Recent NHS policy has prioritised improving access to cost-effective
psychological interventions for people with mental health problems.
Research by Lucock at the Centre for Health and Social Care Research
(CHSCR) has contributed to meeting this challenge by developing and
evaluating self-help interventions which can be provided by a range of NHS
staff without professional psychotherapy or mental health training. This
work has resulted in the creation of the Self-Help Access in Routine
Primary Care (SHARP) initiative, a programme that gives practitioners
materials and training which enable them to deliver brief self-help
interventions supported by a dedicated website and a range of leaflets
that recognise service users' need for easy-to-understand material.
Feedback from practitioners on the website and training has been positive.
There is evidence of positive impacts of the training on practitioners'
confidence in their ability to deal with anxiety and depression, and in
greater use of Cognitive Behaviour Therapy (CBT) approaches with patients.
Evidence from testimony demonstrates impact on practice. Research also
provides evidence of benefit to patients in terms of reduction of anxiety
and depression and goal attainment. The research has also influenced
national guidance on best practice.
Primary research with people with multiple sclerosis and their carers,
led by Brunel, has had
positive impacts on service user and government organisations
internationally; research has
improved practice in relation to the nature and effect of self-management
strategies of people with
Multiple Sclerosis, as well as enhancing therapy for the condition and
raising awareness of the
needs of carers. The research has shaped evidence-based guidelines,
consensus papers, reports
and policies, which have in turn enhanced the effectiveness of
professional practice and service
delivery. Through developing the evidence base and sharing best practice
the research has
resulted in improved health and welfare benefits for people with multiple
sclerosis and their carers.
Bridges is a novel programme for self-management of stroke. Training in
this programme has been delivered to health and social care practitioners
across England, and has recently begun to be taken up in New Zealand. This
has resulted in significant changes to the practice of post-stroke
practitioners who have incorporated the Bridges programme into their
practice, towards using more person centred and self-management
approaches. Bridges is the first social enterprise spin out from Kingston
University, and was successfully launched in 2013 following development
grants from Unltd.
With one in five of the adult population in the UK living with arthritis,
self-management education is a key approach used by occupational
therapists (OTs) to support people with arthritis. University of Salford
research has improved the tools available to OTs to deliver more effective
self-management education, demonstrating the following impact:
This case study describes two types of impact. First, awareness of a
health benefit has been
raised in the treatment of people with diabetes, second, people with
diabetes' attitudes to the
treatment of diabetes has changed. These impacts were achieved in
collaboration with health
professionals working for two NHS trusts (Western Sussex Hospitals NHS
Trust and Sussex
Community NHS Trust) through the development of new educational materials
to increase people
with diabetes' awareness of diabetes and diabetes self-care behaviour.
Elevated blood glucose levels — the hallmark of diabetes — is estimated
by the World Health
Organization to be the third leading cause of premature death globally.
Around 4 million people in
the UK have been diagnosed with diabetes; their treatment accounts for 10%
(£10 billion) of NHS
expenditure. Self-management strategies and the promotion of a healthy
lifestyle are fundamental
to the treatment and prevention of type 2 diabetes (T2DM). Since 2008,
Research Centre has developed, evaluated, disseminated and implemented a
programmes based on a technique called structured education. The flagship
programme is run in over half of all clinical commissioning groups (CCGs),
affecting thousands of
people with newly diagnosed T2DM. The Walking Away prevention programme
has been widely
implemented in the UK, Ireland and Australia. These programmes are the
only nationally available
evidence-based structured education programmes for the prevention and
management of T2DM.
University of Glasgow research on service design, delivery, and
performance in healthcare settings shaped strategies for integrating
health and social care organisations in the, then newly formed, East
Glasgow Community Health Care Partnership resulting in changes to the
organisational development and partnership working practices.
Additionally, the research contributed to intelligence and improved
practices for ensuring patient safety in Lancaster Royal Infirmary.
Through a series of workshops, targeted research communication and
collaborative working on strategic planning, the research on service
delivery and resilience in healthcare settings contributed to, and shaped
developments of, Emergency Guidance and Business Continuity Planning
prepared by NHS Scotland, the Scottish Government and NHS 24.