Midlands Evidence Repository

Welcome to the Midlands Evidence Repository (MIDER).

MIDER serves as the institutional research repository for 21 NHS Trusts across the Midlands and is managed by a consortium of Midlands NHS Knowledge and Library Services. Its purpose is to enhance the visibility and discoverability of NHS research by capturing, storing, and providing access to research outputs and other non‑traditional publications produced by NHS organisations in the region. Wherever possible, full‑text publications are made available through open‑access, and the repository continues to expand as new collections are added.

Please note that the deposit of items within MIDER does not imply endorsement of the research or the views expressed within it by the consortium organisations. A full list of MIDER partner organisations can be found below.

If you would like to collaborate with us as the repository continues to develop, please contact us at midlandsevidencerepository@gmail.com

Communities in MIDER

Select a community to browse its collections.

Recent Submissions

  • PublicationMetadata only
    Practical implications from embedding a trauma-informed approach in response to 'transforming care'.
    (Wiley, 2021) Ferris-Rogers, R.; Langdon, P.; Blackman, N.; Ewins, Wendy; R. Ferris-Rogers, NHS England, P. Langdon, Warwick University; N. Blackman, Respond; W. Ewins, Black Country Healthcare NHS Foundation Trust
    Background: NHS in England has an ambitious transformation programme for people with an intellectual disability and/or autism. There are limitations with existing models of care to impact onto the lives of people heavily traumatised by their experiences to live in the least restrictive environment as possible. NHS England in the Midlands have piloted with local systems and respond the use of a trauma informed approach to enable different outcomes for highly complex and heavily traumatised people. The session will share the practical learning and application of the approach. Methods: The pilot focused upon two key interventions: training senior leaders, frontline staff and trauma champion training working intensively with three clients using a trauma informed approach delivered by Respond. The approach had four key phases: pre-transition, active transition, active support in the community, embedding in the community. Evaluation by Warwick University. Results/Aims: The approaches demonstrated significant increase in the knowledge base of staff. The outcomes for the individuals worked within a trauma informed way was significantly improved once a trauma informed lens was applied and has radically changed outcomes for patients, for example, an individual who would have had care delivered in a secure unit is now living in the community due to the difference the approach has made. Conclusions: Knowledge transfer and different approaches radically changes the pathways for people impacted by trauma. The session will share the practical experience of implementation and the wider impacts for providers, commissioners and policy makers. From Science to Practice: Long-term change for people with complex trauma has been enabled through a consistent relational approach– attunement, acceptance, containment.
  • PublicationOpen Access
    Journey of JIACAM: vision, challenges and opportunities
    (Sage, 2022) Nebhinani, Naresh; Aneja, Jitender; Patra, Suravi; Suthar, Navratan; Patnaik Kuppili, Pooja; Gupta, Tanu; Choudhary, Swati; Singhai, Kartik; Naresh Nebhinani, Department of Psychiatry, AIIMS, Jodhpur, Rajasthan, India; Jitender Aneja, Department of Psychiatry, AIIMS, Bathinda, Punjab, India; Suravi Patra, Department of Psychiatry, AIIMS, Bhubaneshwar, Odisha, India; Navratan Suthar, Department of Psychiatry, AIIMS, Jodhpur, Rajasthan, India; Pooja Patnaik Kuppili, Black Country Healthcare Foundation NHS Trust, United Kingdom; Tanu Gupta, Department of Psychiatry, AIIMS, Jodhpur, Rajasthan, India; Swati Choudhary, Department of Psychiatry, AIIMS, Jodhpur, Rajasthan, India; Kartik Singhai, Department of Psychiatry, NIMHANS, Bangalore, Karnataka, India;
    Dear Readers, We have served as the editorial team of Journal of Indian Association for Child and Adolescent Mental Health (JIACAM) from 2018 to 2021 with great support from chief advisor, executive editor, advisory board, editorial board, esteemed reviewers, and many more mentors, colleagues, friends, and well-wishers. When we look back, we recall many challenges, opportunities, and learning experiences during our tenure. So, we thought of penning down those experiences and sharing them with you all. Please read this compilation with your heart and mind.
  • PublicationMetadata only
    Survey of psychiatrists' experience of working with primary care in the United Kingdom
    (Cambridge University Press, 2019) Faruqui, R.; Afghan, Safi; Gerada, Claire; Wilson, P.; (Faruqui) East Kent Neuropsychiatry Service- KMPT, Neuropsychiatry, Ashford, United Kingdom (Faruqui, Wilson) University of Kent, Primary Care Academic Unit, Centre for Health Services Studies, Canterbury, United Kingdom (Afghan) Dudley and Walsall Mental Health Partnership Trust, University of Wolverhampton- UK, Mental Health, Walsall, United Kingdom (Gerada) Medical Department NHS Practitioners Health Programme and Former Chair RCGP, Practitioner Health Programme, London, United Kingdom
    Background and aims.- A majority of patients with mental health conditions are treated in the Primary Care. In this context it is important that mental health services are able to effectively collaborate with the primary care in delivering an effective specialist service. Methods.- We conducted a survey of psychiatrists' experience of working with the primary care. We used an online survey tool and membership database of the Royal College of Psychiatrists to conduct a national survey in the UK Results.- 536 respondents from England, Wales, Northern Ireland, and Scotland participated in the survey. 79% respondents reported working for Mental Health Trusts and 9% with Community NHS Trusts. 5% respondents reported working for Independent Sector. 33% respondents reported a high or very high level of satisfaction with their communication with the primary care. Only 27% reported a low or very low level of satisfaction on this variable. These results were proportional to reported satisfaction (31%) and dissatisfaction (28%) with time allowed by the employers to communicate effectively with the General Practice. Only6%of the sample reported high or very high level of satisfaction with the availability of joint CPD opportunities with the Primary Care. Over 15% of respondents reported high or very high level of satisfaction with availability of joint working opportunities with General Practice. Conclusions.- The findings of the survey have implications for improving psychiatrists' experience of working with the primary care. Availability of joint CPD opportunities and co-working between the General Practitioners and Psychiatrists are likely to enhance mutual support and quality of care.
  • PublicationMetadata only
    Qualitative theme analysis of positive practice reports of joint mental health and primary care service innovations in the United Kingdom
    (Cambridge University Press, 2019) Afghan, Safi; Faruqui, R.; Wilson, P.; Gerada, Claire; (Afghan) Dudley and Walsall Mental Health Partnership Trust and University of Wolverhampton, Mental Health, Walsall, United Kingdom (Faruqui, Wilson) University of Kent, Primary Care Academic Unit, Centre for Health Services Studies, Canterbury, United Kingdom (Faruqui) Kent and Medway NHS Partnership Trust, East Kent Neuropsychiatry Service, Ashford, United Kingdom (Gerada) Medical Director NHS Practitioners Health Programme and Former Chair RCGP, NHS Practitioner Health Programme, London, United Kingdom
    Background and aims.- Quality enhancement requires an on-going process of service innovation and reporting. We conducted a survey of UK Psychiatrists to identify service innovation areas enhancing joint working between primary care and mental health services. Methods.- We conducted an Online Survey for the Royal College of Psychiatrists. Survey respondents were invited to report on positive practice innovations between the secondary or tertiary care psychiatric services and primary care. A qualitative thematic analysis of 336 responses was conducted using line-by-line analysis technique and the grounded theory until a saturation point was reached. Results.- Five core innovation themes were extracted:- 1. Teaching and Training: Examples include Dementia Masterclasses, Liaison Psychiatry Teaching in the General Hospital, and Joint CPD opportunities organized locally and nationally 2. Co-Working Pilots in Primary Care: Examples include Consultant Clinics in GP Surgeries, Joint Clinics for Medically Unexplained Symptoms, Joint CPA Clinics for People with Serious Mental Illness, Crisis Link through CRHT teams, and Community Matron Liaison for Older Adults' Admission Avoidance 3. Co-Working Pilots in Secondary and Tertiary Care Mental Health: Examples include Primary Care Liaison in Secure Care services and Acute Learning Disability Liaison 4. Workforce Innovations: Examples include deployment of Primary Care Mental Health Nurses, Primary Care Link Workers, Telephone Liaison and Advisory Service 5. Information Management System Innovations: Examples include joint access to investigations' record, and joint crisis management recording. Conclusions.- Our analysis has identified multiple areas of innovative practice and joint-working between the psychiatrists and primary care in the UK. Reported service innovations are likely to enhance quality of patient experience and staff training.
  • PublicationOpen Access
    SERVICE INNOVATION (SOUL PROGRAMME) - Charitable home-based outreach service for treatment of schizophrenia in Larkano, Pakistan: development, implementation and 10 year outcomes
    (Cambridge University Press, 2022) Afghan, Safi S.; Junejo, B.; Soomro, G.; Wagan, R.; Faruqui, R.; S.S. Afghan*: Dorothy Pattison Hospital, Adult Mental Health, Walsall, United Kingdom B. Junejo: Shaheed Mohtarma Benazir Bhutto Medical University, Psychiatry, Larkana, Pakistan G. Soomro: Petersfield Community Hospital, Community Mental Health Team, Petersfield, United Kingdom F. Soomro: Shaheed Mohtarma Benazir Bhutto Medical University, Psychiatry, Larkana, Pakistan R. Wagan: Shaheed Mohtarma Benazir Bhutto Medical University, Psychiatry, Larkana, Pakistan R. Faruqui: University of Kent, Kent & Medway Medical School, Canterbury, United Kingdom
    Introduction There is a huge resource gap in mental health service provision & service utilisation in LAMIC including Pakistan. SOUL Programme has been established in the City of Larkana, on charitable donations, which utilises principles of home-based outreach and produces clinical and functional outcomes. Objectives SOUL programme focuses on collaborative working with patients & families. The objectives include recognition, treatment, family education & psychosocial support to maximize clinical, functional & occupational outcomes. Methods Single cohort intervention (patients recruited on continual basis over time) with innovative service structure and culturally relevant open label intervention design developed with local academic psychiatric unit in Larkano, Pakistan. Training was provided to local mental health professionals on diagnosis, delivering care & use of recognized clinical outcome measures. Results We have recruited a cohort of 160 patients on continual basis over time. Our analysis show a higher BPRS and lower GAF ratings for men in comparison to female cohort at the baseline. Our Ten year follow up has demonstrated statistically significant clinical / functional improvement on BPRS, CGI & GAF measures. The mean differences recorded for the individual measures after 12 months were BPRS, CGI-I and GAF and were all statistically significant. Innovative home-based community mental health intervention shows significant improvements in clinical and functional outcomes (with good effect size). Conclusions SOUL Programme is a highly effective and cost-efficient intervention model for treatment of schizophrenia in a developing country setting. Our 10 year follow up study confirms the feasibility of this intervention model through close working with families of our patients. Disclosure No significant relationships.
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