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Addressing Roma, Gypsy and Traveller exclusion is focused on working in partnership with local authorities and Gypsy and Traveller communities to support improvements in the development of infrastructure to enhance wellbeing and quality of life for migrant and mobile groups, demonstrating the following impact:
University of Salford researchers have developed a community-based research method to capture the viewpoints of, and more valid and reliable data about, migrant and nomadic groups, who experience barriers to social inclusion, demonstrating the following impact:
The Health Advancement Research Team (HART) members critically evaluated the North-East Lincolnshire Obesity Prevention Strategy, the first such evaluation in the UK. The research led directly to measureable improvements: specific new training programmes and resource allocations; partnership development and co-ordination; health-worker behaviour change; increases in employment amongst obesity prevention healthcare staff; a new communications strategy; and an increase in healthy eating opportunities. The Care Trust considers that the research has had a beneficial impact on obesity levels in North-East Lincolnshire. The research team/Care Trust partnership has strengthened and is continuing, and the results are replicable nationally and internationally.
This research has enabled more effective integration of refugees and other new migrants into society both at individual level by helping individual migrants to gain access to employment and improved social welfare provision, and at a strategic level by influencing the development of policy initiatives around refugee employment, mental health and migrant access to maternity services. The research has employed innovative methods to engage migrants in research about integration and in work to influence policy, thereby shaping national and local (Birmingham and West Midlands) integration policy and practice.
This case study highlights a body of research around health Research Priority Setting (RPS) that assists policy makers in effectively targeting research that has the greatest potential health benefit. Empirical research on RPS led to organizational changes, and new policies within the Cochrane Collaboration along with new training resources and new RPS exercises. A research gap on inequalities in the risk of oral cancer in the English South Asian population led to an evidence synthesis exercise being carried out by the National Institute for Health and Care Excellence (NICE) and the formulation of a new public health guideline.
In November 2008, Professor Sir Michael Marmot and his team at UCL were asked by the Secretary of State for Health to chair an independent review to propose the most effective evidence-based strategies for reducing health inequalities in England. The Marmot Review, published in 2010, has fundamentally shifted discourse on health inequalities in the UK and internationally. It has shaped public health services across England and around the world, guided government and international policy, and has given rise to a new commitment from service providers and health professionals to reducing health inequalities and addressing the social determinants of health.
This case study concerns a body of research by Dr Julie Ridley, Dr Helen Spandler and Dr Karen Newbigging into Self-directed Support (SDS) and Direct Payments (DPs), which examines perspectives and experiences of policies to promote choice, control and flexibility in social care, and provides a critique distinguishing between rhetoric and reality. Early qualitative and action research focused specifically on mental health, including work for the Scottish Executive (Ridley) and the Department of Health (Spandler), leading to cutting-edge policy critiques (Spandler), engagement with the field to distil key implementation themes (Newbigging) and later, to broader based evaluation of SDS policy implementation in Scotland. Collectively and over time, this work has had a direct influence on social care policy and law across the UK, as outlined below.
Impact resulted from the unit's sustained research in the field, including the leadership of a large EU Framework 6 action project `EMILIA' - the Empowerment of Mental Illness Service Users: Lifelong Learning, Integration and Action, and the follow up project, PROMISE. The findings identified how to reduce social exclusion among people with serious mental illness through lifelong learning and by improving participation in service delivery, education and training, as well as paid employment. The research recommendations were included in a joint EU/WHO policy statement and subsequently rolled out across European Union Member States. The research impacted on the development of European and national policies regarding mental health service users and, through further knowledge transfer activities and the incorporation of the recommendations by a network of providers in 43 countries, also impacted on the profession and mental health service users directly.
Research conducted within the University of East London's Institute of Health and Human Development (IHHD) is reshaping the development, commissioning, delivery and evaluation of interventions to address the wider determinants of health and health-inequalities, and has had impacts on public policy, service design and, ultimately, public health and wellbeing. Grounded in close relationships with policy-makers and end users, UEL's primary research into community development and co-production has informed the design of health improvement interventions, delivered through the cross-institutional, community-based Well London project. Research findings have driven Big Lottery funding priorities, contributed to parliamentary debates on health, informed NICE and Local Government guidance, shaped Marmot Review Team and NESTA policy, and led health authorities to commission new services and adopt new approaches to service delivery.
The `People in Public Health' (PIPH) study and related research on health trainers, health champions and volunteers has brought together evidence on rationales for lay engagement, effectiveness and models of support. Dissemination activities, supported by a Department of Health grant, have achieved reach into various policy arenas and national networks. At the same time there is evidence of research utilisation in public health practice. One of the impacts has been the establishment of `Active Citizens for Health', a national network of partner organisations to bring together evidence and learning that has been hosted by Leeds Metropolitan University.