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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. Later I led RCTs in intermediate care services. I was the Principal Investigator on a NIHR Programme Grant for Applied Research "Medical Crises in Older People" (2008-2013). See www.nottingham.ac.uk/mcop to see outputs from it. I have led the Older People Living with Frailty theme of the East Midlands AHSN (2014-2016), and the Interventions to Reduce Musculoskeletal Ageing theme of the Birmingham-Nottingham MRC-ARUK Centre for Musculoskeletal Ageing Research (2012-2014). I lead the Caring for Older People and Stroke Survivors theme of CLAHRC East Midlands, and co-lead the Complex Intervention Packages research area in the Nottingham BRC's Musculoskeletal Disease theme. I support research grant giving for the Dunhill Medical Trust and the Abbeyfield Foundation. I founded and lead the East Midlands Research into Ageing Network (EMRAN).

Current research projects include: falls in people with dementia; falls in the residents of care homes; chair based exercise; group-based exercise; hypertension in people with dementia; community hospitals; promoting resilience in older people; dementia care in rural areas; improving the urgent care of older people; and improving the quality of health care in care homes.

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
  • Patient and public involvement in research
  • Research leadership

Teaching Summary

I have had an interest in undergraduate education in geriatric medicine: I led the Health Care of the Elderly course in the University of Nottingham undergraduate medical course, and I was external… read more

Research Summary

Examination of health promotion to enhance the resilience of older people Chair based exercise in frail older people Health services for residents of care homes in the UK Treatment of… 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.

Important roles through which I help lead research and implementation are as theme leads for both the East Midlands AHSN, and East Midlands CLAHRC and being on the Board of the MRC-ARC Centre for Musculoskeletal Ageing (a collaboration between the Universities of Birmingham and Nottingham).

Some other current external roles include:

- Grants and Awards Committee of the Dunhill Medical Trust

- Stroke Association Expert Advisory Panel

- British Geriatrics Society specialist advisor on community geriatrics

- Abbeyfield Innovation Panel

I have had an interest in undergraduate education in geriatric medicine: I led 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 convened the Rehabilitation Research in Practice module of the MSc in Rehabilitation. I was External Examiner for the Keele MSc in Geriatric Medicine, 2007-2010.

I am associated with a programme of research and innovation into education in geriatric medicine with local colleagues. See: http://www.nottingham.ac.uk/research/groups/healthofolderpeople/projects/research-in-teaching-geriatric-medicine.aspx

Current Research

  • Examination of health promotion to enhance the resilience of older people
  • Chair based exercise in frail older people
  • Health services for residents of care homes in the UK
  • Treatment of hypertension in people with dementia
  • Falls in people with dementia
  • Evaluation of community hospitals
  • Fall prevention in care homes
  • Behaviour disturbance in dementia

Past Research

I have conducted many randomised controlled trials of stroke rehabilitation and geriatric services and interventions, with qualitative and economic elements.

For the most recent work of our group, see www.nottingham.ac.uk/mcop which illustrate the outputs and impact of the Medical Crises in Older People NIHR PGfAR (2008-2013).

Future Research

My colleagues and I welcome 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, older people with frailty and their predicaments.

School of Medicine

University of Nottingham
Medical School
Nottingham, NG7 2UH

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