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Dr Elizabeth Teale

Home > Our team > Dr Elizabeth Teale

Clinical Senior Lecturer in Geriatric Medicine

ORCID 0000-0002-6221-8844

Dr Elizabeth Teale was appointed in 2012 to her current role of Senior Clinical Lecturer at the Academic Unit for Ageing and Stroke Research (Leeds Institute of Health Sciences), and honorary Consultant Geriatrician at Bradford Teaching Hospitals NHS Foundation Trust.

She graduated in 2000 from Leeds Medical School and completed her junior doctor training in West Yorkshire. During her Specialist Registrar training she completed a Masters in Public Health (MPH) and an MD exploring case-mix adjustment models for stroke.

Research interests

Elizabeth has a research interest in delirium, frailty and patient reported experience measures. She has conducted research in hospital, community and care home settings.

She is currently Chief Investigator for the OPTIMISE study – aiming to prevent older people decompensating in hospital through development of a novel system of care to target five key manifestations of frailty. Elizabeth is also a co-investigator on the older people’s theme of the YH-ARC, and is the clinical expert for the Partners at Care Transitions (PACT) programme.

Previous work has included investigating routine detection of delirium in care homes, and exploring different models of community hospital care.
In conjunction with NHS Benchmarking, Elizabeth led the development of the Patient Reported Experience Measure (PREM) that has been included in sequential rounds of the National Audit of Intermediate Care. She performed key development and validation work for the electronic Frailty Index (eFI), which has since had a major impact on NHS policy and forms the basis for an ongoing portfolio of research led by Professor Clegg.

Elizabeth is Associate Editor for Systematic Reviews for Age and Ageing and a member of the Editorial Board. She is also a member of the advisory group for both the National Audit of Intermediate Care, and the National Audit for Care at the End of Life (NHS Benchmarking Network).

She is currently leading the Cochrane Review for non-pharmacological interventions for the management of delirium, and is a co-author of the Cochrane review on interventions to prevent delirium in hospitalised patients.

Recent Funding Awarded

Heaven A, Kime N, Johansson J, Teale E, Sharp C, Connor J. A qualitative exploration of older women and healthcare professional experiences to guide improvements in osteoporosis care – comms approval. NIHR RfPB £153,268.00

Clegg A, Birks Y, Boijke C, Farrin A, Forster A, Hawkins R, Hawley M, Mountain G, Mukuria C, Rodriguez M, Reeve J, Richards S, Sheard L, Spilsbury K, Teale E, West R, Wilberforce M. Applied Research Collaborations: Older People with Frailty theme. NIHR Applied Research Collaborations £1,424,815; 01/10/2019-30/09/2024

Teale E, Forster A, Young J, Farrin A, Coleman S, Nixon J, Cundill B, Conroy S, Hulme C, Clarke D, Banerjee J, Jeffrey C, Lawton R. Developing a novel system of care targeting risk factors for five manifestations of frailty to maintain the independence of older people in hospital and post-discharge. NIHR Programme Development Grant £99,952; 01/04/2019-30/09/2020.

Teale E, Young J, Schuurmans M, Siddiqi N, Munyombwe T. Investigation of the Delirium Observation Screening Scale for the routine detection of delirium in care homes by care home staff. NIHR RfPB,£306,267; 01/05/2014-31/08/2016.

Young J, Clegg A, Nolan M, Mountain G, Teale E, Spilsbury K, Hanratty B, Noble B, Parry J Bates C, Hawkins R, Astell A, Young T. Avoiding Attendance and Admission in Long Term Conditions. Theme: Primary Care-Based Management of Frailty in Older People. NIHR CLAHRC. £1million, 01/01/2014 – 31/12/2018.

Young J, Godfrey M, Teale E, Smith A, Longo R, Gannon B, Hulme C, Enderby P, Eardley H, Holditch C, Tucker H. A study to understand and optimise community hospital care in the NHS. NIHR HS&DR Programme, £469,393; 01/07/2014-31/10/2017.

Recent Publications

Ford DM, Budworth L, Lawton R, Teale EA, O’Connor DB. In-hospital stress and patient outcomes: A systematic review and meta-analysis. PLoS One 2023;18(3): e0282789. https://doi.org/10.1371/journal.pone.0282789

Coleman S, Wray F, Hudson K, Forster A, Conroy S, Tremyl J, Shenkin SD, Nixon J, Fader M, Goodwin VA, Woods D, Crossland S, Holt R, Mcgregor L, Maud R, Wyrko Z, Lamb SE, Teale E. Using consensus methods to prioritize modifiable risk factors for development of manifestations of frailty in hospitalized older adults. Nursing Open 2023;10(2):1016-1028. https://doi.org/10.1002/nop2.1370

Wray F, Coleman S, Clarke D, Hudson K, Forster A, Teale, E. Risk factors for manifestations of frailty in hospitalized older adults: A qualitative study. Journal of Advanced Nursing 2022;78(6):1688– 1703. https://doi.org/10.1111/jan.15120

Burton JK, Craig L, Yong SQ, Siddiqi N, Teale EA, Woodhouse R, Barugh AJ, Shepherd AM, Brunton A, Freeman SC, Sutton AJ, Quinn TJ. Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients. Cochrane Database of Systematic Reviews 2021, Issue 11, CD013307 SN: 1465-1858. https://doi.org//10.1002/14651858.CD013307.pub3

Brown L, Heaven A, Quinn C, Goodwin V, Chew-Graham C, Mahmood F, Hallas S, Jacob I, Brundle C, Best K, Daffu-O’Reilly A, Spilsbury K, Young TA, Hawkins R, Hanratty B, Teale E, Clegg A. Community Ageing Research 75+ (CARE75+) REMOTE study: a remote model of recruitment and assessment of the health, well-being and social circumstances of older people. BMJ Open 2021;11(11):e048524. https://doi.org/10.1136/bmjopen-2020-048524

Burton JK, Craig LE, Yong SQ, Siddiqi N, Teale A, Woodhouse R, Barugh AJ, Shepherd AM, Brunton A, Freeman SC, Sutton AJ, Quinn TJ. Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients. Cochrane Database of Systematic Reviews 2021, Issue 7. Art. No.: CD013307. https://doi.org/10.1093/ageing/afab130.

Young J, Green J, Godfrey M, Smith J, Cheater F, Hulme C, Collinson M, Hartley S, Anwar S, Fletcher M, Santorelli G, Meads D, Hurst K, Siddiqi N, Brooker D, Teale E, Brown A, Forster A, Farrin A, Inouye S. The Prevention of Delirium system of care for older patients admitted to hospital for emergency care: the POD research programme including feasibility RCT. Programme Grants Applied Research 2021;9(4). https://doi.org/10.3310/pgfar09040

Davis D, Teale E, Harwood RH. Delirium. Oxford Textbook Of Old Age Psychiatry (3 Edn) 2020; DOI: 10.1093/med/9780198807292.001.0001. Edited by Tom Dening, Alan Thomas, Robert Stewart, and John-Paul Taylor. Publisher: Oxford University Press

Green J, Smith J, Teale E, Collinson M, Avidan M, Schmitt E, Inouye S, Young J. Use of the Confusion Assessment Method in multicentre delirium trials: training and standardisation. BMC Geriatrics 2019;19:107. https://doi.org/10.1186/s12877-019-1129-8

Brown L, Young J, Teale E, Santorelli G, Clegg A. A Cross-Sectional Study of the Impact of Pain in Older People with Frailty: Findings from the Community Ageing Research 75+ (CARE75+) Study. Advances in Geriatric Medicine and Research 2019;1:e190002. https://doi.org/10.20900/agmr20190002

Miller C, Teale E, Banerjee J, ‘Cognitive Impairment in Older People Presenting to the ED. In: Christian N, Bellou A, Conroy S, ed., Geriatric Emergency Medicine. Cham, Switzerland: Springer International Publishing, 2018: 199-207 doi.org/10.1007/978-3-319-19318-2_5

Heaven A, Brown L, Young J, Teale E, Hawkins R, Spilsbury K, Mountain G, Young T, Goodwin V, Hanratty B, Chew-Graham C, Brundle C, Mahmood F, Jacob I, Daffu-O’Reilly A, Clegg A. Community ageing research 75+ study (CARE75+): an experimental ageing and frailty research cohort. BMJ Open 2019;9(3):e026744. doi: 10.1136/bmjopen-2018-026744

Brundle C, Heaven A, Brown L, Teale E, Young J, West R, Clegg A. Convergent validity of the electronic frailty index. Age Ageing 2019;48(1):152-156.

Teale EA, Munyombwe T, Siddiqi N, Schuurmans M, Young J. A prospective observational study to investigate utility of the Delirium Observational Screening Scale (DOSS) to detect delirium in care home residents. Age Ageing 2018;47(1):56-61

Teale EA. Haloperidol for delirium prevention: uncertainty remains. Age Ageing 2018;47(1):3-5. doi: 10.1093/ageing/afx163

Cinocca S, Rucci P, Randazzo C, Teale E, Pianori D, Ciotti E, Fantini MP. Validation of the Italian version of the Patient Reported Experience Measures for intermediate care services. Patient Prefer Adherence 2017;11:1671-1676. doi: 10.2147/PPA.S140041

Ramadan H, Patterson C, Maguire S, Melvin I, Kain K, Teale E, Forster A. Incidence of first stroke and ethnic differences in stroke pattern in Bradford, UK: Bradford Stroke Study. International Journal of Stroke 2017; doi 10.1177/1747493017743052

Teale EA, Siddiqi N, Clegg A, Todd OM, Young J. Non-pharmacological interventions for managing delirium in hospitalised patients. Cochrane Database of Systematic Reviews 2017(4):10 Apr 2017 DOI 10.1002/14651858.CD005995.pub2

Todd OM, Teale EA. Delirium: a guide for the general physician. Clinical Medicine 2017;17(1):48-53. doi: 10.7861/clinmedicine.17-1-48

Gladman J, Buckell J, Young J. Smith A, Hulme C, Saggu S, Godfrey M, Enderby P, Teale E, Longo R, Gannon B, Holditch C, Eardley H, Tucker H. Understanding the Models of Community Hospital rehabilitation Activity (MoCHA): a mixed method study. BMJ Open 2017;7: e010483. doi:10.1136/ bmjopen-2015-010483

Teale E, Young J, Siddiqi N, Munyombwe T, Harrison J, Schuurmanns M. Study protocol: Investigation of the Delirium Observation Screening Scale (DOSS) for the routine detection of delirium in the care home setting: a prospective cohort study. BMJ Open BMJ 2016;6:e009615 doi:10.1136/bmjopen-2015-009615.

Clegg A, Bates C, Young J, Ryan R, Nichols L, Teale E, Mohammed MA, Parry J, Marshall T Development and validation of an electronic frailty index using routine primary care electronic health record data Age Ageing 2016;45(3):353-60.

Siddiqi N, Harrison JK, Clegg A, Teale EA, Young J, Taylor J, Simpkins SA. Interventions for preventing delirium in hospitalised non-ICU patients. Cochrane Database Of Systematic Reviews 2016; DOI 10.1002/14651858.CD005563.pub3. Issue 3.

Teale E, Young J. Multicomponent delirium prevention: not as effective as NICE suggest? Age Ageing 2015;44(6):915-7.

Young J, Cheater F, Collinson M, Fletcher M, Forster A, Godfrey M, Green J, Anwar S, Hartley S, Hulme C, Inouye SK, Meads D, Santorelli G, Siddiqi N, Smith J, Teale E, Farrin AJ. Prevention of delirium (POD) for older people in hospital: study protocol for a randomised controlled feasibility trial. Trials 2015, 16:340. doi:10.1186/s13063-015-0847-2.

Teale EA, Young J.A Patient Reported Experience Measure (PREM) for use by older people in community services. Age Ageing 2015;44(4):667-672.

Holt R, Teale EA, Mulley GP, Young J. A prospective observational study to investigate the association between abnormal hand movements and delirium in hospitalised older people. Age Ageing 2015;44(1):42-45.

Clegg A, Bates C, Young J, Teale E, Parry J. Development and validation of an electronic frailty index using existing primary care health record data. Age Ageing 2014;43(2):ii19. [Abstract].

Teale EA,Iliffe S, Young J.Subdural haematoma in the elderly. BMJ 2014;348:g1682.

Teale EA, Iliffe S, Young J. Subdural hematoma in elderly patients. Praxis2014;103(15):903-906.

Teale EA, Munyombwe TM, Young JB.The scaling properties of the Subjective Index of Physical and Social Outcome following stroke in a study population unselected by age. Archives Of Physical Medicine And Rehabilitation 2013;94:2448-55.

Teale E, Young J, Dennis M, Sheldon T. Predicting Patient-Reported Stroke Outcomes: A Validation of the Six Simple Variable Prognostic Model. Published online with the citation Cerebrovasc Dis Extra 2013;3:97-102 (DOI: 10.1159/000351142).

Teale E, Young J, Sleigh I “A point of care electronic stroke data collection system” British Journal of Health Care Management 2013; 19(1):10-15.

Munyombwe T, Teale E, West R, Hill K, Tu YK, Young J. Impact of early disability on six month physical function after stroke: a latent profile analysis. Age Ageing 2012;41:84-84 (abstract).

Teale E, Forster A, Munyombwe T, Young J. A systematic review of case-mix adjustment models for stroke. Clin Rehabil 2012; 26(9):771-786.

Teale EA, Young J. A review of stroke outcome measures valid and reliable for administration by postal survey. Reviews in Clinical Gerontology 201020(4):338-353

Burton JK, Craig LE, Yong SQ, Siddiqi N, Teale A, Woodhouse R, Barugh AJ, Shepherd AM, Brunton A, Freeman SC, Sutton AJ, Quinn TJ. Non‐pharmacological interventions for preventing delirium in hospitalised non‐ICU patients. Cochrane Database of Systematic Reviews 2021, Issue 7. Art. No.: CD013307. https://doi.org/10.1093/ageing/afab130

Young J, Green J, Godfrey M, Smith J, Cheater F, Hulme C, Collinson M, Hartley S, Anwar S, Fletcher M, Santorelli G, Meads D, Hurst K, Siddiqi N, Brooker D, Teale E, Brown A, Forster A, Farrin A, Inouye S. The Prevention of Delirium system of care for older patients admitted to hospital for emergency care: the POD research programme including feasibility RCT. Programme Grants Applied Research 2021;9(4) ,

Green J, Smith J, Teale E, Collinson M, Avidan M, Schmitt E, Inouye S, Young J. Use of the Confusion Assessment Method in multicentre delirium trials: training and standardisation. BMC Geriatrics 2019;19:107. https://doi.org/10.1186/s12877-019-1129-8

Brown L, Young J, Teale E, Santorelli G, Clegg A. A Cross-Sectional Study of the Impact of Pain in Older People with Frailty: Findings from the Community Ageing Research 75+ (CARE75+) Study. Advances in Geriatric Medicine and Research 2019;1:e190002. https://doi.org/10.20900/agmr20190002

Miller C, Teale E, Banerjee J, ‘Cognitive Impairment in Older People Presenting to the ED. In: Christian N, Bellou A, Conroy S, ed., Geriatric Emergency Medicine. Cham, Switzerland: Springer International Publishing, 2018: 199-207 doi.org/10.1007/978-3-319-19318-2_5

Heaven A, Brown L, Young J, Teale E, Hawkins R, Spilsbury K, Mountain G, Young T, Goodwin V, Hanratty B, Chew-Graham C, Brundle C, Mahmood F, Jacob I, Daffu-O’Reilly A, Clegg A. Community ageing research 75+ study (CARE75+): an experimental ageing and frailty research cohort. BMJ Open 2019;9(3):e026744. doi: 10.1136/bmjopen-2018-026744

Brundle C, Heaven A, Brown L, Teale E, Young J, West R, Clegg A. Convergent validity of the electronic frailty index. Age Ageing 2019;48(1):152-156.

Teale EA, Munyombwe T, Siddiqi N, Schuurmans M, Young J. A prospective observational study to investigate utility of the Delirium Observational Screening Scale (DOSS) to detect delirium in care home residents. Age Ageing 2018;47(1):56-61

Teale EA. Haloperidol for delirium prevention: uncertainty remains. Age Ageing 2018;47(1):3-5. doi: 10.1093/ageing/afx163

Cinocca S, Rucci P, Randazzo C, Teale E, Pianori D, Ciotti E, Fantini MP. Validation of the Italian version of the Patient Reported Experience Measures for intermediate care services. Patient Prefer Adherence 2017;11:1671-1676. doi: 10.2147/PPA.S140041

Ramadan H, Patterson C, Maguire S, Melvin I, Kain K, Teale E, Forster A. Incidence of first stroke and ethnic differences in stroke pattern in Bradford, UK: Bradford Stroke Study. International Journal of Stroke 2017; doi 10.1177/1747493017743052

Teale EA, Siddiqi N, Clegg A, Todd OM, Young J. Non-pharmacological interventions for managing delirium in hospitalised patients. Cochrane Database of Systematic Reviews 2017(4):10 Apr 2017 DOI 10.1002/14651858.CD005995.pub2

Todd OM, Teale EA. Delirium: a guide for the general physician. Clinical Medicine 2017;17(1):48-53. doi: 10.7861/clinmedicine.17-1-48

Gladman J, Buckell J, Young J. Smith A, Hulme C, Saggu S, Godfrey M, Enderby P, Teale E, Longo R, Gannon B, Holditch C, Eardley H, Tucker H. Understanding the Models of Community Hospital rehabilitation Activity (MoCHA): a mixed method study. BMJ Open 2017;7: e010483. doi:10.1136/ bmjopen-2015-010483

Teale E, Young J, Siddiqi N, Munyombwe T, Harrison J, Schuurmanns M. Study protocol: Investigation of the Delirium Observation Screening Scale (DOSS) for the routine detection of delirium in the care home setting: a prospective cohort study. BMJ Open BMJ 2016;6:e009615 doi:10.1136/bmjopen-2015-009615.

Clegg A, Bates C, Young J, Ryan R, Nichols L, Teale E, Mohammed MA, Parry J, Marshall T Development and validation of an electronic frailty index using routine primary care electronic health record data Age Ageing 2016;45(3):353-60.

Siddiqi N, Harrison JK, Clegg A, Teale EA, Young J, Taylor J, Simpkins SA. Interventions for preventing delirium in hospitalised non-ICU patients. Cochrane Database Of Systematic Reviews 2016; DOI 10.1002/14651858.CD005563.pub3. Issue 3.

Teale E, Young J. Multicomponent delirium prevention: not as effective as NICE suggest? Age Ageing 2015;44(6):915-7.

Young J, Cheater F, Collinson M, Fletcher M, Forster A, Godfrey M, Green J, Anwar S, Hartley S, Hulme C, Inouye SK, Meads D, Santorelli G, Siddiqi N, Smith J, Teale E, Farrin AJ. Prevention of delirium (POD) for older people in hospital: study protocol for a randomised controlled feasibility trial. Trials 2015, 16:340. doi:10.1186/s13063-015-0847-2.

Teale EA, Young J.A Patient Reported Experience Measure (PREM) for use by older people in community services. Age Ageing 2015;44(4):667-672.

Holt R, Teale EA, Mulley GP, Young J. A prospective observational study to investigate the association between abnormal hand movements and delirium in hospitalised older people. Age Ageing 2015;44(1):42-45.

Clegg A, Bates C, Young J, Teale E, Parry J. Development and validation of an electronic frailty index using existing primary care health record data. Age Ageing 2014;43(2):ii19. [Abstract].

Teale EA,Iliffe S, Young J.Subdural haematoma in the elderly. BMJ 2014;348:g1682.

Teale EA, Iliffe S, Young J. Subdural hematoma in elderly patients. Praxis2014;103(15):903-906.

Teale EA, Munyombwe TM, Young JB.The scaling properties of the Subjective Index of Physical and Social Outcome following stroke in a study population unselected by age. Archives Of Physical Medicine And Rehabilitation 2013;94:2448-55.

Teale E, Young J, Dennis M, Sheldon T. Predicting Patient-Reported Stroke Outcomes: A Validation of the Six Simple Variable Prognostic Model. Published online with the citation Cerebrovasc Dis Extra 2013;3:97-102 (DOI: 10.1159/000351142).

Teale E, Young J, Sleigh I “A point of care electronic stroke data collection system” British Journal of Health Care Management 2013; 19(1):10-15.

Munyombwe T, Teale E, West R, Hill K, Tu YK, Young J. Impact of early disability on six month physical function after stroke: a latent profile analysis. Age Ageing 2012;41:84-84 (abstract).

Teale E, Forster A, Munyombwe T, Young J. A systematic review of case-mix adjustment models for stroke. Clin Rehabil 2012; 26(9):771-786.

Teale EA, Young J. A review of stroke outcome measures valid and reliable for administration by postal survey. Reviews in Clinical Gerontology 201020(4):338-353