Research Impact

SAPPHIRE’s research has had an impact on policymakers, practitioners and patients in the UK and internationally:

PAM Evaluation

SAPPHIRE's PAM Evaluation was jointly commissioned by the Health Foundation and NHS England, the latter of which has a set of webpages that make several references to our work, particularly the area of the website on the Learning Set.

NHS England has also published a PAM Implementation Guide that draws on SAPPHIRE's work.

A Lords Library briefing providing information on service user representation in health and social care and Healthwatch.A Stronger Voice?

Research by Dr Pam Carter and Professor Graham Martin was cited extensively in a House of Lords Library briefing on service user representation in health and social care and Healthwatch. Dr Carter and Prof Martin have investigated how well the current system delivers patient and public involvement on health and social care in the East Midlands, and explored the challenges facing local Healthwatch organisations, which are intended to be consumer champion bodies. Their recent publication in the International Journal of Health Policy and Management, “Challenges Facing Healthwatch, a New Consumer Champion in England”, was cited thirteen times in the House of Lords briefing, indicating the considerable contribution it made to the field.

Health Foundation learning report on lining up project Lining up: How is harm measured?

The  group’s work on counting central line infections led by Professor Mary Dixon-Woods and Dr Carolyn Tarrant has made a decisive impact on how harm is measured in healthcare settings. Published in Milbank Quarterly, the paper What Counts? An Ethnographic Study of Infection Data Reported to a Patient Safety Program was written up as a Health Foundation Learning Report which has been downloaded over 1,200  times from the website, with a further 1,200 hardcopies distributed at conferences and other events. It was also summarised in the influential HAI controversies blog.

Using Clinical CommunitiesUsing clinical communities to improve quality

Led by Dr Natalie Armstrong and Professors Mary Dixon-Woods and Graham Martin, the group’s research into the Clinical Communities approach as a model for improving healthcare has been used by the Johns Hopkins Medicine system in Maryland, USA, in informing its strategy for organising its patient safety programme. Mary Dixon-Woods works closely with Johns Hopkins University as Adjunct Professor in the Department of Anaesthesiology and Critical Care Medicine. The approach has also been embraced by NHS Quest, a network of Foundation Trusts seeking to secure excellence in quality and safety.


No smoking signExperiences of Pregnancy Information for Participants (ExPres)

Robyn Lotto has been advising antenatal departments at a number of Leicester hospitals on reorganisation of some of the outpatient facilities, e.g. moving counselling rooms upstairs and away from antenatal services, and putting interventions in place to stop people smoking outside the clinics, which she has identified as particularly upsetting to women who have been screened for a severe fetal anomaly, the subject of her PhD.

Partnership for Patient Safety

Surgical safety checklist article from Wellcome Trust websiteDr Emma-Louise Aveling’s collaborations with African Partnerships for Patient Safety led to her writing an online resource, Optimising checklist implementation in African operating theatres: Key lessons for practitioners and partners, published by the Wellcome Trust. This draws on her research comparing implementation of the World Health Organization’s comparing experiences of the surgical safety checklist in hospitals in high-income and low-income countries . She has also produced an evaluation report for the Leicester-Gondar (Ethiopia) Link on a surgical safety project and provided training for co-investigators in Rwanda and Ethiopia on ethnographic fieldwork and analysis of qualitative data.

In August 2013, Emmilie was interviewed by Erika Wright about her research Surgical Safety Checklist: How easy is it to implement.

 Leicestershire Improvement, Innovation and Patient Safety unit (LIIPS)Full article - Surgical Safety Checklist is no magic bullet to prevent unsafe surgery

Leicestershire Improvement, Innovation and Patient Safety (LIIPS)

Dr Diane Ketley is leading the development of a healthcare improvement unit, LIIPS  (Leicestershire Improvement, Innovation and Patient Safety), a joint collaboration with Leicestershire’s NHS organisations, for SAPPHIRE to continue to build strong partnerships with patient safety and quality groups. It aims to influence education and training in the field of improvement science and influence regulatory agencies and royal colleges by providing an evidence base for patient safety and quality improvement.

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