Latest News

July 2021

PhD Opportunity - Core outcome measures for the evaluation of complex interventions targeted at sustaining independence in older people with frailty

The overarching aim of Yorkshire and Humber ARC's Older people with frailty theme is to improve physical and mental health of older people living with frailty, including care home residents, and generate major health and care efficiency savings.

This PhD provides the successful candidate with scope to explore varying directions within the objectives set out to achieve the stated aim based on their interests and skills. They will have the opportunity to work closely with other Yorkshire and Humber ARC researchers to ensure this PhD complements ongoing research in this area.

For further information and to apply, click here: https://phd.leeds.ac.uk/project/947-core-outcome-measures-for-the-evaluation-of-complex-interventions-targeted-at-sustaining-independence-in-older-people-with-frailty

Application closing date: Friday 13th August 2021.

July 2021

New Improvement Science Snapshot - Video Reflexive Ethnography for Healthcare Improvement

Video reflexive ethnography is a quality improvement method gaining traction in the health services. In this Improvement Science snapshot, Dr Siobhan McHugh tells us what it is, drawing on her own experience of using the approach with maternity care teams.

Watch the snapshot here: https://youtu.be/OjgihFfFv-E

July 2021

PhD Opportunity - Improving support for people with severe mental illness to quit smoking: comparing a bottom up with a top-down quality improvement approach

This is an exciting opportunity to undertake a PhD within Yorkshire and Humber ARC's Improvement Science theme.

People with severe mental illness (SMI) die on average 15-20 years younger than people without SMI (Brown et al., 2010). The main cause is preventable physical diseases such as cardiovascular disease and diabetes (Thornicroft, 2011). Health risk behaviours contribute to the increased risk of such diseases in people with SMI, with smoking being one of the most important modifiable risk factors (Firth et al., 2019).

This PhD studentship will address this research gap, applying the positive deviance approach, which is a bottom up approach to quality improvement, to identify recommendations for how better to support people with SMI to reduce or stop smoking. The PhD will also compare these recommendations with those developed using a more traditional 'top down' approach of an evidence review. As such the PhD will compare a bottom up with a top down approach to developing improvement recommendations.

For further information and to apply, click here: https://phd.leeds.ac.uk/project/1074-improving-support-for-people-with-severe-mental-illness-to-quit-smoking-comparing-a-bottom-up-with-a-top-down-quality-improvement-approach

Application closing date: Monday 30th August 2021.

July 2021

Improving the health of people with mental and physical health problems - what are the most important questions for research?

Our Mental Health theme have created a follow-up questionnaire which includes topics that are most important to those living with both mental and physical health problems, their families, and the health and social care professionals who treat and support them.

Read more about this here: Priority Setting Follow-up Questionnaire for Mental Health

Yorkshire and Humber ARC's Older People with Frailty theme are co-leading an NIHR approved research programme with NIHR ARCs in Wessex, Greater Manchester and South West Peninsula.

The research programme is focused on the health challenges facing our growing older population and will support three multi-regional projects.

Read more about this here: National Priority Area of Healthy Ageing, Dementia, and Frailty

June 2021

Bradford and Craven Innovation Hub - Improvement Academy supporting leaders to implement innovations that will improve outcomes locally

Bradford District and Craven has been selected by the Health Foundation to be one of four Innovation Hubs. The project will involve all NHS organisations across the Bradford District and Craven ‘place’ including, the local authority working alongside the Voluntary and Community Sector Assembly; Healthwatch Bradford; Bradford Institute of Health Research; Yorkshire & Humber Academic Health Science Network; Yorkshire and Humber Improvement Academy; and the University of Bradford. There will be a dedicated post to bring innovation to life and tackle the health inequalities that affect our communities.

YHARC’s Implementation arm, the Yorkshire and Humber Improvement Academy will act as coaches and mentors to those leading implementation of innovations so that the Innovation Hub has a strong evidence-based approach and to embed changes that help improve outcomes for people across that place.

Read the full press release here.

June 2021

Unlocking real-world data to promote and protect health and prevent ill-health in the Yorkshire and Humber region

The Universities of Sheffield, York, and Leeds have joined forces with Local Authorities and Clinical Commissioning Groups (CCGs) from the Sheffield and York areas, and the Yorkshire and Humber Care Record (YHCR) to ‘unlock’ the potential of routinely collected real-world data to promote and protect health and prevent ill-health in local and regional settings.

The project’s Principal Investigator (PI), Dr Matthew Franklin (University of Sheffield), sheds some light on why unlocking routine ‘real-world data’ is important, and what needs to be taken into account in order to protect and benefit members of the public - who the data represents.

Read the blog Unlocking real-world data at http://scharrheds.blogspot.com/2021/06/unlocking-real-world-data-to-promote.html

A downloadable version of the Blog is also available here: https://doi.org/10.15131/shef.data.14723685.v1

June 2021

New Improvement Science Snapshot - A quick guide to effective audit and feedback

In this Improvement Science snapshot, Professor Robbie Foy runs us through the evidence on how to make audit and feedback more effective. Robbie has also produced a helpful audit and feedback glossary term and references document.

Watch the snapshot here: https://youtu.be/0n__SXHvjjk

June 2021

New Publication - Patient compliance with NHS 111 advice: Analysis of adult call and ED attendance data 2013-2017

The NHS 111 telephone advice and triage service is a vital part of the management of urgent and emergency care (UEC) services in England. Demand for NHS 111 advice has increased since its introduction in 2013, and the service is of particular importance in light of the current pandemic and resulting increased demand for emergency care. Currently, little is known about the effectiveness of NHS 111 in terms of the appropriateness of the advice given, or about the compliance of patients with that advice. Our Urgent and Emergency Care theme aimed to address this issue by analysing a large linked routine dataset of all NHS 111 calls (n = 3,631,069) and subsequent emergency department (ED) attendances made in the Yorkshire & Humber region from March 2013-March 2017.

Read the full publication here: https://pubmed.ncbi.nlm.nih.gov/33970946/

June 2021

PhD Opportunity - What is primary care epileptology?

This is an exciting opportunity to undertake a PhD within Yorkshire and Humber ARC's Urgent and Emergency Care theme.

Epilepsy care is suboptimal and the role of primary care poorly defined. Mobilisation of primary care could lead to improved outcomes. The PhD candidate will work with leaders in the field to develop expertise in research methods, synthesise the published evidence, create a conceptual framework, based on the theory of expert medical generalism, and make policy and training recommendations.

For further information and to apply, click here.

Application closing date: Sunday 11th July 2021.

May 2021

New Improvement Science Snapshot - Behaviour change techniques: what are they and how do I use them?

In this Improvement Science snapshot, Professor Rebecca Lawton from our Improvement Science theme walks us through behaviour change techniques: what they are and how to make use of them.

Watch the snapshot here: https://youtu.be/KAbOn2hijBA

The COVID-19 pandemic has prompted an increase in ‘quit smoking’ initiatives in the wider population. A study from our Mental Health theme has been published which reports on heavier smoking and high levels of nicotine dependence among people with severe mental ill health (SMI) during the pandemic.

Read more about the key findings from this study here: https://www.arc-yh.nihr.ac.uk/news-events-and-media/news/heavier-smoking-in-people-with-smi-during-covid-19

We have an exciting opportunity for a Research Assistant to join our Urgent and Emergency Care (UEC) theme. The post holder will have quantitative and qualitative skills to work in the dynamic field of urgent and emergency care (UEC) health services research and join the School of Health and Related Research (ScHARR).

The post holder will join a team of health service researchers, data managers and statisticians in the our Urgent and Emergency care theme and assist in research activities to improve the organisation and delivery of UEC both regionally and nationally.

For further information and to apply, click here: https://tinyurl.com/vb6ptjcw

Application closing date: Thursday 27th May 2021.

April 2021

Collaborating to improve child and maternal health – PenARC and ARC Yorkshire and Humber

The Child Health and Maternity priority programme, led by PenARC and ARC Yorkshire and Humber, have worked collaboratively on a prioritisation process, bringing together stakeholders from across England to identify the most pressing national child and maternal health interventions.

The ARCs are excited to now be able to share which four they are in this news story: https://www.arc-yh.nihr.ac.uk/news-events-and-media/news/collaborating-to-improve-child-and-maternal-health

April 2021

New Improvement Science Snapshot - Realist methods for design and evaluation

Here is the second Improvement Science Snapshot developed by our Improvement Science team. It is on realist methods in design and evaluation and is presented by Professor Rebecca Randell from our Improvement Science theme.

Watch the snapshot here: https://youtu.be/A93aHmR2GmE

March 2021

PhD Opportunity- De-implementation of low value practices (clinical and non-clinical): A patient perspective

This is an exciting opportunity to undertake a PhD within the Yorkshire and Humber Applied Research Collaboration funded by the National Institute for Health Research (NIHR).

This is one of two scholarships currently available within our Improvement Science Theme. The scholarships will be hosted within the School of Psychology within the University of Leeds. You will also be part of a stimulating and supportive network of students working across the NIHR Yorkshire and Humber ARC and the Yorkshire and Humber Patient Safety Translational Research Centre.

For further information and to apply, click here.

Application closing date: Tuesday 27th April 2021.

March 2021

PhD Opportunity- Improving professional practice through individualised feedback: accelerating “learning-on-the-job” in complex clinical settings

This is an exciting opportunity to undertake a PhD within the Yorkshire and Humber Applied Research Collaboration funded by the National Institute for Health Research (NIHR).

This is one of two scholarships currently available within our Improvement Science Theme. The scholarships will be hosted within the School of Psychology within the University of Leeds. You will also be part of a stimulating and supportive network of students working across the NIHR Yorkshire and Humber ARC and the Yorkshire and Humber Patient Safety Translational Research Centre.

For further information and to apply, click here.

Application closing date: Tuesday 27th April 2021.

March 2021

Launch of Improvement Science Snapshots - How to identify barriers to improving clinical practice

Designed and delivered by our Improvement Science theme, these short videos introduce practitioners, researchers and anyone else with an interest in improvement science to key methods and approaches in an accessible way.

The first snapshot in the series covers how to identify barriers to improving clinical practice, and is provided by Dr Andria Hanbury from the Improvement Science theme of the Yorkshire and Humber ARC.

Watch the snapshot here: https://youtu.be/9QmiKYL5hY8

March 2021

Yorkshire and Humber ARC & PSTRC Newsletter - In collaboration with the Yorkshire and Humber Patient Safety Transitional Research Centre

This month's newsletter shares some of the fantastic research to form the COVID-19 response in Yorkshire. We're excited to have collaborated with our colleagues in the Y&H PSTRC to create this bulletin which includes the following articles:

  • Lessons from the frontline: The impact of redeployment during COVID-19 on nurse well-being, performance and retention

  • Research from Bradford suggests that those who need the Covid-19 vaccination the most may be less likely to accept it needed to help target a local COVID-19 response

  • Co-creating healthcare system resilience: Exploring peoples’ responses to the COVID-19 pandemic

  • Impact of COVID-19 pandemic on care home pathways, outcomes and safety of care

  • Caring in a crisis: Understanding the stressors and uplifts for NHS frontline staff and those supporting them during the COVID-19 crisis

  • Supporting research with patient and public involvement/engagement through COVID

YH PSTRC 2021 PSTRC_ARC Newsletter.pdf
Conference poster. Mental Health: person and place. Wednesday 26th May 2021, Online Conference

Hosted by the Society for Academic Primary Care (SAPC) and the Yorkshire and Humber ARC's Mental and Physical Multimorbidity theme, this year's conference theme is 'Mental Health: person and place' and will showcase primary care mental health research currently being undertaken in the UK.

Conference themes include: ‘online spaces and green places’; ‘inequalities’; ‘connections and connecting’; ‘wellbeing and self-care’ and ‘adapting and transitioning’.

We are now inviting abstract submissions (250 words) for elevator pitches. These presentations will consist of a single slide; the speaker will have three minutes to present their slide, followed by 2 minutes for questions. We particularly welcome submissions from early career researchers.

You can submit your abstract by emailing it to ruth.wadman@york.ac.uk (deadline 5pm 26th February 2021).

February 2021

COMING SOON: Improvement Science Snapshots

Our Improvement Science theme are currently developing ‘Improvement Science Snapshots’ which are short pre-recorded sessions covering improvement science methods and approaches.

The videos, hosted on the Yorkshire Quality and Safety Research (YQSR) Group’s YouTube channel, are targeted at health professionals and researchers with an interest in learning more about improvement science and will cover a range of topics delivered by different presenters.

Click here to subscribe to the channel: https://www.youtube.com/user/YQSR

November 2020

Yorkshire and Humber ARC Newsletter - Read our latest newsletter here

This month's newsletter includes articles on the following topics:

  • Use of Urgent and Emergency Care in individuals with serious mental illness

  • Patient and public involvement during the time of COVID-19

  • Promoting shorter hospital stays for older people

  • Patient and Public Involvement/Engagement (PPIE)

  • Investigation into the care pathways for people with chronic respiratory conditions

  • Working with the third sector to implement Patient Reported Outcome Measures (PROMS)

  • Coming soon: Essential Implementation podcasts

Nov 2020 YHARC Newsletter.pdf

November 2020

Emerald Literati Award awarded to our Health Economics, Evaluation and Equality (HEEE) theme

Noted by the Emerald Insight editorial team as: “one of the most exceptional pieces of work they saw throughout 2019’, our HEEE theme's paper has been awarded for research on an extensive analysis of the Harrogate Vanguard programme.

The paper Does the integration of response services lead to meaningful change in healthcare activity? A case study evaluation looks at the NHS England Vanguards of new care models was to improve healthcare provision and integration through the coordination of services, seeking to deliver the Five Year Forward View.

The purpose of our paper is to report on an extensive analysis of one of the Vanguard programmes, exploring whether the implemented integrated response service (IRS) based in Harrogate, England, resulted in any meaningful change in secondary healthcare activity.

October 2020

Patient Reported Outcome Measure resource and checklist launched to support those using PROM data for evaluation

Led by Dr Clara Mukuria, from the University of Sheffield, along with her colleagues on the Health Economics, Evaluation and Equality theme, Professor Tracey Young and Dr Alexis Foster. They have developed a Patient Reported Outcome Measures (PROMs) resource and checklist.

The resource aims to support the process of selecting and implementing PROMs in different contexts where PROM data is used for evaluation. The checklist, found within the resource and as an accompanying document, should be used from the early stages of any evaluation work to ensure appropriate PROMs are selected and that implementation is planned.

You can access the PROMs Resource and checklist here.

We would really like to know how you use the resource and if you have any questions relating to its use, please contact us at ARC_HEEE@Sheffield.ac.uk.

October 2020

The experiences of lockdown for families in Bradford during the COVID-19 pandemic - new findings from the Born in Bradford study

Crucial findings from the first in a series of Born in Bradford (BiB)1 COVID-19 research studies have been published in a paper on the Wellcome Open Gateway2. Since 2007, Born in Bradford has been following the lives of over 36,000 Bradford residents, including ethnically diverse and socio-economically deprived populations. The findings are part of a broader series of adaptive research activities3 (Figure 1) supporting the Bradford District COVID-19 Scientific Advisory Group4 response to the COVID-19 pandemic.

Born in Bradford and other research infrastructure at Bradford Institute for Health Research5 have been harnessed to answer some of the key questions that local policy and decision makers are asking as they determine and co-ordinate the local response to COVID-19. Engagement and consultation with the community, including those seldom-heard, and decision makers is central in shaping and are shaping the study design and content through this adaptive process.

These first findings in the series, covering the period April - June 2020, report the impacts of the COVID-19 pandemic and associated restrictions on mothers and families during this time. They showed that a large number of families were experiencing housing, food and employment insecurities, with one in three reporting being worse off financially than the three months prior to lockdown. Insecurities were also associated with being furloughed, self-employed and not working or being unemployed. There was evidence of increasing inequalities and of families being pushed into poverty.

Clinically significant depression and anxiety symptoms were reported by 18% and 16% of mothers respectively. Nearly one in four households included a member who was considered clinically vulnerable to COVID-19 (advised to shield, over 70 years of age, pregnant etc). The most common worry of respondents sharing their lived experience of the pandemic was that their children or wider family members might catch COVID-19 and become seriously ill or die. Financial insecurity, mental health and home schooling were other reoccurring concerns in responses.

Further survey rounds are planned with parents, children, pregnant and postpartum women over the course of the next 12 months as part of a longitudinal study to understand the changing impact of the pandemic. Recent data collection and linked data for the cohort provides a pre-pandemic data baseline, supporting better understanding of the pandemics’ impact. These surveys are being complemented by in-depth qualitative research with community leaders, parents, children, pregnant and postpartum women and their partners over the same period. Collectively, this body of research offers a unique view into the lives of families and children during the COVID-19 pandemic and will go some way to address the local research and intelligence needs of communities and decision makers responding to it.

1 https://www.bradfordresearch.nhs.uk/c-sag/

2 https://wellcomeopenresearch.org/articles/5-228/v1

3 https://wellcomeopenresearch.org/articles/5-191/v1

4 https://www.bradfordresearch.nhs.uk/c-sag/

5 https://www.bradfordresearch.nhs.uk/

Figure 1

September 2020

Survey: Improving the health of people with mental and physical health problems - what are the questions you would like to see answered by research?

We want to give people living with both mental and physical health problems, their families, and the health and social care professionals who treat and support them, a voice in deciding the most important questions to be answered by future research.

Dr Liz Newbronner, who is leading this work comments “we are really interested to hear what people think we should be looking at in our research projects, and this will be crucial in developing our research over the coming years”.

To do this, we have created a short survey where people can tell us what is important to them, about improving the health of people with mental and physical health problems. The survey will be open until the end of October 2020.

If you would like to take part in this survey, click here. (paper copies available on request)

Our aim is to identify unanswered questions about what would help people with mental health problems look after their physical health. For example, what treatments and services, if examined by research could make a real difference to peoples’ lives. Working with communities and partner organisation from across Yorkshire and Humber we will then prioritise those that are the most important for research to address and plan how we might respond to them.

Our work is being guided by our fantastic priority setting Steering Group, which includes people with experience of mental health problems and clinicians.

September 2020

PhD Opportunity - Addressing the needs of older people with frailty

The Academic Unit for Ageing and Stroke Research is pleased to announce an excellent PhD scholarship opportunity - Addressing the needs of older people with frailty.

The scholarship is part of the Older People with Frailty theme in the NIHR Yorkshire and Humber Applied Research Collaboration.

For further information and to apply, click here.

Application closing date: Wednesday 7th October 2020.

September 2020

PhD Opportunity - The management of acute paediatric episodes of care within the urgent and emergency care system.

Based at the University of Sheffield, this PhD opportunity is part of the ARC YH Urgent and Emergency Care (UEC) Theme, led by Professor Suzanne Mason. Aims include: to deliver improvements to demand and flow through the UEC system using a learning health systems approach, prioritising outcomes important to patients and providers and building on a track record of delivery and impact in this area of national NHS priority.

For further information and to apply, click here.

Application closing date: Saturday 31st October 2020.

January 2020

Inspiring videos show smokers with mental health conditions who successfully quit

As part of an output from the CLAHRC SCIMITAR+ study, former smokers with mental health conditions have shared their inspiring journeys on how they conquered their addiction in a series of powerful short films. Watch the videos and read the full article here.