Implementing new care pathways for chronic subdural haematoma (IMPROVE-CSDH)

We would love your views on new care pathways for chronic subdural haematoma (cSDH) patients in the East of England. We want to understand their uptake, impact, and evolution.

About this project

Chronic subdural haematoma (cSDH) is a common neurosurgical condition often requiring surgery in specialized hospitals. Patients with cSDH are typically older, have other health issues, and often need transfers between hospitals for diagnosis and surgery, which can lead to delays and potential harm. In response, new national guidance (available here) has been introduced, and the East of England neurosurgical unit at Addenbrooke’s Hospital is adapting its care pathways. This project aims to explore:

  • Healthcare professionals' and managers' views on new care pathways
  • The uptake, impact, and evolution of new care pathways

Healthcare professionals or managers involved in the care of patients with cSDH at, or referring to, the neurosurgical unit at Addenbrooke’s hospital are invited to share their insights.

This project is being led by doctors and researchers at the University of Cambridge and is funded by the National Institute for Health and Care Research (NIHR). It is part of a broader initiative focused on improving specialist surgical delivery.

Logos for Improve CSDH and Funded by NIHR.
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Before you start

  • To take part you need to be a healthcare professional or manager involved in cSDH patient care at the Addenbrooke’s neurosurgical unit, Cambridge, or referring hospitals across the East of England.
  • You will be asked to complete a survey asking you for your views on care pathways for cSDH based at Addenbrooke’s hospital.
  • You will also be asked a little bit about your role (e.g. are you a surgeon, a nurse, or anaesthetist) and where you work (within the neurosciences unit or one of its referring hospitals)
  • You do not have to answer all of the questions if you do not want to.
  • If you would like to receive a summary of the results or are happy to be invited to future stages of the project, we will ask you to provide your name and email address at the end.
  • We plan to repeat the survey at six-monthly intervals and invite participants to take part in more detailed follow-up interviews to explore things in more detail. Taking part in this stage of the project does not commit you to taking part in subsequent parts.
  • You do not have to complete the survey all at once but if you do need to take a break, please use the same device and browser to continue where you left off.
  • Confidentiality is important and will be maintained at all times. This is how we manage your data.

Take part

This survey should take about 10 minutes to complete.

Close date: INSERT

Please note that the survey takes about 10 seconds to load.

Project Team

This project is being led by the team at the University of Cambridge.

Dr Daniel Stubbs

Dr Daniel Stubbs

NIHR Advanced Fellow & Honorary Consultant Anaesthetist

University of Cambridge & Cambridge University Hospitals NHS Foundation Trust

Dr Benjamin Davies

Dr Benjamin Davies

Specialist Registrar in Neurosurgery

Cambridge University Hospitals NHS Foundation Trust

Got a question?

For questions or concerns about anything to do with the project, please email the research team at help@thiscovery.org.

Information for participants

For further details about this project, please read the information below.

Who is running this project?

  • This project is being led by researchers from the University of Cambridge and clinicians from Cambridge University Hospitals NHS Foundation Trust. You can find out more about these organisations on their websites: www.cuh.nhs.uk and www.cam.ac.uk.
  • The project will be hosted on Thiscovery, a secure online platform that enables the health and care system to improve and innovate through collaboration. Thiscovery is developed and run by THIS Labs, an independent organisation formed as a strategic collaboration between THIS Institute and The Health Foundation. THIS Labs administers this project for the University of Cambridge and Cambridge University Hospitals NHS Foundation Trust

What does taking part involve?

How do I take part?

  • This project consists of up to four surveys. Invites to take part will be sent approximately every six months over a two-year period.  Survey participants will also be invited to take part in a follow-up interview. However, completing one part of the project does not mean you are committed to taking part in subsequent parts.
  • To take part you will be asked to complete eligibility questions and an online consent form
  • In the surveys you will be asked about:
    • Your involvement in the implementation of new care pathways
    • Your views on uptake and impact of new care pathways
    • Whether you have any other suggestions on how care pathways could be improved
  • By repeating our survey at six-monthly interviews we will be able to see how staff views change over time.
  • We will also invite staff to take part in a follow-up interview to explore these issues in more details.  
  • Invites to participate will be sent twice over the course of the project
  • Interviews will take place online via video call using the Thiscovery platform
  • Further details on the interviews is available here

Do I have to answer all the questions?

  • You do not have to answer all of the questions. However, we hope you will answer as many questions as possible, as this will provide the best possible information about your views and experience.

How much time will it take?

  • We expect the survey should take around 10 minutes to complete however you can take as much time filling in the survey as you require.

Can I take a break part way through answering questions?

  • Yes of course. You do not have to answer all the questions in one go.  
  • If you do need to take a break, use the 'Next' button to save your answers to that point. Please use the same device and browser to continue where you left off.  

Can I ask for help to complete the questions?

  • Yes. You can ask someone to help you navigate Thiscovery or answer the questions, if you would like. This could be a family member or friend, for example.
  • If you ask for help, please do answer the questions from your own point of view, rather than the views of the person helping.

Is there a deadline for completing the questions?

  • The deadline for completing questions is shown on the project webpage. Please do answer all the questions you wish to by this date.

What if I want to stop taking part?

  • If you change your mind about taking part in this project you can withdraw at any time without giving a reason. However, it may not be possible to remove data that have already been submitted. To withdraw from the project please email help@thiscovery.org.

What are the possible benefits of taking part?

  • By taking part in this study, you will have an opportunity to share your views on how patients with a chronic subdural haematoma are cared for and how this might be improved.  These insights will help the project team to understand if new care pathways could be rolled-out nationally, help other groups of patients needing surgery, or can be refined to work more effectively.  

Are there any disadvantages or risks of taking part?

  • There are no major risks in taking part as your responses will be completely anonymous.  You do not have to answer any questions you do not want to and can stop at any time. If you find taking part in this project distressing in any way, please get in touch directly with us via help@thiscovery.org.

What will happen to the project findings?

What happens to my answers?

  • Your answers will be analysed along with the answers from all other participants and will be used to understand whether new care pathways are being implemented effectively, are helping patients, or could be further improved.  Findings from the project may also be published in online reports or journals and publicised on social media. Nobody will be able to identify you in any findings that are published: any quotations used in reporting will be anonymised and not attributable to a specific individual.

How can I learn about the findings of the project?

  • You will be emailed a summary of findings when they are ready, if you have chosen to be contacted for this purpose. You can let us know at the end of the survey, should you choose to take part.

How will my data be looked after?

Data security   

  • Your right to privacy is important to Thiscovery and to the project team.
  • Thiscovery takes the security of your information seriously and has policies and processes in place to ensure that your data is safe. 
  • Thiscovery’s privacy policy describes the way information is collected, used and protected. 
  • For specific information about how information will be used in this project, please see below. 

Who is responsible for collecting my information?  

  • Thiscovery is collecting information about you on behalf of the IMPROVE CSDH project team, based at the University of Cambridge.    
  • Under data protection legislation, the University of Cambridge is the Controller for the project. This means that they are responsible for making sure your personal information is kept secure, confidential and used only in the way you have been told it will be used. They are supported in this by Thiscovery who are known as data processors for this project. 
  • Thiscovery are data controllers for your contact information (name and email address), should you choose to provide this at the end of the survey and give consent for Thiscovery to use this to contact you. Thiscovery are therefore also responsible for making sure this personal information is kept secure, confidential and used only in the way you have been told it has been used.

What information will you collect about me?   

  • To take part in this project the project team will need to collect information that could identify you, called “personal identifiable information”. They will need to use the following information from you for this project:   
    • Your answers to questions; some of the information that you provide whilst answering questions might be considered as health data or other data that would be classed as Special Category data under the UK General Data Protection Regulation (UK GDPR).   
    • Optional information about your professional role, clinical area of work and your involvement in the care of patients with chronic subdural haematoma.
    • Your name and email address if you would like to be contacted by the project team to find out more about their work or the findings of the study, to be invited to take part in future activities, to be acknowledged by name on publications and/or to receive a certificate of participation.  

What is your lawful basis for processing my personal information?   

  • Thiscovery is collecting and storing this personal identifiable information in accordance with UK data protection laws which protect your rights. These state there must be a lawful basis (specific reason) for collecting your data. The lawful basis for processing your personal information is decided by the University of Cambridge as Controllers for the data.   
  • For this project, the collection of the personal identifiable information is done on the basis of “a public interest task” and “a process necessary for research purposes”. 

How will my personal information be looked after?   

Your data will be looked after in the following way: 

  • If you opt to provide your name and email address, Thiscovery will keep this securely. We will only contact you with your permission to provide a summary of results, to invite you to future activities, to enable acknowledgement of your participation in publications, to provide a certificate of participation or to let you know about the project team’s work – depending on your stated preferences.  
  • The only circumstances in which the project team based at the University of Cambridge will have access to your name and email address (if provided) is if you have given permission for them to contact you directly. In these circumstances, your name and email address are not linked to the information you have provided by answering questions in the project.  
  • We separate your name and email address (if provided) from any answers you provide as part of this project and store these securely in separate datasets, one containing contact details and one containing your project responses.   
  • This means that in the project dataset, instead of using your name and email to identify your responses, an ID number will be used instead. This is called pseudonymisation.   
  • The pseudonymised dataset is what the project team will use for analysis. This dataset may contain other personal information as part of the answers you give to questions in the project, such as information about your role.
  • Unfortunately, if you opt out of providing your name or email, you may not be able to withdraw from the project if you decide later you no longer wish to be involved, as it may not be possible to identify your response. 
  • We take appropriate technical and organisational measures to ensure that your information is kept secure, accurate and up to date, and only kept as long as is reasonable and necessary.   
  • Although we use appropriate security measures once your personal information is received, the transmission of information when you submit it over the internet is never completely secure. We do our best to protect personal information but cannot guarantee the security of information transmitted to its website, so any transmission is at the user’s own risk.   
  • Further information on how Thiscovery will process your personal information, and how to manage your Thiscovery account (if you have one), is available in Thiscovery’s privacy policy.   

Will my personal information ever be shared?   

  • We will never share personal information in any way not described in this participation information or in Thiscovery’s privacy policy.   
  • However, occasionally information provided within a project may be useful to better understand how to conduct online research or to develop new approaches to analysing data.   
  • If you agree to take part in this project, we may use some of the information we gather from you to improve the methods we use on Thiscovery. If, to do so, we need to share information with external researchers or analysts, all information will be fully anonymised.   
  • By anonymised, we mean that we will:
    • remove the ID number used to link your answers to your name and/or email (if provided)
    • locate and remove any other identifying information (for example, names of NHS Trusts, place names)  
    • locate and remove any other indirect identifying information (such as specific details about health or experiences)    

How long will my personal information and identifiable responses be held?   

  • Thiscovery and the project team at the University of Cambridge will not keep personal data longer than is necessary for the purpose or purposes for which they were collected. For this project, this means that once the project team have finished all analyses and produced all the outputs needed for the project, we will take all reasonable steps to destroy, or erase from systems, all data that is no longer required.

What if I have a complaint or concern?   

  • For questions or concerns about anything to do with the project, please contact the project team/the Project Lead Dr Daniel Stubbs at djs225@cam.ac.uk.
  • For technical problems or questions about the platform, please contact the Thiscovery team at help@thiscovery.org.  

How can I find out more about how my personal data is used?   

Data security
Thiscovery takes the security of your information seriously. Thiscovery's privacy policy describes the way information is collected, used, and protected to ensure that your data is safe.