Systems Change

The cross cutting Systems Change topic helps to establish and harness linked routine data to plan and evaluate services, facilitate collaboration, and integrate services across health, social care, education and community settings.

Systems Change projects include:

The eldest in our family, The Born in Bradford cohort is a longitudinal birth cohort which enrolled over 12,400 families during pregnancy between 2007-2011 to explore reasons why some families stay healthy and other families fall ill.

We follow-up our families regularly by administering surveys, collecting measurements and biological samples, and collecting routine data from health and education records. We use our findings to help decision makers in the city implement evidence- based changes to improve health and wellbeing in the city and beyond. Recent follow-ups of our original BiB cohort include Born in Bradford Growing Up and Primary School Years projects.

If you have any questions about this project please reach out to:

Rosie McEachan, project lead - Rosie.McEachan@bthft.nhs.uk

LifeCycle brings 150,000 parent-child pairs from 19 cohorts into a new, harmonized, and sustainable EU Child Cohort Network to identify of novel markers of early-life stressors affecting cardiometabolic, respiratory, and mental health, and translate findings into policy recommendations.

If you have any questions about this project please reach out to:

Tiffany Yang, project lead - Tiffany.Yang@bthft.nhs.uk

The Born and Bred in (BaBi) project is a network of local electronic birth cohort studies. Supported by the Born in Bradford programme, BaBi sites will invite pregnant women to join the project and allow health researchers to join together routinely collected data about them and their baby.

BaBi focuses on families and children to help us to learn more about how they can live healthier, happier lives. Linking routine data from a variety of sources helps build a much clearer picture of people’s lives and answer questions that may help to improve health, care and services through research and planning. Questions like:

• Are there relationships between things that happen in pregnancy and children’s future health?

• How does children’s health affect their education?

• Why are families in some areas happier and healthier than others? What can be done to help improve this?

Through local partnership working, each BaBi site will work together to make the best use of the data in their area, answering the questions that matter the most. In our region, there are 4 BaBi sites:

• BaBi Bradford (known locally as BiB4All)

• BaBi Doncaster

• BaBi East London

• BaBi Leeds

• BaBi Wakefield

For more information on the project, check out the BaBi Network website here: https://www.babinetwork.co.uk/

If you have any questions about this project please reach out to:

Sally Bridges, project lead - Sally.Bridges@bthft.nhs.uk

BiB4ALL is the newest birth cohort study in the Born In Bradford research family of families in Bradford. Midwives ask women to join the cohort during routine maternity care appointments. Then we link together data from a variety of health, education and social care datasets to explore health and development over time. We aim to work with partners across Bradford to use our findings to shape services and improve health and wellbeing in the city and beyond.

If you have any questions about this project please reach out to:

Sally Bridges, project lead - Sally.Bridges@bthft.nhs.uk

Connected Bradford Linked Education and Healthcare Research Database (HERD) is a project that connects local health and education information.

This project enables NHS researchers to provide the best possible care for children and their parents. Our research database brings together information from GP practices with information from other parts of the health and education system, such as Bradford Teaching Hospitals NHS Foundation Trust, Bradford Council and the Department for Education.

If you have any questions about this project please reach out to:

Kuldeep Sohal, project lead - Kuldeep.Sohal@bthft.nhs.uk

Connected Bradford connects de-identified, longitudinal data from different organisations across health, care, education, crime and housing for approximately 600,000 Bradford citizens in a single database to improve health and care pathways of care.

If you have any questions about this project please reach out to:

Kuldeep Sohal- Kuldeep.Sohal@bthft.nhs.uk

The Better Start Bradford Innovation Hub are working with Bradford Councils' Children’s Services and key partners in the Prevention and Early Help Partnership Steering Group to ensure an evidence and outcomes focus at the District level across the 0-19 years pathway. This will help shape the response of the wider health and children's services system and feed into wider planning for children’s services across the District.

If you have any questions about this project please reach out to:

Josie Dickerson, project lead - Josie.Dickerson@bthft.nhs.uk

Youth Endowment Fund granted an award to Born in Bradford (BiB) to conduct community research and co-design solutions with young people to prevent violence in deprived neighbourhoods. With BiB birth cohort entering into teenage years, this programme will qualitatively understand the prevalence of violence in young people, using a place based approach and deploying citizen science methodologies to gather insights.

If you have any questions about this project please reach out to:

Sufyan Abid Dogra, programme lead - Sufyan.Dogra@bthft.nhs.uk

This project explores how linked routine data can be best used to inform policy and practice using the BiB4All connected data research database. The research will involve developing a framework which supports the use of linked data by key stakeholders, implementing this framework using BiB4ALL linked data and then evaluating this framework, with the aim of improving the use of linked data by policymakers to ultimately improve child and maternal health outcomes.

The evaluation will include interviews with key stakeholders to explore their views on using linked data as evidence and understand their perspectives on the process of generating evidence with linked data. Key stakeholders in this project will include commissioners, practitioners, service providers and policymakers.

If you have any questions about this project please reach out to:

Hollie Henderson - hch519@york.ac.uk

For more information about the topic reach out to:

Kuldeep Sohal, topic lead- Kuldeep.Sohal@bthft.nhs.uk