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Collaboration for
Leadership in Applied
Health Research and
Care South London
(CLAHRC South London)
This document is a prospectus that
outlines CLAHRC South London plans.
Contents
The work of the CLAHRC South London is funded
for five years, from January 2014 to December 2018.
What is the CLAHRC South London? – and what’s it got
to do with me? /4
The focus of our research /6
If you are a patient, service user, or support someone
who is unwell… /10
If you work in, or with, the NHS in south London… /11
If you work in the private sector… /12
‘Improvement’ and ‘implementation’ science /13
Learn more – training and education opportunities /13
People and organisations already involved /14
● The Collaboration for Leadership in Applied
Health Research and Care (CLAHRC) South London
is investigating the best way to make tried and
tested treatments and services routinely available.
University-based researchers, health professionals,
patients and service users are working together to
make this happen. ● The collaborating organisations
are Guy’s and St Thomas’ NHS Foundation Trust,
Health Innovation Network (the NHS Englandfunded academic health science network in south
London), King’s College Hospital NHS Foundation
Trust, King’s College London, King’s Health Partners,
St George’s University Hospitals NHS Foundation
Trust, St George’s, University of London and
South London and Maudsley NHS Foundation
Trust. ● The work of the CLAHRC South London
is funded for five years (from 1 January 2014)
by the National Institute for Health Research,
collaborating organisations and local charities.
It is ‘hosted’ by King’s College Hospital NHS
Foundation Trust. ● The CLAHRC is also working
closely with GPs, local authorities (responsible
for public health) and commissioners of health
services in south London.
4
What is the CLAHRC
South London?
‘CLAHRC’ stands for ‘Collaboration for Leadership in
Applied Health Research and Care’. There are 13 CLAHRCs
in England and all of them get a grant from the National
Institute for Health Research (NIHR) – the research arm of
the NHS – to carry out research that can help improve
health services.
In south London, a group of researchers from King’s
College London and St George’s, University of London,
teamed up with several NHS organisations and successfully
applied to the NIHR for both CLAHRC status and funding.
£9 million ‘new’ money has been given by the NIHR, and
the organisations involved in the CLAHRC South London
(see page 14 for a full list) have, between them, identified
another £9 million to ‘match’ that funding, bringing the
total starting budget to £18 million. In addition, researchers
are applying for other grants to increase the amount of
money available.
CLAHRC South London researchers are studying
how to make sure people in south London have access
to treatments and services that have already been proven
to be effective.
Here are three examples.
The NHS offers free training
courses to people who have type
1 diabetes to help them learn how
to manage the condition and stay
well to protect against long-term
complications caused by too little
or too much glucose in the blood. Research
previously carried out has shown that the
training is very effective, and the courses
are recommended by the National Institute
for Health and Care Excellence (NICE). But the
CLAHRC South London diabetes research team
knows that the majority of people with type 1
diabetes who live in Lambeth and Southwark
don’t sign up for training. Now members of
the team are trying to contact everyone who
has type 1 diabetes in these two boroughs
to ask them to fill in a questionnaire so the
researchers can find out what would make
the courses more appealing and make
appropriate changes.
Example
1:
5
Drinking alcohol regularly
above recommended limits can
contribute to the development of
more than 40 medical conditions.
Previous research has shown
that giving people advice about
sensible drinking can motivate them to change
their habits. So another team of CLAHRC South
London researchers wants to develop a mobile
phone ‘app’ that gives people easy access to
information about the hazards of drinking too
much alcohol. The app would enable people
to assess whether the amount they drink puts
them at risk of developing health problems –
and encourage them to measure and reduce
their intake.
Example
2:
There are many approaches to
stopping smoking that have been
proven to work, but people who
have experienced the symptoms
of psychosis are rarely offered
smoking cessation support –
even though they are more likely to smoke
than people who do not have mental health
problems. CLAHRC South London researchers
are investigating different ways of making
sure everyone is offered help to stop smoking,
if they need it.
Example
3:
…and what’s it got to do with me?
All sorts of people make health research possible. It’s
not just scientists and people with academic backgrounds
who know about improving health services. People who
have experience of ill health and their families play an
important role, as do health professionals who support
them. If you use or work in NHS services, you may have
strong views about how those services can be improved.
Your experience, knowledge and expertise can help
researchers plan and carry out projects that make a
real difference.
The services that the CLAHRC researchers want
to improve are used by many people in south London.
You, or a member of your family, or a friend or
neighbour, may be one of them. You may have
diabetes, you may have experienced psychosis, you
may have had a stroke, you may be a new mother
or expecting a baby. Everyone is at risk of infection
and everyone may need palliative and end of life
care at some time.
Finally, most of the money being spent by the
CLAHRC South London is your money – public money
raised through taxes and allocated to the researchers
by the National Institute for Health Research. We would
like you to help us spend it wisely.
6
The focus of our research
Offering support to heavy drinkers
Nearly a quarter of adults aged 16 and above in England
are classified as hazardous drinkers, regularly consuming
amounts that are above government guidelines (1) – the
NHS advises that women should not regularly drink more
than two to three units (about a 175 ml glass of wine) a
day, and that men should not regularly drink more than
three to four units (about a pint and a half of beer) a day.
‘Regularly’ means every, or most, days. People who drink
regularly and heavily are more likely to become harmful
drinkers or dependent on alcohol. They are also more likely
to have a stroke, more likely to have high blood pressure,
more likely to develop liver disease and a number of
cancers, and more likely to have a heart attack (2).
Heavy drinkers also have poorer mental health:
research has shown a link between alcohol and depression.
And alcohol plays a part in violent crimes and road traffic
accidents (2). There were 8,290 casualties in drink drive
accidents in 2013 in the UK, and around 15 per cent of
all deaths in reported road traffic accidents in the same
year involved at least one driver over the limit (3). Alcohol
contributed to the reasons why more than one million
people were admitted to hospital during 2012/13 and
in 2012, there were 6,490 alcohol-related deaths in
England (4).
In south London, 40 per cent of the people who
go to accident and emergency departments are there
because of alcohol-related problems (5).
CLAHRC South London researchers are developing
support for people who go to hospital frequently because
of alcohol-related problems, and finding new ways of
making sure that heavy drinkers get advice that can help
them cut down to safer levels.
(1)
Adult Psychiatric Morbidity in England – 2007.
Result of a household survey, 2009, published by the NHS Information
Centre for Health and Social Care.
(2)
Alcohol strategy, published by the Home Office, March 2012.
(3)
Estimates for reported road traffic accidents involving illegal
alcohol levels: 2013, statistical release, Department for Transport,
12 February 2015.
(4)
Statistics on alcohol – England 2014, National Statistics,
published May 2014.
(5)
Good health, an alcohol strategy for King’s Health Partners.
Helping clinical commissioning groups
take carefully considered decisions
about which health services to fund
In today’s NHS, clinical commissioning groups have to
make some difficult choices about which health services
to fund from a limited budget. They need to consider not
just clinical effectiveness and cost effectiveness, but also
the ethnical repercussions of their choices – do their
funding decisions imply that one group of patients is
more important than another, for example, and if they
do, how do they justify that?
Patients, service users, voluntary organisations and
members of the public need to have confidence that
commissioners are spending public money in a responsible
and considered manner, after taking account of all relevant
information.
CLAHRC South London researchers are developing
a checklist that can help commissioners think carefully
about the criteria and procedures they use in order to
take well-made and fair decisions. Patients and service
user groups can also use the checklist to ensure that
the decision-making process has been even-handed
and above board.
7
Investigating ways of preventing
the development of diabetes and
improving existing NHS services
Fighting infections caught in hospital
and finding ways to ensure antibiotics
are prescribed appropriately
About 10 per cent of people who have diabetes have type
1: they do not produce enough of the hormone insulin to
regulate the amount of glucose in their blood. There is no
cure for type 1 diabetes: people are dependent all their life
on insulin injections. Consistently high glucose levels can
damage internal organs, nerves and blood vessels and lead
to sight difficulties, kidney disease, amputation, stroke and
other health problems. Different foods, exercise and alcohol
can all affect the amount of insulin needed so people have
to learn how to count carbohydrates, regularly monitor their
blood glucose levels and calculate the appropriate dose.
Type 2 diabetes is on the increase: almost 500,000
Londoners now have this condition (1). The development
of type 2 diabetes can be prevented and the condition
can be treated by changing diet, exercising more and
losing weight, as well as medication. An obese woman
is 13 times more likely to develop type 2 diabetes, and
for an obese man, the risk is five times higher (2). Type 2
diabetes has its origins in childhood – and children living
in London are more likely to be overweight than anywhere
else in England (3). People of African-Caribbean and South
Asian descent are considerably more likely to develop
diabetes than their white counterparts – and more than
half of London’s black and ethnic population is made
up of people of African-Caribbean or South Asian origin (1).
CLAHRC South London researchers are working with
primary school children to help prevent the development
of type 2 diabetes, and with people who have type
1 diabetes to help them better manage the condition
and prevent future complications.
‘Super-bugs’ that are becoming resistant to antibiotics (1)
are often in the news. They include a large group of
bacteria known as ‘gram negative’ or ‘GN’ bacteria
that are currently the most frequent cause of infections
acquired in hospital.
GN bacteria can cause many different types of
infection, including respiratory infections, urinary tract
infections, wound or surgical site infections, bloodstream
infections, pneumonia and diarrhoea. Infections caused
by GN bacteria have been increasing over the past five
years in England and are now much more common than
infections caused by the former headline-hitting MRSA.
When bacteria no longer respond to the medicines
designed to treat them, it makes it more difficult for
individual patients to recover from an infection and
makes surgery and treatments like chemotherapy more
risky. People are more likely to die with a serious infection
caused by bacteria that are resistant to antibiotics. It is also
harder to control infectious diseases because people remain
infectious for a longer period of time.
Bacteria become resistant to medicines naturally over
time, but the process is made worse by the overuse and
misuse of antibiotics – when broad-based antibiotics are
prescribed, or they are prescribed ‘just in case’ without
first confirming the cause of the infection.
CLAHRC South London researchers are finding
out more about how GN bacteria behave and also
working out better and quicker ways of identifying
the cause of an infection to make sure people get
the right treatment as soon as possible.
Blood sugar rush: diabetes time bomb in London, published by the
Greater London Authority, April 2014.
(2)
Statistics on Obesity, Physical Activity and Diet: England, 2014, The
Health and Social Care Information Centre, NHS.
(3)
National Child Measurement Programme: England, 2013/14 school
year, Health and Social Care Information Centre/Public Health England,
published December 2014.
(1)
(1)
Annual report of the chief medical officer, volume two, 2011,
Infections and the rise of antimicrobial resistant, Department of
Health, first published March 2013.
8
Better postnatal services for all women
and improved maternity care for those
who may have a premature baby
Helping ensure the best
palliative and end of life care
services are widely available
The experiences of pregnancy, birth and the immediate
aftermath can have a profound effect on a mother’s
physical and mental health, and on the child’s health
and development.
Women who experience preeclampsia during
pregnancy, for example, are more likely to develop high
blood pressure and cardiovascular disease in later life. Babies
who are born prematurely (before 37 weeks) are more likely
to have disabilities or develop health problems in adult life
than those born at full term (1) (2). High quality care before,
during and after pregnancy can make a real difference to
the health of mothers, and the future health of their babies.
The numbers of babies born prematurely have been
increasing over the past two decades. Those who are
at higher risk of preterm birth include women who are
pregnant with more than one baby, women who have
previously given birth prematurely, women who smoke,
women who use drugs and women who are victims of
domestic violence. Some medical conditions, like diabetes,
increase the risk of premature birth.
CLAHRC South London researchers want to make
sure women who are identified as having a higher risk
of preterm birth get the best support from midwives and
obstetricians during pregnancy, birth and the postnatal
period. They also want to improve postnatal care for all
women, making sure that National Institute for Health
and Care Excellence (NICE) guidance is followed throughout
south London. NICE says healthy women and their babies
should be checked at specific times in the six to eight weeks
following birth until they are discharged from maternity
services, and that women should be offered advice and
support about the health and care of their babies(3).
When someone is diagnosed with a life-limiting or terminal
illness, they may be offered palliative care to help them
live as well and as fully as possible until they die. Palliative
care may be available in a variety of places – at home, in
a hospital, in a care home or in a hospice. These services
may be run by the NHS, by charities or by other types of
voluntary sector organisations. Palliative care professionals
help keep the people they support free of pain and other
symptoms, look after their psychological and spiritual needs,
and make sure they and their families have any practical
help and information they need. Researchers estimate
that between 69 and 82 per cent of people need palliative
care before they die (1), but the availability of palliative care
services varies from place to place and not everyone who
needs this sort of support gets referred for specialist care.
Palliative care is an important part of ‘end of life
care’ – support offered during the last year of life. The
government says people should be offered choice about
how they are cared for when they are dying, and where
they die(2). Research studies and surveys have shown that
the majority of people say they want to die at home, but
hospital is still the most common place of death. In London,
around 60 per cent of deaths happen in hospital (3)(4).
CLAHRC South London researchers want to help
make sure that palliative and end of life care services
are available to support people who have a life-limiting
illness, wherever they live, to ensure their needs are met
and their preferences are supported.
World Health Organisation, Preterm birth, Factsheet 363, updated
November 2014.
(2)
Short-term outcomes after extreme preterm birth in England,
Comparison of two birth cohorts in 1995 and 2006 (the EPICure studies).
Costeloe K et al. 2012. BMJ, 345:e7976.
(3)
Postnatal care, National Institute for Health and Care Excellence,
clinical guideline 37, partly updated January 2014.
(1)
How many people need palliative care? A study developing
and comparing methods for population-based estimates.
Murtagh FE, Bausewein C, Verne J, Groeneveld EI, Kaloki YE,
HIggingson IJ. Palliative Medicine. 2014. Jan; 28(1): 49-58.
(2)
The End of Life Care Strategy: promoting high quality care for
adults at the end of their life. Department of Health, 2008.
(3)
Current and future needs for hospice care: an evidence-based
report, Natalia Calanzani, Irene J Higginson, Barbara Gomes,
published January 2013.
(4)
Patterns of end of life care in England, 2008 to 2010, Public Health
England, published April 2014.
(1)
9
Addressing the physical health problems
of people who have experienced
the symptoms of psychosis
People who have a diagnosis of a serious mental illness like
schizophrenia, schizoaffective disorder or bipolar disorder
are more likely to have diabetes, cardiovascular disease and
respiratory problems such as chronic obstructive pulmonary
disease (COPD) than people who have no experience of
mental health problems. They are also more likely to die
as a result of one of these physical conditions: people with
a serious mental illness live 15 to 20 years less than their
peers who do not have mental health problems (1).
This is because the symptoms of a mental illness
such as schizophrenia can make people become more
sedentary and less likely to take regular exercise, and
antipsychotic medication can cause weight gain and
other side effects that increase the likelihood of developing
physical health problems. People who have a serious
mental illness also commonly smoke tobacco – but
studies have shown they are less likely to receive
professional advice about stopping smoking (2).
Research has also shown that people with mental
health problems are less likely to receive professional
advice about exercise and diet (1) and less likely to be
offered routine health checks to monitor their blood
pressure, cholesterol and weight, even though they
are more likely to develop the physical conditions that
these checks are designed to prevent (3).
Many of the physical health problems experienced by
people who have a serious mental illness are potentially
preventable if they were treated in the same way as people
who have not experienced mental health problems.
CLAHRC South London researchers plan to develop
ways of helping people who have experienced psychosis to
make healthier lifestyle choices. They also want to establish
how best to help people who have experienced the
symptoms of psychosis to stop smoking permanently.
Psychosis and schizophrenia in adults, NICE Guideline on Treatment
and Management, 2014.
(2)
Smoking and mental health, a joint report by the Royal College
of Physicians and the Royal College of Psychiatrists, published
28 March 2013.
(3)
Report of the second round of the National Audit of Schizophrenia
(NAS2), October 2014, Royal College of Psychiatrists, Healthcare Quality
Improvement Partnership.
(1)
Better support and care
for stroke survivors
There are about 152,000 strokes in the UK every year (1)
and thanks to better diagnosis, services and treatment,
more people than ever before survive. The Stroke
Association says there are around 1.2 million stroke
survivors living in the UK (1) and many need ongoing
care for a number of different health problems.
Some people experience problems for a long time
afterwards: strokes can affect people’s thinking, their ability
to communicate, their sight and their movement. Many
people already had other conditions that continue to need
treatment – high blood pressure, diabetes, atrial fibrillation
and other heart problems, for example. In addition, stroke
survivors report feeling depressed and anxious. Studies have
shown that many live in fear of having another stroke and
lack confidence. Fatigue is a common problem and many
survivors say they find it difficult to concentrate, read and
remember things.
CLAHRC South London researchers are working
to improve the support and care offered to stroke survivors
when they are discharged from hospital into the care of
their GP to make sure they get treatment and care for all
the physical and mental health problems they experience.
(1)
State of the Nation, Stroke Statistics, January 2015, Stroke Association.
10
If you are a patient, service user, or
support someone who is unwell…
Our researchers are asking people who have health
problems to participate in some of their studies. For
example, the CLAHRC South London diabetes team
wants the 2,000 people in Southwark and Lambeth who
have type 1 diabetes to share their views and experiences
by filling in a survey. The information they give will help the
research team deliver more effective training courses, which
in turn could help people better manage type 1 diabetes.
Visit www.budie.org to find out more.
Patients, service users and family members can act as
consultants and advisors. For example, they can comment
on researchers’ plans and make sure the research team
takes account of the circumstances and abilities of potential
participants. They can advise about the language used in
information prepared for people who agree to participate
in studies. Some study teams employ researchers who have
personal experience of the relevant condition as service user
researchers, or train patients and service users so they can
have a role in the research – they may collect and analyse
data, for example.
King’s Improvement Science (KIS) is part of the CLARHC
South London. The KIS team helps health professionals
working in south-east London run projects that aim to
improve their service. The KIS team wants to hear from
patient and service user groups who might be interested in
sending representatives to work on these projects alongside
researchers and health professionals. Email Erica Eassom,
[email protected], to find out more.
We are also exploring the possibility of setting up
a new south London patient and service user group,
open to anyone who is interested in our research
and who would be willing to offer advice and share
their experience with our research teams. If you are
interested in helping to set up this group, or want
to find out more about other opportunities to get
involved, email [email protected].
‘No matter how complicated the research, or
how brilliant the researcher, patients and the
public always offer unique, invaluable insights.
Their advice when designing, implementing
and evaluating research invariably makes studies
more effective, credible and often more cost
efficient as well.’
Chief medical officer for England Professor Sally
Davies wrote this in 2009 (when she was director
general of research and development at the
Department of Health) in Exploring impact: public
involvement in NHS, public health and social care
research, a report published by INVOLVE.
INVOLVE is an organisation that encourages patients,
service users, their relatives and members of the public
to get involved in research. Visit www.invo.org.uk to
find out more.
11
If you work in, or with, the NHS
in south London…
If you work for the NHS, either as a health professional,
manager, or as part of a clinical commissioning group, you
can help us make NHS services better by supporting our
research studies and getting involved in our work. The
results of our research can help you improve services.
Here are four examples.
The CLAHRC South London
palliative and end of life
care team wants to work with
professionals in organisations
providing specialist palliative care
across the whole of south London.
They want to collectively decide which are
the most appropriate ‘outcome measures’
to use within palliative and end of life care
services. Outcome measures are purposedesigned questionnaires used to assess
people's symptoms, quality of life and other
concerns, and thus enable improvement and
change to be measured and documented.
The information collected can help prove
the success of a treatment, a service, or a
package of care, and can influence future
funding and commissioning decisions. If
all palliative care services use the same
outcome measures, researchers can analyse
and compare information that is collected
and work out what needs improving.
Example
1:
Health professionals may have
an idea for improving the service
in which they work but need some
help and advice about how to
do that, and what they can do
to encourage change. The King's
Improvement Science team is part of the
CLAHRC South London and helps health
professionals working in south-east London
carry out improvement projects. Visit
www.kingsimprovementscience.org to
find out more.
Example
2:
The CLAHRC South London
maternity and women's health
research team wants to develop
a better way of supporting
women who have a higher
risk of preterm birth. The team
is initially working in Lewisham in southeast London with members of the clinical
commissioning group, midwives and
obstetricians. The plan is to work together
to co-design a new service that will include
a specialist clinic and a dedicated team of
midwives to care for women during pregnancy,
labour, and after birth. Research has already
shown that offering continuity of care – given
by the same individual midwife or team of
midwives – means that women are more
likely to give birth naturally and less likely
to experience preterm birth.
Example
3:
If you work for a clinical
commissioning group in south
London, CLAHRC South London
researchers want to hear from
you. They are developing a
checklist to help commissioners
carefully consider the decision-making
processes and criteria they use when choosing
which health services to fund. They are
running a series of interactive workshops
so commissioners (as well as patients, service
users and members of the public) can
contribute to the research by saying if they
think the checklist is useful. Contact Katharina
Kieslich, [email protected], if you
would like to be involved.
Example
4:
To find out more about all CLAHRC South London projects, visit www.clahrc-southlondon.nihr.ac.uk.
12
If you work in the private sector…
CLAHRC South London researchers are working
collaboratively with private sector organisations
that are developing new devices and products, and
information and communication technology that can
revolutionise and transform treatment and services.
Here are two examples.
If a patient has an infection,
doctors need to know its cause
before starting treatment.
Antibiotics may not be necessary,
or may be ineffective. But the
results of tests to confirm the
cause of infection – and therefore inform
the choice of treatment – often take one
or two days to come through from hospital
laboratories. People who come to accident
and emergency department may be admitted
to hospital while they wait for the results,
or may be prescribed the wrong medication.
CLAHRC South London infection researchers
are testing a number of ‘rapid diagnostic
devices’ developed in the private sector that
can determine if someone has a bacterial or
viral infection within hours. The research
team wants to find out if they are effective
and cost-effective – and whether doctors
find them easy to use.
Example
1:
The CLAHRC South London
diabetes research team will be
helping to check the effectiveness
of a home use test for detecting
glucose intolerance and diabetes
when used on pregnant women.
If it turns out that the home test kit is as
effective as a glucose tolerance test carried
out at hospital, the kit could help screen
more women for diabetes in pregnancy.
Example
2:
If you work for a private sector company and would like to find out about opportunities
to get involved in our work, contact Peter Littlejohns, [email protected].
13
‘Improvement’ and
‘implementation’ science
CLAHRC South London researchers are involved in
two new areas of research: ‘improvement science’
and ‘implementation science’.
Research studies traditionally find out which treatment
or therapy works best, or test the effectiveness of a new
drug, or a new device, or a new way of working.
Now researchers also want to discover the best way
to make sure the most effective therapies, treatments and
ways of working are offered to all patients and service users
– and what stands in the way of that happening.
‘Implementation science’ is about studying the role of
health professionals, managers, commissioners of services
and policy makers as well as organisational structures and
processes to try to understand why health services don’t
Learn more...
training and
education
opportunities
always offer the safest, most effective treatments and
ways of working. Researchers also want to find out
what makes it easy for research results to be adopted
– or ‘implemented’.
For some time, the NHS has supported the use
of ‘improvement methods’ – step-by-step guides to
making improvements by instigating change. A lot of the
techniques were first developed in America or Japan to
improve quality in manufacturing industries. ‘Improvement
science’ is about studying whether those methods can also
be used to improve the quality and safety of health services.
CLAHRC South London researchers are investigating
whether both implementation and improvement science
are effective approaches to making NHS services better.
The CLAHRC South London will be organising training
courses and workshops about implementation and
improvement science. Some of them will be suitable for
patients and service users as well as health professionals
and researchers.
A brand new MSc in implementation and improvement
science will be launched at King’s College London in
September 2015. Students will be able to learn about
different approaches and techniques that can be used
to make health services better as well as traditional
research methods.
There will be a number of free places on the 2015
intake that will be advertised on the CLAHRC website,
www.clahrc-southlondon.nihr.ac.uk/training-and-education
In the meantime, visit www.kcl.ac.uk/nursing/new-msc.aspx for more information about the new MSc.
14
People and organisations
already involved
Eight organisations are part of the collaboration that
is the CLAHRC South London: two universities, four NHS
organisations and two umbrella organisations working to
improve NHS services south of the river Thames. They are:
!
!
King’s College London
St George’s, University of London
Guy’s and St Thomas’ NHS Foundation Trust
! King’s College Hospital NHS Foundation Trust
! St George’s University Hospitals NHS Foundation
Trust
! South London and Maudsley NHS Foundation Trust
!
Health Innovation Network
(this is an NHS funded ‘academic health science
network’ aiming to improve services in all 12 south
London boroughs)
! King’s Health Partners
(an alliance between King’s College London
and the three NHS trusts in south-east London)
!
The researchers who are leading the work of the
CLAHRC South London are listed below. Many of them
also work as health professionals in NHS services.
! Professor Graham Thornicroft, professor of
community psychiatry at King's College London.
He is director of the CLAHRC South London.
Professor Stephanie Amiel, RD Lawrence professor
of diabetic medicine at King's College London
(Dr RD Lawrence was co-founder of Diabetes UK,
initially called the Diabetic Association).
!
Professor Tom Craig, professor of social psychiatry
at King's College London.
!
! Professor Colin Drummond, professor of addiction
psychiatry at King's College London.
Professor Irene Higginson, professor of palliative
care at King's College London.
!
! Professor Peter Littlejohns, professor of public health
at King's College London. He is deputy director of the
CLAHRC South London.
Professor Ann McNeill, professor of tobacco addiction
at King's College London.
!
Professor Diana Rose, professor of service user-led
research at King's College London.
!
Professor Nick Sevdalis, professor of implementation
science and patient safety at King's College London.
!
! Professor Jane Sandall, professor of social science and
women's health at King's College London.
! Professor Mike Sharland, professor of paediatric
infectious diseases at St George's, University of London.
! Professor Charles Wolfe, professor of public health at
King's College London.
To find out more
about CLAHRC
South London
research projects,
courses
and
activities...
...or how to get
involved in our work
visit
www.clahrc-southlondon.nihr.ac.uk
NIHR CLAHRC South London, March 2015
or call
Marguerita Gillespie
020 7848 0340
or email
[email protected]