Public Health and Inequalities

Yorkshire and Humber is a region with substantial health inequalities 
and some major public health challenges, as identified by the CLAHRCs for SY and LYB, and as recognised in the priorities of the Yorkshire and Humber Academic Health Science Network (YH AHSN).
 
The Public Health and Inequalities theme will identify and address key evidence gaps that can be bridged using regional expertise and support a programme of research to generate evidence for ‘what works, for whom and how’ in terms of specific interventions which aim to address inequalities in risk and outcomes for chronic disease.
 
The overall aim is to undertake, and support implementation of, research which tackles the wider determinants of chronic conditions, and the associated inequalities in health, for those with chronic conditions, addressing key priorities for the Yorkshire and Humber region in collaboration with local authorities, public health practitioners and local communities.
 
Whilst addressing inequalities in health outcomes, and in access to services, is a cross-cutting priority for the CLAHRC as a whole, the Theme will largely focus on interventions that address the underlying determinants of inequalities that link to LTC, including socioeconomic factors (housing and fuel poverty), behavioural factors (diet, physical activity, alcohol and tobacco) and cultural factors (interventions developed and tailored to meet the needs of specific ethnic minority communities).
 
Our strategy, building on work in both of the current CLAHRCs, includes a programme of stakeholder engagement and prioritisation through a series of facilitated, participatory events to develop a shared understanding of, and commitment to address, health inequalities priorities. Cross-sectoral workshops on a range of inequalities related shared priorities will be arranged, with up to three events in each year of the programme.
 
Based on previous successful CLAHRC capacity building (practice-based PhD studentships, primary care trust placements for researchers and mainstreaming of the CLAHRC Research and Evaluation posts by local authorities) similar approaches will be adopted.
 
We will have five main areas of research:
The South Yorkshire Cohort, funded by NIHR CLAHRC SY, has already recruited 27,802 participants using general practice records and postal recruitment.
 
Information on a wide range of chronic conditions, as well as demographic, socioeconomic, lifestyle and health-related outcomes has been collected from all participants.This represents a key data resource for the exploration of how interventions to tackle health inequalities should be targeted to communities and individuals at increased risk of adverse health outcomes to maximise both impact on health outcomes and inequalities, and cost-effectiveness. We plan to expand recruitment to at least 50,000 participants through recruitment across the rest of the region.

The cross-sectional and longitudinal data generated by the cohort will be used by both this and other themes, and in joint projects. Additionally, as participants have consented to being approached by researchers looking for trial participants, the cohort will continue to develop as a unique trials facility