Category / NHS

First paper by PhD student

We are delighted to announce that Bournemouth University (BU) and University Hospitals Dorset NHS Foundation Trust (UHD) Clinical Match-Funded PhD researcher, Leila Kattach, has published her first academic paper. This milestone marks an important step in Leila’s research journey and highlights the impactful work being carried out within our clinical research community.
The paper, titled Nurse-Led Models of Service Delivery for Skin Cancer Detection: A Systematic Review, was published in the Journal of Advanced Nursing yesterday (April 1, 2025) [1]. This research consolidates evidence on nurse-led models for skin cancer detection, comparing their effectiveness to physician-led care and highlighting their potential benefits in terms of accessibility, cost-effectiveness, and patient satisfaction.
The systematic review, co-authored with Heidi Singleton, Steven Ersser, Debbie Holley, Ian Pearson, and Abdulrahman Shadeed, rigorously analyzed studies from 1992 to 2024, assessing the role of nurses in diagnosing, treating, and supporting skin cancer patients. The findings demonstrate that nurse-led models can complement or even substitute traditional physician-led care, offering high diagnostic accuracy, improved access to care, and enhanced patient education.
Key highlights from the study include:
Comparable diagnostic accuracy between nurses and ophthalmologists in skin cancer detection.
Increased accessibility and reduced waiting times for patients through community-based, nurse-led services.
Significant cost savings associated with nurse-led care delivery.
Patient preference for nurse-led models, citing convenience and enhanced education on self-examination.
The study also emphasizes the need for further research and standardized national guidelines to scale and integrate nurse-led models effectively into healthcare systems.
Leila’s research has strong implications for policy and clinical practice, advocating for:
✅ Enhanced dermatology nursing training to equip nurses with advanced skills in assessment, diagnosis, and treatment.
✅ Development of Dermatology Nurse Consultant Training Programmes to support professional development and independent practice.
✅ Support for community-based care to enhance accessibility, particularly in underserved regions.
✅ Standardization of nurse-led models to ensure consistency and high standards across healthcare settings.
Leila Kattach’s research has a PhD studentship jointly funded by BU and UHD NHS Foundation Trust. The study was conducted in collaboration with academic dermatology experts, specialist clinicians, and a patient representative with lived experience of melanoma, ensuring a patient-centered approach.  Leila’s work paves the way for further exploration into nurse-led service delivery models and their long-term impact on skin cancer care, cost-effectiveness, and healthcare workforce sustainability. We look forward to seeing how her research evolves and contributes to improving patient care in dermatology.
👏 Congratulations to Leila Kattach and the research team on this outstanding achievement!
Prof. Edwin van Teijlingen
Reference:
  1. Kattach, L., Singleton, H., Ersser, S., Holley, D., Pearson, I. & Shadeed, A. (2025), Nurse-Led Models of Service Delivery for Skin Cancer Detection: A Systematic Review. Journal of Advanced Nursing.[online first]  https://doi.org/10.1111/jan.16854

 

Consider starting M.Res. at Bournemouth University

Bournemouth University is delighted to be working with UWE Bristol as one of the NIHR INSIGHT hosts providing funded postgraduate M.Res. research training for health and social care professionals.  BU provides excellent training, development, and teaching for the postgraduate community across disciplinary and interdisciplinary research fields.

The National Institute for Health and Care Research (NIHR) INSIGHT programme is a unique opportunity designed to inspire and equip the next generation of health and social care researchers. As part of its commitment to fostering a world-class research workforce, the NIHR INSIGHT programme offers a transformative experience with numerous benefits:

  • Exposure to Research Opportunities: Gain invaluable insight into health and social care research.
  • Hands-On Experience: Engage directly with researchers and practitioners, acquiring real-world skills.
  • Mentorship: Receive guidance from experienced professionals, helping to shape your research career and development.
If you are health or social care professional you may want to have a look at the experience of midwifery researcher and current M.Res. student Susara Blunden (click here!).   For a more informal discussion email INSIGHTSWCC@bournemouth.ac.uk
Applications Open until 31st March 2025 (for September 2025 entry).

BU academics’ paper read 170,000 times!

This week ResearchGate notified us that our methods paper ‘The Importance of Pilot Studies[1], published 22 years ago in The Nursing Standard, has now been read 170,000 times!  Prof. Vanora Hundley and Prof. Edwin van Teijlingen wrote this more elementary paper after  publishing an in-depth academic paper on a pilot study into assessing  maternity care in Scotland [2].  The latter paper described their learning from a pilot study which we conducted prior to a cross-national study of births in Scotland.

The methods paper in the Nursing Standard is also their most highly cited paper.  Today Google Scholar lists it with 2,035 citations, interestingly this is not the case on SCOPUS as The Nursing Standard is not listed on SCOPUS.  Researchers seem to be quoting this paper in their research methods section when they have done pilot or feasibility study for a larger-scale study.

 

 

References:

  1. van Teijlingen E, Hundley, V. (2002) The importance of pilot studies, The Nursing Standard 16(40): 33-36. Web: nursing-standard.co.uk/archives/vol16-40/pdfs/vol16w40p3336.pdf
  2. van Teijlingen E, Rennie, AM., Hundley, V, Graham, W. (2001) The importance of conducting & reporting pilot studies: example of Scottish Births Survey, Journal of Advanced Nursing, 34: 289-95.

Race Equity Month: Disparities in maternity care

Race Equity Month – Can the UK finally tackle health disparities in maternity care?

Last week Prof. Hora Sultani, who leads the joint bid submitted by Sheffield Hallam University (SHU) and Bournemouth University (BU) in reply to the ‘NIHR Challenge: Maternity Inequalities funding call’, wrote an article on the website of the Council of Deans for Health.  This piece with the title ‘Race Equity Month – Can the UK finally tackle health disparities in maternity care?‘ can be freely accessed (click here!).  One of Prof. Soltani’s key arguments is that it is vital that national policy makers and service providers collaborate with researchers and communities to co-design and provide practical solutions for such important maternity challenges in UK society.

Prof. Soltani was writing on behalf of  the UK Network of Professors in Midwifery and Maternal and Newborn Health, an organisation to which both Profs Hundley and van Teijlingen belong.

Pregnancy & COVID-19 in UK: New study published

This morning the editor of the Frontiers in Psychiatry emailed us that the paper reporting the findings of the baseline data of a large-scale epidemiological study into pregnancy during COVID-19 in the UK has been published [1].  The interdisciplinary research team includes researchers from University Hospitals Dorset NHS Foundation Trust (Dr. Latha Vinayakarao & Prof. Minesh Khashu) and Bournemouth University (Prof. Edwin van Teijlingen). 

This longitudinal study explores how the SARS-CoV-2 [COVID-19] pandemic affected the mental health of pregnant people in the UK.  In mid-to-late 2020, we recruited 3666 individuals in the UK for the EPPOCH pregnancy cohort (Maternal mental health during the COVID-19 pandemic: Effect of the Pandemic on Pregnancy Outcomes and Childhood Health). Participants were assessed for depression, anxiety, anger and pregnancy-related anxiety using validated scales. Additionally, physical activity, social support, individualized support and personal coping ability of the respondents were assessed as potential resilience factors.

Participants reported high levels of depression (57.05%), anxiety (58.04%) and anger (58.05%). Higher levels of social and individualized support and personal coping ability were associated with lower mental health challenges. Additionally, pregnant individuals in the UK experienced higher depression during the pandemic than that reported in Canada. Finally, qualitative analysis revealed that restrictions for partners and support persons during medical appointments as well as poor public health communication led to increased mental health adversities and hindered ability to make medical decisions.

The study highlights the increased mental health challenges among pregnant individuals in the UK during pandemic. These results highlight the need for reassessing the mental health support measures available to pregnant people in the UK, both during times of crisis and in general.

Reference:

  1. Datye, S., Smiljanic, M., Shetti, R.H., MacRae-Miller, A., van Teijlingen, E., Vinayakarao, L., Peters, E.M.J., Lebel, C.A., Tomfohr-Madsen, L., Giesbrecht, G., Khashu, M., Conrad, M.L. (2024) Prenatal maternal mental health and resilience in the United Kingdom during the SARS-CoV-2 Pandemic: A cross-national comparison, Frontiers in Psychiatry, 15 https://doi.org/10.3389/fpsyt.2024.1411761

New midwifery publication

Congratulations to Ph.D. student Joanne Rack on the publication today of her paper ‘Understanding perceptions and communication of risk in advanced maternal age: a scoping review (protocol) on women’s engagement with health care services’  [1].   Joanne is currently doing a Clinical Doctorate in the Centre for Midwifery & Women’s Health (CMWH) focusing on personalised care for women of advanced maternal age.  Her doctoral study is matched-funded by University Hospitals Dorset NHS Foundation Trust and Bournemouth University [BU].  Her PhD is supervised and supported by Profs. Vanora Hundley, Ann Luce and Edwin van Teijlingen at BU and Dr. Latha Vinayakarao in Poole Maternity Hospital.

Well done!

 

Reference:

  1. Rack, J., Hundley, V., van Teijlingen, E., Luce, A., Vinayakarao. L. (2024) Understanding perceptions and communication of risk in advanced maternal age: a scoping review (protocol) on women’s engagement with health care services, MIDIRS Midwifery Digest, 34(3): 201-204.

Interdisciplinary Computational and Clinical Approaches at the Edge of Brain Research

We cordially invite you to the 3rd Symposium of the BU Interdisciplinary Neuroscience Research Centre on Wednesday, the 12th of June 2024, from 9:30-13:00 at the Inspire Lecture Theatre, Fusion Building (1st floor).

The symposium is entitled: “Interdisciplinary Computational and Clinical Approaches at the Edge of Brain Research”.

This third symposium revolves around contrasting computational and translational methodologies from a cross-disciplinary standpoint, leveraging synergies between BU and our collaborators in other universities and at the NHS. It is an opportunity for informal discussions on grant proposals and to explore shared interests with our external guests. 

The schedule is as follows:

9:00-9:15. Welcome and Coffee. 

9:30. Keynote talk: Prof. Dr Miguel Maravall (School of Life Sciences, Sussex Neuroscience Centre of Excellence, Sussex University): “What is the function of sensory cortex in a world full of actions? From sensory maps to task-directed responses”. The speaker will be on the screen. 

10.20-10:40. Coffee and Discussions.

10:40-11:40. Session I. Integrating Cognitive and Computational Neuroscience.

  • Michal Gnacek (Emteq Labs, Brighton and Centre for Digital Entertainment, BU): “Affect Recognition in Virtual Reality using Physiological Signals and Machine Learning”. The speaker will be on the screen.
  • Dr Matteo Toscani (Department of Psychology, BU): “Unsupervised learning of haptic material properties”.
  • Dr Géza Gergely Ambrus (Department of Psychology, BU): “Investigating Face Perception Using Cross-Experiment Multivariate Pattern Analysis of Neural Time-Series Data”.

11.40 -12.00. Coffee and Discussions.

12.00-13:00. Session II. Interdisciplinary Clinical Approaches and Closing Remarks.

  • Prof. Dr Jonathan Cole (University Hospital Dorset, NHS): “Perception and action; Observations from congenital and acquired deafferentation”.
  • Prof. Dr Caroline Edmonds (Department of Psychological Sciences, University of East London): ”Real-life implications arise from co-occurring memory impairments in children with neonatal hypoxic-ischaemic encephalopathy”.
  • Prof Dr Birgit Gurr (Community Brain Injury and Adult Neuropsychology Services Dorset at Dorset HealthCare University, NHS) and Dr Ellen Seiss (Department of Psychology, BU). “An initial evaluation of the Dynamic Information Processing Programme”.

If you have any queries, please do not hesitate to contact Ellen Seiss, eseiss@bournemouth.ac.uk or Emili Balaguer-Ballester, eb-ballester@bournemouth.ac.uk. Feel free to forward this information to any colleague or student who may be interested. 

Thank you very much, and we are looking forward to seeing you there.

Kind regards,

Ellen and Emili, on behalf of all of us.

 

2nd HSS PGR Conference – submission deadline 19th April

HSS conference poster

Last chance to submit…

The Conference Committee welcome all PGRs in HSS to submit an abstract to present at the 2nd annual department conference, which will be held on Tuesday 4th June.

Last year’s inaugural conference was very successful, with evaluations celebrating the welcoming and supportive atmosphere for sharing aspects of our PGR work. It was fantastic to hear from students across the faculty and to see the breadth of research being carried out. You can see some highlights on X, by searching for the tagline #FHSSPGRConference2023
We welcome applications from all HSS PGRS, at any stage of the research.  Please submit your abstract, for either an oral presentation (20mins/3mins) or a poster presentation at https://forms.office.com/e/uwMMNxstEYNB the deadline for submissions has been extended by 1 week. Closing date Friday 19th April.
 
We have 2 keynote speakers organised to present on the day.
Dr. Mona Seyed Esfahani will deliver a keynote on new technologies in healthcare in the morning.
Dr. Holly Henderson will deliver a keynote on AI in research in the afternoon.
We look forward to receiving your abstracts.  If you have any questions please feel free to contact me on wardl@bournemouth.ac.uk or Tanya Andrewes on tandrewes@bournemouth.ac.uk.
Best wishes
Louise Ward, on behalf of the Conference Committee

HE policy update no 8 25th March 2024

Some more optimistic takes on what might be in the party manifestos for HE: the sort of commitments being asked for seem somewhat optimistic: later in this update I look at some detailed proposals on maintenance finance, a call to scrap the REF (which might have more take-up in the manifestos), the KEF via a HE- BCI survey (might someone suggest scrapping the KEP?), apprenticeship results are out and numbers on international education.  Amongst all that I also look at a speech from Susan Lapworth.

Manifesto for HE

You’ve seen the UUK one, here is the one from MillionPlus. (Policy update from February: The UUK manifesto sets out a wish list for the sector.  It all looks very expensive and so while ambitious, unlikely to be replicated in anyone’s actual manifesto.  We can expect to see more of these over the next few months. Research Professional have the story here.)

Scrap REF and save money

Iain Mansfield says that Labour should ‘scrap REF and save half a billion’, Research Professional reports.  Not because there is any problem with a metric for research: just a strong feeling that it shouldn’t include a metric for environment and culture. RP add: Speaking at Research Professional News live last week, Labour’s shadow science minister, Chi Onwurah, said she was “concerned about some of the bureaucracy associated with the REF” and stopped short of committing to retaining it in its current form. I don’t think that means stopping the culture and environment part, but it is hard to know.  These debates will run for a while.

HE-BCI review

The HE-BCI survey is used in the Knowledge Exchange Framework.  Just how much difference the KEF makes to anything and how interested anyone except the sector really is in it, is still, for me, an open question that I have asked since KEF was just a glint in Jo Johnson’s eye (the third leg of the HE stool etc…).  Of course if they started using KEF to allocate HEIF it would matter a lot more, but the KEF data doesn’t really lend itself to that.  As a reminder, it uses a different comparison group (clusters) to everything else, three of its “perspectives” are self-assessed and all it tells you is whether engagement with the perspective is deemed to be low, medium or high.  In a highly technical presentation format.

But as the (only real) metrics behind the (incomprehensible) KEF wheels (just take a look here and see what you learn), HE-BCI data does have some influence.  And HESA did a survey on some bits of it which closed in January.  There will be another consultation at some point.

The regulator speaks

It is always interesting to hear or read a speech by the head of the OfS, so here is one.

After a friendly introduction telling the Association of Colleges what good work their members do, it is straight in on quality:

  • Although, of course, not every college higher education student is in that position, the college sector should collectively be very proud that so many who are get the guidance and support they need in further education settings.
  • But, sadly, we know that in too many parts of the system, students’ interests are not always being well-served
  • …[Students] have serious questions about:
    • the amount of teaching they receive,
    • the frequency and usefulness of feedback provided to them, and
    • the level of support, both academic and pastoral, they can access.

Talking about the ongoing quality assessments, there are some changes coming:

  • Updating some of the language we use. So we might talk more about assessments or compliance assessments, rather than investigations.
  • We think there’s scope for additional training for assessment teams, for example, focusing on welfare to ensure staff are appropriately supported during visits and the wider process.
  • And we know the sector would like us to publish more information about how institutions are selected for assessment and how the process unfolds from there

A defensive approach to the big effort on freedom of speech?  You decide

  • Defining more clearly and coherently the student interest will also support another area where our regulation is developing: freedom of speech and academic freedom.
  • As that work has progressed, we have sometimes been told, including by some students, that students do not consider this a priority. But we know that the National Student Survey found that one in seven students in England felt unable to freely express their views.
  • … the collective act of debate and dissection of ideas, old and new, is what allows us to be confident that what and how students are learning represents the best knowledge we currently have. If students don’t recognise this, we need to understand why. Is it an artefact of who speaks loudest in our current systems? Or that cost-of-living worries and the associated challenges have reduced the scope for considering these broader issues? Or that students today have a fundamentally different conception of what freedom of speech and academic freedom ought to entail?

And some new areas of focus:

  • For example, although access to accommodation appears in our Equality of Opportunity Risk Register, we’ve been cautious about stepping into that arena in regulatory terms. But it is clear that students are increasingly concerned about the cost, quality and uneven availability of accommodation for their studies. It’s the most frequently mentioned issue in discussions with students in my visits to institutions.
  • Likewise, while we’ve taken steps to encourage stronger working links between those we regulate and the organisations that provide health services to students, particularly to support their mental health, we’re not the regulator of those services, and much of the most critical care can’t be provided by universities and colleges directly…. we are open to the view that, as a regulator framed and formed in relation to the interests of students, it may fall to us to take action, or to seek to better co-ordinate the activity of others, or to just talk about them because they matter to students.

And there is a new strategy consultation coming for the OfS.

Apprenticeships

Achievements rate update: a update published by the DfE. The Minister for Skills, Apprenticeships and Higher Education, Robert Halfon has written an open letter to the apprenticeship sector celebrating the latest achievement rates and setting out some developments.

While the government are very keen to encourage more apprenticeships, there is a stern approach to providers here: not dissimilar to the rhetoric on HE, there will be student number controls linked to quality as defined by outcomes.  While “training not being as good as hoped” is a factor in the list above, as is “poor organisation” of the programme, that is in the context of all the other reasons linked to employers and jobs.  However, the government can’t do much about those, and is not in the business of discouraging employers from participating.  But this will put more pressure on providers who are already finding apprenticeships bureaucratic and hard and expensive to deliver.

It’s not putting them off just yet, though.  This update from the OfS on the second wave of funding for apprenticeships highlights how many providers are really going for it.  Degree apprenticeships funding competition: Funding allocated to wave 2 projects (officeforstudents.org.uk)

Anyway, the ideas for future development in the Minister’s letter are:

  • Apprenticeship Standards. IfATE will be looking closely at apprenticeship standards that are not producing good outcomes for employers or the economy – especially where they are underused or too many learners are dropping out without completing – and speed up action to either improve them or remove them where it is clear the apprenticeship standard is not working.
  • Quality of Training. We know that the quality of training is a major factor in whether apprentices complete. Through the apprenticeship accountability framework, we have assessed provider performance against a range of measures to give an overall picture of their quality of delivery. ….. In future performance assessments, we will not hesitate to robustly challenge providers showing insufficient improvement. We will deploy appropriate support, where providers demonstrate a capacity to improve in a timely manner, and we will continue to consider factors outside of providers’ control, where these can be evidenced. However, we will also use contractual measures including potential limitations on growth, stopping delivery of standards with low apprenticeship achievement rates and removal from the market where this is necessary to protect apprentices and employers and ensure they have access to high quality training. Concurrently we will also seek to enrich the market by making it easier to enter for providers that can deliver to our priorities – for example to increase participation from SMEs and young people.
  • Employer improvement. We now want to give employers better access to information and data to help manage their own apprenticeship programme and benchmark against others to help drive up improvements across the programme. We will test options for the information we could use to support this and work with Top 100 employers to identify how to make the information available. This will be in addition to the support offered to employers through resources, best practice sharing, and events to support self-improvement.
  • End-Point Assessment. We continually review the assessment process for apprenticeships to make sure it is proportionate, supports achievement and is fit for the future. Working with IfATE, the providers engaged with the Expert Provider pilot and the FE Funding Simplification pilot, we will identify further options to improve the assessment model, making it more efficient for the whole sector…
  • Expert Provider Pilot and SME engagement. … As a result of the pilot we are developing a new, simple one step approval for SMEs engaging with apprenticeships for the first time. This new flexibility is being developed with colleges and training providers and will be available later this year. …

Student finance

Oh dear, another negative story about student debt that will discourage potential applicants (and as always, their parents).  This time it is the BBC who revealed that the UK’s highest student debt was £231k.  Quite how they managed to rack up that much is unclear: by doing lots of courses, it seems (although surely there are limits on that – apparently there are exceptions to those rules).  The highest level of interest accumulated was around £54,050.  The student interviewed is a doctor: the length of medical programmes means that, along with vets and dentists, doctors tend to accumulate the highest student loans.

The Sutton Trust have published a report on reforming student maintenance ahead of the general election.

There are suggestions about how to address the challenges.

  • The analysis covers three potential systems, all of which would increase the amount of maintenance students would have available to them day to day, rising from the current level of £9,978 to £11,400. This is the level that recent Sutton Trust research has found is the median spending on essentials for students living away from home outside of London for 9 months of the year,… This would also set maintenance support at a similar level to what they would receive if paid the National Living Wage while studying, a method the Diamond Review in Wales used to set maintenance levels.

Scenarios include

  • Scenario 1 – Increasing overall maintenance levels, with equal loans for all students and maintenance grants making up the difference.
  • Scenario 2 – Increasing overall maintenance levels, with variable loans and with maintenance grants focused on the poorest students.
  • Scenario 3 – Increasing overall maintenance levels by means-tested loans only.

The value of international education

The government has issued 2021 data on UK revenue from education related exports and transnational education activity.

David Kernohan from Wonkhe has some analysis, always worth checking out for the nuances, including:

  • 2021 was a long time ago
  • It’s also notable that all these figures are based on exports only – there is no adjustment at all for costs incurred in delivering a service overseas.
  • pathway provider income (programmes that help to prepare overseas students for study at a UK university) is estimated based on a survey of six large providers (CEG, INTO, Kaplan, Navitas, Oxford International, Study Group) conducted by one of the participants (Kaplan)

Research Professional also has an article.