Summary of the impact

Pre-eclampsia is a major contributor to death and disability in pregnancy. Diagnosis, based on accurate blood pressure (BP)/proteinuria determination, is limited by measurement errors and being late features of the disease. In collaboration with industry, King's College London (KCL) researchers have developed an inexpensive, accurate, simple BP device suitable for rural clinics. This device allows intervention to reduce mortality/morbidity and is currently being rolled out in a Gates Foundation project in Africa and Asia. KCL researchers have also helped the company Alere Inc. with the development of a diagnostically accurate test of placental growth factor (PlGF) in women with suspected pre-eclampsia: Alere Triage^®PlGF. This demonstrates high sensitivity, superior to current tests, and following commercialisation is being adopted internationally. Their work is additionally reflected in guidelines of international standards for BP device accuracy.

Summary of the impact

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.

Summary of the impact

Childhood obesity is a national problem but it is a problem even more keenly felt in the West Midlands where statistics show the percentage of children classified as obese is higher than the national average. Research demonstrating that simple measures such as waist circumference and body mass index (BMI) are every bit as effective as complex and expensive measuring processes such as magnetic resonance imaging (MRI) scans in identifying high risk obese children has fed into the evaluation and subsequent improvement of child weight management programmes in the region and more widely in the UK. It also informed the development of an obesity strategy and action plan for Worcestershire for the period 2008-11.

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.

Summary of the impact

In a series of training studies on children between the ages of 5 and 12 years, a research team at the Department of Psychology successfully demonstrated that substantial improvements in roadside decision-making and behaviour can be achieved in children as young as 5 years. Based on their findings, the team developed and evaluated a training intervention (Kerbcraft) aimed at improving children's pedestrian skills through practical roadside activities which was formally adopted by the UK government. Since 2008, the majority of 5-7 year old children in the UK have received formal pedestrian skills training using Kerbcraft either in its full or adapted form. Kerbcraft now plays a key role in the UK Government's road safety strategy and has been cited as an example of best practice by the World Health Organisation and safety agencies across Europe, the US, Australia and in developing countries such as Ethiopia and Bangladesh.

Summary of the impact

Dementia poses substantial public health and societal challenges for Europe as there is currently no cure, and it is estimated that 10 million Europeans will be living with the disease in 2040. Good quality information allows for decision-makers to establish appropriate health policies and target resources where they are needed and where they are effective. The ALCOVE project (2011-2013) established a European network where knowledge on dementia could be shared and developed a series of recommendations for improving dementia care and quality of life across Europe. A particular strand of research within the project on timely diagnosis of dementia led by Worcester's Association for Dementia Studies has already stimulated policy debate on this issue in the UK and elsewhere in Europe, while a `toolbox' developed through the project for those living with dementia and their carers and for health and social care professionals has informed care practice.

Summary of the impact

This case study highlights a body of research around health Research Priority Setting (RPS) that assists policy makers in effectively targeting research that has the greatest potential health benefit. Empirical research on RPS led to organizational changes, and new policies within the Cochrane Collaboration along with new training resources and new RPS exercises. A research gap on inequalities in the risk of oral cancer in the English South Asian population led to an evidence synthesis exercise being carried out by the National Institute for Health and Care Excellence (NICE) and the formulation of a new public health guideline.

Summary of the impact

The UK infant formula market increased in value from 2005-2013 by 65% to £463m. The Unit's research, funded by the Food Standards Agency and the Department of Health, addressed the concerns of policy makers and breast feeding lobby groups that baby food manufacturers might be circumventing recently introduced restrictions on advertising infant formula (breast milk substitute) products in such a way as to undermine support for, and uptake of, breastfeeding. The research findings underpinned the recommendations on regulatory change made to government by an independent review panel established by the Minister of State for Public Health. Since the panel reported, manufacturers have addressed the issue by removing publicly accessible links to infant formula product information.

Summary of the impact

Research conducted by the University of Liverpool (UoL) has convincingly shown that there are strong links between the exposure of children to food advertising, brand recognition and being overweight or obese. This work consistently informs the policies of regulators and health agencies, nationally and internationally. In this specific example, work by Halford and Boyland to characterize the effects of food advertising on children's diet, food preferences, intake and body weight has had a direct effect on UK and overseas policy development. Notably this includes informing WHO guidelines to national governments on introducing effective regulatory frameworks and for monitoring their effectiveness.

Summary of the impact

The impact of this research has been achieved through developing evidence-based recommendations for personal advisers in Jobcentre Plus — the UK's one-stop service for administering state benefits and helping claimants into work. By opening the `black box' of adviser- claimant interviews for the first time, the study produced the following key impacts:

1. Policymakers in the Department for Work and Pensions (DWP) and on the Social Security Advisory Committee (SSAC) gained an evidence-based understanding of a key area over which they have policy control;
2. Consequently, DWP policymakers and Jobcentre Plus managers made policy changes with respect to adviser-claimant interviews;
3. Through these policy changes and our training workshops, recommendations from our study have helped improve the service delivered by advisers to benefits claimants.

Beneficiaries were those claiming state benefits, Jobcentre Plus advisers and managers, and DWP and other Government policymakers.