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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 has been 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 bringing substantial 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 University's visual 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 NHS practitioners.
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 between physical 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.