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The programme changed ward practices and patient experience but there was no evidence that it improved clinical outcomes; although it worked on two wards, organisational upheaval contributed to non-adoption in most wards.

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Mary Godfrey 1,*, John Young 1,2, Rosemary Shannon 2, Ann Skingley 3,4, Rosemary Woolley 2, Frank Arrojo 5, Dawn Brooker 6, Kim Manley 4,7, Claire Surr 8

1 Academic Unit of Elderly Care and Rehabilitation, Faculty of Medicine and Health, University of Leeds, Leeds, UK
2 Bradford Institute for Health Research (BIHR), Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK
3 Sidney de Haan Research Centre for Arts and Health, Faculty of Health and Wellbeing, Canterbury Christ Church University, Canterbury, UK
4 East Kent Hospitals University NHS Foundation Trust, Canterbury, UK
5 Patient and public involvement representative, Alzheimer’s Society Research Network, ,
6 Association for Dementia Studies, Institute of Health and Society, University of Worcester, Worcester, UK
7 England Centre for Practice Development, Faculty of Health and Wellbeing, Canterbury Christ Church University, Canterbury, UK
8 School of Health and Community Studies, Leeds Beckett University, Leeds, UK
* Corresponding author Email: m.godfrey@leeds.ac.uk

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