R. Bajpai

Interventions to reduce cognitive decline post-stroke: an umbrella review

Current evidence is insufficient to support firm recommendations for the inclusion of specific interventions in guidance for PSCI, and promising evidence that several interventions may produce clinically meaningful improvements in global cognition post-stroke is identified.

Building an evidence base for the use of Advice and Guidance Referrals at the primary-secondary care interface: multistage mixed-methods study

Background: Advice and Guidance (A&G) was introduced in NHS primary care to reduce waiting times for elective care and improve access to specialist input without the need for an outpatient referral. However, its impact on care pathways and equity remains unclear, especially for underserved populations.   Approach: Th...

Evaluating the impact of Advice and Guidance on diagnostic pathways and healthcare use in England: retrospective cohort study, 2015-2022