52 weeks in public health research, part 39

Posted by Amelia Lake, Mark Welford and Jean Adams

From Amelia Lake: At the Fuse members' meeting new Director Ashley Adamson thanks Martin White for his leadership of the Centre and wishes him well in his new role with the Centre for Diet and Activity Research (CEDAR) and the MRC Epidemiology Unit at the University of Cambridge.

From Mark Welford: Avril Rhodes reveals the mysteries of being a Knowledge Exchange Broker during her table session at the Public Health Intelligence Northern England (PHINE) network meeting. If you think your event could benefit from a Fuse presence please email avril.rhodes@tees.ac.uk or m.welford@tees.ac.uk

From Amelia Lake: Managing the family actually eating against a busy work schedule means late night cooking! Sweet potato & coconut curry! Looking forward to it already!

From Jean Adams: Research suggests that calorie labelling works to decrease intake in some people, some of the time. When I found out how many calories were in coffee shop cakes, I was slightly horrified and stopped buying them. It's also been suggested that forcing food companies to come clean on food content may encourage reformulation. So I was interested to see these 'petite' treats at Birmingham New Street, with a slightly more appropriate number of calories for a snack. Would love to know effect of these on choice and consumption.

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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 blog monster

Posted by Mark Welford

You may have noticed that change is afoot in Fuse-land and this includes the blog.

Since its inception in February 2010, the blog has hosted 250 posts and received nearly 105,000 individual page views. Of those 250 posts, Jean Adams - the founder and force behind the Fuse Open Science Blog - has written a whopping 94 or to put it another way, 38 per cent!

 

The blog is a monster that needs to be constantly fed and when food's been scarce on Jean’s watch she's always been on hand to rustle something up.

The ravenous blog monster

It began here with the blog’s first ever post. Since then she has regaled readers with tales of being a media darling, balancing work and life, showing Fuse duck around Newcastle University, her experience as a medical student, and provided advice to PhD, MSc, and research students. She's written about blogs and blogging, knitting, trekking, running, her introversion and fear of the phone … and sometimes even had time to write about research.

So, the news that Jean is moseying out of town in search of pastures new (what’s the second oldest University in England got on Newcastle - gondolas?) leaves a rather large Jean shaped hole, metaphorically speaking!

 

Our solution? Create a Fuse blog working group to fill the gap.

Let me introduce you to the friendly group of Fuse members who now oversee and edit the blog: Amelia Lake, Lecturer in Knowledge Exchange in Public Health at Durham University; Jonathan Ling, Reader in Public Health at the University of Sunderland; Jenni Remnant, PhD Student at Newcastle University; Avril Rhodes, Fuse Knowledge Exchange Broker; Peter van der Graaf, AskFuse Research Manager; and me.

Yes, change is scary but change is also exciting and this is an opportunity for new ideas and new people to keep the blog vibrant.

One of the original aims of this platform was to act as a tool to provide two-way engagement with people from outside of academia in local and regional government and other public, private and voluntary organisations. In its current form, the blog is focused on providing insights into public health research and over time could be said to have evolved into more of an internal resource, with posts often - but not always - written by researchers for researchers.

This isn't a bad thing - after all we are a research centre - and we would like to thank all those who have contributed so far and made the blog the success we believe it is. But we think it can be even better! As well as researchers we want to encourage ALL those working in and around Public Health to contribute to the blog in order to stimulate an open forum for debate that captures the full breadth of population health.  

 

If you work in Public Health then please get in touch. 

• We want hear about your aims, priorities, and challenges.
• Which issues need to be brought into the public eye and debated?  
• Can you provide an insight into your role in Public Health for those not directly involved?
• Is there a public health related campaign in your area that you want to promote, or could you write a post that coincides with an event or a topical news issue?

Or simply let us know if you have any other ideas on how the blog can be improved.

 

We publish posts twice a week and publicise these via our main twitter account (@fuse_online), Amelia’s account (@Lakenutrition) and Peter’s (@pvandergraaf75). We welcome posts of around 500 words. These tend to be light-hearted takes on the day-to-day joys and frustrations of being involved in Public Health and often spark interesting discussion, both on-line and in person.

 

Email your posts to m.welford@tees.ac.uk or contact any member of the group by following the links above.

 

Finally, a big thank you to Jean for her dedication in feeding the blog monster. We all wish her well in her new position with the Centre for Diet and Activity Research (CEDAR) and the MRC Epidemiology Unit at the University of Cambridge.

52 weeks in public health research, part 38

Posted by Jean Adams

I noticed this US section in a supermarket in Oxford recently. I’ve seen UK sections in French supermarkets, but never US sections in UK supermarkets. UK supermarkets are hardly a paragon of food virtue, but I was amused to remember quite how silly some of the food in US supermarkets is.

 

These pop tarts proudly proclaim that they’re a ‘good source of 7 vitamins & minerals’. But this claim has been blanked out. Presumably it doesn’t comply with UK/EU regulations on what counts as a ‘good source’!

I love health claims like this ‘fat free’ one on a product that has 90 calories per unit! There is some evidence that these claims have ‘halo’ effects with busy consumers interpreting ‘fat free’ as healthy.

 

This retro Pepsi has real sugar in it! Presumably to attract people who don’t like the nasty sweeteners in diet Pepsi or the ‘natural’ sweeteners in Coke Life. How bizarre that we’ve got ourselves to a place that ‘real sugar’ is now a thing to proclaim.

 

 

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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.

 

As long as you can manage to stay awake

Posted by Jean Adams

I was sitting in a meeting the other week when someone started talking about ‘Jamie and Tom’,* in a slightly context-free way, like I would definitely know who they were. It was at this point that I realised I only knew who about 50% of the people around the table were and that we’d got to agenda point 3 without any introductions.

One of the most common activities I did as a medical student was sitting at the back of a clinic. The doctor would do their job, seeing each patient on that morning or afternoon’s list; my job was to learn by observing. It’s not always easy to keep concentrating on this sort of ‘just watching’ learning. Hospitals tend to be warm places and the student isn't actively engaged in the consultation. To help me stay awake, I made a rule that I would try to ask the doctor at least one question after every patient. Sometimes I asked questions I knew the answer to, just to prove to everyone that I was still awake.

"Thomas Eakins, The Agnew Clinic 1889" by Mark Skrobola - note how engaged medical students were in the 19th century

I’m not sure I can remember anything I was actively taught during a clinic. What I really remember is learning what sort of doctor I did, and didn’t, want to be. I wanted to be the doctor who spent a whole afternoon consulting with people with the dreadfully debilitating, but hard to treat, chronic pain syndrome without once loosing their patience. I never wanted to be the doctor who walked out of the door when their patient started weeping, leaving the nurse to 'deal with it'.

As the meeting went on I eventually worked out that Jamie was female, and was a little bit upset with myself for auto-assuming she wasn’t, but a little bit pleased with myself for taking a tiny step towards nailing down her identity. Then someone started talking about GVS-super-TRP**. I looked at the meeting papers for a clue as to what this might be, lost the thread of the discussion, and my brain slipped away to something much easier.

In order to stay awake, I wrote a list of the things that had gone wrong in the meeting. Right there, on my agenda: no introductions, no explanation of GVS-super-TRP. Looking back, I hope that I wrote in enough of a scrawl that the person next to me wasn’t able to witness my impudence. It’s not like I'm some ninja-meeting super-hero. Note: I didn't interrupt to clarify what GVS-super-TRP was, or ask who Jamie and Tom were. Participants not asking for clarification when required was on my list.

The bad meeting experience reminded me of my medical student days and how much you can learn by just watching. How much you can learn about how to do things well and how to do things badly.

I was attracted to medicine partly because I liked the idea that it would take a long time to get any good at it – learning and working at doing it well would keep me busy for a while. Similarly, I like that research is not something I will be done learning soon. You don’t get a piece of paper one day saying “you are now qualified as a researcher: go forth and research”. There is always more to learn and always more opportunities for learning – even from meetings that don't go so well. As long as you can stay awake.


*Obviously not their real names, but definitely one name was one that could be either male or female.

**Whatever it was, I don’t want to compromise the true acronym’s confidentiality, so also not it’s real name.

52 weeks in public health research, part 37

Posted by Jean Adams

The seminar room and cafe in our building are often used for small conferences by groups from around the university. I snapped this at about 7pm in the evening when one such meeting had well and truly turned the corner from conference to social. We never have beer, tobacco and biscuits at public health meetings. Honest.

This is the 'famine wall' on Beinn Dearg near Ullapool. This part of it is more than 1000m above sea level. It runs for many miles and is more than 8ft wide and 8ft high in places. It was constructed in the 1840s by farmers whose harvest had failed in return for money, or food. There are remnants of many of these 'make work' projects all over the north of Scotland (and I presume Ireland too). It would have been considered unseemly just to give starving people money (as per the modern welfare state). Instead, humanitarian landlords thought up projects such as these to keep their tenants occupied and fed. You can see that it was a beautiful day when we were there, although you can't see the chilling winds strong enough to knock us over at times. The conditions up there are likely to be dreadful more often than not. Despite the problems with the current welfare state, I still think it's better than having people build useless walls at 3000ft in Scottish mountain weather.

I took this picture of lemon cake at afternoon tea time at the recent meeting of the World Public Health Nutrition Association. I was fully intending of making the usual comment about the ironic placement of unhealthy food at a public health nutrition meeting. Turns out most of is was left at the end of the tea break.

This is an interesting development that I noticed at a petrol station recently. It was quite a substantial promotion on Coke Life - sweetened with stevia and with about two-thirds of the calories of red Coke. There's an interesting discussion of the 'natural' and 'low(er) calorie' claim here. Personally, I think two-thirds of the calories of red Coke, is still a lot of calories.

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Just to remind you:

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 my life, I foresee problems compiling 208 images worth posting on my own. So this is going to have to be a group project. Send me an image (or images) with a sentence or two describing what aspect of your week in public health research they sum up and I’ll post them as soon as I 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.

Haste ye back?

Posted by David J Hunter, Professor of Health Policy and Management, Durham University and Fuse Deputy Director

Many in the North East will be wondering how their region will fare if Scotland decides to go its own way on Thursday.

Some may be heard to say: ‘if you’re going can we come with you’?  Others might sullenly fear the worst, with our region caught between a hungry new nation impatient to prosper and chart a different course on the one hand, and an England which seems captive to the huge suction pump that is London hoovering up all before it and drawing in talent and resources from across the UK – or what was the UK.   

Where might health policy figure in the scheme of things post-referendum?  Will it fare better under independence? Or will things remain much the same or possibly deteriorate?

Financially, the Scottish NHS has always fared better than its English counterpart, enjoying higher per capita funding.  But spending on health services is not the only factor affecting health status.  Despite the extra funding, Scotland’s health remains stubbornly poor and generally inferior with higher mortality – hence the label the ‘sick man of Europe’.

Of course, with less funding for health care it might be worse.  But it’s more complicated than that. 

Perhaps liberated from the shackles and centralising tendencies of the UK (or London to be more precise), Scotland will be able to restore the public realm or invest in ways which will demonstrate that an austerity economic model can be replaced by a social model of development.

We know from Marmot’s work and WHO’s health strategy for Europe, Health 2020, that tackling the social determinants of health demands a whole of government and whole of society approach. 

Being able to achieve such joined up thinking and work across a whole system is much easier (in theory at least) in a small country.  And there are certainly signs that Scotland wants to be innovative and tackle health differently with its recently departed Chief Medical Officer, Harry Burns, extolling the virtues of asset based approaches and talking about wellness rather than ill-health.           

The Scottish government has been something of a cheerleader in public health policy having been quick to follow Ireland’s lead on banning smoking in public places long before England.

More recently, it took the lead in introducing a minimum unit price for alcohol although whether the policy will survive the EU single market rules remains to be seen. But where England dithers, Scotland appears willing to take bold action.

The real issue is whether an independent Scotland can do more to improve health and tackle inequalities than it can under current devolved freedoms and from others to come which are promised following a No vote.  

The answer is complicated.  After all, what does independence actually mean in our global world where paradoxically everything is interdependent at a time when nations and regions seek greater freedoms.  Are these opposing forces reconcilable?   Or will independence prove to be a chimera with Scotland even less able to realise its social justice aspirations?

Those voting with their heads will endeavour to weigh up the pros and cons and bring evidence to bear on their decision-making.

Those ruled by their hearts will not be swayed by an evidence base which is fiercely contested and offers no definitive answers.  They will be tempted to take the risk believing they have nothing to lose with the status quo and retention of a 300 year old Act of Union holding little appeal. 

But will the politics and the policies be so different in the end or just their packaging and presentation?   Can an independent Scottish government shake off the neoliberal embrace to which all governments since, and including, Thatcher have been enthral? 

In a global economy, no country is an island and to keep at bay, never mind hold to account, the rapacious transnational conglomerates, including the big consultancies and ‘advisers’ and lobbyists that are busy hollowing out the public realm in England, demands both vigilance and political courage of a kind that will tax the most socially enlightened politician.  

This is the true nature of the experiment underway in Scotland regardless of whether it achieves formal independence after the referendum or some form of ‘devo max’.

Can Scotland break with the Anglo-Saxon tradition and replace it with an ethos marked by collectivism, reciprocity and a commitment to public services? 

Or will it buckle under the pressures of global capitalism and dance to its tune?                

Yes or No, Scotland promises to be a fascinating laboratory for years to come for health policy-watchers.

52 weeks in public health research, part 36

Posted by Simon Howard and Jean Adams

From Simon Howard: after the photo of the Messi Pepsi can, I thought this one I took on holiday in Naples took the biscuit - the Napoli football team as tins containing chocolate chip cookies! Judging from the end product, I'm not sure they thought too hard about the aesthetics, let alone what the public health consequences might be!

From Jean Adams: In October we are moving to Cambridge and we've been using our East Coast rewards points to house hunt in style. But all that time spent searching property websites during the week means that we are making use of the peace and space of first class to catch up on work.

From Jean Adams: I was in London earlier in the summer at one of those meetings that looks like you are being invited to contribute your expertise, but is actually someone very politely asking you to stop making so much fuss. The meeting ended early and I took the opportunity to visit the V&A's Disobedient Objects exhibit before my train. This Nicholas Klein quote made me feel just a little alone and ignored.

From Jean Adams: the 'big move' means that I have finally had to find the time to clear out my desk and cupboard. After ten years of not looking at any of them once, I am parting with my PhD notes. Both a little bit gut wrenching and a little bit liberating.

------------------
Just to remind you:

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 my life, I foresee problems compiling 208 images worth posting on my own. So this is going to have to be a group project. Send me an image (or images) with a sentence or two describing what aspect of your week in public health research they sum up and I’ll post them as soon as I 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.

You can't ever win

Posted by Jean Adams

Brian McNeil sings a song called Sell you labour not your soul. The chorus goes: “Young and old, true and bold/ Sell your labour not your soul/ Solidarity's your goal - join the union”. It invariably involves a lot of audience foot stamping and fist waving.

I was reminded of this song during a conversation with my ‘leadership mentor’ a few months ago. NIHR sent a guy up to Newcastle to watch me at work, feedback on my leadership style, and discuss my career direction with me. My mentor had worked with lots of people funded by NIHR, so when he asked which UK academics I really wanted to be like, he knew the names I reeled off. “If you want to be like them,” he said, “you’re going to have to work more hours”. Then he laughed at me when I told him the university already got enough of my soul and said, “well you know the old saying: ‘if you’re not a socialist by the time you’re 20, you haven’t a heart; if you’re still one by the time you’re 40, you haven’t a brain’”. I still have a few years left to make the full transition.

All the images on work:life balance were cheesy. But I thought you'd be impressed by this photo of Brian McNeill playing the double-kneck bouzouki

There are people at the university that I strongly feel don’t get paid enough to work more than their contracted hours. But that’s not me – I get paid plenty well enough. And it’s not that I don’t feel passionate about (most of) what I do, or find myself enjoying thinking about it when I’m running or climbing hills, or sometimes get so engrossed in it that I’m still at my desk way past home time. I just think there should be more to life than work. That my life, and work, are both better for there being more to life than work.

I know there are many, many people working in public health research (and in lots of other areas) who work more than their contracted hours. In fact, my contract is a little vague about what my ‘contracted hours’ might be. Sometimes it seems like working all the time is the only way to be successful – somehow ‘good’ means ‘lots’. There seems no way to do everything that you want, or have, to do without working all the hours.

Academia is inherently a competitive venture. There is no absolute benchmark of good enough – it’s only ever relative to what other people manage. When one person starts churning out twice as much as anyone else by working longer and longer hours, it puts pressure on the rest of us to do the same. To keep up. Before you know it, you feel guilty every Sunday afternoon you don’t spend at your laptop.

But I have also come across well respected, and undoubtedly successful, academics who tell me how important it is to them not to start work before 8.30am, and not to leave the office after 6pm. Not just because it makes their lives better, but because this is the role model they want to be to those around them. These are not people who are doing sneaky work at home that they don’t let on about. They just seem to be focused in what they agree to do, to do it efficiently, and then to go home and do something else.

It is this type of person that I really want to be like. For me, the challenge is the focus and efficiency, not finding the energy to stay at my desk until midnight – although I would also struggle with that. Every Sunday afternoon that I spend at my laptop I feel that I have failed. I promise myself that next week I will focus more and be more efficient. I list the ways that I waste time and the things I should never have agreed to do. Instead of feeling guilty when I’m not working, I feel guilty when I am.

You can’t ever win.

52 weeks in public health research, part 35

Posted by Martin White

Editor's note: Yes, it is possible that we skipped 4 weeks of this project. But I'm making the rules and I say that's okay. 

I am attending a national research leaders course funded by NIHR and hosted by Ashridge Business School in Hertfordshire periodically during this year and some of next. The course itself is very good (the role play on 'difficult conversations' was particularly educational), as is getting to know the class and faculty (some extraordinary people at the top of their game), and the food (!). But the venue and its setting, dating from the 14th century in parts, in the custodianship of the National Trust, is quite special. It feels like a real privilege to spend a few days once a quarter in these surroundings.

During the World Cup it seemed like everyone jumped on the marketing opportunity bandwagon. I'm not sure whether Krispy Kreme was indulging in this opportunity (the picture was taken during the tournament), or whether this marketing at a service station off the A9 in Scotland was aimed at travelling football fans or teams. Whatever, they clearly know how to sell more than one doughnut at once. These babies weigh in at an average of 363 calories (kcal) each (equivalent to 418 kcal/100g), so the exhortation to 'share' these with your team mates might not be such a bad idea.

This Playground Code is probably familiar to many of you as parents, and perhaps as children. I saw it when attending a ceilidh in a school hall to celebrate a very special birthday. I thought we could substitute 'work' for 'play' and, with a little further adaptation, make the world a better place. Just saying...

I seem to be travelling to London a lot more than I used to. I thought I had it all down to a fine art - leaving home 20 mins before my 07.11 train departs from Morpeth Station. I had not reckoned on some of our local farmers herding their sheep into the yard at this time of the morning. Fortunately, I made the train, which was a couple of minutes late.

------------------
Just to remind you:

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 my life, I foresee problems compiling 208 images worth posting on my own. So this is going to have to be a group project. Send me an image (or images) with a sentence or two describing what aspect of your week in public health research they sum up and I’ll post them as soon as I 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.

What's happened to your local?

Posted by Mark McGivern, Specialty Registrar in Public Health, Balance

[Editor's note: this post was first published by Balance. Thanks for letting us repost it here.]

I was recently undertaking some research on behalf of Balance into the volume of alcohol promotions in supermarkets. Whilst doing this that I stumbled upon another interesting area which led me to do some further investigative work into the locations of some of these shops.

The Turnpike in Westerhope, before and after

My original research involved visiting 48 of the 90 convenience stores operated by Tesco and Sainsbury’s across the region. As I was going from store to store I realised that many appeared to be buildings that, in previous lives, were once pubs. It was apparent just by looking at some of these shops that they used to be pubs but others weren’t quite as easy to spot due to extensive renovation work and extensions being added to the original building.

My interest was already piqued and so I decided to take to the computer to do some online investigation. By locating each site on Google maps and looking at historic photographs my suspicions were confirmed at seven of the stores I visited. While that may only be around 15%, I’m certain that number would grow if I were to visit the remainder of the 90 stores in the region.

The seven stores I identified as converted pubs were:

• The Honeysuckle, Coatsworth Road, Gateshead - now a Tesco Express

• The Broadway, North Shields - now a Sainsbury’s Local

• The Turnpike, Westerhope - now a Tesco Express

• The Black Horse Inn, Windy Nook - now a Tesco Express

• The Station Hotel, Seaton Carew - now a Sainsbury’s Local

• The Lodge, Neville’s Cross - now a Sainsbury’s Local

• The Black Swan, Morpeth - now a Sainsbury’s Local

The Black Swan in Morpeth, before and after

It feels strange, as a member of the public health community, to be advocating to save pubs. However, this is a wider problem, with two key issues. Firstly, communities need to feel like they are being listened to when it comes to decisions being made in their villages, towns and cities. Secondly, it’s about the fact that supermarkets make cheap booze more readily available, increasing competition and making it difficult for small community pubs to compete. 

Pubs used to be not just a place for drinking, but for socialising with friends and family. In terms of local history, some of them also used to be impressive local buildings too, which have now been anonymised by the standard, uniformity of the supermarkets branding.

It’s no secret that community pubs up and down the country have suffered in recent times, but this latest trend has resulted in questions being asked of the current law which allows supermarkets to convert pubs without the need to apply for a change of use.

With such loose laws around these types of premises it’s no surprise that former pubs – that were likely once hubs of their communities – are seen as such appealing opportunities for supermarket giants.

CAMRA (Campaign for Real Ale) has spoken out against the loophole and called on government to amend the law so communities can have a greater say in whether local pubs can be converted into these types of convenience stores.

Labour appeared to have listened to these calls and earlier this year shadow small business minister, Toby Perkins, said he wanted to see local authorities and communities involved in the decision making process over planning decisions that centre around pub conversions.

These types of discussions can only be a good thing. It’s important for the issue of local decision making to be addressed at a high level, particularly with party conference season on the horizon and an upcoming general election. However, it’s also important to link it to the wider issues around price and availability of alcohol, particularly the cheap, strong alcohol. Alcohol is 61% more affordable today than it was in 1980 and measures such as minimum unit pricing would not affect sales or prices within local pubs, but would save lives, reduce crime and help cut the £21 billion that alcohol misuse costs the UK each year.

I’m sure there will be many more instances of pubs being converted into convenience stores throughout the region that I haven’t picked up on. If you’re aware of any then next time you’re out and about take a picture of the shop in question and send it to us with details of the location to info@balancenortheast.co.uk or tweet it to @BalanceNE.

Holidays!

Is it holidays yet? Oh thank goodness.

The blog has spent the last few weeks hanging on to every scrap of work-related motivation it can find for dear life. It seems like everyone apart from the blog is on holiday. Facebook is full of holiday snaps. Twitter is packed with advice from Public Health England on how to cope with hot weather. But the blog has been diligently heading into work every day, ploughing through the to-do list, keeping the in-box under control.

But now it's holiday time!

The blog has a couple of friends who've rented a flat near Chamonix for the summer and the blog's off to join them for a month of rock, glaciers, ropes, crampons, snow in summer, and painstaking deciphering of French weather forecasts.

See you in September.

Photo by Matthieu Lienart

52 weeks in public health research: part 30

Posted by Amelia Lake, Martin White and Jean Adams

From Amelia Lake: My messy desk as I try to analyse data from our NIHR food environment project. Some tidying required!

From Martin White: I recently stayed at the Royal College of General Practitioners where the NIHR Public Health Research Funding Board held its June meeting. It has rather swanky hotel accommodation with well appointed meeting rooms, but what I liked most was the sympathetic architectural treatment, bringing together old and new, with light and airy atria and retention of period details. So much nicer than a drab hotel chain - indeed positively uplifting. I wonder if it affected our decisions? Now there's a study that needs doing...

From Martin White: The most recent Fuse Quarterly Research Meeting was held at the National Glass Centre, which is now owned and managed by Sunderland University. Offering a range of exhibits on the history of glass and examples of glass as art, the centre also boasts some excellent meeting rooms and a huge and airy café/restaurant - with glass on three sides (yes, more great architecture). This photo shows an exhibit in a show case on a galleried walkaway above the café. Outside the huge windows the river Wear is reflected in a curved mirror backdrop. I think we'll be using this venue again...

From Jean Adams: Arty shot of my academic gown and hood. There are a few tasks that academics are required to do that took my a little by surprise. One was that we 'must' take part in the academic processions that occur at all graduation ceremonies. There are about 20 academics at each ceremony, so if everyone is nice and takes their turn, each person only has to do this once every couple of years. The first few times I was bored. This year I attended one of the MBBS congregations. A few of my tutees and other students who have worked with me were graduating. Sir Paul Nurse was awarded an honorary doctorate and gave a great acceptance speech. His advice to the new graduates: don't loose your curiosity, your passion, or your sense of humour. The university's chancellor, Sir Liam Donaldson, spoke about the advances in medicine (nicely expressed in epidemiological terms), he has seen in his career and encouraged the graduates to go forth and advance the field some more. It turned out to be an uplifting 90 minutes away from my desk to reflect on why we do science, medicine, and teaching and how to keep doing it well.

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Just to remind you:

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 my life, I foresee problems compiling 208 images worth posting on my own. So this is going to have to be a group project. Send me an image (or images) with a sentence or two describing what aspect of your week in public health research they sum up and I’ll post them as soon as I 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.

52 weeks in public health research: part 29

Posted by Jemma Hawkins, Jenni Remnant, Shelina Visram and Emily Henderson

From Jemma Hawkins (photo credit: Natalie Richards): When compiling the promotional material for a seminar we are organising on 'Tackling Workplace Sedentary Behaviour' we decided that it would be better to create our own image rather than using a stock one. One quick tidy of a colleague's stand-up desk, another colleague's smartphone and me as 'model' donning the famous DECIPHer t-shirt and hey presto!

From Jenni Remnant: Sat down to eat at a Knowledge Exchange conference last week run by the LSE and this was on the table.

From Shelina Visram: This picture was taken in County Durham after a meeting to discuss a pilot project on supporting lifestyle changes amongst people newly diagnosed with a chronic condition. I recently ran some focus groups in the community centre across the road, which required several telephone conversations with a local caterer about what I meant by a ‘healthy buffet lunch’. Thankfully their salad did not contain lard.

From Emily Henderson: It *might* have been said once or twice in the history books that academics are *sometimes* overworked and underpaid, but there are definite benefits. In June I had the pleasure of attending the EvaluatingComplex Public Health Interventions short course at DECIPHer. We were off the leash in the evenings, and I got very lucky with the weather! An evening picnic in Sofia Gardens along the river Taff, Cardiff, Wales. With the latest addition of 'The Lady' mag, white wine and cheeses.

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Just to remind you:

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 my life, I foresee problems compiling 208 images worth posting on my own. So this is going to have to be a group project. Send me an image (or images) with a sentence or two describing what aspect of your week in public health research they sum up and I’ll post them as soon as I 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.

Knowledge exchange

Posted by Jenni Remnant

Last week I went to a residential in Birmingham run by the London School of Economics. The theme for discussion and workshops was ‘Knowledge Exchange (KE) and Impact’, and had a focus based in social care and social work.

In terms of public health, impact is arguably a necessity and not something to tap on a grant proposal as an add-on. I would suggest that there is no point to public health research if the health of the public is not impacted upon (positively).

So as part of this residential we discussed stakeholder focus groups, partner organisations and dissemination. We discussed REF, academic and policy impact.

We discussed all the snazzy ways to tart up our findings and pitch them to people in an accessible way. These included videos, infographics, twitter and blogs amongst other things. We also learnt how to engage with journalists and the press.

And then on the last day, we learnt about the #JusticeForLB campaign – an incredible shout of anger that grew and was cultivated through Twitter. The campaign, started by the Mother of a young dude called Connor Sparrowhawk, has gained amazing momentum – and for me, personally, is many of the things KE and impact should be.

For a start – it was born from a real issue, as identified by people involved in the real issue.

Connor Sparrowhawk was in a specialist unit called Slade House, an NHS assessment and treatment unit in Oxfordshire. He had autism and epilepsy. Connor was in the unit for 107 days before he died by drowning in one of the baths. The cause of death was initially recorded as ‘natural causes’.

Secondly – the real issue was focused within and around the people it directly affected, and may directly affect in the future. The academics that did become involved in this became involved because it was clear something needed to change, and they cared.

Thirdly – it had, and has, impact: immediate tangible impact; demand from the Sparrowhawk family and support from the campaign meant that the death was subsequently found to be preventable, the unit has been closed down and there has been an inquest.

Finally – this campaign reached out; there were blogs, activities, sponsorships and endless tweeting.

Totally amazing and inspiring.

This might seem really far removed from what we do as researchers, but there is a pattern there that is not so different from what we do;

1) Identify an issue that needs further scrutiny
2) Scrutinise it.
3) Work out what it means, or what the implications are, and then
4) Work out recommendations to go forward with

The reason the #JusticeForLB campaign did such a spectacular job in doing this is in part, I think, due to the lack of any academic-type goals and limitations placed around it. REF was unimportant; impact ratings, finding a niche and career progression were not foregrounded. There was no traditional model to adhere to.

I’m aware that this story has a strong narrative, with irrefutable social justice at the heart of it that may capture interest in a way that some public health doesn’t – but it doesn’t (or shouldn’t) hurt to occasionally think outside the box with research. Even if that box is in another box.

It would be cool to see more research instigated by, committed to and partnered with the people affected by whatever the issue it is. It seems a bit counterproductive to take an issue, decontextualize it through research, and then struggle to communicate the findings back to the ‘stakeholders’ at a later date. Especially if we are then going to lament how people haven’t enacted the lifestyle/policy/ [insert other] change advised in the research.

As useless as ever, I don’t really know how to implement changes that involve remodelling the academic research model – but the residential was definitely an excellent place to broaden the horizon.

I do hope to organise an unconference in the not so distant future though, as a start…so watch this space I guess!

Definitely check #JusticeForLB out on twitter if you get the chance, and spend just over 4 minutes looking at their animation – gifted by an illustrator as part of the campaign – it’s exquisite.

52 weeks in public health research, part 28

Posted by Catt Turney, Bronia Arnott and Jean Adams

From Catt Turney: I've been thinking a lot recently about the role of place, space and environment in public health, and thought this smoking area at Paddington station was a nice example of a very simple space-related intervention. It's effectively a little cage around some chairs - the sign reads 'Smoking is only permitted in the area designated by barriers around this notice'. The station was busy but this area was completely deserted - a sign it's failing, or working as intended?

From Bronia Arnott: At Newcastle central train station to travel to Leeds for the UKCRC Public Health Research: Centres of Excellence Conference a couple of weeks ago to talk about developing interventions to promote active travel.

 

From Bronia Arnott: Being a parent can make you feel as if you are part of a government experiment that you never consented to at times. This week my daughter brought home this leaflet from school advertising the collaboration between Disney and Change4Life which you can read more about here. The idea is that by working together they will encourage children to increase their physical activity during the school summer holidays. As a developmental health psychologist I can't help but wonder if this intervention is being evaluated?

From Jean Adams: despite my Coke-marketing photo-obsession, my soft-drink of choice is in fact Diet Coke. So this can of Diet Pepsi was a novelty. Sometimes I wonder if people who put their name and face to junk food marketing campaigns think about the implications at all. Maybe Messi thought this was okay because it was Diet Pepsi and not the real thing (which I can understand, but might argue with). Or maybe he didn't think about it at all - it was just another photo shoot that his agent arranged for him.

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Just to remind you:

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 my life, I foresee problems compiling 208 images worth posting on my own. So this is going to have to be a group project. Send me an image (or images) with a sentence or two describing what aspect of your week in public health research they sum up and I’ll post them as soon as I 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.

Fuse duck flies into the University of Northumbria

Posted by Barbara Harrington

Fuse Duck arrived at Northumbria University on 30th May for a few weeks with me, Barbara Harrington, a researcher and lecturer in public health and patient safety. He quickly settled in having a cup of tea with his new friend, Stress Penguin from Redcar. Stress Penguin was liberated from Redcar whilst doing some interviews around Healthwatch, looking at the role of the new patient and public involvement organisations in the North East.

By Tuesday 3rd June and a lot of switching between PDFs, Excel Files, SPSS and SurveyMonkey for a Delphi project, something stronger than tea was called for. Fortunately Lesley Geddes (in the background), a principal lecturer with a particular interest in health promotion, behaviour change, and social marketing for health, was on hand to provide corrective public health messages about responsible drinking.

On Wednesday, 4th June, Fuse Duck joined in the celebrations when copies of Reforming Healthcare appeared written by Profs Ian Greener, David J Hunter, Russell Mannion, Martin Powell - and me! This is a major critical overview of the research published on healthcare reform in England from 1990 onwards. As you can see, Fuse Duck is riveted, considering the implications of this research for current debates about healthcare reorganisation in England.

Also on Wednesday, Fuse Duck attended our theory discussion seminar - the highlight of the month for many research staff, PhD students and other academics months. Here, staff from different disciplines within the faculty read and discuss some of the key theoretical texts from the social sciences. The seminars are led by Mick Hill, Robbie Duschinky, and Ian Robson. So far we have looked at chapters from Foucault’s Psychiatric Power lecture series, and Bourdieu’s Misrecognition and Symbolic Violence. These are always well led and interesting, discussing theory in relation to the times they were written and how relevant they continue to be. 

In June, we discussed Goffman’s Presentation of Self – Chapter 1. As usual the discussion was wide ranging including references to Hamlet, as well as presentation of self in relation to higher education teaching and health, social work, and education practice. With Fuse Duck attending, there was also a discussion about whether he had inadvertently disrupted the expected setting and consequently the personal fronts people displayed in this seminar. It was in fact a very apt seminar for Fuse Duck to attend. Here he is Ian Watson and me getting to grips with some of the finer points of Goffman.

52 weeks in public health research, part 27

Posted by Catt Turney, Amelia Lake and Bronia Arnott

From Catt Turney: Being in an office when the weather is glorious can be a bit grotty. Luckily, the healthy-snack opportunities posed by summer almost make up for having to be inside rather than frolicking in the sunshine.

From Catt Turney: We recently had an unofficial DECIPHer social climbing Pen y Fan, a little mountain in South Wales. This greeted us at the end - apparently, even up a mountain, you can't get away from the idea that it's only a fun day out if there's junk food or alcohol.

From Amelia Lake: my pass from my first high level steering group meeting for the food responsibility deal - watching policy in practice & the negotiations & complications of food policy.

From Bronia Arnott: I was at the Sage Gateshead with my daughter for a performance called "At the Seaside". It was aimed at young children and parents and involved singing and dancing along to seaside-related songs. I was very impressed that they even made up a song about the importance of sun protection! Hopefully the catchy, repetitive, action song meant that at least some of the children went home remembering the importance of 'slip, slop, slap, seek, slide' - slipping on a t-shirt, slopping on some suncream, slapping on a hat, seeking shade or shelter, and sliding on some sunnies! 

------------------

Just to remind you:

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 my life, I foresee problems compiling 208 images worth posting on my own. So this is going to have to be a group project. Send me an image (or images) with a sentence or two describing what aspect of your week in public health research they sum up and I’ll post them as soon as I 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.