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Lancaster research has highlighted the pervasive health inequalities and inadequate services experienced by people with learning disabilities (LD). Our 2005 report commissioned by the Department of Health (DH) proposed the establishment of a specialist LD observatory for England. This proposal was taken up by a government-commissioned independent inquiry and accepted.
The same team is one of three partners who, through a competitive tender process, have since 2010 been operating the first specialist LD public health observatory in the world. The observatory collects, analyses and summarises health information to improve the data available to DH and other stakeholders thereby improving the health of people with LD.
Research undertaken at the Centre for Intellectual and Developmental Disabilities(CIDD), has significantly impacted upon:
Research at Lancaster has had significant, cumulative impacts on public sector thinking about, and approaches to, public involvement in health policy, practice and research locally, nationally and internationally. As a result the public in the UK and internationally is now significantly better engaged in influencing health policy and practice, in particular those from disadvantaged communities, leading to improved health and wellbeing, and enhanced employability. This research shaped the network of NHS Patient and Public Involvement Forums established in England 2003-2007, and reframed how social exclusion and vulnerability were addressed in the report of the Global Commission on The Social Determinants of Health (Marmot report) and the WHO EURO Health 2020 Strategy.
Research by the University of Southampton into maternal and child health in the developing world has contributed significantly to the design of better health policies by governments, international agencies, and non-governmental organisations. The research broke new ground in identifying the urban poor in developing countries as among the groups most at risk of poor maternal and child health. Its findings have informed policy and funding priorities at national and international organisations including the Department for International Development (DFID) and the United Nations; influenced health practitioners in Africa and Asia; and led to better health care outcomes in countries which were the focus of the research.
`Scrounger', `cheat', `skiver' - Disabled people are feeling increasingly threatened by how they are represented in the media. University of Glasgow research has provided strong evidence of this negative shift in media coverage of disability issues. The 2011 findings have received widespread attention, have critically informed public and political debate and have substantially shaped the work of NGOs and advocacy groups. They have provided organisations with clear research evidence to inform their campaigns by defining and quantifying misrepresentations in the media and the effects on audience perception of these issues, helping to support calls for change in public attitudes to issues of inequality.
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 `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.
As a result of research by Prof. Sanjoy Bhattacharya since October 2010 at York into the history of disease control, the social determinants of health, and primary healthcare, the Department of History's Centre for Global Health Histories (CGHH) was invited to formalize and develop the WHO's Global Health Histories (GHH) project, including its annual flagship seminar series in Geneva. This research programme has had a major impact on institutional practice within the WHO headquarters and its regional offices: (i) through the promotion of greater transparency and openness toward internal and external stakeholders; (ii) in leading the WHO to use historical research for staff training and development; (iii) by leading the WHO to encourage partner governmental and non-governmental organizations to make greater use of historical research in developing and running health policies. Due to the success of GHH in these areas, historical analysis has now been designated an Office Specific Expected Result for departments within the WHO HQ. It is now an officially required and audited activity for evaluations of major campaigns and for teams planning new projects.
Dr Annie Tindley's research on long-term changes in welfare in the Highlands and Islands during the later nineteenth-century and the Dewar Commission of 1912 supported the formation of the Dewar Centenary Group, a pressure group which included historians, Highland GPs, members of the Royal College of General Practitioners, and other stakeholders. The Group employed the historical example of the Dewar Commission to lobby the Scottish Government and NHS Highland to bring about key targeted reforms in medical training and healthcare policy. These include new GP benchmark tests and an innovative programme of rural training fellowships in general practice.
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.