As a consequence of a research-based training programme developed at the
University of Bristol,
the rates of perinatal hypoxia and intrapartum fetal injury in Bristol and
two pilot units in Australia
and the US are now among the lowest in the world. The improvements
achieved in Bristol, the US
and Australia have also been successfully achieved in a low resource
setting in Zimbabwe.
In response to demand from maternity units across the world, the Bristol
team has developed
PROMPT — a PRactical Obstetric Multi-Professional Training package, which
successfully implemented in over 20 countries worldwide. PROMPT has had a
major health and
welfare impact on more than a million mothers and their babies, as well as
economic benefits and supporting international development.
Policymakers in the government departments responsible for health and
education, Local Safeguarding Children Boards (LSCBs) and many thousands
of professionals with child-protection roles have benefited from Bristol's
research into inter-agency training. The research provided crucial
information on efficient organisational partnerships for training and
strong evidence of the effectiveness of inter-agency training in promoting
mutual understanding, changing attitudes and developing confidence.
Bristol's findings underpinned statutory guidance in the Government's Working
Together to Safeguard Children (2010) [b], which required LSCBs to
provide such training. The research ended a 30-year period during which
inquiries into the deaths of children at the hands of their parents
consistently criticised the failure of professionals to communicate and
work together effectively and advocated inter-agency training as a
solution, but had little or no supporting evidence.
Specific impacts are evidenced in: the citation of the research findings
in support of LSCBs' training strategies; the increased provision of
training programmes in the three years since publication, in spite of
budget restrictions; the successful targeting of previously disengaged
groups, particularly GPs; and the use of an NSPCC-sponsored bespoke
evaluation toolkit developed by the research team.
This case study has improved the quality of life for patients suffering
with visual field defects after brain
injury such as hemianopia, which affects more than 4,000 people in the UK
each year. Different types
of rehabilitation, such as those aimed at enhancing exploration or
reading, have been shown to have a
direct positive impact on patients, improving their confidence,
independence, self-esteem and general
quality of life. Approximately 200 individuals have benefitted from Durham
rehabilitation programmes to date, including some patients
internationally, with a CD toolkit being
provided to countries such as Belgium, Denmark, and Chile. This research
therefore has direct impacts
on health and wellbeing worldwide and has influenced the care offered by
Sport and exercise research at Southampton Solent University commenced in
2007 and comprises a young research team focussed on strength and
conditioning within sport. The overarching methodological approach is
defined in the work of Fisher et al (2011) as momentary muscular fatigue
(MMF) whereby training is undertaken to maximal exertion. Using MMF the
research team have published findings and their conclusions for public
benefit, thus improving performance with a range of client groups in
sport. The impact of this methodological approach is far reaching,
improving performance in elite performers, whether they are able or
disabled. The beneficiary groups include; two Paralympic squads in the
build up to, and including, the London 2012 Paralympic Games and a
premiership football team.
Professor McKenna and his team demonstrated that it was possible to
assess the ability to detect potentially hazardous events, by producing
and testing a hazard perception test. They showed that new drivers have
relatively poor hazard perception skills (are slower to detect hazards)
than more experienced drivers, and that hazard perception skills can be
improved by training. After discussions with and presentations to key
stakeholders, McKenna's hazard perception test was introduced into new
driver testing in the U.K., and subsequently the Netherlands and
Queensland, Australia. The introduction of this test has improved road
safety for drivers and other road users and is associated with a reduction
of certain types of road traffic accidents by 11%. The research has also
led to increased public awareness of the importance of hazard perception
among drivers and the general public.
Within the UK Armed Forces, stress fractures during training in military
recruits represent the single
largest cause of lost duty days, resulting in substantial costs for the
Ministry of Defence.
Research by the University of Surrey has established unique associations
characteristics, bone health and nutrition on stress fracture incidence
during Royal Marine and
Royal Air Force recruit training. This has led the MoD to change entry
criteria and to update
nutritional advice both in training and during deployment for military
personnel. The resultant
reduction in number of stress fractures has had both economic and health
and wellbeing impacts.
Fallowfield designed, ran and demonstrated the long-term effectiveness of
a comprehensive three-day training programme that significantly improved
cancer doctors' communication skills. Publications from a major randomised
trial showed that improvements transferred into the clinical setting and
were enduring. These findings were pivotal and led to key components of
courses being embedded in a Department of Health initiative called Connected;
this trained facilitators, and provided materials for training all
health-care professionals (HCPs). Attendance at Connected courses
became mandatory for all consultant staff. Over 16,000 UK HCPs have
participated since 2008.
Our research into the use, welfare consequences and efficacy of handheld
e-collars in pet dog training is directly linked to current Government
policy. It has stimulated debate and action by both anti-collar
campaigners and the manufacturing industry; e.g. industry bodies are now
working with Government to produce guidelines to reduce risks identified.
Further, the success of our research approach has encouraged new investors
in similar work, i.e. the welfare impact on cats of electronic containment
systems that depend on proximity to a boundary to reliably trigger a
warning tone prior to any aversive stimulus - a previously unresearched
area and unresearched species.
The UK lags behind many countries with respect to training and skills
development, especially among smaller firms. Challenging conventional
wisdom, research at Durham University Business School (DUBS) helped to
shape a major new government policy designed to address this problem — the
£50m per year Growth & Innovation Fund (GIF) pilot. Introduced in
2011, this is a competitive funding mechanism to encourage firms,
especially small firms, to work together to facilitate skills development.
The initial impact is upon the form of GIF as a policy mechanism,
where firms are invited to bid collectively for matched funding to support
activities to deliver training to networks. The subsequent impact is that
of GIF in operation — where it has both reach in the substantial
number of UK businesses affected, and significance as a new approach to
solving a longstanding problem in skills deficiency among smaller firms.
More specifically, it shaped government policy, including the form of
delivery of training to the public and to businesses.
Intercultural performer training techniques developed by Zarrilli's
and Loukes' practice-based research in the Centre for Contemporary
Performance Practice have led to new techniques which have informed
intercultural performer training worldwide. This research has deepened the
quality of artistic productions, informing and influencing theatre works
which have received awards and international acclaim. Centre members have
also enriched public appreciation of performance through documentary and
supporting material. The work of Peter Hulton in establishing Exeter
Digital Archives has informed the recent shift in British publishing
houses towards releasing audio-visual performance documentation.