Physiotherapist and CLAHRC HEE NCEL Fellow Emma Dunphy has been successful in her application for a prestigious Clinical Doctoral Research Fellowship with the National Institute for Health Research (NIHR).
Emma’s proposed research will develop an E-Health intervention to improve rehabilitation for anterior cruciate ligament injuries.
After spending a year with the CLAHRC on our fellowship scheme honing her research skills Emma successfully applied to the NIHR scheme against stiff competition.
The HEE/NIHR Clinical Doctoral Research Fellowship (CDRF) Scheme is aimed at registered non-medical healthcare professionals sited in England with at least 1 year’s experience of clinical practice, sufficient research experience or training to prepare them to undertake a PhD, and who wish to obtain a PhD by research whilst continuing to develop their clinical skills.
The full title for Emma’s research under the scheme will be Development of a model of service delivery to standardise anterior cruciate ligament rehabilitation in the NHS and testing the feasibility of an E-Health intervention to support delivery of this model.
See a poster outlining Emma’s work below or download a PDF here.
The Doctors Against Diesel campaign that was launched in December 2016 and has already received widespread media coverage with ongoing interest from the health community, local government and media. The campaign is led by health professionals and is calling for the use of diesel fuels to be banned in urban areas and progressively phased out elsewhere. On February 22nd the CLAHRC’s Professor Jonathan Grigg led a workshop of nurses, doctors and allied health professionals to formulate health messaging and decide next steps in the campaign to reduce diesel use.
Child Health Theme Lead Professor Jonathan Grigg is a prominent member of the campaign group and co-author of the Royal Colleges Report Every Breath We Take. Professor Grigg is a practising paediatrician with experitse in respiratory health, seeing first hand how pollution damages young and developing lungs. He also leads our School Asthma project which aims to improve management of the condition among children and young people.
Diesel engines are the single biggest source of nitrogen dioxide, which accounts for the vast majority of breaches of legal air pollution limits in the UK. Exposure to pollution can impact children and young people’s current and future health as strong evidence suggest it impairs lung growth in children.
CLAHRC Researcher Professor Jonathan Grigg has been part of the ever largest study of the effects of a biomass-fuelled cookstove intervention on health outcomes. The intervention comprising two biomass-fuelled cookstoves, a solar charger, repair and maintenance service, and user training.
Many people in low- and middle-income countries do not have access to reliable energy sources such as electricity and therefore till cook and heat their homes using solid fuels (i.e. wood, crop wastes, charcoal, coal and dung). Around 3 billion people are obliged to use such inefficient cooking fuels and technologies which produce high levels of household air pollution with a range of health-damaging pollutants, including small soot particles that penetrate deep into the lungs.
Professor Grigg, Leader of our Child Health research Theme, was part of a team investigating whether replacing open fires with cleaner burning biomass-fuelled cookstoves would reduce pneumonia incidence in young children.
The results, published in the Lancet found no evidence that an intervention comprising cleaner burning biomass-fuelled cookstoves reduced the risk of pneumonia in young children in rural Malawi. Researchers called for effective strategies to reduce the adverse health effects of household air pollution.
The World Health organisation (WHO) estimates exposure to air pollution from cooking with solid fuels is associated with over 4 million premature deaths worldwide every year including half a million children under the age of 5 years from pneumonia.
Read the full paper:
A cleaner burning biomass-fuelled cookstove intervention to prevent pneumonia in children under 5 years old in rural Malawi (the Cooking and Pneumonia Study): a cluster randomised controlled trial
Dr Kevin Mortimer, PhD’Correspondence information about the author Dr Kevin MortimerEmail the author Dr Kevin Mortimer, Chifundo B Ndamala, Dip, Andrew W Naunje, Jullita Malava, MPH, Cynthia Katundu, Dip, William Weston, MBChB, Deborah Havens, DO, Daniel Pope, PhD, Prof Nigel G Bruce, PhD, Prof Moffat Nyirenda, PhD, Prof Duolao Wang, PhD, Amelia Crampin, MPH, Prof Jonathan Grigg, MD, Prof John Balmes, MD, Prof Stephen B Gordon, MD
Published: 06 December 2016
Lancet Volume 389, No. 10065, p167–175, 14 January 2017
Our Asthma Schools project is investigating asthma control among young people in schools and developing interventions to help them manage the condition better.
The project worked with Greenwich and Lewisham Young People’s Theatre (GLYPT) to produce a short film – Behind the Jump – about the importance of asthma awareness among young people. It carries an important message for all young people living with the condition.
The film was shot at the LEAP Parkour Park in Westminster, London.
Children and young people are a key population for everyone working in the NHS and Public Health. Involving them in commissioning and designing services makes for more appropriate care that’s more likely to be taken up by those who need it
Our ground-breaking diabetes project worked with young people impacted by the condition in east London – we trained young co-inquirers in research skills so they could run community engagement events and analyse feedback on how to improve local diabetes services.
Our work was integral in shaping new NHS “how to” guidance to help commissioners and providers think through and develop youth forums to support person-centred commissioning of children and young people in health and care services.
The ‘how to guide’ is a recipient of the NHS England’s Celebrating Participation in Healthcare grant award scheme and has been authored by the University of East London (UEL)
A recent conference gave our Patient and Public Involvement Officer Steven Towndrow, joined by one of patient/public contributors Sudhir the chance to spread the word about involving patients and the public in research.
We were invited to deliver a workshop on Patient and Public Involvement and Engagement (PPI/E) by the Centre for Nursing and Midwifery Research at University College London Hospitals Trust (UCLH) during their annual Research in Clinical Practice conference.
Sudhir and Steven delivered the seminar to an audience of nurses, midwives and Allied Health Professionals during the event which aims to involve more of these staff groups in leading NHS research.
Sudhir drew on his extensive experience of working with researchers to design and deliver projects, offering some top tips for successful involvement.
“Thank you so much for supporting our conference last week – both the workshop and exhibiting. Both were certainly popular and we’ve had really good feedback”
Professor Lesley Baillie – CNMR Director
Our thanks to the CNMR for the invite!
Our innovative Nurture Early for Optimal Nutrition (NEON) project has made the headlines..in India!. The project is exploring whether a South Asian model proven to promote healthy nutrition in children can “travel” successfully to the UK and help children of Bangladeshi origin in East London.Professor Monica Lakhanpaul is leading the project and spoke to The Goan newspaper about the bi-directional exchange of knowledge that is making a difference in one of London’s less advantaged communities.
Dr Golnar Aref-Adib has produced a fantastic video about health related internet use amongst people with experience of psychosis. The short film won joint first prize in the prestigious NIHR new media competition.
Click on the image below to watch Lets go Digital
Helping NHS Trusts develop their quality strategies
Quality and quality improvement are now recognised as imperative for all NHS organisations in England. A recent workshop brought together leaders of six NHS Trusts to develop their organisation-wide quality improvement strategies.
QUASER (Quality and Safety in European Union Hospitals) is a research-based tool senior hospital leadership teams can use to identify the strengths and possible weaknesses in their organisation’s quality and safety improvement efforts, and what they need to do to improve. The QUASER Guide was the result of a three year project in 5 European countries which studied organisational and cultural factors influencing quality improvement (QI). The intervention provides suggested strategies for how Trusts could be organised better in order to deliver high quality and safe services.
Implementing QUASER in the UK
The QUASER intervention is being implemented in the UK by one of NIHR CLAHRC North Thames’ industry partners, the Foresight Centre for Governance within GE Healthcare Finnamore. Foresight works with public services to develop and improve leadership and Board-level effectiveness. It is helping Boards in six NHS Trusts develop their organisation-wide QI strategies through QUASER.
Evaluating the intervention
In parallel to this work the CLAHRC is conducting an evaluation of this intervention to assess and understand its impact within the six Trusts taking part. As one of the projects under our Innovations in systems and models of health and health care research theme researchers will use quantitative and qualitative methods to examine the total costs & benefits of the different interventions.
The iQUASER Workshop
A workshop in early November was run by the Foresight Centre and offered the chance for the six participating Trust Boards to develop their organisation-wide quality improvement strategies. The one-day workshop brought together all participating NHS trusts. 23 board level executives and non-executives came together with the overriding aim to develop a collective understanding of the QUASER Guide, learn about the evidence which underpins it and develop a clear sense of the elements of an effective quality improvement strategy.
Prior to the event, senior leaders from the Trusts received analysis of their current QI strategic position, having completed the QUASER guide self-assessment tool. Trusts were able to review, reflect and discuss their results both in terms of areas of strength and those that may require further focus.
In the afternoon the board level executives convened to participate in the first of three ‘action learning sets’ aimed at creating a supportive environment for participating organisations to draw on their collective experience and wisdom of those present.
Next steps – By the close of the day the participants arrived at specific goals or commitments to take their quality improvement strategies and interventions forward. The group will reconvene for the second of three action learning sets in January.
Background to the iQUASER project – the quality improvement agenda in the NHS
The Francis Report reinforced the need for effective quality improvement strategies within NHS Trusts. All NHS organisation in England are being mandated to provide care that is clinically effective, safe and provides as positive an experience for patients as possible. Successful improvement programmes are vital for achieving this so this programme is particularly timely.
For more information about the QUASER project and the Guide see: The QUASER project