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Improving Organisational Development, Risk Management and Planning in Local and National Healthcare Settings

Summary of the impact

University of Glasgow research on service design, delivery, and performance in healthcare settings shaped strategies for integrating health and social care organisations in the, then newly formed, East Glasgow Community Health Care Partnership resulting in changes to the organisational development and partnership working practices. Additionally, the research contributed to intelligence and improved practices for ensuring patient safety in Lancaster Royal Infirmary. Through a series of workshops, targeted research communication and collaborative working on strategic planning, the research on service delivery and resilience in healthcare settings contributed to, and shaped developments of, Emergency Guidance and Business Continuity Planning prepared by NHS Scotland, the Scottish Government and NHS 24.

Submitting Institution

University of Glasgow

Unit of Assessment

Business and Management Studies

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Public Health and Health Services

Where to Be Born? Evidence about the quality and safety of birth in different settings to support optimal outcomes and women’s choice about place of birth

Summary of the impact

This case study is based on a series of major studies by academic staff at City University London relating to quality, safety, choice and organisation of birth in different settings. Their research has been widely cited and debated by policy, professional and user groups, nationally and internationally. The key impact has been on national and international guidelines for commissioning and on reconfiguration of services to include Midwife Units, to tackle the rising rates of intervention in childbirth and to underpin informed choice for patients. The research is being used by policy-makers, commissioners and managers to plan future services and by midwives to support informed choice discussions.

Submitting Institution

City University, London

Unit of Assessment

Allied Health Professions, Dentistry, Nursing and Pharmacy

Summary Impact Type

Political

Research Subject Area(s)

Medical and Health Sciences: Nursing, Public Health and Health Services

Healthcare Assistants and the Modernisation of the Nursing Workforce

Summary of the impact

Research at Oxford has played a central role within the recent restructuring of the nursing workforce to improve healthcare quality in a context of growing service demands and tightening resource constraints. Much of this restructuring has been heavily dependent on the use of the Healthcare Assistant (HCA) role, provoking much controversy. Presented as a flexible, low cost resource, these HCA roles are also unregulated and therefore seen as a potential source of patient risk. Oxford researchers have fed into this debate across a number of projects, strengthening the evidence base on the nature and consequences of the HCA role. Examining the role from the perspective of different stakeholders, these projects have impacted on national, regional and local policy and practice centred on the management and use of HCAs. In so doing, the research has contributed to the development of a more productive and safer nursing workforce.

Submitting Institution

University of Oxford

Unit of Assessment

Business and Management Studies

Summary Impact Type

Societal

Research Subject Area(s)

Medical and Health Sciences: Nursing, Public Health and Health Services
Economics: Applied Economics

Shaping healthcare leadership and governance

Summary of the impact

Research carried out by the Open University Business School (OUBS) has identified how clinical involvement in the leadership and governance of health services should be undertaken in practice. The sustained stream of research has had an impact on healthcare services at a national level, contributing to the work of an influential think-tank, influencing a Government task force and contributing to the guidance provided by the national NHS Leadership Academy. The latter has led to the collaborative development of a major continuing professional development (CPD) solution with a key management consultancy group. The research has also significantly impacted on management and governance of local healthcare trusts and has contributed to guidance by the healthcare regulator.

Submitting Institution

Open University

Unit of Assessment

Business and Management Studies

Summary Impact Type

Political

Research Subject Area(s)

Studies In Human Society: Policy and Administration

Improving health through an evidence-based implementation programme

Summary of the impact

Life for those who have had a stroke across England has been improved through assessment of their needs six months after their stroke, followed up with support so that these needs are met. The assessment tool used was developed at the University of Manchester using knowledge from applied research into knowledge translation and service improvement, which emphasised the need for tailored, context-sensitive approaches to implementation of evidence. The flexible assessment tool (GM-SAT) that can be used by a range of practitioners is now in use across England in a range of providers, enabling the fulfilment of national strategy and improved care for these patients.

Submitting Institution

University of Manchester

Unit of Assessment

Business and Management Studies

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Public Health and Health Services

Enhanced medical leadership: increasing clinicians’ involvement in health management

Summary of the impact

Around the world policy initiatives have aimed to increase the engagement of clinicians in the management of health services and research has shown that this contributes to improved patient healthcare. Research led by Professor Ian Kirkpatrick at Leeds University Business School (LUBS) has identified obstacles to this engagement and proposed ways to overcome them. The findings have been distilled into training and educational material which has been delivered to National Health Service (NHS) staff and guidance which has been used by NHS organisations to improve practice. Collectively, this work has contributed to improved and more efficient patient healthcare in several NHS trusts.

Submitting Institution

University of Leeds

Unit of Assessment

Business and Management Studies

Summary Impact Type

Societal

Research Subject Area(s)

Medical and Health Sciences: Public Health and Health Services
Commerce, Management, Tourism and Services: Business and Management

Making Surgery Safer: the WHO Surgical Safety Checklist

Summary of the impact

The World Health Organisation's (WHO) Surgical Safety Checklist is the culmination of over 5 years of concerted research effort to better understand, model and intervene in human factors that affect clinical performance and patient safety in operating theatres and surgical care. Imperial researchers were instrumental in the set up and implementation of the WHO `Safe Surgery Saves Lives' working group, launched in 2006, from which the Checklist was a primary outcome. Subsequently, we were co-investigators, and UK-lead, in a global study the implementation of the Checklist in 8 pilot hospitals across 7 continents. The Checklist was demonstrated to significantly improve patient outcomes and was modified and mandated for use in all NHS surgical procedures in England by the National Patient Safety Agency. We have since lead a national study that evaluated the implementation of the Checklist within the NHS and successfully delivered a team training programme aimed at optimising use of the Checklist in our hospitals.

Submitting Institution

Imperial College London

Unit of Assessment

Clinical Medicine

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Public Health and Health Services

Policy change in police custody environments in Scotland

Summary of the impact

Martin Elvins is involved in research providing an evidence base for policy formation on police custody environments in Scotland. The research has two related foci: healthcare of police detainees, and independent custody visiting (ICV). The former has generated a benchmark study of police healthcare in Tayside, which is the first and so far only in-depth evaluation of practice on this aspect of police work in Scotland. Research on the latter aspect directly informed the evidence base that saw ICV become a statutory requirement for the first time in Scotland under The Police and Fire Reform (Scotland) Act 2012.

Submitting Institution

University of Dundee

Unit of Assessment

Politics and International Studies

Summary Impact Type

Legal

Research Subject Area(s)

Medical and Health Sciences: Nursing
Studies In Human Society: Criminology

Addressing the Health Inequalities of People with Intellectual Disabilities (ID)

Summary of the impact

Research undertaken at the Centre for Intellectual and Developmental Disabilities(CIDD), has significantly impacted upon:

  1. The identification of health inequalities through improved health surveillance.
  2. The development of a network of Health Facilitators linked to GP Practices to promote health screening/annual checks.
  3. The development of accessible information to assist people with ID in making positive lifestyle choices and access healthcare services.
  4. The development of health promotion interventions targeting secondary health conditions for people with ID.
  5. The translation of this research into pre/post multi-disciplinary education.
  6. The preparation of regional, national and international policy guidelines.

Submitting Institution

University of Ulster

Unit of Assessment

Allied Health Professions, Dentistry, Nursing and Pharmacy

Summary Impact Type

Health

Research Subject Area(s)

Medical and Health Sciences: Public Health and Health Services

The HE sector: organisation cultures and management; Research Quality Assessment

Summary of the impact

McNay's work is at the boundaries between HEIs and their environment: policy analysis, particularly of Access and, here, Research Quality Assessment, and the impact on internal strategies; and organisational analysis and the way internal cultures and processes are conditioned by external influences. His conceptual model of cultures is used by professionals worldwide to evaluate and improve leadership and management and introduce change. RAE impact analysis has influenced policy (eg on the teaching /research nexus) in the UK and elsewhere) and staff behaviour. It was a factor leading to adjustment of later exercises towards profiling, consistency of criteria and impact

Submitting Institution

University of Greenwich

Unit of Assessment

Education

Summary Impact Type

Societal

Research Subject Area(s)

Education: Other Education

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