Trish is a Research Fellow working within the NIHR Collaboration for Leadership in Applied Health Research and Care Greater Manchester (CLAHRC GM) Wound Care Programme, Community Theme. She has recently led a number of projects to establish healthcare professionals’ priorities for wound care research and the factors that influence wound care decisions relating to procurement and clinical practice. Prior to wound care, she led two long term condition projects involving the developement of two electronic tools to improve the accuracy of assessment recording, develop more robust communication channels between integrated health and social care teams and streamline assessment and care planning for patients with multiple long term conditions. As Research Practice Coordinator for Central Manchester NHS Foundation Trust she developed and implemented the Trust's Research Governance Framework and as an I grade clinical specialist nurses for South Manchester University Hospitals NHS Trust she developed and managed a Trust-wide continence service. During this time, she completed a part-time MPhil involving an action research project to improve continence care across the Trust. At this point she left her clinical role to complete a PhD involving a Cochrane review, direct observation of clinical consultations, patient interviews and an RCT to improve adherence to therapy for patients diagnosed with ocular hypertension or open angle glaucoma.
Trish is currently leading a number of studies within the NIHR CLAHRC GM wound care programme. She joined CLAHRC in April 2012 to lead two long term conditions projects involving the design and development of the ELIRT (Electronic LTCs integrated review tool) and ELIAT (Electronic LTCs integrated assessment tool). The ELIRT is a replacement for single disease templates in primary care to streamline the review process for patients with multimorbidity whilst the ELIAT provides an electronic individualised holistic assessment for patients referred to an integrated health and/or social care team for sharing the assessment and care planning process.
As the Research Practice Coordinator for Central Manchester NHS Foundation Trust she designed, developed and implemented the Trust’s Research Governance Framework. This involved Trust-wide clinical support and formal training for all healthcare staff involved in research to promote good clinical practice in research. Other roles included Chair of the Research Practice Network and editor for CMFT’s Research and Development Newsletter.
As an I Grade Clinical Specialist Nurse, for South Manchester University Hospitals NHS Trust she cultivated a departmental continence service into a thriving Trust-Wide service. The process involved clinical consultations, setting up community clinics prior to leading and supporting community nurses to continue the day-to-day management, providing leadership and clinical support for ward teams, formal and informal training for a range of healthcare professionals (on-site and university based) and leading procurement decisions locally and as part of a Northwest procurement group. During this role she completed an MPhil comprising an action research project which incorporated the development of a link nurse network to improve continence care across the Trust. The link nurse network continued to prosper beyond the completion of the MPhil.
Her PhD comprised a three part study looking at adherence to ocular hypotensive therapy for patients diagnosed with ocular hypertension or open angle glaucoma. This included a Cochrane systematic review, a survey of educational support involving observation of clinical consultations and patient interviews and an RCT to assess the impact of individualised care on patient adherence to therapy and clinical outcomes.