Our Health in Our Hands: Communities, Champions, Connections
Analysis of racism in UK health research brought together, for the first time, considerable evidence of systemic barriers to ethnic equality across UK health research. The Ethnicity and Health Unit wanted to address these inequalities and sought funding from NHS England's Integrated Care Systems Research Engagement Network Development (later titled NHS England's Integrated Care Systems Research Engagement Network) grant.
Over the last three years, the EHU has secured £470k in funding to run NHS England's Integrated Care Systems Research Engagement Network programmes within Northwest London to increase ethnic diversity in health research.
Having gained the £100k grant in round one, the Ethnicity and Health Unit partnered with local communities including: Voluntary, Community and Social Enterprises such as CVS Brent and Ealing and Hounslow CVS, Integrated Care Board North West London, Primary Care Networks, Academic institutions and Charities, Imperial College's Patient Experience Research Centre, to engage Northwest London's most diverse communities in conversations around their health interests and research with a goal to develop a research network reflective of local communities’ challenges and needs. ICS REN II saw growth in engagement across our Northwest London communities, moving from two boroughs to four. ICS REN III focussed on addressing barriers to research engagement, focusing on mental health and seldom-heard voices.
Children and young people (CYP) constitute >20% of the UK population and >10% of healthcare spending but only 5% of health research funding. National and local policies and interventions targeting CYP must be underpinned by an evidence base that understands, supports and empowers CYP as participants and collaborators to help sculpt health research. This increased research participation can also lead to more effective and evidence-based interventions to address young people’s mental health and health inequalities. However, systemic barriers currently exist to meaningful CYP participation in research:
Micro (i.e., researcher confidence, skills and knowledge);
Meso (i.e., research infrastructure; e.g., funders not promoting inclusion of <18s, ethics committees without paediatric expertise to manage risk, involvement and engagement guidance omitting CYP needs), and;
Macro (e.g., strategies, interventions and guidance acting as barriers to public and participant research engagement).
ICS REN III aims to explore and co-develop interventions to mitigate these barriers. We aimed to increase the participation of young people in research by training researchers and conducting workshops with a wide variety of children and young people groups. The work included taking a visual record of the meetings and providing accessible feedback on the meetings to participants.
What have we done so far?
ICS REND I:
Within 3 months, alongside our partners, we ran 10 Health Roadshows, split equally between Brent and Hounslow. Residents from these communities who attended could engage in a variety of activities, such as:
receive free health checks
visit stands on the day and engage with local organisations
talk to health professionals and researchers about health issues
receive cost of living support
view healthy cooking demonstrations
receive emotional and wellbeing support
engage with fellow community members
1212 Brent and Hounslow residents attended health roadshows
597 residents had health checks
33 stakeholders attended our Partnership Forum
ICS REN II:
Delivered 28 roadshows in Brent, Ealing, Hillingdon and Hounslow.
2,278 community members attended the Roadshows
Conducted 1,200 health checks
785 feedback forms completed by Northwest London community members
192 attendees registered to participate in a NIHR CRN North West London research project
75% of people in attendance said they are willing to take part in research
ICS REN III: Addressing barriers to research engagement, focusing on mental health and seldom heard voices
We explored and co-developed interventions to mitigate four related barriers:
Researchers’ Skills/Confidence
Infrastructure
Translation/Impact
Barriers from children and young peoples’ perspectives
The following activities were delivered:
Identifying gaps and training needs of researchers and delivering two co-designed training workshops for researchers
Delivering workshops with children, young people and their parents/carers,
Identifying common barriers within research infrastructure, challenges that could be addressed by peer support from other teams
8 Workshops Held
3 with young people
3 with parents/carers
1 with intergenerational family groups
1 with staff /volunteers from community partner
102 people attended Workshops
60 attendees were adults
42 were young people
6 were under 12,
32 were aged 11 – 17
4 were aged 18-24
Diverse Range of Attendees
Attendees came from Somali, Bangladeshi, Lebanese, Afghan, Iranian, Syrian, Sudanese, White British, Eastern European, and Caribbean heritages.
Increased CYP Engagement
NIHR North West London Integrated Care Board has increased children and young people’s engagement activity and has commissioned our team to support projects on early years care and inequalities.
20 Health Researchers answered needs assessment survey
19 Health Researchers attended the training workshop
2 Workshops were held and attended by all key local partners and infrastructure bodies.
New Annual Forum
The Mohn Centre, our partner on this project, established a new annual forum for research teams from across Imperial to present their CYP engagement work and share ideas, as well as featuring more engagement work at the monthly informal seminars.
National Interest
There has been extensive interest nationally in scaling up the Researchers’ skills/confidence workshop training offer, including through the NIHR School for Public Health Research and the Royal College of Paediatrics & Child Health. We are seeking to secure bridge funding to deliver and further refine the training at a national level.
Leadership in the Community
We recruited and trained six Community Research Champions for ICS REND I and a further 30 Community Research Champions for ICS REN II. Our Community Research Champions are passionate about their communities and understand their communities' culture and needs, enabling them to support the facilitation of the health roadshows.
We established a Partnership Forum, led by independent chairs, Sarbjit Ganger, director of Asian Women’s Resource Centre in Brent and Professor Patrick Vernon OBE, an independent adviser on equality, diversity and inclusion for the Crown Prosecution Service and Islington Council, giving a focus for the project and a mechanism to push the agenda forward.
A community research champions handbook was developed to share knowledge and learning within ICS REN II by Kabelo Murry from our Patient, Public, Community Engagement and Involvement theme.
The Impact of the Impact
ICS REND I
Working with our local partners, including the 62 different organisations that delivered 121 stalls across the 10 roadshows, we changed mindsets and supported the engagement of communities that are less involved in research and created an environment and foundation where they feel valued, understood and informed.
ICS REN II
Effective communication with our local communities and dissemitation of resources has not only increased diversity in research, but also has subsequently led to strategic influence of national ARC insights and opportunities.
Community Research Champions Graphic Illustrations (ICS REN II)
Ethnicity and Health Unit Brochure
Community Research Champions Handbook
Community Health Roadshows Highlight Northwest London’s Commitment to Inclusive Health Research
Finalist for the National B.A.M.E Health & Care Awards 2024
Ethnicity and Health Unit Conference
ICS REN III
Looking to the future
The last three years have seen us secure substantial support locally, growing from two community boroughs to four with interest in connecting from Harrow. In total, 3487 community members attended our roadshows, with over 50% of attendees having health checks. Recruiting our community research champion members from the local boroughs and having them work alongside our local CVS', has helped us build relationships and trust within the community and opened the appetite for 8.4% to get involved in research then and there, with 75% of attendees sharing that they were willing to take part in research. Community Research Champions are excited to expand their time supporting future initiatives and opportunities of research within their local communities, with many continuing to work with their local CVS.
NIHR ARC NWL and the Ethnicity & Health Unit have successfully applied for £30k of additional ICS REN funding. We have also secured £10K funding from the NIHR CRN North West London to continue our partnership (2024/25). ICS REN III has applied for an additional £50K in funding to continue our work with young people from our local communities. The ICS REN Partnership Forum will continue.
In September 2024, we secured a £50k grant to further our work with NHS England's ICS REN project in Northwest London. This funding will allow us to expand on our established efforts to address prostate cancer within African-Caribbean and Somali communities. With the grant, we will undertake a three-component project combining qualitative research with practical engagement to explore barriers to prostate cancer screening uptake and identify actionable solutions. It will also support capacity building and sustainability by continuing to recruit Community Research Champions, which will add to the richness of our upcoming roadshows. This grant will also fund bespoke workshops during these roadshows, facilitating discussions on health challenges, research opportunities, and particularly prostate cancer, ensuring meaningful community involvement.
Key Areas of Focus:
Strengthening Partnerships
Engaging Diverse Communities
Engaging the Voluntary Sector
We are excited for our next phase of work and welcome new connections, more champions and more opportunities of research reflective of representation from our communities.
Your Health is in YOUR Hands!