Improving the care of frail older people


Award amount: £674,061

PEACH study logo

Principal Investigator: Dr Adam Gordon

Lead institution: University of Nottingham

This study – called Proactive Health Care of Older People in Care Homes (PEACH) –  aimed to help an NHS and care home community to develop a Quality Improvement (QI) programme to deliver consistent, high quality and proactive healthcare for residents.

It aimed to describe the care delivered, its effects on quality of life and on how often residents used the NHS. It also sought to count the cost of healthcare and weigh it against benefits gained. In addition, it also sought to describe how other regions could do similar work within existing resources, to help the NHS realise the benefits of providing timely and person-centred care for care home residents on a proactive basis.

The PEACH team was led by researchers at the University of Nottingham, but was a collaboration between several universities, NHS Trusts and local care homes and included a wide range of multidisciplinary academic and clinical skills, as well as care home managers and lay representatives.

You can read more about the findings via the drop-down boxes on the right.



First publication now published in the British Medical Journal: protocol for realist review of comprehensive assessment in care homes.


Register for the Annual Lectures 2019

Adam Gordon will be presenting the findings of the PEACH study at our 2019 Annual Lectures. 


Blog series

In the run-up to the Annual Lectures on June 19th, 2019, the team will be releasing a series of blogs on the learning from the project.  You can read them here…

#1: Sometimes rewarding, sometimes challenging, but always educational

“Sometimes rewarding, sometimes challenging, but always educational”.

Lessons from the PEACH study about working with care homes on quality improvement programmes.



Reena Devi is Senior Fellow in Care Home Research at the University of Leeds, she tweets as @_DrReenaDevi

Adam Gordon is Associate Professor of the Medicine of Older People at the University of Nottingham, he tweets as @adamgordon1978


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