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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 opioid prescription - PROMPPT pain management.

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)

What is the Effectiveness of Different Community-based Health Promotion Campaign Methods on Chlamydia Screening Uptake in Young People and What Barriers and Facilitators Have Been Identified? A Mixed-Methods Systematic Review and Time-Series Analysis.

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)

The Impact of COVID-19 Pandemic and the ‘Everybody In' Campaign on a Physical Health Outreach Team for the Homeless in Warwickshire.

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)

Association Between Vitamin D Supplementation or Level and Susceptibility to COVID-19 Infection Including Clinical Course, Morbidity and Mortality Outcomes: Systematic Review.

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 in Cardiac Arrest and Infection Risk to Rescuers: A Systematic Review.

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)

Use of Artificial Intelligence in Breast Cancer Screening: Rapid Review and Evidence Map.

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)

Evaluation of a Policy Intervention to Promote the Health and Wellbeing of Workers in Small and Medium Sized Enterprises – Results of a Cluster Randomised Controlled Trial.

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)

Local Authority Research Systems: identifying the capacity and infrastructure needs of Birmingham City Council.

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 healthcare Professionals to help Parents address OveRweighT in children (SUPPORT) study.

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)

Determining Optimal Strategies for Primary Prevention of Cardiovascular Disease: Systematic Review, Network Meta-Analysis and Cost-Effectiveness Review.

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)

Exploring the Impact of City Of Culture on Health and Wellbeing: A Mixed-Methods Study.

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)

International Core Standards for Information in Screening

To explore core standards and additional support that appear in information given to people invited to take part in screening, focusing on breast cancer and fetal anomaly screening were used as examples.

Alkhudairy, Clarke, Grove (Public Health), Kudrna (Methodology)

Advancing clinical leadership to improve the implementation of evidence-based practice in surgery

This research seeks to uncover and explain how distributed clinical leadership can be developed and improved to enhance the use of evidence in practice.

Grove (Public Health)

Understanding and modelling the relationship between individual and place-based community wellbeing.

This proposal aims to explore the relationship between individual and community wellbeing, focussing on mechanisms and inequalities. Working with Centre for Ageing Better, Spirit of 2012 and the What Works Centre for Wellbeing.

Kudrna, Quinn (Methodology), Oyebode (Public Health)


Social Care Projects

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

Exploring Innovation in Transition (EXIT) for Young People Leaving Care. (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)

The Implications of Acute Hospital Care at Home for Older People, Carers and Social Care Services.

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 a TV Technology Platform to Connect Isolated, Older People to Other Care Services. (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) and Integrated Care Systems (ICSs).

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: a Qualitative Investigation of Local Authorities in England.

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)

Outcomes for Surgical Procedures Funded by the English Health Service but Carried out in Public vs. Independent Hospitals: a Database Study.

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)

A multi-centre randomised controlled trial of a peer-volunteer led active ageing programme to prevent decline in physical function in older people at risk of mobility disability: the ACE (Active, Connected, Engaged) study.

Examining the effectiveness and cost-effectiveness of the ACE intervention compared with an information-only control group for preventing decline in lower limb physical function in community-dwelling older people at risk of mobility disability. With the Royal Voluntary Service; Public Health England.

Jolly (L-T Conditions)

'Snacktivity' to promote physical activity and reduce future risk of disease in the population

To undertake a feasibility trial of "snacktivity" and evaluate the effectiveness and cost-effectiveness of this intervention versus usual advice in NHS health checks and community healthcare services.

Jolly (L-T Conditions)

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-Year Lost for 5 Cardiovascular Disease Conditions: Differences by Ethnicity and Diabetes Status.

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).

Emergency Point Of Care Testing and Treatment in Care Homes and at Home (EPICENTRE) - Development and Evaluation of a Novel Acute Medical Care Model.

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 Quality of Anaemia Diagnosis (iQUAD) 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)

How to utilise the potential of Hospital at Home to deliver more acute non-COVID and COVID care outside of hospital

Hospital at Home (HaH) is a service that provides acute and subacute care by healthcare professionals in private or care homes for a condition that would otherwise require acute hospital inpatient care.

Lasserson, Chen (Acute Interfaces)


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

Creation of a 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)

Untoward events in people with severe mental illness in the year 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)

Behavioural and emotional outcomes in individuals with neurodevelopmental disorders.

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)

A clinical checklist of causes of poor behavioural outcomes in children with moderate-profound intellectual disability and complex needs.

Innovative research conducted by the Project Team has identified common and critical causes of poor behavioural outcomes (including self-injurious, aggressive and destructive behaviour) in children with moderate-profound ID and complex needs.

Crawford (Youth Mental Health)

Improving the uptake and quality of annual health checks for young people with learning disability

Annual Health Checks help to detect and manage health conditions early, review current treatments are appropriate, and help to build continuity of care.

Crawford (Youth Mental Health)

1000 Families Study: Wave 3

Cerebra (https://cerebra.org.uk/) and both funders of the project and partners in this ongoing cohort study.

Hastings (Youth Mental Health)

An online Parenting Intervention to Prevent affective disorders in high-risk Adolescents: The PIPA Trial

Adaptation of the online personalised ‘Partners in Parenting’ programme, developed in Australia, focused on improving parenting skills, knowledge and awareness.

Birchwood (Youth Mental Health)


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

Survey of Women’s Views of Induction of Labour at Two Maternity Trusts in the West Midlands.

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)

BEEM Trial - 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)

An Exploration of Changes to the Provision of Postnatal Care During COVID-19.

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)

Cross-sectional Survey to Explore the Process of Care During Induction of Labour in a Sample of Units in the UK.

This survey will inform an application for funding to improve the pathway.

Kenyon, Taylor (Maternity), Quinn (Methodology)

An Exploration of the Number and Reason for Attendance of Pregnant and Newly Postnatal Women at 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)


5. Organisational Science
Project Research into Practice (service partners) Cross-Theme Integration

Family Hubs Evaluation

Coventry City Council

Currie (Organisational Science)

The production and scale of implementation of evidence based innovation in a range of clinical domains through an Impact Acceleration Unit.

Organisation science is a necessary component of service delivery/implementation science and is intended to accelerate the translation of clinical evidence into frontline care.

Currie, Latuszynska (Organisational Science), Dziedzic, Paskins (L-T Conditions)

Improving Evidence-based Innovation in Social Care: A Methodology for Values Alignment

NIHR Research for Patient Benefit and Research for Social Care funded the research. The Collaborating Centre for Values-Based Practice, St. Catherine’s College, University of Oxford and Homelessness Oxfordshire helped to design our research in line with the views of homeless service users and providers. HomelessLink and the European Observatory on Homelessness helped us engage national and international stakeholders.

Swan (Organisational Science)

Nudging Hospital Prescribers to Choose the most Cost Effective Medicines

Aims to optimise healthworkers’ medication prescribing and use choices with light-touch, low-cost interventions or "nudges". With University Hospitals Birmingham Pharmacy Department and Nottingham University Hospitals Pharmacy Department.

Vlaev (Organisational Science)

6. Research Methodology
Project Research into Practice (service partners) Cross-Theme Integration
Medical Schools Council Assessment Alliance Common Content project Medical Schools Council Assessment Alliance Brown (Methodology)

Workplace health and wellbeing: a mixed-methods evaluation of cross-regional workplace health initiatives including a cluster randomised controlled trial of a behaviour change intervention

Working with Coventry City Council and the Northern Trades Union Congress, this project conducts research to understand how to prevent problems with ill health at work. Kudrna, Schmidtke, Quinn, Lilford (Methodology), Al-Khudairy (Public Health), Jolly (L-T Conditions), Currie, Bharatan (Organisational Science)