ORCID

Document Type

Article

Abstract

Background: In the United Kingdom, local government is well placed to conduct and apply research regarding the wider determinants of health. However, local authorities often lack sufficient research infrastructure to support research capacity, capability and culture. Since 2022, the UK National Institute for Health and Care Research has funded 30 Health Determinants Research Collaborations (HDRCs) to develop this infrastructure. HDRCs are hosted by local authorities collaborating with universities and other partners to strengthen a culture of evidence-informed decision-making. HDRCs are conducting local evaluations, including baseline assessments of local authority research capacity, capability and culture. Methods: A national peer-support group was formed to support shared learning amongst teams evaluating HDRCs. Here, as embedded evaluators from 10 HDRCs, we present reflections on the planning, delivery and interpretation of baseline assessments. Reflections were gathered via group discussions and written submissions. All 10 HDRC baseline assessments explored local authority research capacity, capability and culture, and two also studied early HDRC team collaboration. Results: Competing priorities during early HDRC implementation called for pragmatic and timely baseline assessment methods. Most HDRCs developed baseline surveys, though interviews and focus groups were conducted by some. Despite similar aims, methods varied substantially according to local contexts. Evaluators often adapted existing validated survey tools, for example, from health settings, as none were identified for use across local government. Definitions of research also ranged from academic definitions to broader notions of evidence. Useful insights were gathered across diverse samples to aid implementation locally, however, low response rates were received to all-staff surveys and heterogeneous approaches limited comparison across HDRCs. Findings contributed to recommendations for evaluating and developing HDRC activities (e.g. communications and training provisions) appropriate for local authorities with stretched resources. Where measured, collaborations were functioning well, with recommendations to enhance communication. Conclusions: The early contexts and challenges of HDRCs influenced pragmatic baseline assessments. Methods were often chosen to capture baseline contexts rapidly, and they will be refined and complemented by additional evaluation methods as HDRCs progress. Developing new validated measures and an agreed definition of research for local authorities may strengthen understanding of research capacity, capability and culture across local government.

Publication Date

2025-01-01

Publication Title

Health Research Policy and Systems

Volume

23

Issue

1

ISSN

1478-4505

Acceptance Date

2025-03-30

Deposit Date

2026-10-09

Funding

This work was supported by the National Institute for Health and Care Research who provided the funding for Health Determinants Research Collaborations in Coventry [NIHR151356], Lambeth [NIHR151065], Islington [NIHR151399], Newcastle [NIHR151476], Somerset [NIHR159191], Plymouth [NIHR151310], Doncaster [NIHR150691], Tower Hamlets [NIHR150727], Aberdeen [NIHR150995] and Wakefield [NIHR158707]. J.S. is funded by an NIHR Population Health Career Scientist Award (ref.: 303616).

Keywords

Collaboration, Evaluation, Inequalities, Local government, Research capacity, Social determinants of health

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Download

Share

COinS