CLAHRC West Midlands

Current Projects

Collaboration for Leadership in Applied Health Research and Care West Midlands

January 2014 – December 2018

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Version 5.02 (February 2016) 1.Maternity and child health

The start of the human journey, through childhood to adolescence, is a critical period for future physical and mental health. Parents are partners in their children’s health and the NHS is committed to high quality, safe and accessible maternity and children’s services, as well as addressing unhealthy family lifestyles. Theme Lead: Prof. Christine MacArthur, Professor of Maternal and Child Epidemiology, University of Birmingham [email protected] Partner Study Title Study Lead Organisations Birmingham Women’s Exploratory review of the home birth service at Dr Sara Kenyon, Hospital NHS Birmingham Women’s NHS Foundation Trust. Foundation Trust University Hospital of North Staffordshire Feasibility study for implementation in other maternity trusts of a NHS Trust; The Royal Dr Sara Kenyon maternity triage system developed during the CLAHRC pilot. Wolverhampton NHS Trust; Shrewsbury & Telford NHS Trust Birmingham Women’s Place of birth discussion in maternity services. Dr Sara Kenyon Hospital NHS Foundation Trust Examine effects of very early hospital discharge on women, babies (Project development Dr Sara Kenyon and health professionals. phase) Establish feasibility of long-term follow-up of women and children in a (Project development trial of pregnancy outreach worker support conducted in the CLAHRC Dr Sara Kenyon phase) pilot with a view to making an application for external funding. Investigate views of children, adolescents and parents on health Dr Chris Chiswell, Birmingham Children’s and behaviour change advice delivered in the hospital to inform Dr Carole Hospital NHS theoretically and empirically-based interventions. Cummins Foundation Trust Ms Fiona Evaluate the rollout of electronic prescribing with bespoke paediatric Renyolds, Birmingham Children’s decision support suitable to the UK setting across secondary and Dr Carole Hospital NHS tertiary services in a children’s hospital. Cummins, Dr Foundation Trust Jamie Coleman Carry out a cross-sectional evaluation of implementation of Advance Birmingham Children’s Dr Carole Care Plans for children with life-limiting conditions across two NHS Hospital NHS Cummins regions. Foundation Trust Home birth exploratory review: Comparing framework qualitative Dr Sara Kenyon (Methodological study) analysis with a rapid analysis approach. Effectiveness of regular weighing and feedback by community mid- Primary care settings wives in preventing excessive gestational weight gain: randomised Dr Amanda Daley in West Midlands & controlled trial (POPS 2). Oxford A systematic review to examine the evidence regarding discussions Dr Sara Kenyon (Systematic review) by midwives, with women, around their options for where to give birth. Heart of England NHS Feasibility study for implementation in other maternity trusts of a Foundation Trust; maternity triage system developed during the CLAHRC pilot Dr Sara Kenyon University Hospital of [Birmingham Symptom specific Obstetric Triage System]: North Staffordshire Protocol for implementation. NHS Trust Miss Ellie Jones, University of Neonatal hospitalisation in the first 28 days after birth: An exploratory Prof Christine Birmingham; cross-sectional study of preventable neonatal admissions in England MacArthur, Dr Birmingham Children’s 2008-2014. Beck Taylor, Dr Hospital NHS Carole Cummins Foundation Trust University of Birmingham, Magnolia House: New building, new service? A project to evaluate Dr Karen Shaw Birmingham Children’s the early implementation and impact of Magnolia. Hospital NHS Foundation Trust 2. Prevention and early intervention in youth mental health There is overwhelming evidence that many lifelong mental health problems begin in childhood and adolescence. However, despite being the leading cause of disability and burden in young people, failure to seek help and delays within mental health services can often leave them vulnerable and untreated.

Theme Lead: Prof. Max Birchwood, Professor of Youth Mental Health, University of Warwick [email protected]

Health & Social Care Study Title Study Lead Partner Organisations Don’t turn your back on the symptoms of psychosis: Birmingham & Solihull a proof-of-principle, quasi-experimental public Prof Max Birchwood, Mental Health NHS health trial to reduce the duration of untreated University of Warwick Foundation Trusts psychosis in Birmingham, UK. Prof Max Birchwood, Depression in adolescents and young adults: University of Warwick; Primary care settings in A matched case control study. Prof Tom Marshall, Birmingham University of Birmingham A systematic review and meta-analysis of cognitive- Prof Max Birchwood, behavioural therapy for social anxiety disorder (Systematic review) University of Warwick in psychosis. Dr Charlotte Connor, Understanding Risk Factors for the Development Birmingham & Solihull Mental Secondary schools in of Eating Disorders: A Qualitative Study. Health NHS Foundation Birmingham Trusts Women’s lived experiences of a First Episode of Psychosis (FEP): A qualitative analysis of the Dr Anna Lavis,

influence of gender on day-to-day experiences of University of Birmingham FEP and related healthcare needs. Dr Charlotte Connor, Birmingham City Council; Prospective study of young people at risk of Birmingham & Solihull Mental Birmingham & Solihull developing eating disorders: The ‘SchoolSpace’ Health NHS Foundation Mental Health NHS project. Trusts Foundation Trusts Prof Max Birchwood, Birmingham Community Prof Swaran Singh, Healthcare NHS Trust; Bir- How can health services effectively improve the University of Warwick; mingham City Council; Bir- mental health and wellbeing of young people Prof Doug Simkiss, mingham & Solihull Mental leaving public care? The LYNC Study. Birmingham Community Health NHS Foundation Healthcare NHS Trust Trusts Sustaining Positive Engagement and Recovery (SUPEREDEN) – the next step after Early Intervention for Psychosis. Study 3: Improving social Prof Max Birchwood, Multisite recovery in young people with emerging severe University of Warwick social disability: A proof of principle randomised controlled trial. A pilot study to assess the feasibility and impact Birmingham & Solihull of a brief motivational intervention on problem Prof Alex Copello, Mental Health NHS drug and alcohol use in adult mental health University of Birmingham Foundation Trust. inpatient units. PARTNERS2: development and pilot trial of primary Prof Max Birchwood, Primary care settings in care based collaborative care for people with University of Warwick Birmingham serious mental illness. THE MILESTONE PROJECT: Managing the link Prof Swaran Singh, and strengthening transition from child to adult Multisite University of Warwick mental health care. Linear and non-linear brain changes over the Prof Stephen Wood,

transition to psychosis. University of Birmingham 3. Prevention and detection of diseases

There is an increasingly strong financial incentive to improve prevention and detection of disease amongst younger and middle-aged adults. To ensure the UK ages healthily, the promotion of healthy lifestyles must run alongside screening programmes for a population empowered by increased awareness of symptoms, diagnosis, and treatment options.

Theme Leader: Prof. Aileen Clarke, Professor of Public Health and Health Services Research, University of Warwick [email protected]

Health & Social Care Study Title Study Lead Partner Organisations The Royal Orthopaedic Mr Edward Davis, Does total joint arthroplasty of the hip and knee Hospital NHS Foundation Prof Tom Marshall, reduce the risk for serious cardiovascular events in Trust; Dudley Group of University of patients with moderate-severe osteoarthritis? Hospitals NHS Foundation Birmingham Trust University Hospitals A retrospective cohort study to determine the impact Prof Tom Marshall, Birmingham NHS of infection in CKD on all-cause mortality, University of Foundation Trust; Primary cardiovascular disease and kidney function. Birmingham Care Settings in Birmingham Changing case Order to Optimise patterns of Dr Sian Taylor-Philips, UK wide – Breast Screening Performance in mammography Screening (CO-OPS): University of Warwick Centres study protocol for a randomized controlled trial. Fluorouracil plasma monitoring: the My5-FU assay Dr Paul Sutcliffe, for guiding dose adjustment in patients receiving University of Warwick fluorouracil chemotherapy by continuous infusion. Accurate diagnosis of latent Tuberculosis in children, in people who are immunocompromised or at risk Dr Paul Sutcliffe, from immunosuppression, and recent arrivals from University of Warwick countries with a high incidence of Tuberculosis: systematic review and economic evaluation. Prof Tom Marshall, Estimation of undiagnosed and untreated atrial University of UK wide primary care settings fibrillation in UK primary care. Birmingham A randomised controlled trial evaluating the effective- Coventry City Council, Dr Wendy Robertson, ness and cost-effectiveness of ‘Families for Health’, a Warwickshire City Council, University of Warwick family-based childhood obesity treatment intervention. Wolverhampton City Council UK National Screening Non-Invasive prenatal testing (NIPT) for T21, 18 and Dr Sian Taylor-Philips, Committee; University 13, an Evidence Review for the UK National Screening University of Warwick Hospital Coventry and Committee. Warwickshire NHS Trust

NIHR Clinical Trials Fellowship “Randomised Con- Dr Sian Taylor-Philips, trolled Trials and alternatives for evaluating diagnostic University of Warwick tests”.

Systematic Reviews to Underpin the Development of a University Hospital Coventry Prof Ian Cree Blood Test for Cancer. and Warwickshire NHS Trust

Prof Kate Jolly, Lighten Up Plus. University of Birmingham City Council Birmingham

"Where’s WALY? : A proof of concept study of the ‘wellbeing adjusted life year’. A Comparison of the EQ- Dr Rebecca Johnson, Coventry City Council 5D and WEMWBS across 2 annual cross-sectional University of Warwick surveys in Coventry England". Health & Social Care Study Title Study Lead Partner Organisations

Systematic Review: Parent only interventions for Dr Rebecca Johnson, (Systematic reviews)) childhood overweight or obesity (Cochrane Review). University of Warwick

Diet, physical activity and behavioural interventions Dr Lena Al-Khudairy, for the treatment of overweight or obesity in adoles- (Systematic reviews) University of Warwick cents aged 12 to 17 years (Cochrane Review).

The experiences of the smoking carers of children in Prof Kate Jolly, Birmingham Children’s a Paediatric Intensive Care Unit: A qualitative study University of Hospital NHS Foundation protocol. Birmingham Trust Dr Karen Rees, Warwick (Cochrane) Preventive Heart Group. (Systematic reviews) University of Warwick Vitamin C supplementation for the primary prevention Dr Karen Rees, (Systematic reviews) of cardiovascular disease. University of Warwick

Omega 6 fatty acids for the primary prevention of Dr Karen Rees, (Systematic reviews) cardiovascular disease. University of Warwick

Yoga for the primary prevention of cardiovascular Dr Karen Rees, (Systematic reviews) disease. University of Warwick

Fixed-dose combination therapy for the prevention of Dr Karen Rees, (Systematic reviews) cardiovascular disease. University of Warwick Tai chi for primary prevention of cardiovascular Dr Karen Rees, (Systematic reviews) disease. University of Warwick Vitamin K for the primary prevention of Dr Karen Rees, (Systematic reviews) cardiovascular disease. University of Warwick Evaluation of case-finding for untreated AF in primary Prof Tom Marshall, Iridium Practice, Birmingham care. University of Birmingham Birmingham City Council and Startwell a service evaluation of nutritional and Prof Kate Jolly Birmingham Community physical activity training for early years staff. University of Birmingham Health Care NHS Trust Jenny Sheppard & Mark Worcestershire Country Various public health projects. Sheldon, Worcestershire Council County Council The barriers and facilitators to the implementation of NICE clinical guidelines in UK practice. Elective or- University Hospitals Coventry thopaedics using total hip replacement for the treat- and Warwick ment of end stage arthritis.

UK National Screening Tyrosinemia Type 1. Committee

Ataluren for treating Duchenne muscular dystrophy NICE with a nonsense mutation in the dystrophin gene.

The LISA-TRACKER anti-tumour necrosis factor (anti -TNF) assay kits, used for monitoring anti-TNF drugs NICE and antibodies in people with inflammatory bowel disease.

Autologous chondrocyte implantation in the knee. NICE

LDK378 for previously treated anaplastic-lymphoma- kinase-positive non-small-cell lung cancer.

PenCLAHRC, CLAHRC West Rehabilitation EnAblement in CHronic Heart Failure Prof Rod Taylor Midlands and CLAHRC East (REACH-HF) intervention. (PenCLAHRC) Midlands 4. Chronic diseases

Finding new, sustainable, and cost effective ways of managing people with long-term conditions is increasingly being recognised as the next big challenge for health and adult social care. Many people with long-term conditions have complex needs because they have more than one condition and need services across hospitals, general practice, community services, and social care. However, many people’s experience is that care is fragmented and not integrated across different services. Theme Lead: Prof. Jon Glasby, Director, Health Services Management Centre, University of Birmingham [email protected]

Deputy Theme Lead: Dr Gill Combes, University Hospitals Birmingham NHS Foundation Trust [email protected]

Health & Social Care Study Title Study Lead Partner Organisations The effectiveness of interventions to achieve Dr Sarah Damery, co-ordinated multi-disciplinary care and reduce University of Birmingham hospital use for people with chronic diseases. Dr Sarah Damery, Dr Gill Combes, Evaluating the predictive strength of the LACE University of Birmingham; index at identifying patients at high-risk of Sandwell and West Birmingham Dr Roger Stedman, readmission to hospital following an inpatient NHS Trust Mr Martin Chadderton, episode. Sandwell and West Birmingham NHS Trust Evaluation of Birmingham’s IMPACT teams Dr Sarah Damery, (community based GP, social worker and University of Birmingham community nursing teams). Evaluation of new trauma pathway for frail Dr Sarah Flannagen, Heart of England NHS Foundation older people. University of Birmingham Trust Dr Sarah Damery, University Hospitals Coventry and Evaluation of integrated hip fracture pathway. University of Birmingham Warwickshire NHS Trust (and PhD Studentship) Dr Gill Combes, University Hospital of North Emotional and psychological support for renal Francesca Taylor, Staffordshire NHS Trust; The Royal dialysis patients. University of Birmingham Wolverhampton NHS Trust Stoke-on-Trent Clinical Commissioning Group; North Development of an enhanced review to integrate Staffordshire Clinical Commissioning assessment, treatment and referral of pain and Prof Christian Mallen, Group; South Staffordshire and mental health conditions into chronic disease Keele University Shropshire Healthcare NHS clinics in primary care. Foundation Trust; Staffordshire and Stoke-on-Trent Partnership NHS Trust Development and evaluation of a training package to test the assessment, treatment and Dr Emma Healey, referral of osteoarthritis (OA) related pain and Various primary care settings Keele University mental health conditions in an enhanced chronic disease review in primary care (study 2). An evidence synthesis to develop optimal management packages for patients with pain and Dr Clare Jinks, Various primary care settings mental health problems and comorbid long term Keele University conditions in primary care. HECTOR – Heartlands Elderly Care, Trauma & Ongoing Recovery Project. Dr David Raven, Heart of England NHS Foundation A service-level evaluation of a pilot programme HEFT Trust (HEFT) designed to improve outcomes for elderly patients sustaining trauma injuries. Health & Social Care Study Title Study Lead Partner Organisations Getting to hospital at a single stroke. A crash Dr Elizabeth Bates course for GP receptionists on the recognition Various primary care settings University of Birmingham and handling of acute stroke. Improving primary care for people with long term Dr Robin Miller & Dr Gill Staffordshire County Council & conditions: integrated working between general Combes, University of Staffordshire CCG practice and adult social work teams. Birmingham Dr Sarah Damery, University of Birmingham; Healthcare support to care homes. Dr Sarah Rutter, NHS NHS Birmingham CrossCity CCG Birmingham CrossCity CCG

Dr Sarah Damery, University of Birmingham; Heart of England NHS Foundation Supported Integrated Discharge. Mary Ross, Heart of Trust England NHS Foundation Trust

Dr Sarah Damery University of Birmingham; Evaluation of MyHealth patient platform for Mr James Ferguson University Hospitals Birmingham transplant patients. University Hospitals NHS Foundation Trust Birmingham NHS Foundation Trust

A Randomised Controlled Trial to investigate Professor Gao Fang, Heart the effectiveness of ThOracic Epidural and of England NHS Heart of England NHS Foundation Paravertebral Blockade In reducing Chronic Foundation Trust; Trust Post-Thoracotomy Pain – TOPIC Feasibility Dr Sarah Damery, Study. University of Birmingham

The Impact of Giant Cell Arteritis (GCA) Study.

The Joint Symptoms Questionnaire Study.

Polymyalgia Rheumatica (PMR): a qualitative interview study of general practitioners.

Survey of Physiotherapist INtervention with PMR patients (SPIN PMR).

Colchicine Or Naproxen Treatment for ACute gouT (CONTACT).

Stratified Care for Patients with Sciatica and Suspected Sciatica in Primary Care: A randomised trial (the SCOPiC trial - SCiatica Outcomes in Primary Care).

Improving the Care of People with Long Term

Conditions (ENHANCE). Smart Rehabilitation at Home before and after Heart of England NHS Foundation Mr Babu Naidu Lung Surgery (Fit for Surgery). Trust

Evaluation of the Older Person's Assessment University Hospitals Birmingham Dr Sarah Damery and Liaison service (OPAL). NHS Foundation Trust

Integrating emotional and psychological support Heart of England NHS Foundation into the end-stage renal disease pathway: use of Dr Francesca Taylor Trust, The Royal Wolverhampton mixed methods to identify the most effective sup- NHS Foundation Trust port to meet patients’ lower-level needs. Discharge interventions for frail older patients Elaine O’Connell Francis- leaving hospital: a systematic meta-review. chetto 4. Chronic diseases (continued)

Health & Social Care Study Title Study Lead Partner Organisations Dr Gill Combes, Dr Evaluation of the Heartlands Pre-dialysis Peer Heart of England NHS Foundation Francesca Taylor, Dr Sarah Education Project. Trust Damery

Introduction of a pharmacy and psychosocial intervention in care homes to limit the use of psy- Birmingham and Solihull Mental chotropic medication to treat Behavioural and Dr Sarah Damery Health Foundation Trust Psychological Symptoms of Dementia (BPSD) – a feasibility study.

Evaluation of the Coventry alliance: best care, Dr Gill Combes, Dr Robin Coventry Clinical Commissioning anywhere (PMCF). Miller Group

Emotional and psychological support for patients University of Birmingham with ESRD pilot study.

HECTOR 2 - Follow-up. University of Birmingham

University Hospitals Birmingham Modelling the effects of treatment frequency for Dr Gill Combes NHS Trust; Manchester Royal home haemodialysis patients. Infirmary

Alongside our four service themes we have two cross-cutting, supporting themes.

5. Implementation and organisational studies This cross-cutting theme provides state of the art management for the implementation of service change in the four service themes and for independent study of the change process. This theme incorporates an ‘offline’ laboratory at Warwick Business School where new ways of working will be tested and refined before being rolled-out to health care providers.

Theme Leader: Prof Graeme Currie, Professor of Public Management, Warwick Business School, University of Warwick [email protected]

Health & Social Care Study Title Study Lead Partner Organisations

Birmingham Children’s Managing Patient Safety Evidence in Birmingham Children’s Dr Brian Hospital NHS Foundation Hospital. Litchfield-Cant Trust

Stoke-on-Trent Clinical Evidence into practice: applying absorptive capacity to the case Commissioning Group; North Dr Karl Prince of STARTBACK. Staffordshire Clinical Commissioning Group

Heart of England NHS BSOTS - Feasibility study for implementation in other maternity Foundation Trust; University trusts of a maternity triage system developed during the Dr Karl Prince Hospital of North CLAHRC pilot. Staffordshire NHS Trust 5. Implementation and organisational studies (continued)

Health & Social Care Study Title Study Lead Partner Organisations

HECTOR – Heartlands Elderly Care, Trauma & Ongoing Recovery Project. A service-level evaluation of a Dr Brian Litchfield- Heart of England NHS pilot programme designed to improve outcomes for elderly Cant Foundation Trust patients sustaining trauma injuries.

Integrating primary and secondary care mental health Birmingham & Solihull Dr Giovanni services: a new role for nurse practitioners in Mental Health Foundation Radaelli Birmingham and Solihull Mental Health Trust. Trust

Implementing ‘Patients Know Best’: Personal Health Sandwell and West Dr Giovanni Records pilots in Sandwell and West Birmingham Birmingham Hospitals NHS Radaelli Hospitals NHS Trust. Trust

Dr Brian Litchfield- IMPACT - integration project. Cant

Coventry County Council, Implementation of the NHS Health Check Programme in Dr Giovanni Warwickshire County Coventry and Warwickshire. Radaelli Council

Developing a whole-system Management Network for Medically Unexplained Symptoms in Dr Giovanni

Birmingham and Solihull Mental Health Foundation Trust Radaelli and Sandwell and West Birmingham Hospitals NHS Trust.

The translation of evidence and absorptive capacity in a Providers of Community network of healthcare organisations: the Prof Graeme Currie Mental Health Services in development and implementation of a new mental health Birmingham service in the greater Birmingham area.

West Midlands Academic Using control charts to learn about and improve emergency Dr Kelly Ann Health & Science Network medicine performance measures. Schmidtke (AHSN-West Midlands)

Mr John Richmond, A New Vision for Patient Safety Learning: Conceptualizing Heart of England NHS Warwick Business Unlearning in Routines and Practices. Foundation Trust School

Affect, Materiality and the Clinical Handover: Studies at a Birmingham Children's Mr Simon Blake Children's Hospital. Hospital

The ‘Mental Health Service for Children and Young Adults Birmingham Children's aged 0-25’ in the Greater Birmingham Area: translation of Dr Giovanni Hopistal (Forward Thinking evidence during the development and implementation of a Radaelli Birmingham), University of new integrated service. Warwick

Dr Brian Litchfield- University Hospital Coventry & Triage project on infection control. Cant Warwickshire

Increasing Organizational Learning in an NHS Hospital. Patient and public involvement, engagement and participation We know that the patient plays a central role in the work that we do; working closely with the public can lead to better research, clearer outcomes and a faster uptake of new evidence. CLAHRC WM has been developing two key strands in relation to Patient and Public Involvement (PPI), one focused on operational aspects and the other focused on developing research. The first strand related to the involvement of patients and the public in our work through the recruitment of volunteers called ‘PPI Advisors’ who can bring a lay perspective to the work that we do. The second strand relates to developing research about patient and public involvement in research and implementation activity and this work is led through the Implementation and Organisational Studies cross-cutting theme. PPI Operations Lead: Nathalie Maillard, Head of Programme Delivery (Operations) Warwick Medical School, University of Warwick [email protected]

PPI Advisor Name Theme / CLAHRC WM Role Graham Brown PPI Advisor Theme 1

Imogen Chappelow PPI Advisor Theme 1 PPI Advisor Theme 2 Barry Clark Chair of PPI Supervisory Committee Member of Programme Executive Committee

PPI Advisor Theme 2 Keith Elder Member of Programme Steering Committee Andrew Entwistle PPI Advisor Theme 3 PPI Advisor Theme 3 Ray Fiveash Member of Programme Executive Committee Richard Grant PPI Advisor Theme 2 Ruth Hewston PPI Advisor Theme 1 Jennifer Leech PPI Advisor Theme 4 Priti Parmar PPI Advisor Theme 4 PPI Advisor Theme 4 Magdalena Skrybant Member of Programme Executive Committee PPI Advisor Theme 4 Deb Smith Member of Programme Steering Committee

PPI Research Lead: Sophie Staniszewska, Warwick Medical School, University of Warwick [email protected]

Study Title Study Lead Understanding the experiences of patient and public involvement in Dr Alison Hipwell, Warwick Business research implementation in CLAHRC WM: A longitudinal study of the role School of public advisors. (All Service Themes) Understanding the values, motivation & experiences of PPI in research Dr Lee Gunn, Warwick Business implementation in CLAHRC WM - A longitudinal study of the role of public School advisors. Evaluation of impact of PPI Advisor role in implementation of research Dr Sophie Staniszewska, Warwick evidence in practice. Business School

Conceptual mapping of Patient and Public Involvement (PPI) in Dr Lee Gunn, Warwick Business implementation research. School 6. Research methods This cross-cutting theme will ensure that the research methods are designed to adequately answer complex questions and promote public engagement with the scientific ideas behind service evaluation.

Theme Leader: Prof. Richard Lilford, Professor of Public Health, University of Warwick [email protected]

Health & Social Care Study Title Study Lead Partner Organisations A systematic review and meta-analysis to identify the Prof Richard Lilford, health and economic consequences of adverse (Systematic review) University of Warwick events at the patient level. Dr Celia Taylor, Evaluation of the GP recruitment process in the UK. Health Education England University of Warwick The 'beyond synthesis impact chain'. Review methodologies and reporting techniques that Dr Celia Taylor, University of Essex and maximise impact and uptake in educational policy University of Warwick University of Birmingham and practice. Publication bias in health services and delivery Prof Richard Lilford,

research. University of Warwick Systematic overview of early childhood cognitive Prof Richard Lilford, (Systematic review) Interventions for promoting child development. University of Warwick Literature review for High Intensity Specialist Led University Hospitals Acute Care (HISLAC): systematic review on weekend Dr Yen-Fun Chen, Birmingham NHS Foundation effects and literature review on consultant effects to University of Warwick Trust facilitate economic modelling. Horizon of science: the effect of biases with low base Prof Richard Lilford,

rates and small effect sizes. University of Warwick Sizabuntu, South Africa; St Improving the health literacy of Lay Community Prof Richard Lilford, Appolinnaris Hospital; Health Workers in Southern Africa. University of Warwick Underberg clinic Identifying medical risk in the criminal justice system Prof Richard Lilford, – economic evaluation of Liaison and Diversion RAND Europe University of Warwick services. Worcestershire County Public Health Projects - Housing and Health Data Mr Gavin Rudge Council, Sandwell Linkage. University of Birmingham Metropolitan Borough Council Prof Richard Lilford, Interventions at one remove. Coventry City Council University of Warwick Are increases in mortality observed among weekend Dr Sam Watson, University admissions attrituable to service quality or casemix of Warwick (HISLAC). Comparison of passing standards for written finals Dr Celia Taylor , University MSCAA examinations in UK Medical Schools. of Warwick Modelling the evidence for stockpiling neuraminidase Dr Sam Watson, University University of Nottingham inhibitors for pandemic usage. of Warwick Dr Sam Watson, University Integrating Multiple Sources of Evidence. of Warwick Dr Sam Watson, University User fees for access to healthcare in Neno, Malawi. of Warwick CLAHRC East Midlands, Walking Away from Gestational Diabetes and its con- NIHR Leicester- Prof Kamlesh Khunti, sequences: a joint project of CLAHRC East Midlands Loughborough Diet, Lifestyle University of Leicester and CLAHRC West Midlands. and Physical Activity Biomedical Research Unit Projects linked/related to the Academic Health Science Network - West Midlands

CLAHRC WM Liaison / Lead: Paul Bird, Head of Programme Delivery (Engagement) University Hospitals Birmingham NHS Foundation Trust (Secondment) [email protected]

Academic linked to Project Title Study Lead CLAHRC WM Theme

Dr Peter Lewis, Dr Paul Patterson, Implementation of “YouthSpace”. Birmingham & Solihull Mental Health Service Theme 2 Foundation Trust

Improving primary care for people with long-term conditions: integrated working Dr Robin Miller, Dr Gill Combes, Service Theme 4 between General Practices and Adult Social University of Birmingham Work Teams.

Getting to Hospital at a Single Stroke: A Crash Course for GP . Receptionists on the Dr Liz Bates, Service Theme 4 recognition and handling University of Birmingham of Acute Stroke.

Helen Duffy, Keele University STarT Back. Service Theme 4 (NHS Consortium Manager)

Dr Ruth Chambers, Keele University Simple Telehealth/Flo. Service Theme 4 (Honorary)

Integrated Care Network (for Long Term Rhian Hughes, Keele University Service Theme 4 Conditions).

Using control charts to learn about and Dr Kelly Schmidtke, Warwick Business improve emergency medicine performance Cross-cutting Theme 5 School measures.

Prof Graeme Currie, Warwick Business Patient safety collaboratives. Cross-cutting Theme 5 School

Effective practice (includes implementation of Ms Louise Bentham, University of Cross-cutting Theme 6 NICE guidance). Birmingham

Hydrate for health. Dr Ian Litchfield, University of Birmingham Cross-cutting Theme 6

Dr Jamie Coleman, University of Drug safety. Cross-cutting Theme 6 Birmingham

For more information on the West Midlands AHSN please visit their website http://wmahsn.org/ University of Warwick Office Room A155, 1st Floor Health Sciences Warwick Medical School University of Warwick Coventry CV4 7AL Tel: +44(0) 24 765 24794

Director: Prof Richard Lilford, Warwick Medical School Deputy Director: Prof Graeme Currie, Warwick Business School

University of Birmingham Office School of Health and Population Sciences Primary Care Clinical Sciences Learning Centre University of Birmingham Edgbaston Birmingham B15 2TT Tel: +44(0) 121 414 2634

Deputy Director: Prof Tom Marshall

Keele University Office Room 0.75 Primary Care & Health Sciences David Weatherhall Building Keele University Keele Staffordshire ST5 5BG

Deputy Director: Prof Christian Mallen

W: www.clahrc-wm.nihr.ac.uk News Blog: http://clahrcwmblog.wordpress.com/ T: @CLAHRC_WM

This report presents independent research funded by the National Institute for Health Research (NIHR) through the Collaboration for Leadership in Applied Health Research and Care West Midlands (CLAHRC WM) initiative. The views expressed are those of the authors and not necessarily those of the CLAHRC WM collaborative organisations, the NIHR, or the Department of Health.