This month's newsletter includes articles on the following topics:
Use of Urgent and Emergency Care in individuals with serious mental illness
Patient and public involvement during the time of COVID-19
Promoting shorter hospital stays for older people
Patient and Public Involvement/Engagement (PPIE)
Investigation into the care pathways for people with chronic respiratory conditions
Working with the third sector to implement Patient Reported Outcome Measures (PROMS)
Coming soon: Essential Implementation podcasts
Emerald Literati Award awarded to our Health Economics, Evaluation and Equality (HEEE) theme
Noted by the Emerald Insight editorial team as: “one of the most exceptional pieces of work they saw throughout 2019’, our HEEE theme's paper has been awarded for research on an extensive analysis of the Harrogate Vanguard programme.
The paper “Does the integration of response services lead to meaningful change in healthcare activity? A case study evaluation” looks at the NHS England Vanguards of new care models was to improve healthcare provision and integration through the coordination of services, seeking to deliver the Five Year Forward View.
The purpose of our paper is to report on an extensive analysis of one of the Vanguard programmes, exploring whether the implemented integrated response service (IRS) based in Harrogate, England, resulted in any meaningful change in secondary healthcare activity.
Patient Reported Outcome Measure resource and checklist launched to support those using PROM data for evaluation
Led by Dr Clara Mukuria, from the University of Sheffield, along with her colleagues on the Health Economics, Evaluation and Equality theme, Professor Tracey Young and Dr Alexis Foster. They have developed a Patient Reported Outcome Measures (PROMs) resource and checklist.
The resource aims to support the process of selecting and implementing PROMs in different contexts where PROM data is used for evaluation. The checklist, found within the resource and as an accompanying document, should be used from the early stages of any evaluation work to ensure appropriate PROMs are selected and that implementation is planned.
You can access the PROMs Resource and checklist here.
We would really like to know how you use the resource and if you have any questions relating to its use, please contact us at ARC_HEEE@Sheffield.ac.uk.
The experiences of lockdown for families in Bradford during the COVID-19 pandemic - new findings from the Born in Bradford study
Crucial findings from the first in a series of Born in Bradford (BiB)1 COVID-19 research studies have been published in a paper on the Wellcome Open Gateway2. Since 2007, Born in Bradford has been following the lives of over 36,000 Bradford residents, including ethnically diverse and socio-economically deprived populations. The findings are part of a broader series of adaptive research activities3 (Figure 1) supporting the Bradford District COVID-19 Scientific Advisory Group4 response to the COVID-19 pandemic.
Born in Bradford and other research infrastructure at Bradford Institute for Health Research5 have been harnessed to answer some of the key questions that local policy and decision makers are asking as they determine and co-ordinate the local response to COVID-19. Engagement and consultation with the community, including those seldom-heard, and decision makers is central in shaping and are shaping the study design and content through this adaptive process.
These first findings in the series, covering the period April - June 2020, report the impacts of the COVID-19 pandemic and associated restrictions on mothers and families during this time. They showed that a large number of families were experiencing housing, food and employment insecurities, with one in three reporting being worse off financially than the three months prior to lockdown. Insecurities were also associated with being furloughed, self-employed and not working or being unemployed. There was evidence of increasing inequalities and of families being pushed into poverty.
Clinically significant depression and anxiety symptoms were reported by 18% and 16% of mothers respectively. Nearly one in four households included a member who was considered clinically vulnerable to COVID-19 (advised to shield, over 70 years of age, pregnant etc). The most common worry of respondents sharing their lived experience of the pandemic was that their children or wider family members might catch COVID-19 and become seriously ill or die. Financial insecurity, mental health and home schooling were other reoccurring concerns in responses.
Further survey rounds are planned with parents, children, pregnant and postpartum women over the course of the next 12 months as part of a longitudinal study to understand the changing impact of the pandemic. Recent data collection and linked data for the cohort provides a pre-pandemic data baseline, supporting better understanding of the pandemics’ impact. These surveys are being complemented by in-depth qualitative research with community leaders, parents, children, pregnant and postpartum women and their partners over the same period. Collectively, this body of research offers a unique view into the lives of families and children during the COVID-19 pandemic and will go some way to address the local research and intelligence needs of communities and decision makers responding to it.
Survey: Improving the health of people with mental and physical health problems - what are the questions you would like to see answered by research?
We want to give people living with both mental and physical health problems, their families, and the health and social care professionals who treat and support them, a voice in deciding the most important questions to be answered by future research.
Dr Liz Newbronner, who is leading this work comments “we are really interested to hear what people think we should be looking at in our research projects, and this will be crucial in developing our research over the coming years”.
To do this, we have created a short survey where people can tell us what is important to them, about improving the health of people with mental and physical health problems. The survey will be open until the end of October 2020.
If you would like to take part in this survey, click here. (paper copies available on request)
Our aim is to identify unanswered questions about what would help people with mental health problems look after their physical health. For example, what treatments and services, if examined by research could make a real difference to peoples’ lives. Working with communities and partner organisation from across Yorkshire and Humber we will then prioritise those that are the most important for research to address and plan how we might respond to them.
Our work is being guided by our fantastic priority setting Steering Group, which includes people with experience of mental health problems and clinicians.
PhD Opportunity - Addressing the needs of older people with frailty
The Academic Unit for Ageing and Stroke Research is pleased to announce an excellent PhD scholarship opportunity - Addressing the needs of older people with frailty.
The scholarship is part of the Older People with Frailty theme in the NIHR Yorkshire and Humber Applied Research Collaboration.
For further information and to apply, click here.
Application closing date: Wednesday 7th October 2020.
PhD Opportunity - The management of acute paediatric episodes of care within the urgent and emergency care system.
Based at the University of Sheffield, this PhD opportunity is part of the ARC YH Urgent and Emergency Care (UEC) Theme, led by Professor Suzanne Mason. Aims include: to deliver improvements to demand and flow through the UEC system using a learning health systems approach, prioritising outcomes important to patients and providers and building on a track record of delivery and impact in this area of national NHS priority.
For further information and to apply, click here.
Application closing date: Saturday 31st October 2020.
Inspiring videos show smokers with mental health conditions who successfully quit
As part of an output from the CLAHRC SCIMITAR+ study, former smokers with mental health conditions have shared their inspiring journeys on how they conquered their addiction in a series of powerful short films. Watch the videos and read the full article here.