals.org/content/39/suppl_2/ii1.full.pdf+html
  • Gordon A, Blundell A, Masud T, Gladman J. Are we teaching our students what they need to know about ageing? - Results from the UK National Survey of Undergraduate Teaching in Ageing and Geriatric Medicine. Age Ageing 2010; 39(2):ii59. http://ageing.oxfordjournals.org/content/39/suppl_2/ii1.full.pdf+html
  • Tullo E, Gordon A, Blundell A, Masud T, Gladman J. Putting in the hours? Dementia teaching for medical undergraduates around the UK. Age Ageing 2011;40(Suppl 1):i36 http://ageing.oxfordjournals.org/content/40/suppl_1/i1.full.pdf+html

International lectures include:

  • 1997: Van Hoytema Stichting, University of Twente, Holland. Lecture on stroke rehabilitation
  • 1998: Australasian Rehabilitation Congress, Sydney, Australia. Lecture series on stroke rehabilitation
  • 2002: New approaches to hypertension, Madrid, Spain. Lecture on hypertension in very old people
  • 2003: European Academy for Medicine of Ageing, Sion, Switzerland. Lecture and seminar on rehabilitation
  • 2007: Visiting Professor, Veteran's Hospital, Taiwan. Lecture and seminar series on geriatric medicine
  • 2008: Visiting Professor, Veteran's Hospital, Taiwan. Lecture and seminar series on geriatric medicine
  • 2008: Rehabilitation Society of Holland and British Society of Rehabilitation Medicine, Ermelo, Holland. Keynote lecture on Ageing and Rehabilitation

Current Research

I am Principal Investigator of a National Institute for Health Research (NIHR) Programme Grant in Applied Research "Medical Crises in Older People". This is a £2m award for 5 years. The three work streams of this award are:The development and evaluation of a specialist medical and mental health unit for older people admitted to hospital with medical problems who also have psychiatric co-morbidity; The development and evaluation of a service delivering comprehensive geriatric assessment for older people presenting with geriatric conditions to the hospital acute medical unit but who do not need to be admitted to hospital; and The development and evaluation of an assessment, monitoring and intervention programme for residents of care homes. I am also PI for NIHR SDO Better mental health care for older people in general hospitals.

I am CI for:

- NIHR RfPB The REFINE (REducing Falls in IN-patient Elderly) Study. Sahota O, Drummond A, Kendrick D, Gladman J, Sach T, Avis M, Grainge M. - UK Occupational Therapy Research Foundation. Cost effectiveness of OT.

- NIHR HTA A multicentre randomised controlled trial of rehabilitation aimed at improving outdoor mobility for people who have had a stroke.

- NIHR SDO The knowledge brokering role of middle level managers (MLMs) in service innovation: Managing the translation gap in patient safety for elderly care.

- NIHR Improving effective integrated support of people with dementia and their carers (PWD) - Development of a fidelity index

- NIHR RfPB. PB-PG-0110-21229 In a general hospital are older people with cognitive impairment managed better in a specialist unit?

Past Research

Many randomised controlled trials of stroke rehabilitation and geriatric services and interventions, with qualitative and economic elements.

Future Research

The research group running my NIHR programme grant is large and multi-disciplinary, and welcomes enquiries from and potential collaboration with from clinicians from any profession, and academics from any branch of biological or social sciences with an interest in ageing and, in particular, very frail older people and their predicaments.

School of Community Health Sciences

The University of Nottingham
Medical School
Nottingham, NG7 2UH

telephone: +44 (0) 115 823 0208
fax: +44 (0) 115 823 0214
email: chs-enquiries@nottingham.ac.uk