The life chances and wellbeing of young people are shaped by factors well beyond their immediate home and family life. The communities and neighbourhoods we grow up in play a big part in our development and health, and the quality of life we enjoy – or endure.
A major study launched this week will see researchers working with communities to build the “big picture” of factors impacting children’s health. This work, funded by a major Medical Research Council grant will investigate what external factors influence our health and wellbeing so we can act early to better support healthy childhoods.
Professor John Wright, who will be leading the study gives the background to this research and what it aims to achieve in a new blog
These logos were designed to visually demonstrate funding and support of research projects by the NIHR. Supported by NIHR logos can be used by researchers, charities and companies that conduct research with the support and expertise of the NIHR Infrastructure.
We are pleased to tell you that the NIHR has introduced a new, independent visual identity, including a new CLAHRC North Thames logo to reflect the breadth of its work across public health and the nation’s health and care system.
We have already adopted the new visual identity on our
primary digital channels (website and social media) and, by mid-May, channels
managed by the wider NIHR will have migrated to the new identity.
May will also see the launch of a new audience-centred NIHR
website that fully expresses the Institute’s new identity.
Healthcare systems around the world are becoming more concerned with strengthening board level governance of quality. In England, national healthcare regulators are developing approaches, resources and interventions aimed at supporting senior hospital leaders in their role in the governance of quality.
New CLAHRC research investigates the organisational response to an improvement intervention in six hospital boards across England. The research, published in a new BMJ paper and BITE-sized summary shows the results a 30-month period of fieldwork, involving interviewing NHS board members, observing board meetings and analysing relevant documentation.
The findings will be relevant to NHS Boards, the staff and clinicians they lead and all those in the NHS working to improve the quality and safety of care.
As well as researchers, the results will be of interest to policymakers, regulators, knowledge mobilisation organisations and thinkers on boards and leadership across all sectors.
Background Healthcare systems worldwide are concerned with strengthening board-level governance of quality. We applied Lozeau, Langley and Denis’ typology (transformation, customisation, loose coupling and corruption) to describe and explain the organisational response to an improvement intervention in six hospital boards in England.
Read a BMJ editorial highlighting the paper as “an example of an empirical study that successfully enters into dialogue with management theory”
Repeated calls have been made for the increased use of theory in designing and evaluating improvement and implementation interventions.1-4 The benefits are argued to include identifying contextual influences on quality improvement (QI), supporting the generalisability of findings and anticipating how future phenomena might unfold.2 5 Most importantly, the ability of
Local research bodies join forces with patient partners to deliver an introduction to research
We ran our Becoming Research Active course on November 14th offering our partners in front-line care a primer in research and the research process.
CLAHRC North Thames Academy collaborated with other NIHR funded research organisations in the region – the Clinical Research Network and Research Design Service – to deliver the training, with vital contributions from patients and members of the public.
The day-long course is structured to reflect the research cycle – from defining a problem, through securing funding to dissemination and evaluation. Attendees, who came from across the NHS and local authorities were encouraged to bring a research idea they could develop over the course of the day.
“The course has provided me with lots of resources and a clearer sense of direction, which is what I hoped for.”
We joined forces with NIHR infrastructure across the North Thames region – the Research Design Service which provides support to those preparing research proposals for submission to peer-reviewed funding competitions for applied health or social care research; and the local Clinical Research Network which makes it possible for patients and health professionals across England to participate in clinical research studies.
The training aimed to highlight the processes involved in planning and carrying out successful research, in partnership with patients and the public, and signpost attendees to the support available to them.
We were also very fortunate to have some patients and members of the public bringing their unique lived experience – of working with researchers, leading research and being a clinical trial participant respectively to offer tips to attendees.
CLAHRC Research Advisory Panel member Ayath Ullah (below left) joined the CLAHRC’s involvement officer Steven Towndrow to offer a lay perspective on how researchers can make patient/public advisers welcome and valued.
One of the CRN’s Patient Research Ambassadors (PRAs) Phillip Wingfield spoke about his experience of taking part in two clinical trials, offering a perspective from a participants point of view.
We were also joined by community researchers Sultana and Farzana from the NEON project, where they have led research into improving nutrition practices among the Bangladeshi community in East London.
“Useful to have a range of speakers with varied experience. Great place to come prior to starting research.”
Researchers, staff and health professionals delivered a range of presentations with small group work and regular exercises to reinforce learning, and were on hand to facilitate each part of the day.
Feedback from attendees was overwhelmingly positive;
“Very useful and informative.”
“Lots of information to move forward my idea. Thank you very much.”
“A good overview of processes. Helpful to know all the help/support available.”
“Very well designed and delivered. It kept my attention throughout. The content/sessions were well balanced and provided me with the basis to build on”
We are offering follow up sessions with attendees to support the development of research ideas into action, and we plan to run the course again in summer 2019. Get in touch to join our mailing list to find out when courses are planned – email@example.com.
Do you need to demonstrate the economic impact of projects in your organisation?
Do you want to assess the outcomes and sustainability of a new service?
Are you tasked with carrying out an economic evaluation, but don’t know where to start?
This one day, hands-on workshop aims to provide an introduction to addressing these challenges. It is run by the NIHR CLAHRC North Thames Academy. The course is aimed at staff in frontline services in the NHS and local government, who have limited experience of conducting evaluations and decision making analysis.
After attending this course, you will have the skills and knowledge to undertake your own simple economic evaluation of a local intervention or service, and be able to appraise other evaluations.
The course will cover:
introduce the basic principles of economic evaluation methods
explain how to assess the costs of an intervention/service
explain how to measure and value outcomes of an intervention/service
give practical examples of economic evaluation analysis
help to understand how to use economic evaluation in decision making
offer the opportunity to discuss in small groups the economic evaluation you are doing or thinking of doing. A facilitator will help scope your economci evaluation, draft its core elements, identify the data you will need to use, think how you could overcome information or data gaps.
This workshop is suitable for staff from NHS Trusts, Local Authorities and CCGs who need to evaluate local programmes or services from an economic perspective as part of their work. It is not aimed at academics and/or researchers.
In order to be most beneficial for the participants, we invite applications from individuals who are carrying out or soon will need to carry out an economic evaluation of a service/intervention. In the selection process, we will give priority to applications providing a detailed description of such projects. Groups of people working on the same project are encouraged to apply.
No previous knowledge of economics is required (or experience of study design and statistics), however an interest in economics and being comfortable with numbers is desirable.
All participants will receive a certificate of attendance.
Cost – This course is free for staff working in NIHR CLAHRC North Thames partner organisations (please click here to see a list of our partners). There is a delegate fee of £250 for other attendees.
Mental Health in Emergency Departments: variations in service and care quality in England
How effective was a programme to improve NHS orthopaedic care in England? Evaluating Getting it Right First Time (GIRFT)
NHS 111/Urgent Care Patient Relationship Manager Evaluation
Using MRI perfusion images to stratify brain tumours
Application of multi-state models to prostate cancer screening
Social Care Prevention
Exploring decision-making processes and knowledge requirements in public health
Effectiveness and acceptability of metformin in preventing the onset of type 2 diabetes after gestational diabetes in postnatal women: A feasibility study for a randomised, blinded placebo-controlled trial (OMAhA)
Effectiveness and acceptability of myo-inositiol nutritional supplement in the prevention of gestational diabetes: a pilot placebo-controlled double-blind randomised trial (EMmY)
Prevention of progression to type 2 diabetes in women with gestational diabetes: A feasibility study for randomised trial on a Mediterranean diet
Improving the healthcare response to domestic violence (IRIS)
Improving the identification and management of people with HIV (RHIVA)
Impact and experiences of delayed discharge: A mixed studies systematic review
Linking health and local government data at household level to understand social determinants of health
Patient Research Ambassadors needed to promote health research from a patient point of view
We have teamed up with colleagues at the NIHR Clinical Research Network (CRN) to support their Patient Research Ambassador (PRA) initiative.
The Network is looking for patients, carers, and members of the public who have taken part in research and who are passionate about it.
The Ambassadors will help improve how local people across the North Thames patch find out about and participate in clinical research and also help to increase awareness of the importance of supporting clinical research. The PRAs will play their part in ensuring research is patient and public focussed.
Examples of the type of work PRAs do are below –
Full training and support will be available. As well as a chance to learn new skills and improve how research is planned and carried out in your area you will be part of a network of PRAs.
To find out more contact CRN North Thames patient and public involvement manager Christine Menzies by emailing firstname.lastname@example.org or calling 0207 679 9763