R. Bajpai

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

Abstract Introduction Post-stroke cognitive impairment (PSCI) remains a common problem that can lead to significant disability and dependency. Previous work suggested that methodologically robust trials were lacking and that there is continued uncertainty on the benefits and limitations of pharmacological and non-pharm...

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