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Since 2006 the University of East Anglia (UEA) has led a series of Government commissioned studies of all Serious Case Reviews of child death and serious injury in England. This work has provided the largest national database of analyses of child deaths and serious injury where abuse or neglect are known or suspected.
Since 2008, the findings have informed public understanding, practitioner thinking, multi-agency child protection practice, policy and law - in the UK, and internationally. Both key child protection policy and practice reviews commissioned by the UK Government 2008-13, the Laming report (2009) and the Munro Review of Child Protection (2011), drew on this research.
LSHTM research led to the development of a computer-based tool known as the Lives Saved Tool (LiST), which has been made available to international organisations, governments and NGOs free of charge. It allows policy-makers and programme managers in the 75 countries with the highest number of child deaths to identify which policy and programme choices are likely to have the greatest impact in cutting neonatal and child mortality. Since its 2008 launch, LiST has been used widely by international agencies, foundations, bilateral agencies, large NGOs and individual countries to determine investment priorities and programme choices.
Responding to the crisis in confidence amongst clinicians involved in child protection, Cardiff University developed the world's first research programme to provide the scientific basis for more reliable clinical assessments of child abuse and neglect. The programme, which involves 21 systematic reviews (updated annually) and related primary studies, has directly informed five national clinical guidelines, the National Child Protection training program and the first NICE guidance on child maltreatment. Through the Core-Info website, the evidence base created by the Cardiff team is accessed each year by 100,000 users. Key messages from their research have been published in a series of Core-Info leaflets which have reached more than 250,000 allied professionals nationally. The Cardiff research informs standardised national clinical practice, training and legal decisions, ultimately improving the recognition and protection of children from abuse or neglect.
UNICEF estimate that over 3,500 children die annually from abuse and neglect in economically developed countries, including 100 in the UK of whom around 4 are from Northern Ireland. Although the number of deaths appears to be falling in the UK, the rate of decline is slowing. This case study describes the impact of three related pieces of research undertaken for the Northern Ireland Executive and the Northern Ireland Commissioner for Children and Young People. The aim was to identify the things that policy makers and practitioners could do differently in order to protect children better, and has led to significant improvements into how reviews are undertaken, and in the child protection policies and practices in Northern Ireland. As a result children have been better protected by child welfare professionals.
Vincent's research comprises a UK comparison of child death review policy, development of a Scottish evidence base and a comparative study of child death review across six countries. The research has had an impact on public policy to protect children. It has stimulated international, national and local policy debate and changed policy. It has also had an impact on practitioners and services. Professionals from a range of disciplines have used the research findings in conducting their work and it has had an influence on inter-agency child protection guidelines and on multi agency training.
Impact: Health and welfare; raised awareness of childhood pneumonia as the largest single cause of global childhood mortality, which has led to increased investment and action. Global deaths have reduced from 2.01M (in 2002) to 1.58M (2008) and 1.26M (2011).
Significance: Global child pneumonia mortality (2008-2013) showed about 1M deaths fewer than if 2008 levels had persisted throughout this period.
Attribution: Campbell and Rudan (UoE) derived global pneumonia incidence and mortality estimates as the pneumonia technical experts for the WHO / UNICEF Child Health Epidemiology Reference Group.
Beneficiaries: Young children and families, international agencies, Ministries of Health.
Reach: Global (>170 countries on all continents, especially low- and middle-income countries).
Research at York undertaken by Bradshaw, Skinner, Corden and Davidson, directly influenced child support policy throughout the period 2008-2013, informing the radical change that abolished the Child Support Agency and returned child maintenance to the hands of parents to make private agreements under the `Child Maintenance and Other Payments' Act 2008. It also contributed to the decision to disregard child support payments and thus allow child support to increase lone parent incomes and reduce child poverty. More recently our research has contributed to the evolution of policy under the Coalition Government in the 2012 `Welfare Reform' Act, which introduced new `relationship support' services to improve co-parenting relationships, reduce conflict and improve child well-being.
Research conducted by the Centre for the Study of Poverty and Social Justice (CSPSJ) led to a new way of assessing child poverty in developing countries. This novel method (termed the Bristol Approach) resulted in the United Nations General Assembly's adoption, for the first time, of an international definition of child poverty (2006). It also underpinned UNICEFs Global Study on Child Poverty and Disparities (2008-10), which was run in over 50 countries. In the last ten years, the CSPSJ's work has put child poverty at the centre of international social and public policy debates. Its researchers have advised governments and international agencies on devising anti-poverty strategies and programmes that specifically meet the needs of children, and have significantly influenced the way child poverty is studied around the world. The Centre has developed academic and professional training courses for organisations like UNICEF on the issues of children's rights and child-poverty. Our work has also spurred NGOs such as Save the Children to develop their own child-development indices, and so has had a direct and profound impact on the lives of poor children around the planet.
Our work on children's agency in research has had three impacts:
This approach has been replicated in Australia, Turkey, New Zealand, Norway and Qatar. The CRC website hosts 150 successful projects by children and young people, and through the Diana Award more than 1500 children were supported in their research on cyberbullying.
Christine Skinner (submitted under UoA:20 Law) has produced research with colleagues over an eighteen-year period that has impacted significantly on the development of child maintenance law and practice throughout the period 2008-13. Through various methods, her body of work and research expertise have informed the radical re-design of the UK child maintenance system, with a shift from a coercive, administratively imposed system to one that stresses parental negotiation and agreement. Equally, her work has directly influenced the development of a support infrastructure to underpin the new system's implementation. These impacts in turn benefit separating parents and the well-being of their children (estimated at 30% of all UK dependent children).