Summary of the impact

Arts for Health is a global leader in the research and development of arts and health. In 2003, it secured HM Treasury funding to research the impact of the arts on health and well-being. The Invest to Save: Arts in Health (ISP) research aimed to strengthen the capacity of the north-west regions' arts/health community, building the evidence base around the effectiveness of creativity, culture and the arts on health outcomes. The research evidenced reduced levels of stress, anxiety and depression and increased levels of eudemonic (active) well-being in those engaging with the arts, and has national and international policy dimensions.

Summary of the impact

This case study describes the impact of practice-led research in health and social care settings. There are three main areas of impact to this research:

1. Arts and Mental Health. Through Converge, Rowe has developed, applied and evaluated new approaches to arts and mental health practice. This work impacts directly on participants and on mental health policy and provision through close partnership with NHS staff and managers.
2. Arts in a hospital environment, particularly in renal dialysis.
3. The performance of personal stories in playback theatre. Rowe's book has been translated in to Arabic and Korean and is recommended by the International Playback Theatre Network.

Summary of the impact

Many of the millions of people worldwide with disfigurement face significant psychological challenges. Research at UWE's Centre for Appearance Research (CAR) has made a substantial contribution to the interventions and healthcare provision available for patients with the most common congenital disfigurement — cleft lip and palate — in the UK and internationally. Specifically, our research has underpinned: (1) The inclusion of psychologists as key members of all UK cleft teams; (2) The development of effective forms of psychological support and interventions currently in use by psychologists and charities across the UK and abroad; (3) The development of evidence-based training packages currently being used by practitioners across Europe.

Summary of the impact

Health inequalities are recognised as a critical UK policy issue with life expectancy gaps of up to 28 years between the least and most deprived areas. This case-study demonstrates how Durham University research has led to: (a) changing health service commissioning (with County Durham and Darlington Primary Care Trust [PCT]): (b) influencing NHS funding policy (by generating Parliamentary debate); as well as (c) contributing to the development of the new public health system in England and Wales (as part of the Strategic Review of Health Inequalities in England post-2010 [Marmot Review]).

Summary of the impact

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.

Summary of the impact

This case study presents the impact of the Health and Temperature Research Group (HTRG) at Sheffield Hallam University, led by Professor Tod. The group generates novel, collaborative, translational, interdisciplinary (e.g. health, housing and environment, energy and welfare) research with a focus on cold related ill health. The research impact is illustrated here by The Keeping Warm in Later Life Project (KWILLT). KWILLT findings provide a unique understanding of the complex environment and multiple factors influencing older people keeping warm and well in winter. Beneficiaries include NHS, local and national policy makers, and practice organisations.

Summary of the impact

The Department's impact on health and care has two strands that are mutually enriching: creative interventions in health and social care designed to benefit NHS service users and therapeutic client groups, and the application of innovative arts methodologies to health settings. The research impacts on health professionals, `user' groups and charities by:

• generating new arts-based methodologies for artists and health professionals that impact on the culture of care settings;
• challenging the culture of performance management and clinical governance by developing creative approaches to patient and carers' wellbeing;
• expanding the conceptual framework for creative practice in health settings.

Summary of the impact

Evidence about the need for and provision of health visiting services generated through research undertaken at King's College London (KCL) has underpinned major changes in national policies for health visiting. Our findings about health visitors' practice, availability and distribution of services and effectiveness in terms of parenting/child outcomes, revealed both shortfalls in provision and opportunities for improvement and led to the development of a new caseload weighting tool and funding model for service planning. The accumulated evidence from this research helped convince the UK Government in 2010 to commit to 4,200 more health visitors by 2015 — a workforce expansion of nearly 50% — in a time of austerity and restraint elsewhere in the public sector.

Summary of the impact

Dr Lina Gega's research has been instrumental to the development and take-up of computerised Cognitive Behavioural Therapy (cCBT) and other technology-mediated interventions for common mental health problems in the UK and internationally. Gega's adjunct on-line methods form a key foundation for the training of professionals to support cCBT, and the National Institute for Health and Care Excellence (NICE) guidelines now include cCBT for first line intervention for common mental health problems. These developments have resulted in a greater patient reach for cCBT internationally, with resultant decreases in waiting time for patients (with associated economic benefit) and improved outcomes.

Summary of the impact

The Millennium Development Goals placed improvement of maternal health and reduction of maternal mortality high on global policy agendas. Our research at King's College London takes this aim forward by producing detailed analyses of health systems barriers to timely access to maternal healthcare in a variety of settings in Africa and Asia, complemented by synthetic reviews of evidence to inform governments and international agencies. Our contribution has drawn international policy attention to the impact of healthcare financing mechanisms on delivery of maternity care and subsequent wellbeing, and the importance of effective emergency maternity referral systems. Our work has directly informed the design of referral systems in several countries.