CHARMER is a six-year (2020–2026) England-wide research project to develop and test an approach where older hospital patients (typically people aged 65 and over) are offered a comprehensive, geriatrician-led medication review. The aim of the intervention is to reduce the continued prescribing of medications that are no longer beneficial or which may be harmful.
The CHARMER team recognised they needed further support, first with involving the NHS trial sites, and secondly facilitating communication between the participating hospitals and the CHARMER trial team. The project used the step-wedge approach – where a change intervention is rolled out sequentially to different clusters – therefore it was essential that each step was successfully implemented within specific timelines. Health Innovation East was approached to provide expert input and ensure these timelines where met.
-Implementation support to implementing sites via kick-off meetings, weekly support calls and one-to-one support as needed
-Facilitation of peer support via a Community of Practice
-Facilitation of communication between sites and study team during the implementation phase
-Spread of learning and best practice between implementation sites
Health Innovation East is providing knowledge mobilisation and implementation support to the CHARMER research team, helping them identify and engage a broad range of stakeholders to translate their findings into meaningful policy impact. This work is delivered through our role as the knowledge mobilisation and implementation partner for the NIHR ARC East of England.
Health Innovation East provides change management consultancy. In this article, Luke Natali, an advisor at Health Innovation East, walks us through an example of how our approach in the CHARMER project has enabled successful change in health and care systems.
Read here
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