Steve Iliffe

The relationship between pain intensity and severity and depression in older people: exploratory study (2009)

Iliffe, Steve, Kharicha, Kalpa, Carmaciu, Claudia, Harari, Danielle, Swift, Cameron, Gillman, Gerhard, ...

Abstract Background Pain and depression are known to be associated in later life, and both have a negative effect on physical performance both separately and in combination. The nature of the...

Recognition of and response to dementia syndrome in primary care: part 2 (2009)

Iliffe, Steve, Jain, Priya, Wilcock, Jane

This second of two articles on the recognition of and response to dementia syndrome in general practice focuses on the long-term support of patients and their families. It includes guidance on the...

Recognition of and response to dementia syndrome in primary care: part 1 (2009)

Iliffe, Steve, Jain, Priya, Wilcock, Jane

The theme of this article is the recognition of and response to dementia in general practice. Its aim is to clarify the tasks of diagnosing dementia, to advise on the use of cognitive function tests,...

service Topic collections Notes (2008)

Email Alerting, Murna Downs, Stephen Turner, Michelle Bryans, Jane Wilcock, John Keady, ...

Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study

Promotion of health in older people: a randomised controlled trial of health risk appraisal in British general practice (2008)

Harari, Danielle, Iliffe, Steve, Kharicha, Kalpa, Egger, Matthias, Gillmann, Gerhard, ...

Background: there is inadequate evidence to support currently formulated NHS strategies to achieve health promotion and preventative care in older people through broad-based screening and assessment...

'There Are Wonderful Social Workers but it's a Lottery': Older People's Views about Social Workers (2008)

Manthorpe, Jill, Moriarty, Jo, Rapaport, Joan, Clough, Roger, Cornes, Michelle, Bright, Les, ...

This paper draws on the evaluation of the impact of the English National Service Framework for Older People (NSFOP) on the experiences and expectations of older people, four years into its ten-year...

Four years on: The impact of the National Service Framework for Older People on the experiences, expectations and views of older people (2007)

Manthorpe, Jill, Clough, Roger, Cornes, Michelle, Bright, Les, Moriarty, Jo, Iliffe, Steve, ...

Aim: evaluation of the impact of the National Service Framework for Older People (NSFOP) on the experiences and expectations of older people, 4 years into its 10 year programme. Background: the...

The Hawthorne Effect: a randomised, controlled trial (2007)

McCarney, Rob, Warner, James, Iliffe, Steve, Van Haselen, Robbert, Griffin, Mark, Fisher, Peter

Abstract Background The 'Hawthorne Effect' may be an important factor affecting the generalisability of clinical research to routine practice, but has been little studied. Hawthorne Effects have been...

Development, feasibility and performance of a health risk appraisal questionnaire for older persons (2007)

Stuck, Andreas E, Kharicha, Kalpa, Dapp, Ulrike, Anders, Jennifer, Meier-Baumgartner, Hans, ...

Abstract Background Health risk appraisal is a promising method for health promotion and prevention in older persons. The Health Risk Appraisal for the Elderly (HRA-E) developed in the U.S. has...

The PRO-AGE study: an international randomised controlled study of health risk appraisal for older persons based in general practice (2007)

Stuck, Andreas E, Kharicha, Kalpa, Dapp, Ulrike, Anders, Jennifer, Meier-Baumgartner, Hans, ...

Abstract Background This paper describes the study protocol, the recruitment, and base-line data for evaluating the success of randomisation of the PRO-AGE (PRevention in Older people – Assessment...

Methodological problems in dementia research in primary care: a case study of a randomized controlled trial (2007)

Wilcock, Jane, Bryans, Michelle, Turner, Stephen, O'Carroll, Ronan E., Keady, John, Levin, Enid, ...

The emerging UK national research network in neurodegenerative diseases and dementias aims to promote large-scale community-based studies of therapeutic interventions, based in primary care. However,...

Priorities in identifying unmet need in older people attending general practice: a nominal group technique study (2007)

Drennan, Vari, Walters, Kate, Lenihan, Penny, Cohen, Shoshanna, Myerson, Sybil, Iliffe, Steve, ...

Background. Primary care practitioners are encouraged to identify unmet need in older people, but the best mechanisms for doing this are not known. Objective. To identify common unmet needs, as...

'There Are Wonderful Social Workers but it's a Lottery': Older People's Views about Social Workers (2007)

Manthorpe, Jill, Moriarty, Jo, Rapaport, Joan, Clough, Roger, Cornes, Michelle, Bright, Les, ...

This paper draws on the evaluation of the impact of the English National Service Framework for Older People (NSFOP) on the experiences and expectations of older people, four years into its ten-year...

Priorities in identifying unmet need in older people attending general practice: a nominal group technique study (2007)

Drennan, Vari, Walters, Kate, Lenihan, Penny, Cohen, Shoshanna, Myerson, Sybil, Iliffe, Steve, ...

Background. Primary care practitioners are encouraged to identify unmet need in older people, but the best mechanisms for doing this are not known. Objective. To identify common unmet needs, as...

Obstacles to Shared Care for Patients with Dementia: A qualitative study (2006)

Iliffe, Steve, Wilcock, Jane, Haworth, Deborah

Background. All Primary Care Trusts in England were meant to have shared care protocols for antidementia medication use in place by 1 April 2004. Shared care of medical treatment in dementia depends...

Obstacles to Shared Care for Patients with Dementia: A qualitative study (2006)

Iliffe, Steve, Wilcock, Jane, Haworth, Deborah

Background. All Primary Care Trusts in England were meant to have shared care protocols for antidementia medication use in place by 1 April 2004. Shared care of medical treatment in dementia depends...

Which model of successful ageing should be used? Baseline findings from a British longitudinal survey of ageing (2006)

Bowling, Ann, Iliffe, Steve

Background: there is increasing interest in how to age ‘successfully’ and in reaching consensus over its definition. Objective: to assess different models of successful ageing, using a British...

Which model of successful ageing should be used? Baseline findings from a British longitudinal survey of ageing (2006)

Bowling, Ann, Iliffe, Steve

Background: there is increasing interest in how to age ‘successfully’ and in reaching consensus over its definition. Objective: to assess different models of successful ageing, using a British...

Obstacles to Shared Care for Patients with Dementia: A qualitative study (2006)

Iliffe, Steve, Wilcock, Jane, Haworth, Deborah

Background. All Primary Care Trusts in England were meant to have shared care protocols for antidementia medication use in place by 1 April 2004. Shared care of medical treatment in dementia depends...

Factors affecting timely recognition and diagnosis of dementia across Europe: from awareness to stigma (2005)

Moniz-Cook, Esme D, Woods, Robert T, Leuschner, Antonio, Zanetti, Orazio, ...

BACKGROUND: Timely recognition and diagnosis of dementia is the pre-condition for improving dementia care, but diagnosis often occurs late in the disease process. OBJECTIVE: To compare facilitators...

Tearing down the Berlin wall: social workers' perspectives on joint working with general practice (2005)

Kharicha, Kalpa, Iliffe, Steve, Levin, Enid, Davey, Barbara, Fleming, Cass

Background. The arrangements for delivering social work and primary health care to older people in England and Wales are currently subject to rapid re-configuration, with the development of...

Tearing down the Berlin wall: social workers' perspectives on joint working with general practice (2005)

Kharicha, Kalpa, Iliffe, Steve, Levin, Enid, Davey, Barbara, Fleming, Cass

Background. The arrangements for delivering social work and primary health care to older people in England and Wales are currently subject to rapid re-configuration, with the development of...

Self-reported visual function in healthy older people in Britain: an exploratory study of associations with age, sex, depression, education and income (2005)

Iliffe, Steve, Kharicha, Kalpa, Harari, Danielle, Swift, Cameron, Gillmann, Gerhard, Stuck, Andreas

Background. Tractable but undetected visual impairment in older people may be relatively common, particularly amongst the very old and in more deprived populations. Measurement of visual acuity is...

Self-reported visual function in healthy older people in Britain: an exploratory study of associations with age, sex, depression, education and income (2005)

Iliffe, Steve, Kharicha, Kalpa, Harari, Danielle, Swift, Cameron, Gillmann, Gerhard, Stuck, Andreas

Background. Tractable but undetected visual impairment in older people may be relatively common, particularly amongst the very old and in more deprived populations. Measurement of visual acuity is...

Early Recognition of and Responses to Dementia: Health Professionals' Views of Social Services' Role and Performance (2004)

Manthorpe, Jill, Iliffe, Steve, Eden, Alison

Increasing calls for early diagnosis of dementia look set to impact on social services. This article explores some of the issues, drawing on a series of multi-professional dementia workshops held in...

General practitioners' knowledge, confidence and attitudes in the diagnosis and management of dementia (2004)

Turner, Stephen, Iliffe, Steve, Downs, Murna, Wilcock, Jane, Bryans, Michelle, Levin, Enid, ...

Objective: to measure general practitioners' knowledge of, confidence with and attitudes to the diagnosis and management of dementia in primary care. Setting: 20 general practices of varying size and...

Sooner or later? Issues in the early diagnosis of dementia in general practice: a qualitative study (2003)

Iliffe, Steve, Manthorpe, Jill, Eden, Alison

Objective. The aim of this study was to explore the perspectives of primary care practitioners on the early diagnosis of dementia. Methods. A total of 247 GPs, 146 community nurses, 36 practice...

Assessing needs from patient, carer and professional perspectives: the Camberwell Assessment of Need for Elderly people in primary care (2000)

Walters, Katherine, Iliffe, Steve, Tai, Sharon See, Orrell, Martin

Background: despite evidence that needs assessment of older people can improve survival and function when linked to effective long‐term management, there is no structured needs assessment...

The effectiveness of hospital at home compared with in-patient hospital care: a systematic review (1998)

Shepperd, Sasha, Iliffe, Steve

Background Despite the widespread adoption of hospital at home services it is not known if these services represent an effective way to manage patients, compared with in-patient hospital care. Method...

Alcohol Consumption by Elderly People: A General Practice Survey (1991)

ILIFFE, STEVE, HAINES, ANDREW, BOOROFF, ANGELA, GOLDENBERG, EVA, MORGAN, PAULA, GALLIVAN, STEPHEN

A random sample of 241 patients from General Practice registers in London were interviewed to assess alcohol consumption, cognitive impairment, depression and other factors. Fifty-one per cent of men...

Effectiveness of screening older people for impaired vision in community setting: systematic review of evidence from randomised controlled trials

Smeeth, Liam, Iliffe, Steve

Objective: To assess whether population screening for impaired vision among older people in the community leads to improvements in vision.

Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study

Downs, Murna, Turner, Stephen, Bryans, Michelle, Wilcock, Jane, Keady, John, Levin, Enid, ...

Objective To test the effectiveness of educational interventions in improving detection rates and management of dementia in primary care.

Applying community-oriented primary care methods in British general practice: a case study.

Iliffe, Steve, Lenihan, Penny, Wallace, Paul, Drennan, Vari, Blanchard, Martin, Harris, Andrew

BACKGROUND: The '75 and over' assessments built into the 1990 contract for general practice have failed to enthuse primary care teams or make a significant impact on the health of older people....

Factors affecting the shift towards a 'primary care-led' NHS: a qualitative study. National Health Service.

Craig, Neil, McGregor, Sandra, Drummond, Neil, Fischbacher, Moira, Iliffe, Steve

BACKGROUND: Local Health Care Cooperatives (LHCCs) and Primary Care Groups (PCGs) reflect the continuing importance of a shift towards a 'primary care-led NHS' as a health policy goal in England and...

The development of a short instrument to identify common unmet needs in older people in general practice

Iliffe, Steve, Lenihan, Penny, Orrell, Martin, Walters, Kate, Drennan, Vari, See Tai, Sharon

Background: No structured needs assessment tool exists that is appropriate for older people and also suitable for use in routine consultations in general practice.

Effectiveness of screening older people for impaired vision in community setting: systematic review of evidence from randomised controlled trials

Smeeth, Liam, Iliffe, Steve

Objective: To assess whether population screening for impaired vision among older people in the community leads to improvements in vision.

Applying community-oriented primary care methods in British general practice: a case study.

Iliffe, Steve, Lenihan, Penny, Wallace, Paul, Drennan, Vari, Blanchard, Martin, Harris, Andrew

BACKGROUND: The '75 and over' assessments built into the 1990 contract for general practice have failed to enthuse primary care teams or make a significant impact on the health of older people....

Factors affecting the shift towards a 'primary care-led' NHS: a qualitative study. National Health Service.

Craig, Neil, McGregor, Sandra, Drummond, Neil, Fischbacher, Moira, Iliffe, Steve

BACKGROUND: Local Health Care Cooperatives (LHCCs) and Primary Care Groups (PCGs) reflect the continuing importance of a shift towards a 'primary care-led NHS' as a health policy goal in England and...

The development of a short instrument to identify common unmet needs in older people in general practice

Iliffe, Steve, Lenihan, Penny, Orrell, Martin, Walters, Kate, Drennan, Vari, See Tai, Sharon

Background: No structured needs assessment tool exists that is appropriate for older people and also suitable for use in routine consultations in general practice.

Effectiveness of educational interventions in improving detection and management of dementia in primary care: cluster randomised controlled study

Downs, Murna, Turner, Stephen, Bryans, Michelle, Wilcock, Jane, Keady, John, Levin, Enid, ...

Objective To test the effectiveness of educational interventions in improving detection rates and management of dementia in primary care.

Is the promotion of physical activity in vulnerable older people feasible and effective in general practice?

Dinan, Susie, Lenihan, Penny, Tenn, Trish, Iliffe, Steve

There is convincing evidence about the benefits of exercise training in community dwelling frailer older people, but little evidence that this intervention can be delivered in general practice. In...