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Ann-Marie Towers

Senior Research Fellow


I joined CHSS as a Senior Research Fellow in April 2019, after sixteen years at the Personal Social Services Research Unit (PSSRU) at the University of Kent. I am a collaborator for the NIHR Research Design Service South East, a panel member for NIHR Research for Patient Benefit (South East) and lead a programme of work to develop, test and support the Adult Social Care Outcomes Toolkit (ASCOT).
I am a mixed-methods researcher, using both qualitative and quantitative techniques. I have a special interest in how we might employ qualitative methods, such as observations, supported interviewing techniques and forms of adapted communication, to try and ascertain the views and experiences of care home residents and people with cognitive and communication difficulties. I have been the principal or co-investigator on several grants and have received funding from the Big Lottery fund, the NIHR School for Social Care Research, NIHR Health Services and Delivery, NIHR Research for Patient Benefit and most recently, from NIHR for one of the new Policy Research Units (Quality, Safety and Outcomes of Health and Social Care Research Unit).
As well as traditional research, I deliver training and consultancy in the UK and internationally to support the wider use of the Adult Social Care Outcomes Toolkit in research, policy and practice. Recent examples include:

  • Writing and delivering new ‘train the trainer’ courses in Australia to support the use of ASCOT in care planning conversations.
  • Working with the Northern Ireland Health and Social Care Board to support their use of ASCOT in the evaluation of self-directed support.
  • Training NHS England to use the ASCOT in their national evaluation of the care home vanguard sites.
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Also view these in the Kent Academic Repository

Rand, S., Silarova, B., Towers, A.-M. and Jones, K. C. (2022) 'Social care-related quality of life of people with dementia and their carers in England', Health and Social Care in the Community, pp. e2406-e2418. doi: 10.1111/hsc.13681.
Saloniki, E.-C., Turnpenny, A., Collins, G., Marchand, C., Towers, A.-M. and Hussein, S. (2022) 'Abuse and Wellbeing of Long-Term Care Workers in the COVID-19 Era: Evidence from the UK', Sustainability. doi: 10.3390/su14159620.
Burton, J., Wolters, A., Towers, A.-M., Jones, L., Meyer, J., Gordon, A., Irvine, L., Hanratty, B., Spilsbury, K., Peryer, G. and others. (2022) 'Developing a minimum data set for older adult care homes in the UK: exploring the concept and defining early core principles', The Lancet Healthy Longevity, pp. e186-e193. doi: 10.1016/S2666-7568(22)00010-1.
Towers, A.-M. (2022) 'Using linked health and social care data to understand service delivery and planning and improve outcomes', Age and Ageing. doi: 10.1093/ageing/afac070.
Rand, S., Towers, A.-M., Malley, J. and Silarova, B. (2022) 'Exploring the structural characteristics of the Adult Social Care Outcomes Toolkit (ASCOT) and ASCOT-Carer', NIHR Open Research. Available at: https://openresearch.nihr.ac.uk/articles/2-21/v1.
Hussein, S., Towers, A.-M., Palmer, S., Brookes, N., Silarova, B. and Makela, P. (2022) 'Developing a Scale of Care Work-related Quality of Life (CWRQoL) for Long-Term Care workers in England', International Journal of Environmental Research and Public Health. doi: 10.3390/ijerph19020945.
Musa, M. K., Akdur, G., Brand, S., Killett, A., Spilsbury, K., Peryer, G., Burton, J. K., Gordon, A. L., Hanratty, B., Towers, A.-M. and others. (2022) 'The uptake and use of minimum data sets (MDS) for older people living and dying in care homes: a realist review', BMC Geriatrics. doi: 10.1186/s12877-021-02705-w.
Towers, A.-M., Smith, N., Allan, S., Vadean, F., Collins, G., Rand, S., Bostock, J., Ramsbottom, H., Forder, J., Lanza, S. and others. (2021) 'Care home residents' quality of life and its association with CQC ratings and workforce issues: the MiCareHQ mixed-methods study', Health Services and Delivery Research, pp. 1-188. doi: 10.3310/hsdr09190.
Gousia, K. and Towers, A. (2021) 'Unmet social care needs of people living with and beyond cancer: prevalence and predictors from an English longitudinal survey', Psycho-Oncology. doi: 10.1002/pon.5656.
Rand, S., Towers, A.-M. and Caiels, J. (2020) 'Letter to the Editor re: McEwan et al (2019) Moving on from Quality Assurance: Exploring Systems — Outcomes in Disability Services', Journal of Policy and Practice in Intellectual Disabilities. Wiley-Blackwell Publishing Ltd, pp. 376-378. doi: 10.1111/jppi.12365.
Musa, M. K., Akdur, G., Hanratty, B., Kelly, S., Gordon, A., Peryer, G., Spilsbury, K., Killett, A., Burton, J., Meyer, J. and others. (2020) 'Uptake and use of a minimum data set (MDS) for older people living and dying in care homes in England: a realist review protocol', BMJ Open. BMJ. doi: 10.1136/bmjopen-2020-040397.
Towers, A.-M., Palmer, S., Brookes, N., Markham, sarah, Salisbury, H., Silarova, B., Makela, P. and Hussein, S. (2022) Quality of Life at Work: what it means for the adult social care workforce in England and recommendations for actions. University of Kent and London School of Hygiene and Tropical Medicine. Available at: file:///C:/Users/hlw/Desktop/BT_131600_Quality%20of%20Life%20at%20Work_Final%20(002).pdf.
Research reports (external)
Towers, A.-M., Almack, K., Mikelyte, R., Zhang, W., Welbourne, P., McDonald, G., Trapp, O., Potts, J., Smith, N., Birks, Y. and others. (2022) Written evidence: The invisibility of adult social care and its consequences. UK Parliament. Available at: https://committees.parliament.uk/writtenevidence/108835/pdf/.
Conference or workshop items
Zhang, W., Greig, J., Darton, R., Saloniki, E.-C., Towers, A.-M. and Blurton, P. (2022) 'Understanding and supporting older people's moves into and between social care settings: a scoping review', in. British Society of Gerontology Annual Conference 2022. Available at: https://www.britishgerontology.org/DB/general-events/bsg-annual-conference-2022.
Rand, S., Silarova, B., Towers, A.-M. and Jones, K. C. (2021) 'A cross-sectional study during COVID-19 of the social care-related quality of life of people with dementia and their carers in England', in. International workshop on COVID-19 and Long-Term Care systems: What have we learnt and what policies do we need to strengthen LTC systems?. Available at: https://ltccovid.org/2021/11/16/a-cross-sectional-study-during-covid-19-of-social-care-related-quality-of-life-of-people-with-dementia-and-their-carers-in-england/.
Towers, A.-M. (2021) 'The Adult Social Care Outcomes Toolkit (ASCOT)', in. Kent, Surrey and Sussex Care Home Safety Network.
Towers, A.-M. and Potts, J. (2021) 'Public involvement in research', in. Webinar to support applications for the following funding call: Transforming care and health at home and enabling independence. Available at: https://www.ukri.org/opportunity/transforming-care-and-health-at-home-and-enabling-independence/.
Towers, A.-M. and Boaz, A. (2021) 'The new NIHR Social Care Partnerships', in. Research Design Service Research Capacity Building Webinar.
Šilarova, B., Rand, S., Towers, A.-M. and Jones, K. (2021) 'Enhancing our understanding of measuring quality of life of people with dementia who are unable to self-report', in. British Society of Gerontology 50th Annual Conference.
Towers, A.-M., Vadean, F., Allan, S. and Forder, J. E. (2021) 'Regulator quality ratings and care home residents' social care-related quality of life', in. British Society of Gerontology 50th Annual Conference. Available at: https://www.britishgerontology.org/public/31949/BSG_Conference_Book_2021_Online_v2.pdf.
Šilarova, B., Brookes, N., Palmer, S., Towers, A.-M. and Hussein, S. (2021) 'Understanding and measuring the workrelated quality of life (WRQoL) among those working in adult social care: A scoping review', in. 5th Transforming Care Conference.
Šilarova, B., Rand, S., Towers, A.-M. and Jones, K. C. (2021) 'Conducting a study in adult social care during a pandemic: lessons from the Measuring outcomes of people with dementia and their carers (MOPED) study', in. Patient Reported Outcome Measures (PROMs) Research Conference.
Towers, A.-M. (2021) 'Conducting research in care homes and the reliability of data reported by proxy', in. NIHR Statistics Group 5th Annual Conference. Available at: https://www.youtube.com/watch?v=LsDF9uEWmjw&list=PL0zQjXsxOAcsAGtSKisU8GCxCsKkSpIa2.
Towers, A.-M. (2021) 'Inclusion of people who cannot self-report in research', in. NIHR SSCR Capacity-building webinar. Available at: https://www.sscr.nihr.ac.uk/event/nihr-sscr-webinar-inclusion-of-people-who-cannot-self-report/.
Rand, S., Silarova, B., Towers, A.-M. and Jones, K. (2021) 'Measuring the social care outcomes of people with dementia and carers', in. 5th Patient Reported Outcome Measures Research Conference (PROMs). Available at: https://arc-eoe.nihr.ac.uk/events/5th-national-patient-reported-outcome-measures-proms-annual-uk-research-conference.
Showing 25 of 92 total publications in KAR. [See all in KAR]
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Applied health research, health and social care evaluation, vulnerable groups, complex health needs, long term care of older people, integrated care, mixed methodology, qualitative research, children's hospices, European research, health visiting

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Centre for Health Services Studies, University of Kent, Canterbury, Kent, CT2 7NF

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Last Updated: 11/10/2019