Dr Amanda Bates BA (Hons), MSc, PhD, C.Psychol
Patient Experience and Public Involvement Lead
- 01227 824406
I am the Patient Experience and Public Involvement Lead for the Centre for Health Services Studies (CHSS). As a service user researcher, I have a personal and professional interest in promoting engagement and involvement in research. I work with service users and community groups to promote their interest and involvement in research. I also provide tailored advice and guidance to CHSS researchers and students about the various ways of engaging and involving service users in research, from reviewing recruitment strategies to the dissemination of results. I initiated and now manage the CHSS Opening Doors to Research Group  (ODRG). ODRG is made up of members of the public who advise CHSS researchers and students on aspects of their research to ensure that it is both useful and relevant to end users.
I have a BA (Hons) in Psychology, an MSc in Health Psychology, and have recently completed a PhD in Applied Psychology. I am also a Chartered Psychologist. My PhD focussed on children and young people with learning disabilities, and clefts, and qualitatively explored their appearance self-perceptions, social experiences, and whether or not they felt involved in decisions about their NHS care.
I am leading the PPI element in a Public Health England funded project to develop undergraduate medical curriculum resources in health and work. I am also leading on the PPI aspect of a London Sport funded bid on Social Prescribing and physical health in addition to co-designing and delivering training on sport and physical activity for the Social Prescribing sector. This skills based training will be informed by health psychology theory encompassing evidence based methods for supporting behaviour change/psychological adjustment in physically less active populations. Finally, I am currently supporting the PPI element in an NIHR HS&DR project about the impact of the GP workforce (team structure and functioning) on quality of care, effectiveness and costs and will also be involved in the design and delivery of the qualitative aspect of the project.
My service user and research experiences have resulted in a number of invitations to speak at various national and European conferences such as The European Cleft and Craniofacial Initiative for Equality in Care, The Craniofacial Society of Great Britain and Ireland, and the Appearance Collective.
I am an active member of The University of Kent’s Public Engagement with Research Advisory Group, and am also the Co-Chair of the Disability Staff Network.
Also view these in the Kent Academic Repository
A two phase, three year development study of an isometric exercise programme to benefit patients who have undergone abdominal and thoracic cancer surgery. Cancer surgery is associated with risk of some loss of physical function and muscle wastage. Isometric exercise has long been established as effective in increasing muscle strength. Phase one will consist of patient focus groups and an online Delphi survey which will develop the exercise intervention and identify suitable functional outcome measures. Phase two will be a mini pilot and evaluation (effectiveness and cost effectiveness) study, based on two groups randomised to either intervention or usual treatment. The programme will be delivered in hospital but the nature of the exercises means that patients can continue at home after discharge.The programme needs little equipment and space, so can be performed when patients are bed-bound in hospital or at home. Start date: 02/03/2015 End date: 31/03/2018 Funder: NIHR via Maidstone and Tunbridge Wells NHS Trust Funding: £76,130
Improving competencies of PWPs/Counsellors to work with people with Long Term Conditions
Government policy has highlighted the need to extend NHS mental health service provision to meet the needs of those with co-morbid mental and physical health conditions. To work effectively with this population, mental health workers require specialist training in supporting people with long-term conditions (LTCs). We worked with NW London Collaboration of Clinical Commissioning Groups to develop, deliver and evaluate training focusing on three common conditions: diabetes, chronic obstructive pulmonary disease (COPD) and coronary heart disease (CHD). Training was delivered to 60 NHS mental health workers via 2-day interactive workshops. An online version of the training programme was also developed. Training was developed with input from stakeholders including clinicians, service managers and service users. Participants’ knowledge of the three conditions significantly following training, along with their understanding of the role of psychological therapies in supporting people with LTCs and confidence in using specific assessment and intervention methods. The online training programme launched in October 2017 and is available at http://www.trainingltcs.org.uk/ Start date: 1/3/17 End date: 31/12/17 Funder: NHS NW London CCG Funding: £110,678 Improving competencies of PWPs/counsellors to work with people with LTC - Read the Final Project Report (December 2017) (pdf)
How general practice team composition and climate relate to quality, effectiveness and human resource costs: a mixed methods study in England
General Practice is central to the NHS, and is where people first seek non-emergency health advice. GPs deal with a wide range of health and social care issues for local people. They have traditionally employed a staff team of e.g. nurses, care assistants, receptionists, managers and liaise with community services such as midwives and health visitors. Many GPs are retiring or leaving the NHS. More newly-trained doctors work in hospitals and there is a shortage of GP practice nurses. NHS general practice is under pressure. At the same time, more people with long-term conditions need regular care from GP teams. Tasks formerly done in hospital are being transferred to general practice. It is vital that GPs organise teams efficiently to treat as many patients as possible. General Practices’ staffing arrangements vary widely. Practices have tended to become larger over time, and include a wider range of staff (e.g. physiotherapists, pharmacists). Some GPs have combined into ‘super-practices’. There is little evidence to show GPs and service commissioners what size or structure of practice, or professional staff mix, works best for patients. This NIHR Health Services & Delivery Research-funded project aims to provide such evidence, exploring how the composition of GP teams and team relationships (‘climate’) affects quality of care and health outcomes for patients, and practice costs. Professor Stephen Peckham leads the project team, who will: Survey the literature to learn about skill mix in countries with healthcare systems resembling our NHS. Analyse existing big data sets and use statistical methods to investigate the relationship between differences in the organisation and skill mix of practices in England and quality of care and effectiveness. Quality measures will be based on inspection data. Effectiveness will be measured using number of patients hospitalised for conditions that should be general practice managed. Conduct a staff survey in a nationwide sample of practices to explore how workforce issues affect staff wellbeing and job satisfaction Observe/interview staff to investigate how team climate affects daily working and patient experience. Work with GPs and commissioners to review project findings and create guidelines for all practices on optimum professional staff mix and good team working. Find novel ways to publicise research results to GPs, NHS managers, government organisations, academics and the public. Patient and public opinion provided valuable input to the research application and a service user group will contribute at all stages of the project. Start date: 01/10/2018 End date: 30/09/21 Funder: NIHR Funding: £404,316
Provision and evaluation of training and support on sport and physical activity for the Social Prescribing sector
London Sport have commissioned CHSS, led by Research Fellow Dr Sarah Hotham, to design and deliver a pilot training programme for social prescribers (SP) around sport and physical activity. The aim is to improve prescribers' knowledge and understanding of how physical activity affects health. London Sport - a County Sports Partnership funded by Sport England - believes that upskilling this workforce (usually originating from a ‘non-fitness’ background) is an ideal way to target efforts to boost physical activity among people referred by their GP with non-medical problems, to social prescribers within the community. This is a potentially inactive population with problems requiring help through voluntary sector providers. The training programme aims to build confidence among social prescribers when discussing health and physical activity with these clients. CHSS will deliver the training in January, and Research Fellow Dr Rowena Merritt will conduct an evaluation of the programme in spring. London Sport hope to obtain funding to enable roll-out of the training across all London boroughs, and possibly nationwide in future. Start date:19/11/18 End date: 30/04/19 Funder: London Sport Funding: £14,369
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