Summary of the impact

Methods for valuing quality of life developed by Professor Devlin at City University London are used internationally to help governments make healthcare decisions. Her research focuses on a widely-used questionnaire for measuring patient reported health, the European Quality of Life 5-Dimensions (EQ-5D). Government organisations routinely use the EQ-5D to judge whether new medicines work and are cost-effective. Over 15 countries are undertaking EQ-5D studies using Professor Devlin's methods to inform decisions on pricing and provision of new medicines. These developments have been achieved through active dissemination to the academic community and governments and through Professor Devlin's scientific leadership of the European Quality of Life (EuroQol) Group. The impact of this research is highly significant in improving health and health care decision-making and has had wide reach throughout the UK and in many other countries.

Summary of the impact

Public financing of health services in low income countries was challenged by the World Bank's Agenda for Reform in 1987, which advocated increased roles for private sector, private insurance and user fees. This was followed by a wave of reforms implementing this approach. McPake has been involved in researching the implications of this shift since this period and has published a series of influential articles that have had a demonstrable impact on this debate. Removal of user fees for all, or selected, services or for selected population groups has occurred in many countries, including 28 of 50 countries with the highest maternal and child health mortality included in a recent survey (http://bit.ly/17FUiDM).
Witter is the lead researcher who has examined country level experiences of removing fees and it is demonstrable that her work has been applied in specific countries to shape the details of policy and has also had a major influence on the global debate.

Summary of the impact

The research of Dr Duncan Buchan, a member of the Institute of Clinical Exercise & Health Science, has led to two critically important impacts which involve the identification of the prevalence of cardiometabolic disease risk in youth populations and thereafter the effects of physical activity interventions upon cardiometabolic risk in these populations. A key impact has been in the evaluation of the effects of High Intensity Training (HIT). The results have generated significant levels of media publicity and interest from the health and well-being community both nationally and internationally. This work has significantly contributed to the debate and awareness of the importance of physical activity for health and well-being.

Summary of the impact

Research has linked employee wellbeing to employee motivation and engagement, which can in turn drive increases in productivity and improved levels of product/service delivery. This case study illustrates how academic research and enterprise-based activity, through a university spinout company, has helped to create a significant positive impact on promoting and improving employee wellbeing. This has been achieved across a variety of national and international organisations, including several high profile private and public organisations, involving over 50,000 employees across Europe. This has resulted in a number of positive outcomes such as national and international awards in the area of HR as well as increased employee engagement and reduced employee absenteeism.

Summary of the impact

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.

Summary of the impact

Research at Coventry University has produced innovative approaches to addressing sexual health and wellbeing issues, sexual health promotion and sex education. The research has resulted in:-

• Impact on health and wellbeing (UK), an increase in self-reported use of sexual health services (supported by an increase in STI screening rates in some services) and increases in chlamydia screening and detection rates (with the programme now being rolled out nationally). Beneficiaries include young people, parents, GPs, Warwickshire County Council and Coventry City Council.
• Impact on society, culture and creativity through public understanding and public debate (International), with more than 150,000 visitors from over 20 countries accessing the sexual health resources, 30% of visitors returning to the website and an average of 6000 visits per month to the site, one year after launch. These resources benefit young people (primarily 13-25 age group).
• Impact on practitioners and services (International), with training courses and tools facilitating the adoption of best practice, with resources benefitting health practitioners and teachers and being used as evidence of harmful cultural practices in the Asylum Appeal Court.

Summary of the impact

This case study concerns the impact of Plymouth University research relating to farmed fish diets, which led to changes to EU legislation with respect to two types of ingredients: animal proteins and probiotics. The impact of the reintroduction of certain animal proteins in farmed fish feeds (previously banned to protect human health) and to the authorization of a probiotic as a feed additive, involved industry investment in research, have reduced the environmental impact of farmed fishing, improved competitiveness, enhanced yield and quality and improved fish health and survival.

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

The Sheffield Alcohol Policy Model (SAPM) makes a major contribution to national and international debate on public policy and services, focusing on policies aimed at reducing alcohol misuse in society.

SAPM provides the core evidence underpinning Scottish Government plans to implement a minimum unit price (MUP) for alcohol and is cited in the Prime Minister's foreword to the 2012 UK Alcohol Strategy. The model's findings have influenced health policy debate in Australia, Canada, Ireland, New Zealand, Spain, Switzerland, and the European Commission.

SAPM findings for the cost-effectiveness of a programme of identification and brief advice (IBA) in primary care underpin the National Institute for Health & Clinical Excellence guidance on this topic.

Summary of the impact

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.