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We have been involved in initiatives to improve the health behaviour of ~20,000 people from deprived communities, with a focus on increasing levels of physical activity, dietary change, and engagement with natural environments (e.g., parks). We have worked with communities to ensure the sustainability of these positive changes. Further, we have disseminated our research widely through engagement with stakeholders to influence practice and policy and through media coverage. These impacts are based on our research which has demonstrated that to change health behaviours multiple levels of intervention are required and we have focused on two of these levels; community engagement and changing the environment.
The `People in Public Health' (PIPH) study and related research on health trainers, health champions and volunteers has brought together evidence on rationales for lay engagement, effectiveness and models of support. Dissemination activities, supported by a Department of Health grant, have achieved reach into various policy arenas and national networks. At the same time there is evidence of research utilisation in public health practice. One of the impacts has been the establishment of `Active Citizens for Health', a national network of partner organisations to bring together evidence and learning that has been hosted by Leeds Metropolitan University.
Since the Bradford Riots in 2001, research at Bradford has helped to defuse underlying tensions between deprived, multiethnic communities and between them and the local state thus strengthening community resilience in the city. Building on global research, particularly in Latin America, we have introduced participatory and peace-building methodologies into the locality, but with implications beyond it. The Programme for a Peaceful City enhances our impact through academic-practitioner reflection spaces. Our research with rather than on communities fosters their voice in policy, contributing to a non-confrontational response to the EDL in 2010, 2012 and 2013 and bringing community activists from Bradford's diverse communities together to co-create the ESRC-funded Community University (Comm-Uni-ty) in May 2013.
Housing and regeneration programmes both in the UK and internationally have struggled to have lasting impacts upon the places where they are enacted. The University of Glasgow's research and learning programme, GoWell, has worked across a wide range of policy sectors together to improve the circumstances of deprived communities. Specifically, GoWell has: supported the framing of strategy and policy objectives around social regeneration and health outcomes; assisted the definition and understanding of policy problems, such as around the link between `overprovision' of alcohol outlets and local crime rates; proposed the design of new policy instruments such as the Scottish Neighbourhood Quality Standard; and contributed to the monitoring and evaluation of policy implementation by showing how health and wellbeing indicators could be used to measure responsiveness to residential change.
The Health Advancement Research Team (HART) members critically evaluated the North-East Lincolnshire Obesity Prevention Strategy, the first such evaluation in the UK. The research led directly to measureable improvements: specific new training programmes and resource allocations; partnership development and co-ordination; health-worker behaviour change; increases in employment amongst obesity prevention healthcare staff; a new communications strategy; and an increase in healthy eating opportunities. The Care Trust considers that the research has had a beneficial impact on obesity levels in North-East Lincolnshire. The research team/Care Trust partnership has strengthened and is continuing, and the results are replicable nationally and internationally.
Research undertaken in Geography and Earth Sciences at Aberystwyth University has directly led to changes in the powers and regulatory structures of parish, town and community councils in England and Wales, through legislation (Local Government (Wales) Measure 2011), and to new guidance and modifications to the Quality Parish and Town Council Scheme in England. These changes have empowered parish, town and community councils to play a greater role in service delivery and community development; promoted wider citizen engagement in community governance; and increased the democratic accountability of local councils.
Swansea-led research on Thailand's universal healthcare coverage (UHC) reforms (1) helped change perceptions by showing researchers and policy makers in governmental and non-governmental organisations that UHC was viable in a lower-middle income country, (2) provided lessons about implementation challenges for other countries planning UHC reform, and (3) led to improved funding mechanisms in Thailand through the adoption of ring-fenced budgets for health centres and national priority services, and area-based commissioning. The study influenced the fine-tuning of Thailand's demand-side financing system to help develop a sustainable funding model that other aspiring UHC countries are emulating. Research recommendations were incorporated into the recent 10-Year Assessment of the Universal Coverage Scheme (UCS), which informed the Thai government health sector plan for 2013-15.
Research by the School of Pharmacy has been used by the UK Government in their drive to improve the nation's public health. Our evidence base was used to inform the 2008 White Paper "Pharmacy in England: Building on Strengths — Delivering the Future". Healthy Living Pharmacies, recommended by the White Paper, have been piloted leading to improved engagement with local commissioners, further training for pharmacy staff, more cost-effective delivery of public health services, and an increase in public awareness and access to these services. In addition, the Government backed Pharmacy and Public Health Forum is utilising our research in its remit to develop, implement and evaluate public health practice in pharmacy.
The research highlighted here has had a major impact on the design of community led planning (CLP) and neighbourhood planning in England since 2006; initially within the voluntary and community sector and subsequently on policymakers' thinking. This has shaped the trajectory of policy development nationally since 2010 and influenced the way in which local authorities and other intermediary organizations (such as the Rural Community Action Network (RCAN) / Action in Communities in Rural England (ACRE) / Rural Community Councils (RCCs) in England) have approached community-led planning (CLP) and subsequently Neighbourhood Planning (NP). The work has had a significant impact on the NP approach and therefore on the public through the 2011 Localism Act. This legislation led to the `Supporting Communities in Neighbourhood Planning' (SCNP) programme, funded by Communities and Local Government (CLG) since 2011 to a value of circa £20m overall (which includes a 2013-15 tranche of £9.5 Million). The case study lead researcher (Parker) is now co-ordinating a large part of this programme while on 80% secondment at the Royal Town Planning Institute (RTPI)/Planning Aid England (PAE) (2012-2014).
The social enterprise Mapping for Change (MfC) was established to make use of participatory mapping knowledge and software created through research at UCL. Since 2009, MfC has secured more than 20 contracts worth in excess of £435,000, and has delivered over 30 projects in many communities, directly engaging more than 5,000 people and reaching far more online and indirectly. Its projects have increased community engagement in the local environment, led to new environmental monitoring by local authorities and stimulated policy debate about noise and air pollution.