Category / Communities, Cultures and Conflicts

The slow process from public health research to law

international, Publishing, writing

We know that public health works and thinks long-term. We’ll typically see the population benefits of reducing health risks such as tobacco use, obesity and high alcohol intake in ten or twenty years’ time.  But we often forget that preceding public health research into the determinants of ill health and the possible public health solutions is also slow working.  Evidence-based public health solutions can be unpopular with voters, politicians or commercial companies (or all).  Hence these take time to get accepted by the various stakeholders and make their way into policies.

I was, therefore, glad to see that Scotland won the Supreme Court case today in favour of a minimum price for a unit of alcohol. As we know from the media, the court case took five years.  Before that the preparation and drafting of the legislation took years, and some of the original research took place long before that.  Together with colleagues at the Health Economic Research Unit at the University of Aberdeen, the University of York and Health Education Board for Scotland, we conducted a literature review on Effective & Cost-Effective Measures to Reduce Alcohol Misuse in Scotland as early as 2001 [1].  Some of the initial research was so long ago it was conducted for the Scottish Executive, before it was even renamed the Scottish Government.

 

Prof. Edwin van Teijlingen

CMMPH

 

Reference:

Research started years ago! Ludbrook et al.(2002) Effective & Cost-Effective Measures to Reduce Alcohol Misuse in Scotland: Lit Review, HERU, Univ. of Aberdeen. [ISBN: 0755932803] http://www.gov.scot/Resource/Doc/1124/0052548.pdf

Congratulations to James Palfreman-Kay

BU Challenges, innovation

Congratulations to BU’s Equality and Diversity Adviser James Palfreman-Kay whose application to HEFCE’s ‘Catalyst Fund: Tackling hate crime and online harassment on campus‘ has been successful.  He is one of 40 academic recipients of funding at universities and colleges throughout England.  Applications have been  assessed by a panel of HEFCE staff and external experts from across relevant areas of knowledge particular to student safeguarding.

 

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

 

 

BU Sociology article in The Conversation

international, open access, Publishing, Women's Academic Network, writing

Congratulations to Dr. Hyun-Joo Lim Senior Lecturer in Sociology at BU who has just written an interesting piece on human rights issues faced by North Korean female defectors in China in The Conversation. You can access this article by clicking here!

 

Well done!

Prof. Edwin van Teijlingen

CMMPH

 

Congratulations to Dr. Jane Fry & colleagues

international, open access, Publishing, Research Ethics, Research Integritiy, writing

Congratulations to Jane Fry, Janet Scammell and Sue Barker  in the Faculty of Health & Social Science on the publication of their latest paper ‘ Drowning in Muddied Waters or Swimming Downstream?: A Critical Analysis of Literature Reviewing in a Phenomenological Study through an Exploration of the Lifeworld, Reflexivity and Role of the Researcher’.

This innivative paper proceeds from examining the debate regarding the question of whether a systematic literature review should be undertaken within a qualitative research study to focusing specifically on the role of a literature review in a phenomenological study. Along with pointing to the pertinence of orienting to, articulating and delineating the phenomenon within a review of the literature, the paper presents an appropriate approach for this purpose. How a review of the existing literature should locate the focal phenomenon within a given context is illustrated by excerpts from the literature review within a descriptive phenomenological study. This article was recently published in the Indo-Pacific Journal of Phenomenology.  Click here for freely available copy online.

 

Prof. Edwin van Teijlingen

CMMPH

HE Policy update w/e 25th August 2017

Funding opportunities, Fusion, innovation, international

Immigration, International Students and Brexit

The government have commissioned a series of assessments and reviews of the impact of immigration policy and Brexit via the Migration Advisory Committee:

  • Call for evidence and briefing note: EEA-workers in the UK labour market – we will be responding on the HE questions via UCEA and UUK and we are considering a regional response, please let Sarah or I know if you have evidence that would be relevant to this – it is looking at EEA migration trends, recruitment practices and economic and social impacts.
  • a detailed assessment of the social and economic impact of international students in the UK. We would expect a call for evidence for this to follow. Looking at both EU and non-EU students, the MAC will be asked to consider:
  • the impact of tuition fees and other spending by international students on the national, regional, and local economy and on the education sector
  • the role students play in contributing to local economic growth
  • the impact their recruitment has on the provision and quality of education provided to domestic students.

The Commissioning Letter from Amber Rudd says: “The Digital Economy Act provides a unique opportunity to improve understanding of the migration data and as part of this work the Home Office will be working with the ONS and other Government departments to improve the use of administrative data. This will lead to a greater understanding of how many migrants are in the UK, how long they stay for, and what they are currently doing. The ONS will be publishing an article in September setting out this fuller work plan and the timetable for moving towards this landscape for administrative data usage”

As well as the post-Brexit future of students, the letter also makes reference to the Tier 4 visa pilot which was launched last year and included a handful of universities. Amber Rudd says “the pilot is being carefully evaluated and, if successful, could be rolled out more widely”.

The pilot covered masters courses at 4 universities:

  • Masters course for 13 months or less at the University of Oxford, University of Cambridge, University of Bath or Imperial College London.
  • Participating in the pilot allowed students to:
    • stay for six months after the end of the course;
    • submit fewer evidential documents with their applications – e.g. previous qualifications and documents relating to maintenance requirements

A deluge of other data and reports gave also been published:

  • The Home Office has published its second report on statistics being collected under the exit checks programme – Exit checks data.
    • For the 1.34m visas granted to non-EEA nationals and which expired in 2016/17, where individuals did not obtain a further extension to stay longer in the UK, 96.3% departed in time (that is before their visa expired)
  • A National Statistics update has been published which gives a breakdown of all the data
  • Additional analysis by Office for National Statistics (ONS) on international students, has been published
  • The Centre for Population Change has published the findings of a survey it carried out in March 2017 in partnership with the ONS and UUK. The survey looked at the intentions of graduating overseas students and found:
  • The majority of students do not intend to stay in the UK for more than a year after finishing their studies (and those that stated they intended to stay were not certain of their post-study plans, particularly non-EU students).
  • Fewer than one in ten international students plan to stay in the UK indefinitely and find a job.

According to UUK:

  • Exit checks data shows that student overstaying is at worst 3% and much of the 3% of undetermined outcomes may be due to individuals leaving via routes where there are no exit checks currently (such as via the Common Travel Area). This means student visa compliance is at least 97%, far higher than previous (incorrect) claims.
  • The Home Office exit checks data provides a more accurate picture (than the International Passenger Survey – IPS) of what non-EU students do after their initial period of leave to study
  • The ONS report suggest that the IPS is likely to underestimate student emigration – therefore any implied student net migration figure is likely to be an overestimate
  • The ONS also commits to working with colleagues across the government statistics service to utilise all available administrative systems to further improve migration statistics. They have also asked for UUK’s input to this work.

Widening Participation

A survey of access agreements has been published this week by the Office for Fair Access. In their press release OFFA note that every university has committed to working with schools to help increase access to HE. The report also notes that universities will focus on improved evaluation of the impact of financial support and an evidence based approach more generally, a specific focus on White working class males and BME attainment, and more support for mental health issues.  The amount universities spend on widening access will rise.

Responding to the survey, UUK Chief Executive, Alistair Jarvis, said: “The enhancements in support provided by universities has helped to increase the entry rate for disadvantaged young people to record levels. All UK universities work hard to widen participation and support disadvantaged students throughout their time at university. It is right to expect a continued focus on support for disadvantaged students to make further progress in closing the gap between different student groups.”

Industrial Strategy

The formal outcome of the Industrial Strategy consultation is still pending. However, there has been a reasonable amount of activity in the meantime and we thought it might be helpful to do a round up.

Clusters – The Arts and Humanities Research Council (AHRC) have set up a Creative Industries Clusters Programme, starting in 2018, to facilitate collaboration between the industry and universities. The pre-call announcement sets out the plan for at least 8 research and development partnerships, each led by an HEI, and a Policy and Evidence Centre. Calls will apparently open in October 2018.

Sector deals – As part of the Industrial strategy green paper, the government announced that there were 5 sector reviews taking place and suggested that they would welcome more.

Other organisations are setting up consultations and other reviews to respond to the Industrial Strategy, such as:

The interim findings of the industrial digitalisation review are interesting – they are working on a final report for the autumn of 2017:

  • It highlights a need for more leadership – with “much stronger marketing and messaging” and proposed the establishment of a Digital Technology Institute and Digital Technology Networks
  • It discusses issues with adoption rates for technology, particularly among SMEs and suggests better support for businesses via LEPs and other organisations, work on skills through interventions such as an Institute of Digital Engineering
  • Innovation – the interim review suggests looking at additive manufacturing and AI – and creating new industries in autonomous operations, but also providing kite marked content for businesses.

Industrial Strategy Challenge Fund – Innovate UK are running the Industrial strategy Challenge Fund – in April 2017 they identified 6 “core industrial challenges”:

Interesting reading

JANE FORSTER                                            |                       SARAH CARTER

Policy Advisor                                                                     Policy & Public Affairs Officer

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Follow: @PolicyBU on Twitter                        |                       policy@bournemouth.ac.uk

Congratulations to Dr. Keen on new Nepal publication

international, open access, PG research, Publishing, student research, writing

Congratulations to Dr. Steve Keen in the Faculty of Health & Social Sciences and BU PhD graduate Dr. Pratik Adhikary on the acceptance today of their paper ‘Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi ‘ by the journal Health Prospect [1].  This is a peer-reviewed public health journal, part of Nepal Journals Online, and the journal is Open Access.  Nepal Journals OnLine (NepJOL) provides access to Nepalese published research, and increase worldwide knowledge of indigenous scholarship.

The Faculty of Health & Social Sciences has a growing number of publications on health and migration research, especially on the health and well-being of migrants from Nepal [2-5].

 

Prof. Edwin van Teijlingen

 

References:

  1. Adhikary, P., Sheppard, Z., Keen, S., van Teijlingen, E. (2017) Risky work: Accidents among Nepalese migrant workers in Malaysia, Qatar and Saudi, Health Prospect (forthcoming)
  2. Adhikary, P., Simkhada, P.P., van Teijlingen E., Raja, AE. (2008) Health & Lifestyle of Nepalese Migrants in the UK BMC International Health & Human Rights 8(6). Web address: www.biomedcentral.com/1472-698X/8/6.
  3. van Teijlingen E, Simkhada, P., Adhikary, P. (2009) Alcohol use among the Nepalese in the UK BMJ Rapid Response: www.bmj.com/cgi/eletters/339/oct20_1/b4028#223451
  4. Adhikary P., Keen S., van Teijlingen, E. (2011) Health Issues among Nepalese migrant workers in Middle East. Health Science Journal 5: 169-175. www.hsj.gr/volume5/issue3/532.pdf
  5. Aryal, N., Regmi, P.R., van Teijlingen, E., Simkhada, P., Adhikary, P., Bhatta, Y.K.D., Mann, S. (2016) Injury and Mortality in Young Nepalese Migrant Workers: A Call for Public Health Action. Asian-Pacific Journal of Public Health 28(8): 703-705.

Denyse King’s Health Education England project ‘NoObesity’

Knowledge Transfer

NoObesity

The government’s key priority of reducing childhood obesity through adult education (as announced by Jeremy Hunt in Sept 2015), prompted BU’s Denyse King to write a proposal to Health Education England. Denyse is a Midwifery Lecturer / Public Health Practitioner in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) at Bournemouth University. The proposal outlined her wish to develop a stand-alone mobile learning resource for health workers who care for families of overweight or obese children, and for families who need to identify individual needs to facilitate behavioural changes.

Afbeeldingsresultaat voor childhood obesity statistics uk, 2016

The development of this project pivoted on putting patients and the public in the centre of the process. Patients and the public were engaged through focus groups where insights were gathered to identify the challenges and issues to the problem. A series of online focus groups were undertaken with service users and professionals to understand the key challenges and issues respondents came across when trying to prevent/manage overweight and obesity. Key themes from the focus groups were:

  • Empowering – the solution needs to recognise the experiences people bring and therefore the tools need to be empowering in supporting families to address obesity.
  • Parenting tips – to address challenges with encouraging positive health behaviours with children.
  • Responding to barriers – from parent/carers who are being supported by health professionals.
  • Obesity isn’t a quick fix – recognising that sustained behaviour change takes time and support to overcoming barriers is vital.
  • Healthy snacks and activities – provide easy and simple ideas to support parents/carers and professionals to identify quick ways to support healthier eating and increase activity.
  • Portion size – understanding that portion size is important in addition to eating healthily.

Topic experts were identified and invited to join the project steering group where they provided the governance and steer of the overall development of this project whilst Denyse King wrote the content. The following Apps have been developed as a result and will be available to all as free download in IOS and Android platforms from late September 2017:

  • NoObesity Family Focused App – After consultation with a healthcare worker, families set health goals, identify potential barriers and strategies to overcome them, record their progress towards their goals, earning points and awards as they go. Families are encouraged to link accounts to healthcare professional accounts (see below). The tool also includes parenting tips, games and useful links.
  • NoObesity Professional Focused App– Healthcare professionals can see the goals, barriers, strategies, progress, points and awards of linked families, making them better able to provide tailored advice to the families, to help them achieve their goals. This is based on research findings that ‘one-size- fits-all’ health advice simply doesn’t work for most families. The tool also includes the Wessex MECC-based guidance on how to best support families, how to handle common objections, games and useful links.

Denyse would like to thank Dr. Joanne Newton project proposal support, Felicity Hargreaves and Helen Bingham for approval of the final project proposall. Thanks to all those who contributed to answering the research questions, as well as those who tested and fed back on the prototype, and also to Bournemouth University, University of Southampton, and NHS England for their support of this project.

 

List of the members of the steering group

Name Job Title Organisation Steering Group Role
Em Rahman Head of Public Health Workforce Development Programmes Health Education England (Wessex) Steering Group Chair
Alison Potter Technology Enhanced Learning Lead (South) Health Education England (South) Deputy-Chair
Dr. Jenny Godson (MBE) National Lead for Oral Health Improvement Public Health England Dental and dental aspects of nutrition
Prof. Edwin van Teijingen Professor – Centre for Midwifery, Maternal & Perinatal Health Bournemouth University Research supervision and education governance
Dr. Juliet McGrattan General Practitioner Cumbria Medical Chambers GP role governance
Kate King-Hicks Health and Wellbeing Programme Lead Public Health England (South East) Obesity governance
Tony Hewett Intervention Manager and behaviour change specialist Miltoncross Academy School staff role governance
Dr. Jo Walker Consultant Paediatrician Portsmouth Hospitals Trust Consultant doctors role governance
Dr. Wendy Marsh Lead Midwife for Safeguarding Portsmouth Hospitals Trust Safeguarding governance
Kate Lees Consultant in Public Health and Dietitian Lees & Latouze Nutrition governance
Denyse King Lecturer in Midwifery and Public Health Practitioner Bournemouth University Content author and governance