Research Development

Staff Publications

 Small purple icon of a book with a magnifying glass on top  Staff Publications

Find out what your colleagues have been writing. This section features articles published by staff working for St Helens and Knowsley Teaching Hospitals and Halton, Knowsley and St Helens community staff.

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All publications by 'Furlong NJ'



Mersey and West Lancashire Teaching Hospitals NHS Trust – St Helens & Knowsley Staff

Hybrid Closed-Loop Therapy in Adults With Type 1 Diabetes and Above-Target HbA1c: A Real-world Observational Study

Abstract Objective We explored longitudinal changes associated with switching to hybrid closed-loop (HCL) insulin delivery systems in adults with type 1 diabetes and elevated HbA1c levels despite the use of intermittently scanned continuous glucose monitoring (isCGM) and insulin pump therapy. Research Design and Methods We undertook a pragmatic, preplanned observational..

Published: 11/08/2023
Authors: Furlong NJ

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P303 Explicit glycated haemoglobin goals improve subsequent HbA1c levels with no impact on health-related quality of life

Background National guidelines recognise the importance of individualising HbA1c targets. Many people with diabetes agree to have their targets re-evaluated in consultations in response to specific characteristics. Aims We aimed to evaluate the impact of relaxed or stretch HbA1c goals on subsequent HbA1c levels and health-related quality..

Published: 25/04/2023
Authors: McNulty S, Westall S, Narayanan RP, Irving G, Furlong NJ, Bujawansa S, Cardwell J, Hardy KJ

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P302 Glycated haemoglobin targets: The experiences and views of people with diabetes and diabetes healthcare professionals

Background National guidelines highlight the importance of individualising HbA1c targets. Little is known about the experiences of people with diabetes and diabetes healthcare professionals (HCPs) on the use of HbA1c targets. We explored the experiences of adults with diabetes and diabetes HCPs on the use of glycated haemoglobin..

Published: 25/04/2023
Authors: Westall S, Narayanan RP, Irving G, Furlong NJ, McNulty SJ, Bujawansa S, Cardwell J, Hardy KJ

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P300 Setting explicit glycated haemoglobin goals improves diabetes-related distress, self-efficacy and wellbeing

Background High levels of diabetes-related distress and low levels of self-efficacy and wellbeing are associated with poorer outcomes in people with diabetes. Aims We evaluated the impact of relaxed or stretch HbA1c targets on diabetes-related distress, self-efficacy and wellbeing in adults with type 1 or type 2 diabetes. Methods We randomised 50..

Published: 25/04/2023
Authors: Westall S, Narayanan RP, Irving G, Furlong NJ, McNulty S, Bujawansa S, Balafshan T, Cardwell J, Hardy KJ

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#217 Parallel Session - Aid Experience in the Real-World - in the United Kingdom

Abstract AID experience in the real‐world in the United Kingdom Background Hybrid closed loop (HCL) technology automates insulin delivery and improves outcomes in people living with Type 1 diabetes. We report real‐world outcomes from adults with Type 1 diabetes with raised HbA1c despite insulin pump therapy and flash glucose..

Published: 21/02/2023
Authors: Furlong NJ

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The individualisation of glycaemic targets in response to patient characteristics in type 2 diabetes: a scoping review

Background Evidence and guidelines increasingly support an individualised approach to care for people with type 2 diabetes and individualisation of glycaemic targets in response to patient factors. Methods We undertook a scoping review of the literature for evidence of factors impacting upon glycated haemoglobin target individualisation in adults with type 2 diabetes...

Published: 20/04/2022
Authors: Westall S, Narayanan RP, Irving G, Furlong NJ, McNulty S, Bujawansa S, Hardy KJ

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Two years of Freestyle Libre (FSL) use: impact on glycaemic control and hypoglycaemia awareness in people with diabetes

Background and Aims We have previously shown beneficial effectsof FSL monitoring on glycaemic control and hypoglycaemia awareness in people living with diabetes. In this study we investigate the long term (≥ 2 years) effect of FSL on glycaemic control and hypoglycaemia awareness. Methods Clinicians from 106 NHS hospitals in the U.K. submitted..

Published: 11/04/2022
Authors: Furlong NJ

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P181 Diabetes nurse specialist–led glucose balance telephone support clinic associated with improved HbA1c

Aims Foot ulceration is a major burden for patients with diabetes, with a lifetime risk of up to 34%, and precedes most amputations. Hyperglycaemia is associated adverse outcomes and improving glycaemic control is key. We report the effect of diabetes specialist nurse (DSN) - led telephone support on glycaemic balance in..

Published: 23/03/2022
Authors: Cairns J, Pendlebury H, Sullivan H, Lee C, Furlong NJ

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P244 Planning services for people with type 2 diabetes: Is incidence still increasing

Aims Government plans for integrated care systems and integrated care boards are a welcome move towards more joined-up diabetes care between the NHS and local authorities, between health and social care and between specialist, community and primary care services. To plan effectively, for example, structured education for all newly diagnosed..

Published: 23/03/2022
Authors: Westall S, Mitchell L, Cardwell J, Furlong NJ, Narayanan RP, Bujawansa S, Balafshan T, Hardy KJ, McNulty S

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P124 Covid-19 pandemic associated with three-fold increase in demand for diabetes specialist advice

Aims The covid-19 pandemic was associated with legally restricted public movement (lockdowns) and reduced access to face-to-face consultation for diabetes in primary and specialist care. The aim of this study was to assess the impact of the pandemic on requests for specialist telephone support. Methods Retrospective analysis of calls for..

Published: 23/03/2022
Authors: Archer N, Westall S, Cardwell J, Furlong NJ, Narayanan RP, Bujawansa S, Balafshan T, Hardy KJ, McNulty S

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P243 Digital diabetes care: How well equipped are patients and what do they think about it

Aims Covid-19 precipitated an abrupt shift to non-face-to-face (digital) consultation. Some believe that this was overdue and that digital is better for many patients. Our aim was to establish the extent to which people with diabetes were equipped to manage digital consultation and what they felt about it. Methods We..

Published: 23/03/2022
Authors: Westall S, Mitchell L, Cardwell J, Furlong NJ, Narayanan RP, Bujawansa S, Balafshan T, Hardy KJ, McNulty S

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P91 Top to toe examination: An audit to assess the documentation of a foot exam for those admitted to hospital under medicine with diabetes

Background 10% of people with diabetes will suffer from a diabetes foot condition at some point. Those with diabetes related foot disease have high morbidity and mortality rate. They are at higher risk of pressure ulcers and other diabetes related complications such as heart disease or stroke. Patients with neuropathy and..

Published: 23/03/2022
Authors: Sullivan H, Westall S, Furlong NJ, McNulty S, Balafshan T, Narayanan RP, Bujawansa S, Hardy KJ, Pendlebury H

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P143 Non-attendance at structured type 2 diabetes education increases with deprivation

Aims Inequalities exacerbate poor health outcomes in diabetes. Structured education in type 2 diabetes is the cornerstone of supported self-management, but many people with newly diagnosed type 2 diabetes in the UK are not offered structured education and non-attendance in those accepting an offer of structured education is high. The aim of..

Published: 23/03/2022
Authors: Cardwell J, Mitchell L, Westall S, McNulty S, Furlong NJ, Narayanan RP, Bujawansa S, Balafshan T, Hardy KJ

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P193 Therapeutic inertia: Do patients get to target dose after glucagon-like peptide-1 receptor agonist (GLP-1-RA) initiation

Aims A recent primary care database study (J Rachman, Eli Lilly & Co) suggests that only about half of UK patients initiated on subcutaneous semaglutide (Ozempic) reach target maintenance dose. To assess the extent to which these data represent UK practice, we audited semaglutide dose optimisation and metabolic outcomes in our..

Published: 23/03/2022
Authors: Cardwell J, Edon E, Westall S, McNulty S, Furlong NJ, Narayanan RP, Bujawansa S, Balafshan T, Hardy KJ

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Clinical Characteristics of COVID-19 Patients in a Regional Population With Diabetes Mellitus: The ACCREDIT Study

Objective To identify clinical and biochemical characteristics associated with 7- & 30-day mortality and intensive care admission amongst diabetes patients admitted with COVID-19. Research Design and Methods We conducted a cohort study collecting data from medical notes of hospitalised people with diabetes and COVID-19 in 7 hospitals within the Mersey-Cheshire region from 1..

Published: 13/01/2022
Authors: Narayanan RP, Furlong NJ, Westall S

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Insights from the Association of British Clinical Diabetologists (ABCD) Nationwide Audit

Background Dose Adjustment For Normal Eating (DAFNE) is the gold standard National Institute for Health and Care Excellence (NICE) recommended structured education programme that promotes self-management in people living with type 1 diabetes (T1D). We have recently shown that FreeStyle Libre (FSL) is associated with improved haemoglobin A1c (HbA1..

Published: 09/12/2021
Authors: Furlong NJ

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Predictors of diabetes-related distress before and after FreeStyle Libre-1 use

Aim To identify the baseline demographic and clinical characteristics associated with diabetes-related distress (DRD) and factors associated with improvement in DRD after initiating use of the FreeStyle Libre (FSL) in people living with type 1 diabetes (T1D). Methods The study was performed using baseline and follow-up data from the Association..

Published: 17/06/2021
Authors: Furlong NJ

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A5 (P240) Reduced exercise activity is associated with increased anxiety in type 1 but not type 2 diabetes

Aims Increased physical activity and a healthy lifestyle underpin efforts to prevent type 2 diabetes and are cornerstones in managing type 1 and type 2 diabetes. Not only is reduced activity associated with risk of weight gain and adverse metabolism, but it is also mooted to be associated with impaired psychological wellbeing. We..

Published: 14/04/2021
Authors: Westall S, Narayanan RP, Sullivan H, Bujawansa S, Furlong NJ, McNulty S, Cardwell J, Mitchell L, Jackson J, Hardy KJ

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P167 Perceived problems in diabetes do not correlate with levels of anxiety and depression in a validated structured diabetes education programme

Aims Diabetes-related distress, anxiety and depression are all highly prevalent in people with diabetes. The Problem Areas In Diabetes (PAID) and Hospital Anxiety and Depression Score (HADS) questionnaires can be used to measure these domains. We evaluated the impact of structured education on each of these. Method People with diabetes..

Published: 14/04/2021
Authors: Westall S, Narayanan RP, Langan E, Gallagher CG, Bujawansa S, McNulty SJ, Furlong NJ, Sullivan H, Hardy KJ

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P166 The impact of local, validated structured education programmes on self-care activities in people with diabetes

Background Better glycaemic control is exhibited in patients with higher self-care abilities. The Summary of Diabetes Self-Care Activities (SDSCA) questionnaire measures diabetes self-care activities. As part of a local, validated structured education programme, we measure the SDSCA scores before and after completing structured education. Scores are outputted as ‘number of..

Published: 14/04/2021
Authors: Furlong NJ, Westall S, Cardwell J, Jackson J, Cairns J, Mitchell L, Bujawansa S, McNulty S, Narayanan RP, Hardy KJ

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P252 The impact of a validated structured education programme on diabetes-related distress in patients with type 1 diabetes

Background and Aim People with type 1 diabetes experience varying degrees of the emotional burden of diabetes and its treatments. The Problem Areas in Diabetes (PAID) questionnaire can be used to evaluate this domain. As part of a local, validated structured education programme for people with type 1 diabetes, baseline and endpoint..

Published: 14/04/2021
Authors: Narayanan RP, Westall S, Sullivan H, Cardwell J, Langan E, Gallagher CG, Bujawansa S, McNulty S, Furlong NJ, Hardy KJ

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P164 The impact of a local, validated structured education programme on anxiety and depression in people with diabetes

Background People with type 1 and type 2 diabetes experience greater degrees of anxiety and depression than the general population. The Hospital Anxiety Depression Scale (HADS) can evaluate this. Scores ≥8 on HADS-A (anxiety) or HADS-D (depression) indicate potential cases of anxiety or depression. Methods As part of a validated structured education programme,..

Published: 14/04/2021
Authors: Narayanan RP, Westall S, Sullivan H, Cardwell J, Cairns J, Gallagher CG, Bujawansa S, McNulty S, Furlong NJ, Hardy KJ

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A mixed-methods evaluation of the impact of a pharmacist-led feedback pilot intervention on insulin prescribing in a hospital setting

Aims To explore the impact of a prescribing feedback intervention on insulin prescribing. Methods This was a mixed-methods study in a hospital setting. An insulin prescribing feedback intervention was delivered verbally and in writing to twelve doctors. Insulin prescribing error frequency was compared to ten doctors who had not received..

Published: 13/03/2021
Authors: Lloyd M, Bennett N, Wilkinson A, Furlong NJ, Cardwell J, Michaels S

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Evaluating the impact of a pharmacist-led prescribing feedback intervention

Background Prescribing errors are prevalent in hospital settings with provision of feedback recommended to support prescribing of doctors. Feedback on prescribing has been described as feasible and valued but limited by doctors, with pharmacists described as credible facilitators of prescribing feedback. Evidence supporting prescribing feedback has been limited to date...

Published: 16/12/2020
Authors: Lloyd M, O'Brien S, Hardy KJ, Furlong NJ

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Evaluating the views of doctors and nurses on the delivery of a safe insulin tips (SIPS) educational programme

Aim To evaluate the views of doctors and nurses on the delivery and use of a safe insulin tips (SIPS) educational programme. Methods Twelve SIPS were developed covering key areas of safe insulin use by a multi‐professional collaboration of patients and healthcare professionals. Individual SIPs were emailed weekly over 12..

Published: 07/10/2020
Authors: Lloyd M, Michaels S, Cardwell J, Furlong NJ

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Setting up a total contact casting service within a diabetes foot ulcer service

Aims The National Institute for Health and Care Excellence (NICE) recommend total contact casting (TCC) for neuropathic ulceration in the diabetic foot. The St Helens and Knowsley Hospitals Trust, Diabetes Team, determined the feasibility of starting and developing a TCC service within their diabetes foot ulcer service. Method The type..

Published: 07/10/2020
Authors: Pendlebury H, Furlong NJ, Sullivan H

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The impact of local, validated structured education programmes on self-care activities in people with diabetes

Background and Aim Better glycaemic control is exhibited in patients with higher self‐care abilities. The Summary of Diabetes Self‐Care Activities (SDSCA) questionnaire measures diabetes self‐care activities. As part of a local, validated structured education programme, we measure the SDSCA scores before and after completing structured education. Scores..

Published: 07/10/2020
Authors: Furlong NJ, Westall S, Cardwell J, Jackson J, Cairns J, Mitchell L, Bujawansa S, McNulty S, Narayanan RP, Hardy KJ

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The impact of a validated structured education programme diabetes-related distress in patients with type 2 diabetes

Background and Aim Patients with type 2 diabetes experience varying degrees of the emotional burden of diabetes and its treatments. The Problem Areas in Diabetes (PAID) questionnaire can be used to evaluate this domain. As part of a local, validated structured education programme for people with type 2 diabetes, baseline and endpoint..

Published: 07/10/2020
Authors: Cardwell J, Bujawansa S, McNulty S, Furlong NJ, Narayanan RP, Jackson J, Mitchell L, Westall S, Hardy KJ

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The impact of a validated structured education programme on diabetes-related distress in patients with type 1 diabetes

Background and Aim People with type 1 diabetes experience varying degrees of the emotional burden of diabetes and its treatments. The Problem Areas in Diabetes (PAID) questionnaire can be used to evaluate this domain. As part of a local, validated structured education programme for people with type 1 diabetes, baseline and endpoint..

Published: 07/10/2020
Authors: Narayanan RP, Westall S, Sullivan H, Cardwell J, Langan E, Gallagher CG, Bujawansa S, McNulty S, Furlong NJ, Hardy KJ

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The impact of a validated structured education programme on anxiety and depression in patients with type 2 diabetes

Background There has been a big drive from the UK government and Diabetes UK to provide improved psychological care for patients with diabetes. People with type 2 diabetes experience greater degrees of anxiety and depression than the general population. The Hospital Anxiety and Depression Scale (HADS) questionnaire can evaluate this. As..

Published: 07/10/2020
Authors: Westall S, Jackson J, Mitchell L, Cairns J, Sullivan H, Bujawansa S, McNulty S, Furlong NJ, Narayanan RP, Hardy KJ

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Perceived problem areas in diabetes do not correlate with levels of anxiety and depression

Background and Aim Diabetes‐related distress, anxiety and depression are all highly prevalent in people with diabetes. The Problem Areas In Diabetes (PAID) and Hospital Anxiety and Depression Score (HADS) questionnaires can be used to measure these domains. We evaluated the impact of structured education on each of these. Methods..

Published: 07/10/2020
Authors: Westall S, Narayanan RP, Langan E, Gallagher CG, Bujawansa S, McNulty S, Furlong NJ, Cardwell J, Hardy KJ

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The impact of a validated structured education programme on anxiety and depression in patients with type 1 diabetes

Background and Aim People with type 1 diabetes experience greater degrees of anxiety and depression than the general population. The Hospital Anxiety and Depression Scale (HADS) questionnaire can evaluate this. As part of a local, validated structured education programme for people with type 1 diabetes, baseline and endpoint measurements of anxiety and..

Published: 07/10/2020
Authors: Sullivan H, Westall S, Jackson J, Cairns J, Cardwell J, Bujawansa S, McNulty S, Furlong NJ, Narayanan RP, Hardy KJ

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Financial impact of improving diabetes‐related clinical outcomes

Background Our Trust received funding through the NHS Diabetes Transformation Programme to improve inpatient care and foot care. The monies received for inpatient care was used to increase the number of diabetes inpatient nurses by fivefold. We introduced extended weekday coverage (0,800–2,200), weekend cover and an emergency support line. The funding..

Published: 07/10/2020
Authors: Bujawansa S, Furlong NJ, Narayanan RP, Westall S, Cardwell J, Mitchell L, Michaels S, Hardy KJ

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Improving glycaemic and cardiovascular risk assessment and management in diabetic foot ulcer patients

Introduction Diabetic foot ulcer increases the risk of cardiovascular disease, nephropathy and mortality. There is over a twofold increase in mortality compared to patients without diabetic foot ulcer, regardless of other risk factors. Aim To improve glycaemic and cardiovascular risk assessment and management on first presentation to the multidisciplinary diabetic..

Published: 07/10/2020
Authors: Roberts H, Kejem H, Furlong NJ

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Effect of Flash Glucose Monitoring on Glycemic Control, Hypoglycemia, Diabetes-Related Distress, and Resource Utilization

OBJECTIVE The FreeStyle Libre (FSL) flash glucose-monitoring device was made available on the U.K. National Health Service (NHS) drug tariff in 2017. This study aims to explore the U.K. real-world experience of FSL and the impact on glycemic control, hypoglycemia, diabetes-related distress, and hospital admissions. RESEARCH DESIGN AND METHODS..

Published: 01/09/2020
Authors: Furlong NJ

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Exploring the impact of a pharmacist‐led feedback intervention on insulin prescribing error frequency

Aims The aim of this research was to explore the impact of pharmacist‐led feedback on insulin prescribing. Methods This study was undertaken in a large UK teaching hospital. Ward pharmacists were trained in the delivery of prescribing feedback. Definitions of insulin prescribing errors were based on the National Diabetes..

Published: 26/06/2019
Authors: Bennett N, Cardwell J, Furlong NJ, Hart A, Lloyd M, Michaels S

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Simulation-based training to support healthcare staff in the management of hypoglycaemia

Aims To evaluate the use of multiprofessional high‐fidelity simulation to educate nurses and healthcare assistants on the management of hypoglycaemia and diabetic ketoacidosis. Methods A simulation‐based training event was developed by a multidisciplinary team. Nurses and healthcare assistants on two hospital wards were invited to participate. Effectiveness of..

Published: 26/06/2019
Authors: Cardwell J, Furlong NJ, Hart A, Lloyd M, Michaels S, Rowson M

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Exploring the impact of a feedback intervention on insulin prescribing behaviour

Aims The aim of this research was to explore the impact of feedback on insulin prescribing behaviour. Method(s) Doctors that had received feedback on their insulin prescribing were invited to participate in the study. Semi-structured interviews were used to explore the potential impact of feedback on their insulin prescribing...

Published: 26/06/2019
Authors: Bennett N, Cardwell J, Furlong NJ, Hart A, Lloyd M, Michaels S

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Exploring the impact of pharmacist-led feedback on prescribing behaviour: A qualitative study

Background Prescribing errors occur frequently in hospital settings. Interventions to influence prescribing behaviour are needed with feedback one potential intervention to improve prescribing practice. Doctors have reported a lack of feedback on their prescribing previously whilst the literature exploring the impact of feedback on prescribing behaviour is limited. Objectives To..

Published: 16/01/2019
Authors: Furlong NJ, Hardy KJ, Lloyd M

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Exploring hospital pharmacists’perceptions of their medication communication with prescribers

Abstract Prescribing errors are common and problematic in hospital settings in the UK. Pharmacists have been described as integral in the interception of prescribing errors, with effective medication communication between pharmacists and prescribers important to resolve and optimize prescribing outcomes. However, poor communication between healthcare professionals, including pharmacists and prescribers,..

Published: 16/05/2018
Authors: Furlong NJ, Hardy KJ, Lloyd M

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Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting

​ Highlights • Delivery of prescribing error feedback is valued by hospital pharmacists and considered sustainable • Pharmacists report altered prescribing behaviour and improved prescribing following receipt of feedback • Pharmacists report greater team-work and prescriber communication following delivery of feedback • Delivering prescribing error feedback can improve the self-confidence and self-worth of pharmacists Lloyd,..

Published: 20/12/2017
Authors: Lloyd M, Furlong NJ, Hardy KJ, O'Brien S

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Exploring the impact of feedback on prescribing error rates

​ Background Prescribing errors are prevalent in hospital settings with feedback identified as one potential error reduction strategy. Hospital pharmacists work alongside prescribers at ward level and are credible facilitators of prescribing error feedback. A formalised programme of pharmacist-led prescribing error feedback was designed and implemented  Objective To determine the impact..

Published: 17/08/2017
Authors: Lloyd M, O'Brien S, Hardy KJ, Furlong NJ

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Effect of academic detailing on insulin prescribing: a before and after study

​Abstract Introduction and aims Insulin is a high risk medication with prescribing errors potentially compromising patient care. The aim of the study was to assess the impact of educational outreach on insulin prescribing in a hospital setting. Methods Insulin prescribing was prospectively audited over a four week period. Hospital pharmacists..

Published: 28/04/2017
Authors: Hart A, Lloyd M, Furlong NJ, Hardy KJ

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UK service level audit of insulin pump therapy

​ Aim To conduct an audit of insulin pump therapy in the UK after the issue of guidelines for the use of continuous subcutaneous insulin infusion by NICE in 2008 (Technology Appraisal 151). Methods All centres in the UK, providing pump services to children and young people were invited to participate in an..

Published: 19/07/2016
Authors: Furlong NJ

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Audit of insulin pump therapy

​ Aims The National Institute for Health and Clinical Excellence (NICE) published guidelines for the use of continuous subcutaneous insulin infusion in 2008 (technology appraisal 151). The first UK-wide insulin pump audit took place in 2012 with the aim of determining adherence to the guidance issued in NICE technology appraisal 151. The results of the..

Published: 19/07/2016
Authors: Furlong NJ

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National Insulin Pump Audit

​ Introduction The National Insulin Pump Audit is a joint funded project by Diabetes UK, ABCD and the JDRF. As the Cheshire and Merseyside expert reference group for this audit we present the preliminary results for adult patients. Aims The first national audit of insulin pump therapy in the UK. Methods..

Published: 19/07/2016
Authors: Furlong NJ

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National Insulin Pump Audit (Paediatric)

​ Introduction:  The National Insulin Pump Audit is a joint funded project by Diabetes UK, ABCD and JDRF. As the Cheshire and Merseyside expert reference group for this audit we present the preliminary results for paediatric (children and young persons, CYP) patients. Aims:  This is the first national audit of insulin..

Published: 19/07/2016
Authors: Furlong NJ

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Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists

​ Abstract Glucagon-like peptide-1 receptor agonists (GLP-1 RA) are effective for obese patients with type 2 diabetes mellitus (T2DM) because they concomitantly target obesity and dysglycaemia. Considering the high prevalence of non-alcoholic fatty liver disease (NAFLD) in patients with T2DM, we determined the impact of 6 months’ GLP-1 RA therapy on..

Published: 19/07/2016
Authors: Furlong NJ

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Pump Advanced Carbohydrate Education programme

​ Abstract Enabling patients to have a say in the design and delivery of local health services is a key priority in the NHS. The St Helens and Knowsley Teaching Hospitals NHS Trust diabetes team aimed to set up a peer support group for people with type 1 diabetes to aid in..

Published: 19/07/2016
Authors: Cardwell J, Furlong NJ, Hardy KJ, Wessels L, O'Brien S

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St Helens Community Staff

P303 Explicit glycated haemoglobin goals improve subsequent HbA1c levels with no impact on health-related quality of life

Background National guidelines recognise the importance of individualising HbA1c targets. Many people with diabetes agree to have their targets re-evaluated in consultations in response to specific characteristics. Aims We aimed to evaluate the impact of relaxed or stretch HbA1c goals on subsequent HbA1c levels and health-related quality..

Published: 25/04/2023
Authors: McNulty S, Westall S, Narayanan RP, Irving G, Furlong NJ, Bujawansa S, Cardwell J, Hardy KJ

Read More

P302 Glycated haemoglobin targets: The experiences and views of people with diabetes and diabetes healthcare professionals

Background National guidelines highlight the importance of individualising HbA1c targets. Little is known about the experiences of people with diabetes and diabetes healthcare professionals (HCPs) on the use of HbA1c targets. We explored the experiences of adults with diabetes and diabetes HCPs on the use of glycated haemoglobin..

Published: 25/04/2023
Authors: Westall S, Narayanan RP, Irving G, Furlong NJ, McNulty SJ, Bujawansa S, Cardwell J, Hardy KJ

Read More

P300 Setting explicit glycated haemoglobin goals improves diabetes-related distress, self-efficacy and wellbeing

Background High levels of diabetes-related distress and low levels of self-efficacy and wellbeing are associated with poorer outcomes in people with diabetes. Aims We evaluated the impact of relaxed or stretch HbA1c targets on diabetes-related distress, self-efficacy and wellbeing in adults with type 1 or type 2 diabetes. Methods We randomised 50..

Published: 25/04/2023
Authors: Westall S, Narayanan RP, Irving G, Furlong NJ, McNulty S, Bujawansa S, Balafshan T, Cardwell J, Hardy KJ

Read More

The individualisation of glycaemic targets in response to patient characteristics in type 2 diabetes: a scoping review

Background Evidence and guidelines increasingly support an individualised approach to care for people with type 2 diabetes and individualisation of glycaemic targets in response to patient factors. Methods We undertook a scoping review of the literature for evidence of factors impacting upon glycated haemoglobin target individualisation in adults with type 2 diabetes...

Published: 20/04/2022
Authors: Westall S, Narayanan RP, Irving G, Furlong NJ, McNulty S, Bujawansa S, Hardy KJ

Read More

Evaluating the impact of a pharmacist-led prescribing feedback intervention

Background Prescribing errors are prevalent in hospital settings with provision of feedback recommended to support prescribing of doctors. Feedback on prescribing has been described as feasible and valued but limited by doctors, with pharmacists described as credible facilitators of prescribing feedback. Evidence supporting prescribing feedback has been limited to date...

Published: 16/12/2020
Authors: Lloyd M, O'Brien S, Hardy KJ, Furlong NJ

Read More

Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting

​ Highlights • Delivery of prescribing error feedback is valued by hospital pharmacists and considered sustainable • Pharmacists report altered prescribing behaviour and improved prescribing following receipt of feedback • Pharmacists report greater team-work and prescriber communication following delivery of feedback • Delivering prescribing error feedback can improve the self-confidence and self-worth of pharmacists Lloyd,..

Published: 20/12/2017
Authors: Lloyd M, Furlong NJ, Hardy KJ, O'Brien S

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Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback

Background Prescribing error (PE) rates have been extensively reported in the literature. Various interventions at reducing PEs have been studied with some success, yet PEs continue to be a challenge for the health care system. Prescriber feedback has been proposed as one mechanism to reduce PEs in seminal studies. Pharmacists..

Published: 19/07/2016
Authors: Furlong NJ, Hardy KJ, Lloyd M, O'Brien S

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Formalized prescribing error feedback from hospital pharmacists

Abstract Doctors have reported a lack of awareness of their prescribing errors with lack of feedback considered a system failure. This article summarizes the views of hospital doctors about receiving formal prescribing error feedback from ward-based pharmacists. Lloyd, M; Watmough, SD; O'Brien, SV; Furlong, N; Hardy, K. (2015). Formalized prescribing error..

Published: 19/07/2016
Authors: Furlong NJ, Hardy KJ, Lloyd M, O'Brien S

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Knowsley Community Staff

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Halton Community Staff

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North West Boroughs Community Health Staff

Always consider a differential and a multidisciplinary approach to the foot

Conference Abstract The Multidisciplinary Diabetes Foot Clinic manages patients primarily with neuropathic or neuroischaemic ulcers or Charcot arthropathy. The following are cases that did not fit the classical picture, requiring involvement in the wider multidisciplinary team to diagnose and treat the underlying condition. A 76-year-old gentleman with persistent bilateral plantar..

Published: 18/04/2021
Authors: Sullivan H, Furlong NJ, Pendlebury H

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Setting up a total contact casting service within a diabetes foot ulcer service

Aims The National Institute for Health and Care Excellence (NICE) recommend total contact casting (TCC) for neuropathic ulceration in the diabetic foot. The St Helens and Knowsley Hospitals Trust, Diabetes Team, determined the feasibility of starting and developing a TCC service within their diabetes foot ulcer service. Method The type..

Published: 07/10/2020
Authors: Pendlebury H, Furlong NJ, Sullivan H

Read More

The impact of a validated structured education programme on diabetes-related distress in patients with type 1 diabetes

Background and Aim People with type 1 diabetes experience varying degrees of the emotional burden of diabetes and its treatments. The Problem Areas in Diabetes (PAID) questionnaire can be used to evaluate this domain. As part of a local, validated structured education programme for people with type 1 diabetes, baseline and endpoint..

Published: 07/10/2020
Authors: Narayanan RP, Westall S, Sullivan H, Cardwell J, Langan E, Gallagher CG, Bujawansa S, McNulty S, Furlong NJ, Hardy KJ

Read More

Perceived problem areas in diabetes do not correlate with levels of anxiety and depression

Background and Aim Diabetes‐related distress, anxiety and depression are all highly prevalent in people with diabetes. The Problem Areas In Diabetes (PAID) and Hospital Anxiety and Depression Score (HADS) questionnaires can be used to measure these domains. We evaluated the impact of structured education on each of these. Methods..

Published: 07/10/2020
Authors: Westall S, Narayanan RP, Langan E, Gallagher CG, Bujawansa S, McNulty S, Furlong NJ, Cardwell J, Hardy KJ

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