GRAPE: General Practitioners’ Role in Advancing Practice in Care Homes (GRAPE study): realist review - AMM02

Older people who live in care homes have a high level of need with complex health conditions. In addition to providing medical care to residents, general practitioners (GPs) play a role as gatekeeper for access to services, as well as leadership within healthcare provision. This review will describe how GPs were involved in initiatives to change arrangements of healthcare services in order to improve quality and experience of care. The study is led by Prof Adam Gordon EM ARC and Prof Claire Goodman theme lead Ageing and Multi morbidity is a co-applicant.

The realist review will test in line with RAMESES guidance what is thought to support how GPs work with care home staff to bring about improvements. The review includes interviews with GPs to ask their views on improvement in care homes. And  a context expert group to reflect on our findings.

Funder National Institute of Health Service Delivery Research programme.