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ARC WM Projects

Unless otherwise stated, all projects are fully funded by ARC-WM, and underway on 31 March 2021. For further details, please click project names.

Public Health Projects

Project Delivery of Impact (public health and care involvement) Cross-Theme Integration

Behavioural insights to overcome vaccine hesitancy in COVID-19.

A panel survey to find wording to maximise uptake of COVID-19 vaccine for use in publicity materials. (Public Health England.)*

Clarke (Public Health), Schmidtke, Noufaily (Methodology)

Reducing over-prescribing opioids in primary care (PROMPPT).

A clinical pharmacist intervention to reduce opioid prescribing - now being evaluated through an NIHR programme grant to inform future national policy. (PHE.)*

Jinks, Mallen (L-T Conditions), Nicholls (Methodology)

Systematic review and time-series of effectiveness of campaigns to increase testing for chlamydia.

Aiming to increase uptake of chlamydia testing in young adults as a result of working with University Hospitals Birmingham NHS Foundation Trust and Public Health England to evaluate campaigns and improve sexual health services.*

Jolly (Public Health), Damery (L-T Conditions), Quinn (Methodology)

Intervention to support homelessness (Everybody In).

Evaluating the effect of the 'Everybody In' campaign on delivering healthcare to homeless people; informing future outreach healthcare provision. (Warwickshire County Council.)*

Clarke (Public Health), Bird (WM AHSN), Lilford (Methodology)

National feasibility study of methods for evaluation of social prescribing.

Evaluating social prescribing impact using routine data, to inform future national policy. (NHS England part-funded the project with ARCWM.)*

Al-Khudairy, Ghosh, Abimbola, Clarke, Grove (Public Health), Parsons (Methodology)

Foodbanks implemented in response to hunger.

Hunger in England has increased. We are conducting geospatial and temporal analysis to see whether malnutrition decreases when a food bank is implemented. (Local authority.)*

Jolly (Public Health), Reeves, Lilford (Methodology)

Factors associated with breast cancer screening uptake.

An international systematic review on factors associated with uptake of breast cancer screening. (UK National Screening Committee.)

Clarke, Al-Khudairy (Public Health), Noufaily, Parsons (Methodology)

COVID-19 related systematic review on association between vitamin D and susceptibility.

Looking at evidence of association between vitamin D supplementation and susceptibility to COVID-19 infection, including clinical course, morbidity and mortality outcomes to inform future policy on supplementation. (Primary and secondary care; Commissioning Groups.)*

Grove, Clarke, Taylor-Phillips (Public Health)

COVID-19 related systematic review on cardiac arrest and infection risk.

Systematic review published rapidly looking into whether chest compressions or defibrillation cause aerosol generation and transmission of COVID-19 to rescuers. (ARC and Resuscitation Council UK.)

Grove (Public Health), Perkins, Couper (Acute Interfaces)

Evaluation of AI in breast cancer screening.

Building on scoping review funded by PHE to extend the review and bring up to publication standard. (UK NSC, who part-funded with ARC.)

Al-Khudairy, Grove, Clarke, Freeman (Public Health), Noufaily (Methodology)

Promotion of health in the workplace.

Write-up and dissemination of cluster RCTs of 100 SMEs. (Advantage WM and the Department of Health and Social Care.)

Al-Khudairy (Public Health), Lilford, Kudrna (Methodology)

Implementation of remote consultations – reducing inequality of access.

BAME have lower access than other groups to virtual consulting. We are evaluating responses of people who have used these systems, stratified by ethnic group. (Primary care / industry.)

Jolly (Public Health), Damery (L-T Conditions), Schmidtke, Kudrna (Methodology)

Local authority public health research capacity and capability.

NIHR have identified the need to support local authorities to build capacity for public health research and implementation. We are working to identify how to build public health research systems across local authorities. (Department of Health.)

Jolly (Public Health), Latuszynska (Organisational science)

Supporting health care professionals to have healthy weight conversations with parents.

Our previous research identified barriers and possible solutions to having conversations with parents about their children with obesity. (Working with Public Health England to develop interventions in primary care.)

Jolly (Public Health)

Systematic review and network meta-analysis on primary prevention in cardiovascular disease.

Novel application of network meta-analysis to investigate factors associated with CVD morbidity and mortality to inform national guidance. (NICE Guideline Development Group.)*

Uthman, Clarke, Al-Khudairy, Groves (Public Health), Parsons (Methodology)

Evaluation of health and social impact of Coventry City of Culture.

Study in low-income areas to see if there are any positive or negative health implications following the City of Culture year. (Local authorities.)

Clarke (Public Health), Currie, Bharatan (Organisational Science)


Social Care Projects

Project Delivery of Impact (health and care involvement) Cross-Theme Integration

Evaluation of intervention to support transition of children in care to adult services. (Originally ARC project, graduated to ESRC Impact Accelerator funding.)

Enhancing capability in health, education and social care agencies, to implement and scale-up interventions to support transition of care leavers into adulthood. (Local Authorities.)*

Miller (Social Care), Currie (Organisational Science)

Unintended consequences of medical outreach into care homes.

Ethnographic study into the benefits and problems associated with medical outreach from hospitals into care homes, and what may be done improve working across cultural divides. (Acute / Social Care Providers.)*

Tanner (Social Care), Lasserson (Acute Interfaces)

Patient reported outcome measures in social care 2: user perspectives.

Qualitative study of stakeholders' views and experiences. Aims to capture first-hand experiences, attitudes and beliefs around the use of PROs and PROMs in adult social care.*

Miller (Social Care), Hughes, Aiyegbusi, Calvert (L-T Conditions)

Implementation of strengths-based working in Adult Social Care.

Annual regional learning events alongside regular engagement throughout with social work, commissioning and occupational therapy practice networks. (West Midlands ADASS.)*

Miller, Mahesh (Social Care), Bharatan (Organisational Science)

Practice leadership in social work.

Developing a national social work leadership programme reflecting insights from the research. (Social Care Institute for Excellence; West Midlands Social Work Teaching Programme.)*

Miller, Schaub, Haworth (Social Care), Currie (Organisational Science)

Later life care choices and partnerships.

To improve financial planning for social care needs in older age. (Money and Pensions Service.)*

Miller (Social Care), Kudrna (Methodology)

Evaluation of sector-led improvement.

Findings will inform a review of the peer challenge process in the West Midlands and will be discussed at national event in Autumn 2021. (West Midlands / National ADASS.)*

Miller, Mahesh (Social Care)

Development of user-friendly technology to connect isolated, older people. (Originally ARC supported, now industry.)

Organisational Science theme research into technology to link isolated older people to social care support, medical care and family.

Oborn (Organisational Science), industrial partner

Evaluation of strength-based leadership programme.

Evaluates a new leadership programme to support social care practice developed by the Social Care Institute for Excellence UoB.

Miller, Mahesh (Social Care)

Patient reported outcome measures in social care 1: a scoping review.

Focusing on the use and effectiveness of PROMs in adult social care, along with barriers, facilitators and stakeholder involvement.

Miller (Social Care), Hughes, Aiyegbusi, Calvert (L-T Conditions)

Evaluation of Sustainability and Transformation Partnerships (STPs).

Mapping practice across the country with a view to a systematic study of their strengths and weaknesses of different models of integrated care. (Department of Health and Social Care)

Briggs (Methodology and Public Health), Currie (Organisational Science), Miller (Social Care)

Improving commissioning practice in adult social care through enhanced collaboration with public health.

Investigating extent and nature of collaboration between adult social care and public health, prior to and during the COVID-19 pandemic, and to inform ongoing and future adult social care practice. (NIHR School for Social Care Research; Local authorities.)

Williams (Social Care), ARC South London


Collaborative Projects - Methodology and Other Themes

1. Long-term Conditions

Project

Research into Practice (service partners)

Cross-Theme Integration

Implementation of findings from clinical trials to inform evidence into practice initiatives.

A qualitative and quantitative study to investigate implementation of evidenced-based recommendations from surgical trials funded by the NIHR Health Technology Assessment programme. (NIHR Centre for Engagement & Dissemination; HTA Programme.)*

Bhangu (L-T Conditions), Grove (Public Health), Schmidtke (Methodology)

Implementation of guidelines to reduce falls in hospital (CLAHRC/ARC)

Implementing NICE guidelines at University Hospitals Coventry & Warwickshire to reduce falls saw a statistically significant drop in falls on time-series analysis. (NHS Improvement; Hospital Trusts.)*

Sheppard (L-T Conditions), Lilford, Hemming (Methodology)

Evaluation of the 20% of NHS-funded surgery that takes place in independent hospitals.

We conducted the largest study of surgical outcome in NHS vs Independent hospitals in a propensity score matched population of over 3 million operations to inform national policy. (Department of Health and Social Care.)*

Bhangu (L-T Conditions), Lilford, Reeves (Methodology), Khunti (ARC EM)

Remote consultations in secondary care - influence of patient characteristics and inequalities.

Analysis of routine data from University Hospitals Birmingham NHS Foundation Trust, to describe factors associated with access to remote consultations, and thereby adapt service design. (UHBFT; other NHS organisations.)*

Damery (L-T Conditions), Jolly (Public Health) Reeves (Methodology)

Specialist service redesign for children with rare diseases and their families.

To evaluate remote monitoring of children with rare diseases commissioned by NHS England's Highly Specialised Services to reduce the need for admission during the COVID-19 pandemic. (Beneficial Change Initiative; Department of Health and Social Care.)*

Damery (L-T Conditions), Latuszynska (Organisational Science), Jolly (Public Health), Quinn (Methodology)

Evaluation of enhanced support for care homes.

A qualitative study of stakeholders' views of a package of care delivered by Birmingham Community Healthcare NHS Trust, Birmingham City Council, and Birmingham / Solihull Mental Health Trust. Will inform the commissioning of a future service by the CCG.*

Damery, Jolly (L-T Conditions), Latuszynska (Organisational Science)

Systematic review of remote consultations with focus on inequalities in uptake.

To evaluate the delivery of remote consultations by University Hospitals Birmingham, Birmingham Community Healthcare Trust, and Birmingham Women's and Children's Hospital.

Damery, Jolly (L-T Conditions), Quinn (Methodology)

Tracking effect of COVID-19 pandemic on hospital care.

Analysis of hospital data to investigate the effect the COVID-19 pandemic has had on in-patient hospital care for various, indicative conditions. Jolly, Bhangu (L-T Conditions), Lilford, Watson, Mytton (Methodology), Khunti (ARC East Midlands)

Long-term follow-up of patients with ultra-sound detected 'fatty liver' in primary care.

We are using national databases to follow-up patients with fatty liver from the HTA study of mildly abnormal liver function test results in patients with no known liver disease conducted 20 years ago. Ferguson (L-T Conditions), Evison, Reeves, Lilford (Methodology)

2. Acute Care Interfaces
Project Research into Practice (service partners) Cross-Theme Integration

Evaluate initiative to improve the use of Statistical Process Control (SPC) charts.

SPC enables poor quality to be distinguished from noise. We demonstrated poor uptake in the NHS. Based on our work, NHS Improvement has intervened to promote SPC, and we have documented improved uptake across the English NHS. (NHSI; AHSN.)*

Mazur (WM-AHSN), Kudrna, Schmidtke, Quinn (Methodology)

Age at onset, mortality and life-years lost for five cardiovascular disease conditions by ethnicity.

Helping care providers target services on vulnerable groups by examining differences in incidence and age of onset of common cardiovascular diseases. (CCGs; Integrated Care Systems.)* Reeves, Crothers, Remsing (Methodology), Lawson, Khunti (ARC EM).

Development of Acute Hospital at Home to reduce acute hospital admissions.

We implemented a hospital at home service for acutely ill people, which we are now evaluating by means of an interrupted time-series to observe effect on admissions and health outcomes. (CCGs; Integrated Care Systems).*

Lasserson, Knight, Clare (Acute Interfaces), Tanner (Social Care), Quinn (Methodology)

Investigation into health inequalities in re-admission rates.

Age-standardised trends in causes of in-hospital stay and 30-day readmissions in heart failure across ethnic and economic groups to inform future service design. (NHS Improvement; Integrated Care Systems.)* Remsing (Methodology), Lawson, Khunti (ARC EM).

Improving investigation and treatment of anaemia in primary and secondary care.

We have designed an automated clinical decision support system to ensure that anaemia is properly investigated. The project has graduated to external funding in a population of 5 million people. Will inform future service design to integrate laboratory/ clinical records. (NHS laboratories; Primary care organisations.)*

Lasserson (Acute Interfaces), Parsons (Methodology)

Optimal acute care delivery models for system resilience for COVID-19.

Analysis of hospital data pre-pandemic and during pandemic, linked with national survey data on acute medical care delivery models, community-based acute services, and social care provision.

Lasserson (Acute Interfaces), Mannion (Methodology) and Conroy (ARC EM)

Effects of COVID-19 on ambulance call-out for heart attack / stroke.

Media claimed that people with stroke and heart attack were not accessing care. Working with West Midlands Ambulance Service we analysed long-term trends and found no reduction in call-out.

Perkins (Acute Interfaces), Lilford, Watson (Methodology)

COVID-19 and hospital admission for heart attack / stroke.

This hospital-based study again showed no detectable change in admissions for these conditions.

Perkins (Acute Interfaces), Lilford, Reeves (Methodology)

Organisational behaviour in response to incentivised targets.

Incentives can induce both intended and unintended behaviours. We used statistical methods to examine for behaviour change around the threshold that triggers the incentive.

Bird (WM-AHSN), Reeves, Crothers (Methodology), Khunti (ARC EM)


3. Youth Mental Health
Project Research into Practice (service partners) Cross-Theme Integration

Multipurpose online mental health/wellbeing resource and assessment platform for schools.

Builds on a platform where children share experiences regarding mental wellbeing developed under CLAHRC WM. Under ARC WM we have now developed a resource on promotion of mental health for teachers: BREATHE. We are working with Local Authorities to implement and evaluate the system.*

Tuomainen, Patterson (Youth Mental Health), Noufaily (Methodology)

Strengthening GPs caring for transition-aged youth.

Co-development and testing of a collaborative care model for youth with ongoing mental health needs treated in primary care. This is being rolled out through Local Authority Children's Services.*

Tuomainen, Giacco, Singh (Youth Mental Health), Parsons (Methodology)

Funding proposal to Birmingham City Council to develop research capacity.

A multidisciplinary application to evaluate the new Birmingham Children’s Partnership Programme. ARC WM is supporting grant application development. (Local Authorities.)*

Giacco, (Youth Mental Health), Miller (Social Care), Parsons (Methodology)

Untoward events in people with severe mental illness after hospitalisation.

Collaborating on analysis of deaths, attempted suicides, violence and serious side effects following hospital treatment for severe mental illness in England to inform practice in mental health Trusts.*

Giacco (Youth Mental Health), Parsons, Noufaily (Methodology)

Survey of long-term outcomes for children with disorders causing learning disability.

Collaborating on analysis of longitudinal database of 2,700 children with severe intellectual disabilities, to characterise cognitive and emotional development, health and parental/carer well-being.

Crawford (Youth Mental Health), Parsons, Noufaily (Methodology)

Addressing the Impact of COVID-19 Pandemic on Access To and Experience of Mental Health Care of People from Black, Asian and Minority Ethnic Groups (ARIADNE).

An experience-based co-design approach across four sites to develop actions and interventions for improving access and experience of mental health care for BAME groups. (Coventry & Warwickshire Partnership NHS Trust.)

Giacco, Singh, Gill (Youth Mental Health), Currie, Owen (Organisational Science), Miller (Social Care)


4. Maternity
Project Research into Practice (service partners) Cross-Theme Integration

Induction of labour.

Survey of women's views of induction of labour at two maternity Trusts in the West Midlands to inform design and implementation of service improvement with partner maternitySservices.*

Kenyon, Cross-Sudworth (Maternity), Quinn (Methodology)

Uptake of results in obstetric trials in NHS.

Two large HTA-funded trials on birth position and analgesia provide clear recommendations for practice. We are researching barriers and facilitators in order to design interventions to improve uptake. (NIHR Centre for Engagement & Dissemination.)*

Taylor, Kenyon (Maternity), Reeves, Kudrna, Schmidtke (Methodology), AHSN

Community neo-natal jaundice pathway: improving safety and acceptability.

Jaundice is sometimes missed with serious consequences. We are designing and implementing an improved care pathway incorporating decision support into merged laboratory and midwifery pathways. (Maternity services.)*

Taylor (Maternity), Reeves (Methodology)

Improving non-directive counselling to empower choice of place of birth.

Cluster modified Solomon design of e-learning package alone vs. with expert tuition – 158 midwives across 22 teams. Pragmatic evaluation will show effectiveness of such roll-out. (Department of Health and Social Care.)*

Kenyon (Maternity), Quinn (Methodology)

Changes to provision of postnatal care.

Quantitative and qualitative methods exploring the impact of COVID-19 on postnatal care using a national dataset. Findings will be fed back to practice to inform future changes in postnatal care. (Maternity services.)*

Taylor, Kenyon, Carson (Maternity), Quinn (Methodology)

Process of care during induction of labour.

Cross-sectional survey to explore the process of care during induction of labour in a sample of units in the UK. This will inform an application for funding to improve the pathway.

Kenyon, Taylor (Maternity), Quinn (Methodology)

Perinatal attendance at emergency departments.

An exploration of the number and reason for the attendance of pregnant and newly postnatal women at the Emergency Department of University Hospital Birmingham. The intention is to develop, evaluate and disseminate a pregnancy and postnatal specific triage system for mainstay Emergency Department to improve clarity and safety.

Kenyon, Carson (Maternity), Reeves, Crothers, Remsing (Methodology)

Birmingham Symptom-specific Obstetric Triage System (BSOTS).

BSOTS consists of a prompt and brief assessment (triage) of the women on presentation, and then a standardised way of determining the clinical urgency in which they need to be seen.

Kenyon (Maternity)