Dr Julie MacInnes PhD, MSc, BSc (Hons), Dip (HE) Nurs, PGCE, FHEA
- 01227 816020
I joined CHSS as a Research Fellow in the Integrated Care Research Unit (ICRU), in August 2016 with over 20 years’ experience in Health and Social Care.
I am currently working on a number of regional, national and international projects in integrated health and social care with Professor Jenny Billings. I am working with local Clinical Commissioning Groups (CCGs) to evaluate integrated care in frail, older people with complex care needs, an end-of-life care pathway and intermediate care, and the Acute Response Team (ART) service in Thanet. In addition, I am working with Kent County Council to evaluate the effect of telecare on the independence of older people living at home and the decision-making process of telecare prescribers. I am also involved in the national evaluation of the New Care Models (Vanguards) and the SUSTAIN project - Sustainable, Tailored Integrated Care for Older People in Europe. I have also worked on the European Social Network Practice Analysis Project on integrated care services.
My main interests are in evaluating interventions to support older people with long-term health and social care needs. I am also interested in the psychological aspects of health and behaviour, notably the influence of beliefs on self-care behaviour in long-term conditions.
In 2011 I was awarded a PhD in Health and Social Care for the thesis; ‘Illness perceptions, treatment beliefs and the relationship to self-care in heart failure’. I have since worked on several collaborative research projects including an evaluation of an education programme of advanced communication in end of life care, an evaluation of the effectiveness of interventions by specialist heart failure nurses in enhancing self-care, and a project to implement and evaluate a programme of pulmonary rehabilitation in service users with COPD within a prison setting.
My expertise lies in mixed methodologies with an emphasis on questionnaire design, quantitative surveys and qualitative methods. I have experience in leading Masters Research programmes and am currently a PhD supervisor.
I was formerly a Principal Lecturer in Health and Wellbeing at Canterbury Christ Church University, a role which included research and learning and teaching, and prior to that a specialist Nurse in cardiac care. My qualifications include BSc (Hons) in Biological Science from the University of Reading, a Master’s degree in Health and Social Care and a Post-Graduate Certificate in Education (PGCE).
The Nursing Times Award for Innovative Practice (Respiratory Care), with HMP Maidstone and Oxleas NHS Foundation Trust (2013) for the implementation and evaluation of a programme of pulmonary rehabilitation in a prison setting.
The Royal College of Nursing (RCN) Akinsanya award for Innovation in Doctoral studies (2012), runner-up.
Fellow of the Higher Education Academy
NMC registered Nurse
Editorial Board member and reviewer British Journal of Cardiac Nursing
Reviewer for the International Journal of Integrated Care and the Journal of Integrated Care
Reviewer for SAGE publications
Former Chief External Examiner, University of Brighton
Also view these in the Kent Academic Repository
How can a community-based volunteer workforce be rapidly and safely implemented? What is the impact of a community-based volunteer workforce on providing support for self-isolating and vulnerable older members of the community during the COVID-19 pandemic? This project, led by Tricia Wilson, is funded by the NIHR ARC KSS. Research Team: CHSS, University of Kent: Professor Patricia Wilson (CI), Dr Julie MacInnes (Project Manager), Sabrena Jaswal (RA), Dr Vanessa Abrahamson (advisory group), BSMS Kat Frere-Smith (RA), Dr Priya Paudyal (advisory group), University of Surrey Prof Heather Gage (health economics), Dr Bridget Jones (RA), Dr Jo Armes (advisory group) ARC/AHSN Rebecca Sharp (implementation lead) Project Objectives: Conduct a rapid review of existing evidence on the implementation and impact of community-based volunteers supporting older vulnerable people. Map the range of approaches to organising and supporting volunteers within the statutory and third sector organisations working in the community across Kent, Surrey, Sussex (KSS). Ascertain how Covid-19 has impacted on pre-existing volunteer services supporting older vulnerable people. Explore the experience and impact of KSS COVID-19 volunteers through undertaking qualitative telephone interviews with health and social care practitioners, those organising and supporting volunteers, volunteers and recipients of their support. Identify how organisations and volunteers identify and communicate with recipients of support, particularly those who do not use digital (excluding phones) methods. Develop a set of key messages for KSS local authority (community hubs), local resilience forums, health and social care providers, voluntary organisations and community groups in order to facilitate safe implementation of a COVID-19 volunteer workforce. Start date: 4 May 2020; End Date: 4 September 2020 Funder: NIHR via Sussex Partnership NHS Trust Funding:£24,339
SUSTAIN - sustainable tailored integrated care for older people in Europe
Integrated care (IC) is defined as those initiatives that proactively seek to structure and coordinate care in home environments and improve health outcomes while constraining health care expenditures. ‘Older people’ are defined as European citizens aged 65+ with multiple health and social care needs. The focus on this group reflects the general increase in complexity of care with age. SUSTAIN’s overall aims are to improve established IC initiatives for older people living at home with multiple health and social care needs and to ensure that these improvements can be adapted and applied to other health systems and regions in Europe. Core elements are: a well-coordinated and proactive approach to health and social care needs; patient-centredness involving older people in decision-making and taking their individual needs into account delivery of multiple interventions at the same time involvement of professionals from multiple disciplines. The project will Identify established integrated care initiatives and conduct baseline assessments to examine their patient-centredness, prevention orientation, efficiency, resilience to crises, safety and sustainability; Improve established integrated care initiatives based on the outcomes of the baseline assessments in co-creation with local key stakeholders and implement these improvements; Evaluate the implementation process and identify how the established integrated care initiatives have improved; Assess the applicability and adaptability of improved integrated care initiatives; design and implement dissemination strategies. Start date: 01/04/2015 End date: 30/03/2019 Funder: EC Horizon 2020 Funding: €584,119
Innovate: optimising the depression pathway through novel digital assessment technology
More than a million people in the UK seek or receive treatment for depression at any given time. Finding the right treatment can be difficult and for many, can take weeks or months to work. Professor Jenny Billings leads the evaluation of a digitally-enabled precision medicine approach to diagnosing and treating depression accurately and quickly. The two year project aims to reduce referrals to scarce secondary and crisis care services, freeing up GP time. ‘Wrapping’ care from GPs, specialist professionals and charities around the patient helps them return to healthy, productive lives. Specially designed web-based App; ‘i-spero’ helps patients assess their response to treatment and monitor their depression. It uses validated questionnaires and assessments including facial expression recognition testing. Developed by Oxford-based P1vital Products Ltd, i-spero will be piloted at selected GP practices in Canterbury and Coastal CCG. An improved triage style patient pathway adopted alongside the technology, will give greater choice and quicker access to quality care. Mental health charity MIND is supporting crucial patient involvement in this project. Start date: 01/01/19 End date: 31/12/20 Funder: Innovate UK Funding: £201,599. Read the Final Evaluation Report 30/11/20. Read the Lay Summary Report Read the Executive Summary Report
The new models of care Vanguard programme in England:national programme evaluation
Health and care services are usually provided by different types of organisations, which operate separately and do not communicate well together. This harms patient experiences and can lead to unnecessary costs. The 2014 NHS England Five Year Forward View saw the beginning of an ambitious programme to develop new models of care to address longstanding problems in the UK health system. Integration of health and social care services will ultimately meet patients’, service users’ and carers’ needs more effectively. 50 ‘Vanguard’ sites were established around the country piloting new ways to organise health services. They have been developed, implemented and evaluated locally, helped by a national support team. They aim to improve: population health and wellbeing; quality of and access to care; service efficiency. The Government has now commissioned a national programme evaluation of the Vanguards. Working with the University of Manchester (lead organisation), The London School of Hygiene and Tropical Medicine and PSSRU at the University of Kent, CHSS will be part of the evaluation team. It will investigate the overall effects of the Vanguards on the NHS. How well have they been able to implement changes? What are the major barriers and facilitators? What are effects on service users and NHS costs. There are four stages to the evaluation: explore the national backdrop, interviewing members of the national support team and regulators and build a picture of economic issues, analyse the local evaluations, conduct an in depth analysis of six chosen Vanguards’ experiences and carry out a national evaluation of outcomes, costs and cost-effectiveness, after combining data, clear messages about this approach to service improvement will emerge which the team will share to ensure rapid learning from the evaluation. Start date: 01/06/2017 End date: 31/05/2021 Funder: Department of Health, Policy Research Programme (via University of Manchester) Funding: £285,901
My motivation for mentoring
My motivation for mentoring is the desire to ‘give back’, having had positive experiences of being a mentee during my career. This experience has been invaluable and I am grateful to those individuals who were willing to give up their time to support my development. I appreciate the value that a mentor can add and would like to enable others to benefit from the experience. As a result of a varied career, I have realised that personal and professional transitions can be particularly challenging times. Colleagues may need support in moving between clinical, academic and research-focused roles or between full- and part-time working as a result of family commitments, whether this is caring for children or ageing parents. Maintaining a work-life balance is particularly important – as is keeping a sense of humour!
My mentoring style
My mentoring style is facilitative and informal and I have a genuine interest in the work and research of others. I am good at listening and asking questions when necessary, to prompt new understanding. I believe that personal and professional growth can come from challenging accepted ways of thinking and working and can support mentees in developing their skills and in planning their career pathways.
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