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Quality of care for the increasing numbers of frail older people is an issue of international concern. Led by Professor Meyer at City University London, in partnership with Age UK and Dementia UK, My Home Life (MHL) is a collaborative movement of people involved with care homes for older people. It was established to improve the quality of life of everyone connected with care homes for older people and has become the recognised voice for the sector. The original underpinning research and ensuing projects all focused on knowledge translation, in particular the factors that enhance quality improvement in care homes. MHL actively works with care homes to progress quality improvement and share the lessons learned throughout the system. The programme has had a significant impact on both policy and practice in health and social care, influencing Government policy and supporting practice improvement across national and international borders.
For over 20 years, conclusive evidence has existed that folic acid in early pregnancy prevents spina bifida and related birth defects (collectively known as neural tube defects; NTD), leading to folic acid recommendations for women of reproductive age worldwide. However, translating these recommendations into practice remains a significant challenge. This case study is focussed on identifying and addressing the challenges in implementing current folic acid policy into practice in healthy populations, and in parallel investigating newer roles for folate in preventing disease. Our international outputs to date have provided a scientific foundation for developing evidence-based, sometimes controversial, policy in this area and its translation to consumers.
The main impact of this work has been to provide an evidence base to inform practice and policy in relation to nutrition and diet. Through our contribution to the international EURRECA Network of Excellence, we have developed resources accessible to international expert panels as they review micronutrient recommendations. In addition, this work has had a significant impact on the formation of two major new initiatives; BOND and Zinc-Net, both of which address global issues relating to zinc deficiency and human health. Our pioneering research activities in Pakistan are helping to transform nutrition support and quality of life in marginalised communities.
The Personal Social Services Research Unit (PSSRU) at the University of Manchester (UoM) has run a programme of research examining community care of older people since 1996. The findings have informed key government decision-making around two important national policy initiatives between 2008 and 2013: (1) the development and implementation of Personal Budgets in Social and Health Care and (2) National Strategies to improve Dementia Services. This has affected the national provision of social care for older people and other adult social care users. In 2011-12, there were over 1.2 million people in England receiving social care affected by these policy changes (over 800,000 aged 65+), with a cost of £6,600m spent on their care (NHS and Social Care Information Centre).
Changing global patterns of agricultural production, food availability and processing are having profound impacts on individual food consumption and population health. Thus accurate data on individual food consumption are fundamental for effective planning of agricultural investments and for the implementation of sound public health nutrition policy. Research undertaken at the University of Ulster has demonstrated that mis-reporting in dietary surveys is pervasive and consequently is obscuring diet-health associations. This research has prompted a major paradigm shift in the way public health policy makers interpret dietary intake data.
Keele's research on retirement communities, care and wellbeing in old age has contributed to a transformation in the way in which housing for older people is conceived of, built and experienced across the UK (and beyond), and has led to improved quality of life for thousands of older people. It underpins national, regional and local policies; has improved stakeholder (charities, trusts, businesses) and practitioner understandings of the significance of suitable housing and care; and had direct impact on practices at Berryhill Retirement Village and, more widely, on ExtraCare — the charity who have developed and now run 14 retirement villages and 17 housing schemes, including Berryhill, across the Midlands and the North of England.
The research has had significant impact in the UK on the development of social and spiritual support for people at the end of life and their families. With Professor Holloway as Social Care Lead on the National End of Life Care Programme (NEoLCP) since 2009, the research has underpinned the launch of a framework for the delivery of social care at the end of life which is now in its second phase of implementation. The framework is endorsed by the Association of Directors of Adult Social Services and has led to local and regional Action Plans and social care practice initiatives. The research on spirituality has led to scoping and training initiatives in healthcare practice and in the funerals industry within the UK and internationally.
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.
Research on residential care- and extracare-supported housing conducted by Swansea's Centre for Innovative Ageing (CIA) has impacted on the development and reconfiguration of supported housing services in Wales. Our research on care home closures has directly led to Welsh Government (WG) consultation on guidance regarding `escalating concerns' for care home closures, and the Independent Advisory Group on Local Authority Closure of Care Homes has recommended that our amendments to escalating concerns should be adopted in relation to care home closures due to strategic/policy reasons. Work is now underway by the WG to publish revised guidance in relation to care home closures based on our research. Three local authorities (Swansea, Vale of Glamorgan and Wrexham) have used our research on the challenges associated with extracare provision to inform the development of future services.
Brunel's research identified the ways in which electrically powered indoor/outdoor chair (EPIOC) use improves the quality of life (QoL) of people with disabilities; key findings have been used to inform public policy, enhance professional standards and international evidenced based guidelines for professional practice and improve the health and social welfare through the empowerment of disabled person's organisations. The impacts are based on the newly gained recognition, based on the research findings, that young people need an EPIOC to provide opportunities for social inclusion, positive risk taking behaviours, successful transition into the work environment and to enable general healthy development and capacity for independent living. Older people need EPIOCs to reduce the physical and emotional stress on elderly carers. The impacts have ensured more effective policies are developed, professional practice is enhanced and more appropriate assessment and prescription services are provided for these service users.