CLAHRC influences government policy on mental health in schools

A new Government green paper offers good news for those calling for joined up care between schools and local mental health services for children and young people.

Allocating resources in difficult times; balancing public perception of need and where money is best spent

Health economics and economic evaluations of care are a key theme within our CLAHRC, and the subject of one of our successful Academy short course for front-line NHS and Public health professionals.

CLAHRC researcher and health economist Dr Elena Pizzo gave a lecture at the Royal Society of Medicines September event – the ‘4th breast cancer forum: screening, metastatic breast cancer and living with and beyond

This is now available to view via this link or clicking on the image below

Dr Pizzo’s presentation examined how money is best spent in patient treatment. Elena considered the average cost of breast cancer care per patient and outlines the challenges faced by health professionals and economists when deciding how treatment funding is allocated.

Dr Pizzo made a plea for health professionals, policy makers, industry and patients to work closely with health economists when making difficult decisions about where to allocate resources. In this case the topic was cancer but the message applies equally to many other specialties when NHS budgets are under pressure.

Evidence in public health decision-making – its creators and users need to come together

Decision-makers in public health can be confronted with a huge volume of data, evidence, reviews and summaries – from local and national sources. There is also an acknowledged gap between evidence and policy in public health.

In a recent blog on the EPPI centre website CLAHRC researchers Dylan Kneale and Antonio Rojas-García reflect on their work exploring the use of evidence in local public health decision-making – and raise the question – How much research is being wasted because it is not generalisable in local settings?

While reduced resources make judicious use of evidence more important than ever when deciding how and where to apply resources, researchers also need to understand, and better communicate, the generalisability of their research evidence to decision-makers working locally.

Read Evidence use in public health – make-do and mend?

 

Better data to improve health and wellbeing

We have been reaching out to colleagues in local authorities and public health departments to highlight the value of research evidence in improving health and well being among local populations. The CLAHRC is forging useful links with our partners in local councils, bridging the gap between research and the front line.

Local authorities are a key audience for the CLAHRC as they are responsible for public health in their area. Public health includes prevention of illness and disease, sexual health and smoking cessation.

CLAHRC partners Islington and Camden Councils run lunchtime learning sessions for staff as part of their Using Data Better initiative. They invite speakers from various sectors to present the potential for data to improve health and health services for local residents. The boroughs have joined forces to deliver public health, and have a team of data analysts at work –  identifying issues that have a negative effect on people’s health, and planning to deal with those issues.

In October Dr Chiara De Poli (below left) presented to public health staff and analysts in the two Councils.  Chiara was joined by the CLAHRC’s Professor Gwyn Bevan and health economist Dr Elena Pizzo, presenting evidence of the limited impact of current policy options on the projected diabetes ‘epidemic’ in Islington, which stimulated a lively discussion about what Islington might do to tackle this.

Chiara’s work is part of a wider CLAHRC study, led by Professor Bevan, investigating the design of research and decision support processes to ensure the utility of research outputs. We are making efforts to make our research more “user friendly” and accessible to colleagues in the NHS and local government so they can use it in decision-making around planning and commissioning services and interventions for the populations they serve.

There was learning on both sides – our researchers got an insight into the challenges faced by staff on the front line and an appreciation of the type of data local authorities collect and analyse to improve health and well-being. We offered projections on the likely impact on diabetes prevention of current policies adopted by local authorities.

Feedback from our audience was extremely positive and we hope this is the start of a fruitful collaboration between the CLAHRC and the Public health teams within Islington and Camden.

“Once again, thanks for delivering a wonderful presentation – many of us were fascinated by your progress, and it’s no surprise that our head of dept. is now keen to collaborate further”

Mustafa Kamara, Intelligence & Information Analyst, Camden and Islington Public Health

Patient and public involvement – learning and sharing with Peninsula CLAHRC

We recently went on a “learning exchange” visit to our friends and colleagues at NIHR CLAHRC South West Peninsula (PenCLAHRC).

It was a chance for researchers, staff and patient and public contributors from both CLAHRCs to meet each other.

We also took advantage of the combined expertise and experience of the assembled group to look at a research study early in development.

Read a report of the day here.

 

 

Brian Turley Awards for Patient and Public Involvement

CLAHRC North Thames has joined colleagues at CLAHRC North West London (NWL) and CLAHRC South London to present the Brian Turley Awards for Patient and Carer Involvement

Winners have been announced! Click here to see who the winners and runners up were in each category

The three London CLAHRCS are proud to present these awards, created to celebrate and promote patient and carer involvement in healthcare research and improvement. The awards honour the memory of Brian Turley, a dedicated and committed patient advocate and disability rights campaigner who sadly died unexpectedly in February 2016.

The awards honour the contribution of Brian Turley a tireless patient advocate and campaigner for disability rights

The awards aim to celebrate and promote patient and carer involvement in healthcare research and improvement – aiming to

  • Raise the profile of involvement
  • Showcase examples from practice
  • Promote reflection and shared learning
  • Discourage ‘tick box practice’

For all three awards, we welcome nominations from teams and individuals who are actively and currently involved or working with patients/carers and the wider community.

Winners will get the chance to work with artist Sandra Howgate to develop materials of their choice – a picture, flyer, poster or other graphic that represents their work

Read about last year’s winners

Closing date 12 Noon on Thursday 1st March 2018

Background information to help you prepare

Information about eligibility and how to nominate (Brian_Turley_Awards_Eligibility criteria)

Information about preparing a nomination (Brian_Turley_Awards_Nomination information)

Nomination Form (Brian_Turley_Awards_Nomination form)

The awards categories

Category 1 – Teams working with patients, service users, carers, families and communities

Category 2 – Early career researcher, including PhD students, service user researchers and members of CLAHRC Fellowship Programmes

Category 3 – Patient/Service User/Carer with influence

For more information contact:

Rachel Matthews – NIHR CLAHRC Northwest London r.matthews@imperial.ac.uk

07889 179 034

Stan Papoulias – NIHR CLAHRC South London konstantina.papoulia@kcl.ac.uk 

+44 (0) 20 7848 5077

Steven Towndrow – NIHR CLAHRC North Thames s.towndrow@ucl.ac.uk

+44 (0)203 108 3241

The role of board-level clinical leaders in quality improvement

CLAHRC researcher Dr Lorelei Jones has been invited to deliver a seminar on the role of clinical leaders on NHS boards in quality improvement (QI).

The Health Services Research Centre is a leading authority on health care management and has invited Lorelei as part of their prestigious events series.

The poster below gives an overview of what she will be covering.

Dr Jones is part of our iQUASER study looking at how NHS boards implement QUASER – a dialogical tool for senior hospital leaders to develop and implement QI strategies across their organisation.

Lorelei will be presenting some results from her extensive fieldwork among NHS boards for this research, which involved interviewing board members, observing meetings and scrutinising papers and documents.

Professor Jonathan Grigg on the dangers of air pollution underground

Professor Jonathan Grigg, a practicing pediatrician who leads our Child Health theme has outlined the dangers of air pollution underground.

Millions of the Capital’s tube users are unaware of the greatly increased density of air, and much higher levels of harmful pollutants on the subway system compared to what they breathe above ground.

See Professor Grigg interviewed by ITV London News this week.

Mayor of London Sadiq Khan launched an air quality campaign this week which will see restrictions on the most polluting vehicles
https://www.london.gov.uk/press-releases/mayoral/mayor-unveils-hard-hitting-air-quality-campaign 

Read a blog by Professor Grigg on London’s “toxic air emergency”
https://www.healthylondon.org/latest/blog/londons-toxic-air

Learning exchange trip to PenCLAHRC a success

On Tuesday September 26th CLAHRC North Thames’ public and patient partners took part in a learning exchange visit to Peninsula CLAHRC (PenCLAHRC).

The trip to PenCLAHRC’s Exeter office was part of our wider efforts to make connections with other CLAHRCs, especially those serving different populations in settings different from ours.

A delegation of CLAHRC North Thames public partners, staff and students (below right) visited colleagues at PenCLAHRC to make connections, compare notes on involving people in research and discuss future working together. Eight members of our lay Research Advisory Panel joined our PPI/E officer Steven Towndrow and CLAHRC PhD Nehla Djelloui who is investigating involving people in large scale service change in the NHS.

We were hosted by

We were welcomed by PenCLAHRC Director Professor Stuart Logan who set out the aims and objectives of PenCLAHRC and their partnership working with patients and the public.

After some introductions and networking we then looked at a research study early in development. Both sets of patient and public contributors provided the benefit of their experience and expertise to help shape the research.

Our thanks to Kristin and the PenCLAHRC PPI team –  for making us so welcome and for all their work in making the day a success. We are planning a return visit which will see PenCLAHRC come to London in the new year.

Funding success to develop research on vitamin B12 trial for pregnant women in India

Professor Monica Lakhanpaul, Principal Investigator on our NEON study has successfully applied for funding to develop a major research programme addressing the needs of women and children in India.

Professor Lakhanpaul (pictured below) is leading an application in respond to a call supported by a number of organisations from the UK and India (see below) under the title Global Research Programme; addressing the health needs of women and children in disadvantaged populations globally

The Department of Biotechnology (DBT) in India, in collaboration with Department of International Development(DFID), the Economic and Social Research Council (ESRC) and the Medical Research Council (MRC) joint call to fund global health research addressing the health needs of women and children

Successful applicants will build partnerships across the UK and India to execute research that will impact the ability to prevent, diagnose and manage prevalent chronic and infectious diseases facing women and their unborn children in low-and middle-income (LMIC).

By successfully navigating the initial round of the application process (“the concept proposal”) Professor Lakhanpaul has secured a £4000 travel grant to support the development of a partnership for the full proposal development process. Her initial concept proposal was for a vitamin on vitamin B12 trial in pregnant women and children in India.

A full proposal will be made in September for the larger pot of funding.

Monica’s work with the Bangladeshi community in East London is also referenced in a recent blog Can women talking save lives? Reducing inequalities in newborn mortality in India, Nepal, Bangladesh and Malawi