Thunder, thunder, Thunderclap: when a blog post hits the campaign trail*

Posted by Mark Welford

A nationwide viral campaign to remove junk food from supermarket checkouts has been launched on the back of the success of a post on this very blog.

The ‘Chuck out the checkout junk’ campaign was born out of a Fuse open science blog post, which described the ‘pester power’ difficulties faced by parents in supermarket checkouts, what supermarkets are or aren’t currently doing about it, and why they should be doing more in the midst of a growing obesity epidemic.

Written by Mel Wakeman, senior lecturer in nutrition and applied physiology at Birmingham City University and Fuse academic Amelia Lake, dietician and public health nutritionist based at Durham University, the post has received more than 500 views and sparked debate on Twitter.

Mel has now started a campaign using the social media tool ‘Thunderclap’ that has already reached close to 30,000 people.

Thunderclap will simultaneously post the health message on social media feeds

On the Thunderclap page Mel writes: “We are still in the midst of an obesity epidemic; poor diet is to blame for overweight and obesity, tooth decay, type 2 diabetes, high blood pressure, cardiovascular disease, cancers and more.

“As a nation we should be reducing much of the added sugar in our diet but we often need help to do this. Making positive changes to our diet is not easy; cutting down our sugar intake is difficult when it is present in so many everyday foods (like sweets and chocolate) and being constantly tempted to pick up confectionery at the checkout undermines much of our efforts to be healthier. Small changes can lead to big differences however, so let's ask more stores to adopt junk free checkouts.

Marks and Spencer, Morrisons, Asda, Sainsbury's Local and Iceland Foods as well as WHSmith and other non-food stores need to take more responsibility for the products they promote. Many stores have signed up to the Government's Voluntary Responsibility Deal but they could do so much more if they want to demonstrate they are truly committed to promoting healthier diets and improving public health.

“The evidence is irrefutable. Asking stores to replace confectionery with healthier foods will be a huge step forward in helping protect the future of the British public.”

Mel is also writing to the above stores, asking them to seriously consider this proposal.

Show your support

If you want to share your support for the campaign visit the Thunderclap page and click the red ‘support with’ buttons (via Facebook, Twitter or Tumblr).

“Let's make Britain healthier. Please remove all sweets from all tills and make EVERY store take responsibility.”

Thunderclap will simultaneously post the message above on your feed along with other supporters on 9 March when the campaign will ‘go viral’.

Still unsure? Below are six points that explain why this campaign is so important:

1. The UK has one of the highest levels of obesity in Western Europe: 67% of men and 57% of women are either overweight or obese.

2. More than half of men and women are at an increased risk of multiple health problems.

3. The level of childhood obesity is a huge concern. In the UK, 1 in 10 children are obese when they start school. By the time they leave primary school, nearly 20% of children are obese with a 75-80% risk of obese adolescents becoming obese adults.

4. According to the latest diet surveys, children and teenagers consume around 40% more added sugar than the recommended daily allowance; much of this coming from snacks and sweets. We are now seeing diabetes, high blood pressure and signs of heart disease in young children.

5. In 2014 Public Health England reported 12% of children under three have tooth decay and an average of three teeth in these children are decayed, missing or filled.

6. Obesity can reduce life expectancy by 8-10 years. This is equivalent to the effects of lifelong smoking.

*A headline for children growing up in the 1980s

Did you enjoy reading this post? If so, please vote for Fuse in the UK Blog Awards 2016 by clicking here

Could your partner be bad for your health?

Posted by Amelia Lake

With Valentine’s day approaching, what better time than this to discuss the potential effect that moving in with your loved one could have on your health, and in particular on your eating habits. In 2006 I wrote an article for the nutrition publication Complete Nutrition summarising the evidence around the co-habitation effect. In 2006 I was not co-habiting nor was I a mother - how times have changed! Following on from last week’s Fuse blog and my mini rant about supermarket tills, I can feel a whole body of research emerging about the ‘children effect’ on eating, but for now, back to co-habitation.

My 2006 publication was based on research findings from the UK, North America and Australia which looked at the eating and lifestyle habits of co-habiting heterosexual couples, including married couples. Women eat more unhealthy foods and tend to put on weight when they move in with a male partner. On the other hand, a man’s diet tends to become healthier when he starts co-habiting with a female partner - and her influence has a long-term positive impact.

The reason for the change in dietary habits is that both partners try to please each other during the ‘honeymoon period’ at the start of a co-habiting relationship, by adjusting their routine to suit their partner and eating food that he or she likes.

However, women have the strongest long-term influence over the couple’s diet and lifestyle, mainly because the majority of female partners still assume the traditional role of food shopper and cook. Many of you will now be thinking about your own domestic (bliss) situation and who has made more changes and where. I can reflect on the issues we have, especially around portion size! In those early days of co-habitation, it was hard not to have a second helping as I sat at the table waiting for my much more active and taller husband to finish his first helping.

But this co-habitation thing isn't all bad news, or is it? A recent study of around 4,000 older married and co-habiting couples participating in the English Longitudinal Study of Ageing, reported a more positive spin. The participants - aged 50 and above - were more likely to make a positive health behaviour change if their partner did the same. There is an important message from this research, that involving partners in behaviour change interventions may help improve outcomes. However, this study didn't explore the negative effects.

So negative effects aside, it’s that time of year for love and romance. Hold that partner tight and let them know what an amazing team you can be for making positive lifestyle changes. When you are working up public policies, or if you are practitioners seeing your patients/clients or designing interventions, don’t forget about the co-habitation effect and the importance of partners.

Happy romancing everyone!

Time to chuck out the checkout junk?

Posted by Mel Wakeman (introduced by Amelia Lake)

As mum to a toddler I usually avoid any kind of supermarket. I am lucky enough to have a local fruit and veg shop (where I welcome pester power!). However the other week whilst waiting at the till in Marks and Spencer I had to summon all my powers of distraction to keep my two year old son occupied so that he didn’t spot the masses of high sugar, energy dense food and have (another) melt down. Hours later, I started venting via twitter (@lakenutrition) and I vowed to write a Fuse blog post on the topic. I got a standard response from Marks and Spencer but more interestingly I got a response from Mel Wakeman (@MelWakeman2) a Senior Lecturer in Nutrition and Applied Physiology at Birmingham City University. Mel had written about this topic on her own blog. Her piece was eloquent and summed up my frustrations and so I asked her to write a piece for our Fuse blog. Happy reading and let's turn the pester power on the supermarkets!

For over 20 years, supermarkets have been criticised for displaying sweets, confectionary and other unhealthy items at their checkouts. Back in 1994, TESCO was the first British supermarket to remove sweets and chocolates from checkouts but only at the larger stores. As of January 1st 2015, they have finally applied this policy to all their smaller stores, i.e. TESCO Express. Their research revealed 65% of their shoppers wanted confectionery removed from checkouts to help them make healthier choices. 67% said it would help them choose healthier options for their children. It only took 21 years but this is definitely a case of better late than never. So well done TESCO for finally stepping up to the plate! Lidl also carried out similar research and found that 7/10 customers would choose a sweet-free checkout over the traditional one laden with chocolate. 68% of parents reported they were pestered by their children for chocolate at the checkout and 66% gave in some or all of the time. So in January 2014, Lidl committed to clearing out the junk from their tills. Great stuff and Aldi have just followed suit with their ‘healthy tills’ campaign. So we are making progress, albeit pretty slow but it's positive. We can do so much better though!

In 2013 the Co-op stopped displays of high fat, sugar or salt products from their checkouts and kiosks. Waitrose and Sainsbury’s also have a policy of no sweets or chocolate next to checkouts now but not in the smaller Sainsbury's Local stores. Why is this? If you make a decision to do something, just do it! You can’t give with one hand and take it away with the other. To me this screams of a half-hearted commitment, where they prioritise their profits over customer health. We are in the midst of a growing obesity epidemic; poor diet is one thing to blame for overweight and obesity, tooth decay, type 2 diabetes, high blood pressure, cardiovascular disease, cancers.......I could go on. As a nation we should be reducing unnecessary sugar, saturated fat, salt and calories from our diet but we need help to do this. Many supermarkets have signed up to the Government's voluntary Responsibility Deal where they have committed to making some of their ranges lower in sugar, fat and salt. They have pledged to help customers make healthier choices and eat more fruit and veg. Joining the deal implies they accept responsibility for promoting better health, so what's with all the checkout junk?!

One way the supermarkets can make a real difference is to curb our impulse buys. You know the ones - standing in a queue, twiddling your thumbs as they check a price for the customer in front. The three for two chunky Kit Kats or £1 bags of liquorice allsorts are staring at you. They suddenly seem so necessary and such good value too! They effortlessly land onto the conveyor belt. These impulse buys at the checkout can add several hundred unplanned calories to a family shopping basket. Yes, we have freedom of choice but the supermarkets that are sticking with the unhealthy are simply undermining all the efforts anyone is making who wants to follow a healthier diet. And it’s not all about adults either. When it comes to the checkout, colourful character laden sweeties are positioned around one metre from the ground; perfectly placed at eye level of a young child. Crafty. I really don't want to hear it is the fault of the parent and they should just say ‘NO’. If only it was that easy. For anyone that has taken their child shopping and encountered the relentless pestering and lie-on-the-floor-screaming-abdabs as we try to unload, pack up and pay for the shopping on four hours sleep, will appreciate how the whole experience can become impossible. Rather than blame and judge the parents (or grandparents etc.) for this disruptive behaviour (yes I have seen the stares, eye rolling, tutting and suggestions as to why my child is having a massive tantrum), blame the shop!

So let’s name and shame. Marks and Spencer, Sainsbury's Local, Asda, Morrisons and Iceland are all refusing to step up and do their bit. Why?! Their lower calorie, ‘lighter’ and ‘fuller for longer’ ranges obviously sell well. Surely offering healthier snacks at the tills will not cause their annual profit to plummet? It's not as if we are even asking them to stop selling these products; just move them to an aisle (preferably far away from the tills!) This is really not rocket science is it? The Government’s responsibility deal is obviously not working because it’s far too accommodating. Stores are reluctant to change and are getting away with it. If nothing happens soon, another 20 years will go by and we will have moved no further on. It really is time to get the junk off the checkouts once and for all.

You’ve lost that curry feeling: smell, memory and food research

Posted by Duika Burges-Watson

Grant Achatz, a survivor of head and neck cancer and one of the world’s most adventurous chefs, serves a dish in his Chicago restaurant Alinea that frequently makes people cry. Why would pheasant with shallots, cider and burning oak leaves do this and why should we care about some zizzy restaurant food? The principle is based on a neurological fact – our olfactory system is linked directly to the amygdala-hippocampus complex – the ‘substrate of emotional memory’ (Herz 2004, Soudry et al 2011). Research shows that autobiographical memories evoked by odour are significantly more emotional than those recalled with visual cues. It is sometimes called the Proust phenomenon – after a literary anecdote involving a Madeline biscuit and the recall of a powerful childhood memory. In Achatz’s restaurant, burning oak leaves are not eaten - they take you straight to the excitement of autumn.

Pheasant with shallots, cider and burning oak leaves

In the Fuse-led NIHR/RFPB-funded head and neck cancer ‘Resources for Living’ project, we have been running food play workshops to explore the potential of modern cooking techniques and ideas to improve survivors' eating and experience of food . In our workshop next week we are talking curry – it’s what many survivors have told us they miss the most.

As one of our survivors said:

The first meal I ever had with my husband was a curry. I had never been to an Indian restaurant until he took me in the early eighties. I couldn't believe the aroma the flavours and textures. He said he'd never seen anyone so small eat so much. I was hooked!

I used to hate it when people ordered their own curry and rice and put it all on their plate and didn't share. I liked to try a bit of everything to experience all the different tastes and textures. However I didn't like anything too hot and spicy. I found that too much heat from spice destroyed the rich flavours. So a Madras or anything hotter just seemed to lose taste.

The only thing I can eat now in an Indian restaurant is a bit of poppadum. It's a killer, watching my husband and daughter getting stuck in to a really delicious curry on the curry mile and me sitting with a glass of water. Help!

We will be using knowledge about food and memory, clever cooking skills and some of what social science can offer on food and eating, to create, and explore, a curry experience that cancer survivors can participate in. Curry is, after all, more than about the physical experience of eating. It’s where many Brits get to feel Britishness (speaking here as an Australian we do something similar with South East Asian food). We socialise around take-outs and eat-ins. Curry is also pretty intensely flavoursome, spicy and exciting to eat.

We knew when we started the ‘Resources for Living’ work that our research would have resonance beyond this patient group - head and neck cancer survivors have problems with chewing, swallowing, sore mouths, throat narrowing and damage, taste alterations, smell function decline and more (in various combinations) so their experiences are particularly relevant to understanding how we can cope with altered eating difficulties (think loss of taste and smell in ageing, neurological damage etc). But even for so called ‘normal’ eaters there is interest here. For starters (excuse the pun), do people with ‘normal’ eating habits talk about the relationship between food and emotion, food and thinking? This could be a component of food literacy, particularly in the context of modern manufacturing processes where odours can be created at will. Just think of the experience of supermarket shopping near the bakery section. Does the emotional trickery of circulating the odour of baking bread get you to buy more high fat/salt/sugar foods that you don’t need?

As people age, altered taste sensation can lead to all manner of new habits around food – how might the experience of smell be employed to re-engage those that have lost interest in food? Another example: taste disturbance amongst smokers is well documented; why don’t we employ food therapy to increase desire for a more flavoursome smoke-free life?

Remembering an odour memory yet? Perhaps not, but next time you are transported to a sweet childhood memory, perhaps you’ll notice the smell of it.

ESRC vision includes plans to promote bold new approaches to knowledge exchange

Posted by Mandy Cheetham

An ESRC grant writing workshop last week organised by Durham University gave us some insight into the ESRC's vision and priorities for 2015 / 2016.

In a helpful overview, Sally Johnson at Durham Research Office, summarised the plans, which include a continued focus on excellent research, quality, timeliness, value for money and potential impact, both in and outside academia. ESRC’s vision is to support ‘transformative’ research, pioneer methodological and theoretical innovation, extend partnerships in priority areas and deliver new, more effective approaches to knowledge exchange. And you don’t have to be a senior academic to submit, as fresh ideas from Early Career Researchers are encouraged. Proposals which include international collaboration are particularly welcomed. There’s more guidance available on the ESRC website.

We heard about a range of current ESRC funding opportunities, including the Transformative Research call which encourages novel developments of social science enquiry, and supports research activity that entails an element of risk (closing date 19th Feb 2015).

Information about all the ESRC funding streams is available here on the ESRC website.  If you’re not sure whether and how your plans fit, you can email remit queries to: esrcremit@esrc.ac.uk

Drawing on their experiences of ESRC grant writing Emma Flynn and Peter Tymms from Durham University shared some of their reflections on lessons learned. Thanks for their permission to share these top tips;

• Take your time, plan ahead and identify the appropriate funding stream for your proposal. 
• Identify stakeholders and possible co-applicants with interest and expertise. Engage them early on in the development of the research.
• Look at other people’s successful grant applications, if available.
• Turn up at public meetings and events organised by the funding board.
• Start small and build up towards larger grants over time. Be realistic.
• Apply for seed corn funding from your University to start to build a track record. Make step changes into new and different areas.
• Write clearly, avoid jargon. Think about content, structure, headings and format. Put yourself in the position of the reviewer.
• State clearly why you, why this research, why now, why this university?
• Seek comments from those with a track record from the relevant funder. 
• Read, re-read, revise, revise and revise again.
• Think about who to suggest as reviewers. Build in time to approach them and seek permission before you submit the application. Send them a draft outline copy of the proposal for comment.
• Learn from reviewers comments, even when (perhaps especially when) they are critical. Rejections are common and everyone gets them. Treat them as a learning experiences. Don’t take them personally, reviewers are not perfect, and keep trying.
• Accept constructive feedback in a positive spirit. Work from it. Be persistent.

There’s helpful guidance on the ESRC website too about how to write a good research grant proposal.

Good luck!

Feeling welcome, getting lost and being my own woman: My first week as a Professor

Posted by Dorothy Newbury-Birch

On Monday last week I was asked to introduce myself to a room full of fellow new starters at Teesside University. For the first time, officially I said: ‘I’m Dorothy Newbury-Birch, Professor of Alcohol and Public Health Research’. WOW!!

Making the news

I remember when I started my last post as a Senior Research Associate at Newcastle University, seven and a half years ago and I was asked to do a presentation to introduce myself to the department and my very clever (I thought anyway) title was ‘I’m a criminologist let me into here’. I’ve been thinking about that presentation a lot over the last few days – not least because I am going to give a professorial inaugural lecture on the 26th January (have you booked yet?). What it has made me realise is that unlike when I have started jobs in the past this one is different.

You know that feeling you have in the first week you start a new job? The feeling of not fitting in; being afraid that people are going to realise you don’t know what you are doing? That feeling of wondering what you are supposed to be doing? That feeling you have that says, please let me in, please accept me which I think is what I was asking in my presentation all those years ago.

 

My new office

Well I’ve been in post for a week and for the first time in my career I feel that I have fit in from day one; that I do know what I’m doing (well mostly!) and that I am in the perfect place in my career, my institute and my life. I’ve been wondering why that is? Of course it’s because I have been made to feel so included and welcome in my new department. It's also because I was lucky enough to have a colleague come with me at the same time so we were able to share the asking of questions, and spend an hour driving around Middlesbrough looking for a car-park that we had been assigned and laughing so much about not being able to find it. But it's more than all this, it's about knowing that the time is right for me to lead the work I want to lead, to develop my own team to lead work that makes a difference to society. I’m also lucky to have told by my line manager that ‘I am my own woman’ in this job. What does that mean? Well for me, it means that I can spend some time working out a plan for my research and developing a team of likeminded people. I want to be moving forward, to interact with the people who can help me do this and I know that I will be supported to do this.

I can only see good things ahead. I will let you know in a couple of months how it is going and remember if you are at Teesside come and say hello – I’d tell you where I’m based but I keep getting lost!

Fuse Duck and Rachel’s Day Of (health policy related) Fun

Posted by Rachel Stocker

During the final year of my PhD (2014) I was very lucky to gain funding for a three month fellowship at the Houses of Parliament, Parliamentary Office of Science and Technology (POST). POST is an office of both Houses of Parliament, providing independent and balanced analysis of public policy issues that have a basis in science and technology. POST recruits around 20 fellows per year, funded by a range of funding bodies including the Economic & Social Research Council (ESRC), the British Psychological Society (BPS), etc, to research and write a four page briefing ‘POSTnote’ on a science/technology related subject. The POSTnote itself gives a concise, unbiased overview of information, highlighting key areas for parliamentarians to consider when policy is being made. It’s (genuinely) a great opportunity to see how health policy actually works within parliament and the angle which parliamentarians take on health subjects rather than the angle researchers might take. Plus you get to wander round the parliamentary estate (as it’s called), eat in the subsidised restaurants, chill out next to Churchill… and… yeah!

I applied to work on the topic of end of life care, and as it happens, end of life care is high on the policy agenda at the moment. I wrote my POSTnote – which can be found here – between April and July 2014. Most POST fellows actually live in London for the three month period – which is fabulous – but as I’m pretty much set up here in the North East, with a husband, mortgage, and four babies cats, I couldn’t really swan off down to London. Luckily I could conduct nearly all of the required research and interviews from home, with a little bit of travel to London every so often to conduct interviews – most of the ‘big names’ live in London or nearby (sad but true) – and catch up with my supervisor at the POST offices.

Rachel and Fuse Duck at Queen's Campus, Durham University

So what does this have to do with Fuse Duck, I hear a chorus of voices ask? ……… well, Fuse Duck and I recently had a fabulous research policy day out (is this a thing?). He accompanied me to an event held at Portcullis House, run by POST, on my POSTnote. The event itself was titled ‘Palliative and End of Life Care’ and was a seminar, with several peers, MPs, researchers, and other interested individuals.

However when I say accompanied… Fuse Duck did not actually accompany me into the event. Despite having lugged him on a train from Darlington to London King’s Cross, then on two tubes across London to Westminster (he’s a bit portly and was shoved into my little suitcase on wheels), the security staff at Parliament deemed poor Fuse Duck to pose too much of a security risk in a parliamentary building. He had to sit in his bag at the security desk, next to the x-ray machine, and wait for me.

Who knew a lovingly hand knitted duck would pose such a threat to the inner workings of our parliamentary system? He didn’t seem too fussed luckily – although I could swear I saw an evil twinkle in his eye before we set off…

POST fellowships are open to those in the second or third year of their PhD (and some are open to post-docs), more information can be found here.

52 weeks in public health research, part 52

Posted by Emma Foster, Amelia Lake, Lorraine McSweeney and Mark Welford

So this is it, we have reached the final week of our 52 week public health picture project. But what insights has it provided into the everyday lives of public health researchers? Find out in a blog post coming soon. A big thank you to all those who contributed their images.

Happy New Year!

Posted by Emma Foster: Not a New Year resolution as a) it seems silly to start the day after a big party and b) now is when I have a bit more time to exercise... So starting tomorrow this cross trainer is going to be getting much more use....and not just for drying clothes!

Posted by Amelia Lake: Less of a resolution more of an ambition! No more trainers on the bike - it's time to look like a pro... and possibly get a few knocks and bruises in the process!

Posted by Lorraine McSweeney: I recently attended a graduation ceremony at Newcastle University to receive my doctorate award. For the first time in the congregation history the PhD titles were announced during the ceremony; mine being 'Prevention of obesity: exploring strategies for intervention in preschool'. The ceremony was attended by my supervisor and Fuse Director Ashley Adamson. Also in attendance that day was television journalist and newsreader Angela Rippon who received an honorary degree for her charity work in dementia.

Posted by Mark Welford: Fundraisers braving the North Sea to earn money for their favourite charity in the Annual Boxing Day dip. A bit of physical activity after the Christmas day indulgence and the beginning of a New Year's resolution?

Collaboration, Intimacy and Revolution

Posted by Emily Henderson

Heartened. How's that for an opener? It was my privilege this past August to present a paper at the European Association for Social Anthropologists biennial conference, hosted by Tallin University in Estonia. The theme was ‘Collaboration, Intimacy and Revolution’, in honour of Estonia’s 25th anniversary of their struggle and success in gaining independence from Russia after the Soviet fall.

Collaboration

The city of Tallin, Estonia

I am particularly grateful for this experience because of the importance of international exchange to my work. The panel I contributed to was entitled ‘Bodies out of bounds: anthropological approaches to obesity practices’. It aimed to rethink common understandings of obesity, and encourage interdisciplinary approaches to such a complex issue. I presented preliminary findings from my Wellcome Trust funded project exploring perceptions of the contribution of psychosocial factors to obesity. In short, I explore how cultural understandings of the causes of obesity and who is to ‘blame’ determines the ways in which all of us decide how obesity is to be addressed. I argue for the anthropological contribution to health interventions because it puts humanness and the human perspective and at the centre of these decisions. An outcome of this panel is an EASA special interest group, which I currently chair.

Intimacy

Brown peaty waters of the bogs, Lahemaa National Park

A shared issue that emerged from our collaboration was our belief that, while the study of obesity can be fascinating from a theoretical perspective, it also must be able to make an impact on health and wellbeing. The field of public health anthropology is considered ‘applied’ research, distinct from ‘pure’ research. This false dichotomy implies in the first that research cannot be both applied and generate theory, and that applied research is somehow ‘impure’. Central to social anthropology is ethnography and the personal contemplation it requires, as well as an emphasis on social justice. The translational research we do at Fuse - in particular through the coproduction model whereby those in policy and practice are equal partners in driving research - requires academics to give up their authoritative power over knowledge. This compels us academics to open up our disciplines to the world which is outside of our ‘pure’ surroundings.

Revolution

Lantern collection at the Kasmu Sea Museum, on the Baltic Sea

The other panel I attended was ‘Anthropology as a vocation and occupation’, which served as a forum for exchange on career prospects at a time when the global economic crisis threatens higher education. A main focus was on the ‘precariat’ researcher who is unable to find jobs or job security, (or more specific to academia, ‘cognariats’) many of whom are ‘early career’ researchers. A little bird told me we should give great thanks to postdocs at Durham University, because their external funding is used to run our offices. It’s a fitting analogy that we supply the lighting around universities. Rather than the term 'young scholars' perhaps a positive spin would be call us 'fresh scholars'. At this conference, I may have received the best professional complement ever: A fellow obesity ‘fresh scholar’ said my work asked the bigger questions; alas for him, he feels only permanent ‘academic staff’ in France have the luxury of thinking deeply. In a setting where The Rule of the Game is ‘Publish or Perish’, free thinking is one of the few remaining perks to being merely ‘research-only staff’ in higher education, and is the life raft to which we cling.

Past, present, future

Life grows out of a deserted Soviet submarine
base, on the Baltic Sea

Finally, Estonia really captured me. Taking a cheeky guided tour to Lahemaa, their largest national forest, I observed first-hand their love of nature, as over half their country remains forested. While cooling our toes in boggy waters, a local employed by Skype, a company created within Estonia, told me all about the cutting edge technology going on in Estonia. Our guide ‘begged’ us that if we were to remember one thing about Estonia, it’s that they are Baltic and Nordic people, distinct from eastern Europe. I was struck by Estonians’ ability to preserve their heritage, and also to innovate and make their mark as a new EU nation. Perhaps one will be their example of conservation. The lesson I took away from my trip was that in order to drive forward, we have to keep looking back. Given the opportunity of reflection on my trip, I felt revived and ready to face challenges forward. Presently, this means cracking on with the business of it.

This trip was funded very generously by Fuse and Durham University’s Centre for Public Policy and Health (WHO Collaborating Centre on Complex Health Systems Research, Knowledge and Action).

Merry Christmas from Fuse

Please click here to find out more about Fuse on our revamped website.

52 weeks in public health research, part 51

Posted by Mark Welford, Caroline Dodd-Reynolds, and Dorothy Newbury-Birch

Posted by Mark Welford: I imagine this is what every academic's Christmas tree looks like. This fine specimen can be found in the Learning Resource Centre of Stockton Sixth Form College. As far as Christmas decorations go, we really should be taking a leaf out of their book!   

 

Posted by Caroline Dodd-Reynolds: Finishing my Christmas shopping this week, all seemed fairly quiet at the MetroCentre 'gym'...

Posted by Dorothy Newbury-Birch: This is my last Christmas working at the Institute of Health & Society at Newcastle University. From 5th January 2015 I will be Professor of Alcohol and Public Health Research at the Health and Social Care Institute at Teesside University. Very exciting times. I promise to write a blog in January letting everyone know what it's like to be a new professor!

Posted by Mark Welford: Can you guess the theme of this book display at Stockton Sixth Form College? Answers in the comments section below.


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A reminder from the Fuse blog group:

Each week of 2014 we’ll try and post around four pictures on the Fuse blog that capture our weeks in public health research, from the awe-inspiring to the everyday and mundane. Given that more of the latter than the former exists in most of our lives, we foresee problems compiling 208 images worth posting on our own. So this is going to have to be a group project. Send an image (or images) with a sentence or two describing what aspect of your week in public health research they sum up and we’ll post them as soon as we can. You don’t have to send four together – we can mix and match images from different people in the same week.

Normal rules apply: images you made yourself are best; if you use someone else’s image please check you’re allowed to first; if anyone’s identifiable in an image, make sure they’re happy for it to be posted; nothing rude; nothing that breaks research confidentiality etc.

Email your posts to m.welford@tees.ac.uk or contact any member of the Fuse blog group.

52 weeks in public health research, part 50

Posted by Mandy Cheetham, Amelia Lake and Mark Welford

It's all food, parties and away days in this week's Fuse blog picture post.  You'd think it was Christmas!

Posted by Amelia Lake: A balance? T'is the season to introduce your offspring to more sugary delights... Or is it a season for some balance! I like the balance option, some treats - both fruity and sugary!

Posted by Mandy Cheetham: A little (delicious) Christmas indulgence at the Health and Social Care Institute away day in Great Ayton, North Yorkshire. Reward for a morning's work including workgroups on software and apps (details below) designed to make our research life richer and easier!

Evernote & OneNote (information management), Inspiration & Prezi (visual mapping and presentational software), handling long documents in Word, and Twitter.

Posted by Mark Welford: Professor Graham Henderson giving a quick speech at his last staff Christmas party before he retires as Vice-Chancellor of Teesside University.  He resisted the urge to play a solo on the double bass temptingly placed behind him!

 

Posted by Amelia Lake: More food photos for the blog. Our traditional in canteen Christmas meal at Durham Queen's Campus in Stockton. With the obligatory whizzing balloons!

 

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A reminder from the Fuse blog group:

Each Thursday of 2014 we’ll try and post around four pictures on the Fuse blog that capture our weeks in public health research, from the awe-inspiring to the everyday and mundane. Given that more of the latter than the former exists in most of our lives, we foresee problems compiling 208 images worth posting on our own. So this is going to have to be a group project. Send an image (or images) with a sentence or two describing what aspect of your week in public health research they sum up and we’ll post them as soon as we can. You don’t have to send four together – we can mix and match images from different people in the same week.

Normal rules apply: images you made yourself are best; if you use someone else’s image please check you’re allowed to first; if anyone’s identifiable in an image, make sure they’re happy for it to be posted; nothing rude; nothing that breaks research confidentiality etc.

Email your posts to m.welford@tees.ac.uk or contact any member of the Fuse blog group.

Can’t cook, or won’t cook?

Posted by Joel Halligan, Research Assistant, Institute of Health & Society, Newcastle University

On Monday of last week, Lady Jenkin, a conservative peer, claimed that poor people 'don’t know how to cook'. She suggested this as, in part, a cause of the socio-economic patterning of obesity in the UK, and what followed was outrage, denial, and indignant broadsheet readers; but, is she alone in thinking this, and is she right?

Baroness Jenkin of Kennington. Photo used in the article on the Daily Mail website

One only has to look at the reader comments on the web articles to see that many people agree with her, blaming obesity on ‘the laziness of the poor’. So, it seems as though many people think of this as assumed wisdom. It has been found that people who are less socio-economically favoured are more likely to be obese, so this must just be down to the fact that poorer people don’t know how to cook, right?

Well, I’m afraid I’m going to disappoint you – the evidence just doesn’t bear this out. We recently did some analysis of data from the UK’s National Diet and Nutrition Survey, and our preliminary results tell us that the vast majority of people who were sampled reported that they could cook ‘from scratch’ just fine, even those in the poorer segments of society. Now, I’m not saying that poor cooking skills might not be a contributing factor towards levels of obesity, but it’s not as straightforward as suggesting that cooking skills alone are the cause and that simply providing them would be a magic bullet. Ask yourself this: do you know anyone who can’t cook and is as thin as a rake, or anybody who regularly cooks yet is overweight?

Lady Jenkin also said that: “If people today had the cooking skills that previous generations had, none of us would be eating so much pre-prepared food.” Again, this might seem like a nice, intuitive proposition, yet it ignores the complexity behind the shift that has occurred in our cooking and eating habits over the past few decades. Is it that we, as a society, are eating more pre-prepared food because we can’t cook, or that fewer people cook less often because there is such an abundance of convenient alternatives?

Lady Jenkin also goes on to compare the cost of her bowl of porridge to the bowl of sugary cereals that they eat, but, as I’m sure many will have considered, the cost argument also isn’t as straightforward as it may seem. Yes, the basic raw ingredients might be cheaper, but what about the cost of fuel and ‘opportunity cost’? Microwaving a lasagne for 4 minutes is probably going to incur a considerably lower fuel cost than if one were to fry the onions and mince, boil the lasagne sheets, and then bake it in the oven for an hour, plus that hour might be the only time of the day somebody gets to spend with the family, or relax, or do other necessary chores. Plus there’s the consideration that stocking the cupboards with an armoury of staples, herbs and spices also isn’t cheap, nor are the utensils and equipment needed to cook ‘from scratch’, nor are the cookbooks for the recipes (and remember that not everyone has internet access and thus freely able to trawl BBC Good Food for ideas on how to use up that last bunch of curly kale).

I’m certainly not saying that there aren’t people out there who don’t know how to cook, and there is indeed lots of interest as to whether helping people to cook can improve people’s diets, although it’s yet to be definitively proven that giving people cooking skills gets them to eat better: The Evaluation Report of Jamie’s Ministry of Food; Evaluation of a cooking skills programme in parents of young children; and Impact of Cooking and Home Food Preparation Interventions Among Adults.

So, I hope that those who were quick to agree with Lady Jenkin might reconsider their position, and remember that there are many reasons why people cook and eat the way that they do, and that it isn’t as simple as saying that if everybody could suddenly cook then convenience food manufacturers would go bust. In my humble opinion, there is definitely a place for cooking skills, and I do believe that they are an invaluable skill to have, but I also accept that convenience food is just that, and that it is here to stay, and that we need to take a more holistic approach to improving our diets rather than just extolling one type of cooking and bashing the other.

Lastly, I also challenge people to challenge their own preconceptions of obesity, and ‘the poor’ - perhaps next time you talk to somebody who fits either of those criteria, don’t assume they can’t cook, instead ask them what they like to cook – you might be surprised at their answer.

52 weeks in public health research, part 49

Posted by Catt Turney Amelia Lake and Mark Welford

 

 Posted by Catt Turney: One of the photos taken by my colleague Britt Hallingberg at the DECIPHer symposium, where staff and students from the three partner universities (Cardiff, Bristol and Swansea) get together to discuss how our research is going and celebrate key achievements. As there are so many of us now we're only able to sympose once a year, and organising an ice-breaker at the beginning of the day is no mean feat. Luckily we had Dr. Jeremy Segrott (on the left, waving his arms in the air) on hand to conduct the task with aplomb. The ice-breaker involved a highly sophisticated and technically advanced approach to finding out our views on various subjects, by situating ourselves appropriately along a piece of string. This particular photo illustrates our views on mornings, about which we appear to have mixed feelings.

 

 

Posted by Amelia Lake: At this week's Fuse Members' Day - which was more popular? Fruit or crisps? (Disclaimer there were more bowls of crisps!!)

 

 

Posted by Mark Welford: Scott Lloyd demonstrating Mosaic, Experian's system for classification of UK households at the Fuse Members' Day. Mosaic is one of a number of commercially available geodemographic segmentation systems, applying the principles of geodemography to consumer household and individual data collated from a number of governmental and commercial sources. It's a bit scary how much it can churn out about you, your neighbours and where you live by simply entering a postcode!

 

 

Posted by Amelia Lake and Mark Welford: Fuse Director Ashley Adamson drawing to a close our Fuse Members' meeting at Durham University. A great meeting with lots of opportunities to catch up with colleagues from the five Fuse institutions and beyond!

 

The meeting was jointly hosted by the Fuse Communications Group and Knowledge Exchange Group and was centred around a blog post written by Scott Lloyd, Health Improvement Commissioning Lead, Redcar & Cleveland Borough Council.  He and his colleagues kindly agreed to give up there time to talk to us about improving partnerships, research and health.

 

This photo also shows off the new Fuse and AskFuse banners!

 

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A reminder from the Fuse blog group:

Each Thursday of 2014 we’ll try and post around four pictures on the Fuse blog that capture our weeks in public health research, from the awe-inspiring to the everyday and mundane. Given that more of the latter than the former exists in most of our lives, we foresee problems compiling 208 images worth posting on our own. So this is going to have to be a group project. Send an image (or images) with a sentence or two describing what aspect of your week in public health research they sum up and we’ll post them as soon as we can. You don’t have to send four together – we can mix and match images from different people in the same week.

Normal rules apply: images you made yourself are best; if you use someone else’s image please check you’re allowed to first; if anyone’s identifiable in an image, make sure they’re happy for it to be posted; nothing rude; nothing that breaks research confidentiality etc.

Email your posts to m.welford@tees.ac.uk or contact any member of the Fuse blog group.

The Stevens Factor – our man from Consett

Posted by Avril Rhodes and David J Hunter

Simon Stevens, the Chief Executive of NHS England is not as he seems. Behind the urbane witty manner, the man who likes, apparently, to speak without visual aids, is a man of real steel. Well, Consett steel actually, as at home speaking about his early experiences of working at the then Shotley Bridge General Hospital, as defending the NHS before the Public Accounts Committee and leading five year forward views. We have two gems here, someone who knows north-east England and relishes speaking almost exclusively about public health, despite the enormity of the operational responsibilities he carries, and definitely a force to be reckoned with, as his vertical rise from junior manager to CEO, via advising the Blair government at No 10, testifies.

Simon Stevens: a man of Consett steel

We shall soon be entering manifesto season. At his recent Centre for Public Policy and Health lecture at Durham University Queen’s Campus, whilst it wasn’t called a manifesto the audience were given an insight into six key priorities on Mr Stevens' mind, some of which built on the five year forward view released in October. Not in any kind of order these were:

1. Re-conceptualising what we mean by the NHS – the NHS is now a pensioner, in organisational terms but is still revolving around dealing with problems as they arise, with too little spent on underlying prevention. It seems to be hard enough to co-ordinate the different services currently provided, let alone stepping up to a new level where there is no difference in health and social care, and any aspect of policy that affects life chances, and health and wellness, is integrated both in planning and delivery. But this is a goal that means a fundamental re-orientation of what’s provided, how and where.
2. What about the unexploited advantages of primary care? The division between primary and secondary care in the UK, which has deep historical roots that pre-date the NHS is both a barrier, in terms of setting up a division that wouldn’t be recognised in some other countries, and also a positive, in providing personalised care, close to home. But what about the areas where primary care is all too thin on the ground, the unpopular parts of the country where GPs don’t want to work – the so-called ‘inverse care law’ which Stevens invoked. Can this be fixed through the development of a population-oriented primary care system?
3. The NHS is a major buyer and employer and has a sizeable economic footprint in local communities. Back in his Consett days, the steel works had recently closed and the NHS took up some of the fall out as the local and large employer of alternative resort. This lesson has not been lost on Stevens. The NHS should be able to influence poverty and health through its own economic position in each locality.
4. Work needs to be done on ensuring people get and stay in high quality jobs. The NHS can support this (partly linking back to the third point) through what it does as an employer but also could have a much stronger role in health interventions whilst people are at work. Unsaid at the time, but the workplace is somewhere people spend a lot of time, so why not? The NHS needs to set an example in being a good employer itself, but to its shame falls short, for example in the management of shift systems, or provision of healthy eating options at work. This was definitely a ‘can do better’ on the report card.
5. Local Authorities have come back in from the cold with their new (or is it re-gained?) responsibilities in public health. There is an awakening to the scope local government could have, arising from the debate about devolution in England, set off by the Scottish referendum, and even within their existing powers, local authorities can reach the parts the NHS can’t reach in affecting population health and well-being. 
6. And finally, what about the planning of new cities and towns? These could provide a test bed for working out new ways of place-shaping and designing health and wellness into the built environment and also new ways of delivering the NHS, given the blank sheet these major developments offer.

Let’s see how many party political manifestoes pay attention to these ideas in the Spring of 2015.

52 weeks in public health research, part 48

Posted by Amelia Lake and Mark Welford

From Amelia Lake: A sign in an Italian café in Shildon where the energy drink team had a meeting and were about to conduct focus groups. The team Steven Crossley (@akindoftrouble), Shelina Visram (@ShelinaVisram), Mandy Cheetham & me took the opportunity to look around the local area and sample local (Italian) cuisine!

From Amelia Lake: With a two-and-a-half year old the arrival of the festive season means the arrival of advent calendars. So far we've avoided chocolate ones. Long may that avoidance last!

From Mark Welford: Kaffee und Kuchen (coffee and cake) event for the Health and Social Care Institute to celebrate completing the move into our new quarters. The idea was to bring everyone together following the upheaval of the move from Parkside West - I wonder if a Kaffee und Frucht theme would have been as popular?! 

From Mark Welford: Peter van der Graaf getting creative with art supplies borrowed from his children. As an institute we have been challenged to take a selfie and come up with a three word statement that sums up our message to stakeholders for the School of Health and Social Care winter conference. The conference will focus on how we communicate with, and present ourselves to, our key stakeholders.

Our three words: 'Is this REFable?' The Research Excellence Framework (REF) is the system for assessing the quality of research in UK higher education institutions - it's all about research with impact!

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A reminder from the Fuse blog group:

Each Thursday of 2014 we’ll try and post around four pictures on the Fuse blog that capture our weeks in public health research, from the awe-inspiring to the everyday and mundane. Given that more of the latter than the former exists in most of our lives, we foresee problems compiling 208 images worth posting on our own. So this is going to have to be a group project. Send an image (or images) with a sentence or two describing what aspect of your week in public health research they sum up and we’ll post them as soon as we can. You don’t have to send four together – we can mix and match images from different people in the same week.

Normal rules apply: images you made yourself are best; if you use someone else’s image please check you’re allowed to first; if anyone’s identifiable in an image, make sure they’re happy for it to be posted; nothing rude; nothing that breaks research confidentiality etc.

Email your posts to m.welford@tees.ac.uk or contact any member of the Fuse blog group.

Working across boundaries

Posted by Scott Lloyd, Health Improvement Commissioning Lead, Redcar & Cleveland Borough Council

 

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Dear Academic, 

For the past nearly three years, we’ve been running this wonderful public health intervention in our area. It’s seen 50,000 people and everyone says how great it is. We’d now like you to come in and evaluate it. Oh by the way, there’s only two months of the project left and they’ve only got a few measures collected from past service users. 

Kind Regards,

Public Health Officer.

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Sound familiar? These instances have happened in the past and are unfortunate and I can’t promise that they won’t happen in the future. However, the frustrations occur both ways. Let me explain.

Research trials – especially large randomised controlled trials – cost a lot of money. They are designed based on the latest research to provide a degree of confidence that the outcome will add to the evidence base of what works. Even if they don’t work, it is still so very, very important that the findings are published and shared (Prof Richard Parish once suggested in a meeting that there should be a Journal of Public Health Interventions that don’t work).


Open door policy (and practice)

My frustration is when I hear about trials that have taken place and have failed to recruit participants in a timely manner or at all – this is one area where us mere commissioners and practitioners can help, especially now that many of us are working in Local Authorities with an even wider reach via colleagues in other departments. We can open doors that may be closed to you.

A few examples:

• Are you conducting a trial with adults? Would you like easier access to potentially over 130,000 people in North East England? Through the medium of the North East Better Health at Work award, in 2014 colleagues worked with employers who combined to employ this many people. These colleagues and the Workplace Health Advocates that they work with could have been helping you.
• Want to work with schools? Many of our colleagues – such as Healthy Schools (in some areas), School Sport Partnerships, Active Travel Projects and Local Authority education colleagues – already have contacts. Your information coming from them direct to their contacts will always be better than you contacting schools cold.
• Communications teams in Public Health England, Local Authority, Clinical Commissioning Groups, NHS Foundation Trusts and elsewhere have a role too. They know the local media. They know our local populations. They have social media accounts with 1,000s or more of “likes” or “followers”.

There are examples where partnerships have worked really, really well. Look at “New Life, New You” in Middlesbrough. Also LiveWell; a number of colleagues have been involved in this during the development and implementation stages and the intervention team are close to recruiting the required number of participants.

 

My point is – get in touch early as I’d like to think that we can help. Senior researchers please advise your PhD students of these opportunities, especially those new to the North East. Fuse – especially AskFuse and the Knowledge Exchange theme – is breaking down barriers.

 

Even if we can’t help, it’s always good to know what is going on in our local areas (it can be embarrassing when we get asked about something that we know nothing about).

 

I can’t promise to change the world and that a joint approach will always work; but basically, as long as your intention is to improve health – I’m interested.