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Adam Gordon

Clinical Associate Professor in Medicine of Older People, Faculty of Medicine & Health Sciences

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Biography

Dr Gordon trained in Edinburgh, Dundee and Sydney before settling in Nottingham. He has, since 2008, been a clinical academic with interests in the implementation of evidence-based models of care to deliver improved health outcomes for older people with frailty. He is particularly interested in how the care needs of the care home population can be met and has played a leading role in studies looking at models of healthcare to the care home sector and also in randomized controlled trials evaluating interventions, proven to be of benefit in other healthcare sectors, for the care home population.

His other area of interest is developing curricula and teaching interventions to improve learning about care of older people across the healthcare professions.

He is currently Chief Investigator on the Dunhill Medical Trust Funded Proactive Healthcare in Care Homes (PEACH) study and is a collaborator on the NIHR HTA funded Falls in Care Homes Study and the NIHR RfPB Chair-based exericise in frail older people study. He is a specialist advisor to the East Midlands Academic Health Sciences Network Patient Safety Collaborative on the topic of care homes and is academic lead for the LPZ and UK care homes (LAUNCH) study. He chairs the Enabling Research in Care Homes (EnRICH) Network for Nottinghamshire and has recently helped to set up regular EnRICH forums in Derbyshire. He is Specialty Lead for East Midlands (North) for Age and Ageing within the NIHR Clinical Research Network (CRN).

He is an Associate Editor of Age and Ageing journal, sits on the NIHR Research for Patient Benefit advisory panel for the East Midlands and the Part 2 Exam Board for Membership of the Royal College of Physicians.

Teaching Summary

Dr Gordon has an active teaching portfolio, including:

- Recent work to develop and evaluate the impact of a computer aided learning suite in geriatric medicine

- Work to develop the UK and European Recommended Undergraduate Curricula in Ageing and Geriatric Medicine

- Work to develop and lead the, now well established, British Geriatrics Society Leadership and Management course for Specialty Trainees in Geriatric Medicine

- Work to develop core competencies for Advanced Care Practitioners in Health Care of Older People.

- Work to develop core competencies for Registered Nurses working in UK Care Homes.

Research Summary

The Proactive Healthcare for Older People Living in Care Homes (PEACH) Study is using Quality Improvement Collaboratives as a way of helping Clinical Commissioning Groups in South Nottinghamshire to… read more

Selected Publications

Current Research

The Proactive Healthcare for Older People Living in Care Homes (PEACH) Study is using Quality Improvement Collaboratives as a way of helping Clinical Commissioning Groups in South Nottinghamshire to align their care more closely with evidence based principles of Comprehensive Geriatric Assessment. The PEACH team are using realist methodology to understand how the collaboratives operate across the interface of health and social care and the interventions used by the collaboratives as part of Quality Improvement Cycles. In addition, an algorithm is being developed to better interrogate acute hospital databases for care home admissions and to compile these data as a dashboard for care providers. Funded by the Dunhill Medical Trust.

The LPZ and UK care homes (LAUNCH) study is considering implementation of the LPZ-I - an international benchmarking tool for long-term care in UK care homes. Data were collected from 489 residents of 26 care homes across the East Midlands in 2015 and subsequent focus group work identified opportunities to use this as the basis of quality improvement and assurance work going forward. The audit is being repeated in November 2016 and this years' work will focus on the cost implications of the audit process and how QI can be delivered in practice. Funded by the East Midlands Academic Health Sciences Network Patient Safety Collaborative.

In addition, Dr Gordon is co-investigator on the Falls in Care Homes (FiNCH) multi-centre step-wedge randomized controlled trial of a guide to action for falls prevention in care homes and the Chair Based Exercise in Care Homes Feasibility Study. Both funded by the National Institute of Health Research.

Past Research

The Care Home Outcome Study and Staff Interviews in Care Homes Study described the cohort of older people living in care homes, their healthcare needs and how health and social care professionals responded to these in a crisis as part of the NIHR-PGfAR funded Medical Crises in Older People Programme. Further details of these studies are available under the publications tab.

The Optimal Study used a realist approach to describe models of healthcare provided by the National Health Service (NHS) for Older People living in care homes and developed a programme theory explaining what the "active ingredients" were which enabled effective and cost-effective care for older people living in these settings. The full report and publications from this study are currently under peer-review and will be added to the publications tab upon completion.

Future Research

Future research interests include:

- Minimum datasets and their roles in driving clinical care planning and quality improvement in the care home setting.

- Sarcopenia, protein supplementation and exercise in cohorts of frail older adults, including those living in long-term care.

- Developing more coherent approaches to prescribing and deprescribing in long-term care.

- Developing aggregable indices of person- and relationship-centred care that can be used in the long-term care sector.

School of Medicine

University of Nottingham
Medical School
Nottingham, NG7 2UH

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