NHS managers: part of the solution, not the problem
Policymakers and sceptical public opinion have frequently cast doubt on the contribution of public sector managers. This is especially true in the NHS, where it is claimed that managers soak up resources that might otherwise be used to improve front line services.
Fetal alcohol spectrum disorder: prevention, identification and support need more resources
Up to 17 per cent of UK children could have symptoms consistent with fetal alcohol spectrum disorder (FASD). Before this study no UK estimates existed.
A UK right to food law could tackle food poverty and environmental degradation
Around 8.4 million people in the UK struggle to get enough to eat. At the same time, small-scale farmers and local grocery shops are disappearing, the country is increasingly dependent on food imports and healthy food is too often unavailable or unaffordable. Enshrining a right to food in law can end this situation.
Delivering public health outcomes: vending machines should stock healthier food and drinks
Our environment influences what we eat. The Government’s National Planning Practice Guidance
outlines the importance of ‘planning for an environment that promotes access to healthier food’. Foods sold in vending machines in hospitals, workplaces
and recreation facilities
are obesogenic (likely to contribute to obesity), as they are energy dense (more calories per bite), high in fat and sugar and low in fibre.
More than a medical symptom: the need for holistic care of breathlessness
Chronic and pathological (refractory) breathlessness is debilitating for millions of people in the UK. Despite attempts to define breathlessness to capture its complex subjective nature (ATS statement 2012), it is often reduced to a simple medical symptom or physiological problem. However, breathlessness is a much broader experience, created by diverse physiological inputs and mediated by emotional state, beliefs and expectations (Faull et al. 2018).
Young people with continence problems need better support at secondary school
Dealing with continence problems at school is difficult and a lack of support and understanding from staff has an adverse effect on young people’s well-being and attainment.
All parents should be offered the opportunity to engage with the review of their baby’s death
When their baby dies shortly before or after birth, parents often want and need to understand why. Yet there is no standard process currently for engaging parents in the hospital review
which follows the death of their baby. This process is vital to prevent future deaths. Parental engagement is now mandatory in the PMRT programme.
How should health policy respond to the growing challenge of multimorbidity?
We need patient-centred care, with more emphasis on generalist rather than specialist care and better integration between general practice, hospitals, and social care
Loneliness and social isolation: the need for community-led action
This research shows that loneliness affects the old and the young, and highlights the power of community-based solutions.
Increasing the duration of repeat prescriptions may save NHS money and improve care
This research found that current guidance to issue 28-day repeat prescriptions is not based on good evidence, and that 3-month repeat prescriptions may be more cost-effective.
Management consultancy and inefficiency in the NHS: time for an urgent review
The implication is that, generally, management consultants are not only failing to improve the efficiency of NHS hospitals, but, in most cases, are making the situation worse,
especially considering the fees paid.
Reaping the rewards from UK leadership in farm animal welfare: time for a national strategy
Research led by the University of Bristol and partners provides the evidence to show that current support for improved animal welfare policy is sustainable and achievable.
The future of farming policy in the UK: giving farmers a voice in development and delivery
In a range of UK and international projects, the University of Bristol has been exploring how facilitated farmer-led approaches can tackle societal challenges, husbandry issues and market opportunities.
Rates of giant liver fluke and rumen fluke in cattle: implications for effective control in Tanzania
Parasite infections in cattle have a major impact, including on human health.
This research into infection rates and effective treatment options has led to evidence-based guidelines for effective and sustainable control of giant liver fluke and rumen fluke in cattle in Tanzania.
Preventing suicide in Sri Lanka: Supporting vulnerable populations
In the last two decades, Sri Lanka has made significant progress in reducing its suicide rate, but the suicide rate in young people is still twice that seen in high-income countries. There is an urgent need
for a cross-sectoral approach to reduce the suicide rate in Sri Lanka.
Poo Patrol: Community-led science and action to reduce dog fouling and improve child health
Fouling of public areas by dog faeces has serious public health impacts, not least by discouraging healthy outdoor play.
This research engaged schools and communities to support and monitor their efforts to stimulate behaviour change among dog owners.
Developing inclusive care homes for older people who identify as lesbian, gay, bisexual and trans (LGBT)
Care home staff and managers often lack knowledge about the delivery of personalised care to older LGBT residents.
Pregnancy loss: consistent bereavement care pathways needed
This research looked at the extent to which the Human Tissue Authority (HTA) Guidance (2015) has been incorporated into hospital policies for the management and disposal of pregnancy remains within NHS England.
Online GP consultation systems need further development and careful implementation to realise benefits
Policymakers are advocating technological alternatives to face-to-face GP consultations to reduce GP workload and patient waiting times. This research evaluated an online consultation system and found that it did not reduce GP workload, but could improve access for some patients. Online consultation systems could be improved by changing the way they are marketed to patients and used.
Measures of school performance are biased by genetic differences between students
Some value-added measures reflect genetic differences between students and may misattribute pre-existing differences in pupil ability to school and teacher performance, leading to biased school league tables.
Advice to eat fish at least twice a week during pregnancy lost in confusing guidelines
This research evaluated the associations between fish consumption, mercury and child development in the UK
Care homes need urgent review
This research examines how we can improve the quality of life of older people in care homes.
Energy planning in cities requires holistic assessment of both environmental and health impacts
This research has developed a model for analysing energy related policies and their effects both in the city and beyond.
Conflicts of interest in healthcare: NHS procurement rules must be clarified
This research takes stock of recent developments in NHS governance and explores ways to clarify procurement rules.
Policies that reduce greenhouse gases can improve human wellbeing
This research assesses the impact of urban policies on human wellbeing.
Clean water linked to rising birth rates in Africa: why development initiatives must consider women’s reproductive services
This research explores the unintended consequences of foreign aid and highlights the need for community based, bottom-up approaches to rural development initiatives in Africa.
Good Practice Guidance on working with parents with a learning disability must be updated and placed at the heart of practice
The Good Practice Guidance on working with parents with a learning disability must be moved from the archive to the desktop.
Active after-school clubs are important for improving children’s physical activity
This briefing highlights the finding that after-school is a key time for children to be physically active. It also identifies training for existing school staff as a potentially cost-effective way of increasing physical activity provision.
The 2008 Global Financial Crisis: effects on mental health and suicide
The 2008-2013 recession was followed by rises in suicide in England and other affected countries. It is critical that we learn lessons from the recent recession to reduce the impact of future economic downturns on suicide and mental health.
Improving sheep and goat health: community-led monitoring and targeted treatment
Monitoring the health of whole herds and targeting treatment at individual animals that need it most can effectively improve animal health and productivity while minimising cost. This research looked at a community-led framework for gutworm treatment for goats and sheep in northern Botswana.
Priorities for suicide prevention: balancing the risks and opportunities of internet use
Minimising the risks of the internet while harnessing its potential for good is one of the most significant emerging challenges for suicide prevention. This research explored how people with suicidal feelings use the internet, and its impact on their suicidal behaviour.
Getting girls active: Reducing gender inequality in physical activity
Most girls are less active than boys from childhood to adolescence. Creative and concerted efforts are needed to directly address this gender gap. Our research shows that peers, parents, active travel to school and after-school clubs hold promise to help girls become and stay active.
Delivery is just as important as content in sex and relationship education
This research looks at what makes sex and relationship education effective and acceptable to young people
Too many takeaways? How the food environment affects the health and wellbeing of communities
“We don’t have a single youth club, any safe places where youngsters can come together and have a good time. So the takeaways become the place where youngsters meet.” - Aisha
Appropriate Adults: Protecting the rights
and welfare of vulnerable adults in custody
There is no standard model of funding for Appropriate Adult services for
vulnerable adults and provision is often inadequate. Local authorities can fund
provision as part of their wider safeguarding responsibilities.
Cleft lip and palate: Improve centralised model of care to ensure best outcomes for children
This research assesses the impact of centralising cleft lip and palate care services on child outcomes, 15 years after centralisation.