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6 monthly e-newsletter Issue 3 – October 2015 OPTCARE Neuro aims to determine the effectiveness and cost-effectiveness of Short term Integrated Palliative care (SIPC) for people severely affected by Long-term neurological conditions (Multiple Sclerosis, Parkinsonism and related disorders, and Motor Neurone Disease). See our webpage for more information: tinyurl.com/optcareneuro Cardiff site now open for recruitment with Brighton and Hove to follow in November! On 7th July, OPTCARE Neuro opened for recruitment at our Cardiff site, led by Site Principal Investigator Dr Anthony Byrne. With Cardiff now open, 4 sites are now recruiting for the study, with Brighton and Hove due to open as a 5th in November this year. Committee meetings Our Study Steering Committee (SSC) and Data Monitoring and Ethics Committee (DMEC) have both had meetings via teleconference to ensure the project is running smoothly. Dr David Oliver, a member of the DMEC, has spoken of his support of the study; “This is a very important study and there is a real need to have evidence for the effectiveness of palliative care for neurological patients. The European Association for Palliative Care Taskforce has been looking at this area and we have been struck by the lack of good evidence and I do hope that all involved will continue to recruit and support the study”. The OPTCARE Neuro PPI Committee have also met, and provided the study team with their advice on aspects of the study from the perspectives of those who have first-hand experience of living with Long term Neurological Conditions. In the media: On 24th July, King’s College Hospital issued a press release on OPTCARE Neuro as a first in the world study! Our Nottingham team have been busy publicising the study, with a piece in the Nottingham post on 31st August, and an interview with site PI Dr Vincent Crosby on BBC Radio Nottingham on 2nd September. RECRUITMENT UPDATE OPTCARE Neuro is aiming to recruit 356 patients to the study across at least 5 sites around the UK by the end of 2016. The graph shows progress to date at each of our sites currently open. Congratulations to the teams at each site who have recruited their first patient, especially both the King’s College London team, who are currently in the lead, and the Nottingham team, following closely behind! Being a part of OPTCARE Neuro “Despite having been diagnosed with Parkinson’s nearly 10 years ago and participating in many research projects over this period, I am only now beginning to appreciate fully the wide range of symptoms that may be suffered by people with the disease and the severe impact that these may have on quality of life. Most people are unaware of the wide scope of potential non-motor symptoms ranging from loss of sense of smell to constipation, sleep problems, depression, anxiety and significant cognitive impairment. While each Parkinson’s patient will display a unique combination of motor and non-motor symptoms there will be an increasing need as the disease progresses, to treat these collectively to maintain the best quality of life possible. As such a Parkinson’s patient, I welcome the OPTCARE Neuro study as it will promote need to take a holistic approach to treating the range of symptoms suffered by people with Parkinson’s and other neurological diseases. I also believe that the study has the potential to identify how these treatments can be integrated even over a comparatively short period to maximise their benefits to patients. I believe that it is vital that those patients with progressive and (so far) incurable neurological conditions such as Parkinson’s fight the progression of their disease. Taking part in research studies such as OPTCARE Neuro is one way of doing this. In addition, I am aware that most of the medications used to treat me have only been approved after research and trials on other patients. I think it only fair, therefore that I too volunteer to participate in research projects”. David Charlton PPI Committee Member - Parkinson’s Patient Representative OPTCARE Neuro in Nottingham Patients in Nottingham will be identified by the specialist neurology and rehabilitation teams working in close collaboration with the research team at Nottingham University Hospitals NHS Trust. This ensures that eligible patients are offered the opportunity to take part in this important research. Once randomised into the study, patients are contacted and seen by the specialist palliative care team to complete the intervention in the most appropriate setting. So far, most patients have chosen to be seen at home, but some have preferred to be seen at Hayward House, the specialist palliative care unit in the grounds of the Nottingham City Hospital campus. Andrew Dodsworth, the first patient in Nottingham to be recruited into the study, said: "I had no hesitation in taking part. To potentially help people further down the line is a big motivation.” "If someone else can offer you their expertise and support, and to be able to give them a ring if you need help, that's only a good thing." Dr Vincent Crosby Nottingham Site Principal Investigator and Co-applicant Andrew’s wife commented that “introduction to the palliative care team although early in the disease process has been of psychological benefit. It has been reassuring to know that services are available as the disease progresses and that we are familiar with the team.” Sarah Freer lead Nurse for the specialist palliative care team said “the palliative care nurses have relished the opportunity to be involved in this ground-breaking research.” Above: The Nottingham Research Team. Top, left to right: Asmah Hussain, Dr Andrew Wilcock, Sarah Farnan. Bottom, left to right: Dr Sarah Awan, Cathann Manderson Above: Three of the Nottingham Palliative Care Nurses involved in delivering the trial intervention. Left to right Roz Bexon, Alison Freemantle and Claire Hall SAVE THE DATE: Wednesday 4th May 2016 The Cicely Saunders Institute Conference 2016 – Palliative care for those with Long Term Neurological Conditions If you have any queries regarding any of the information in this newsletter, please do not hesitate to contact us via: Email: [email protected], Tel: 020 7848 5578, Fax: 020 7848 5517 This study is funded by the National Institute for Health Research HS & DR programme (Ref No. 12/130/47) Page | 2