Birmingham and Lambeth Liver Evaluation Testing Strategies (BALLETS) Follow-On Study
This is a follow-up to our previous work (2005-10), which evaluated mildly abnormal liver function test results in patients with no known liver disease. The aim is to compare various outcomes (inpatient admissions, outpatient appointments, A&E attendance, death) in people who did or did not have fatty livers in the original study, to gain a better understanding of longer-term health outcomes.
Obstetric Anal Sphincter Injuries (OASIS) Clinics
The aim of this research is to establish whether specialised Obstetric Anal Sphincter Injures (OASIS) clinics diagnose and treat post-birth injuries sooner. We are investigating this by focusing on three questions:  Does having an OASIS clinic reduce the length of time between giving birth and having a post-birth injury operation?  Does having an OASIS clinic increase the number of day case operations as a percentage of the total?  Are patients travelling further to a trust with an OASIS clinic in order to have their post-birth operation?
An Evaluation of Community Assessment, Diagnosis and Incidence of Neonatal Jaundice in Birmingham and Solihull Local Maternity System
We are focussing on neonatal jaundice assessments in the community, looking at both transcutaneous bilirubin and serum bilirubin results and establishing any trends. In addition, we are looking at whether transcutaneous testing can reduce the need for invasive serum bilirubin testing and plan to use the findings to influence the design of a new clinical pathway.
The Impact of Food Banks on Malnutrition
Over the past ten years, the number of food banks and the number of food parcels they dispense has increased every year. The aim of this project is to investigate the relationship between the existence of food banks and the risk of diseases of poverty, particularly malnutrition, using geostatistical modelling.
Assessing the Impact and Implementation of NICE TA and NIHR HTA Signals on NHS Clinical Practice
Following on from our previous work looking at the uptake of recommendations made in Health Technology Reports, we plan to track changes over time in uptake for six further trials. This study is in the early stages and will provide further insight into the effects of HTA recommendations.
Age-Standardised Trends in Causes and Predictors of In-Hospital Stay and 30-Day Readmissions in Heart Failure: a Population-Based Analysis of Deprivation, Sex and Ethnicity in England
There are three main aims in this study:  to describe trends in emergency admissions for heart failure and subsequent readmissions within 30 days;  to analyse whether these trends vary by age, sex, ethnic group or deprivation;  to establish key predictive factors for 30-day readmissions split by cause and by time window. First draft of this manuscript is currently being written. Analysis for this project is underway, in collaboration with ARC East Midlands.
Age at Onset, Mortality, and Life-Years Lost for Five Cardiovascular Disease Conditions: Differences by Ethnicity and Diabetes Status
Compared to other ethnicities, South Asians have remarkably higher risks of diabetes and cardiovascular diseases. Diabetes is about three times more prevalent in South Asians than in White Europeans and occurs over a decade earlier. South Asians with diabetes are also at increased risk of diabetes complications and have a higher mortality rate from coronary heart disease and stroke. Our aim is to investigate contemporary trends by ethnicity of several cardiovascular outcomes and life expectancy in people with and without type 2 diabetes. Analysis for this project is underway, in collaboration with ARC East Midlands.
Discontinuity Analysis: Examining Organisational Responses to Incentives
Hospitals in England receive a financial incentive to vaccinate frontline staff against influenza each autumn. We are examining data to find any evidence of a threshold effect at the uptake level which triggers a CQUIN payment. We are working towards a final draft of this manuscript.
Outcomes for Surgical Procedures Funded by the English Health Service but Carried Out in Public vs Independent Hospitals: a Database Study
We are undertaking a nationwide study to compare the outcomes of NHS patients undergoing routine operations in NHS hospitals vs Independent Sector Healthcare Providers (ISHPs). The aim is to describe and examine differences in length of stay and 28-day emergency readmissions between provider types. We are working towards a final draft of this manuscript.