Professor Iain Carpenter
Formerly a Consultant Physician in Geriatric Medicine and academic, Iain Carpenter is now Emeritus Professor at the University of Kent and Associate Director, Royal College of Physicians London Health Informatics Unit.
His current research interests concern the use of standardised assessment for care delivery, performance monitoring and research in hospital, community and long term care services for older people.
At the Royal College of Physicians he works on achieving professional consensus on medical records and standards for electronics health records.
Also view these in the Kent Academic Repository
Abstract | View in KAR | View Full Text
The study is an evaluation of Intermediate Care Services for older people in East Kent. Admissions of older people to residential and nursing homes continue to increase, as do pressures on community care services. This increases pressure on hospital acute care and rehabilitation beds. Nationally a variety of models of intermediate care have been implemented in an attempt to provide community based sub-acute care and rehabilitation to reduce institutionalistaion, hospital length of stay, hospital emergency admissions and costs. The study addresses the question: Do the selected intermediate care services in East Kent reduce institutionalisation, hospital length of stay, home care requirements, hospital emergency admissions in the over 75s and hospital readmissions? Are people more confident, independent and with better morale at discharge from intermediate care and at 6 weeks compared as with discharge from secondary care? Are costs different at 6 months? What is the client's experience of the intermediate care services? What aspects of the intermediate care services are the most important to clients? Start date: 01/01/2000 End date: 31/12/2002 Funder: East Kent Health Authority and Social Services Funding: £94,000 Publication: An Evaluation of Intermediate Care Services for Older People - summary
Project to test the use of physical and cognitive function measures as a means of explaining length of stay
Do the combination of principal diagnosis and physical and cognitive function in Health Care Resource Groups explain variance in length of stay of patients admitted to hospital care in six target conditions? Assessment of patients at admissions in three district general hospitals to record pre-admission physical and congitive ability. Follow-up assessment of functionality in acute care, post-acute care, rehabilitation, home care and long-term care at different intervals for 42 days. Assessment uses the Activity of Daily Living and InterRAI MDS items. Start date: 01/04/2005 End date: 31/03/2007 Funders: NHS Information Authority / NHS R&D Support Funding Funding: £57,400 / £3859
Use of MDS/RAI and RUG3 for evaluation of registered nursing time in nursing homes
Can a combination of RUG3 and MDS/RAI assessment identify residents requiring and receiving registered nursing care and provide a reimbursement system for registered nursing time in nursing homes? Start date: 01/01/2001 End date: 31/10/2001 Funder: Joseph Rowntree Foundation Funding: £29,000 Publication: Identification of registered nursing care time for residents of UK Nursing homes using the Minimum Data Set Resident Assessment Instrument (MDS/RAI) and the Resource Utilisation Groups version III (RUG III) resource use casemix system
Development of care planning guidelines for people with dementia
This project will produce revised care assessment protocols for people with cognitive impairment who are resident in long term residential and nursing home care. The study is a prospective controlled trial with two phases. First, an exploration of knowledge and concerns of care providers by focus group and questionnaires leading to revised care planning guidelines. Second, testing the revised guidelines by examining the change in staff knowledge and confidence and resident outcomes after implementations. Questionnaires will be completed by all care staff in eight (four interventions and four control) BUPA care homes. The revised protocols will be introduced into the four intervention homes and after nine months, in all participating homes, questionnaires will again be completed by the care staff and the residents will be re-assessed. Start date: 21/11/2006 End date: 31/08/2007 Funder: Joseph Rowntree Foundation Funding: £48,230 Publication: The use of an assessment tool in care homes
SHELTER: Services and health for elderly in long term care – a European comparison of nursing homes and residents
This project aims to evaluate the characteristics of nursing homes and their residents in eight European countries, using standardised assessment instruments. It seeks to determine validity of the InterRAI Long Term Care Facilities assessment instrument by comparing assessments of residents within and between nursing homes over a 12 month period. The project also generates information on the characteristics of nursing homes by collection of data to support and contrast residents’ needs, and this will be entered into a specially created web-based project database. Start date: 01/01/2009 End dtae: 31/12/2011 Funder: European Commission FP7 Publication: Assessment of nursing home residents in Europe: the Services and Health for Elderly in Long TERm care (Shelter) study Services and Health for Elderly in Long TERm Care - Baseline report