There is no research that considers service user perspectives on the quality of Community Teams for People with Learning Disabilities (CTPLDs) from within standard quality assessment frameworks. Two hundred and sixty-seven people with intellectual disabilities and 226 significant others completed an online survey detailing their experiences of six specialist CTPLDs in the North of England. Data were analysed using framework analysis. The data from service users and significant others were coded into the attributes of the Peripheral-Core-Pivotal (P-C-P) framework. Responses emphasised the Core attribute which describes service processes (78.0% of responses from people with intellectual disabilities and 73.8% of responses from significant others) and include aspects of empathy, assurance, reliability, and responsiveness, over Peripheral (service structure) and Pivotal (service outcome) attributes. We discuss the advantages of using a quality framework such as the P-C-P and the important aspects of service quality identified by people with intellectual disabilities and their significant others.

Fetal neck masses are rare but can be life-threatening if causing airway compromise. Early and accurate diagnosis of these masses allows life-saving interventions to be undertaken at birth in the form of the EXIT procedure. A single institution case series of all patients referred for fetal MRI to a tertiary center in the North of England due to presence of a neck mass on antenatal ultrasound. Data concerning the MRI findings for each patient and their final diagnosis were collected to create a flow chart proposing the most likely diagnosis based on fetal MRI features. 13 patients who underwent fetal MRI for a neck mass with a final diagnosis available were included in the analysis. This review shows the range of diagnoses in these patients and that MRI was accurate in predicting airway compression and the need for the EXIT procedure. Fetal MRI is a valuable tool in addition to ultrasound for refining the diagnosis of masses of the fetal neck and assessment of airway patency to allow planning for management at birth.

Risk reduction training for UK care home staff is limited, not standardised and challenging to implement. Virtual reality (VR) is an immersive, engaging method of education delivery that is being adopted in health and social care. VR may be an effective education tool in care homes, but this research has yet to be conducted.The VR-CARE project aims to create a new VR risk reduction training programme for care homes that combines hand hygiene and falls prevention modules, and to evaluate this through a pilot trial to inform a future randomised controlled trial (RCT). There are two research phases with patient and public involvement and engagement (PPIE) activities embedded throughout. Care home stakeholders are collaborating to design the training and toolkit, oversee methods, review resources for accessibility, support recruitment and ensure the project meets the needs of the workforce and positively impacts resident care.In phase 1, we will use a mixed-methods and user-centred design approach to develop the VR training and an accompanying implementation toolkit needed to deliver it. The training will be developed and tested by 15 care home staff across three rounds to identify and inform changes that maximise usability and acceptability. We will conduct up to 20 interviews with staff from VR companies and care homes to support toolkit development.Phase 2 is a mixed-methods pilot cluster RCT, with a waitlist control and process evaluation with up to 80 unregistered staff members from six North England care homes, to develop the measures and methods to inform a future trial. The process evaluation will generate knowledge about VR as a training mechanism in care homes. This phase will focus on the practicality of using VR, broader impacts (eg, on residents), contextual considerations and how it might be scaled up. The University of Manchester Proportionate University Research Ethics Committee has approved phase 1 (Reference: 2025-24416-44642). We will obtain further approval before commencing phase 2.Outputs will include user-friendly and acceptable VR risk reduction training for care homes, accompanied by an implementation toolkit adaptable for other VR training in social care settings. Materials (eg, training overviews, infographics and videos) will be developed to support uptake. Findings will be presented at conferences and published in journals. Lay summaries will be co-created with our PPIE group, and additional dissemination methods will be co-developed to broaden reach.

The occupational socialisation of physical education (PE) teachers has received limited scholarly attention in the UK, and even less is known about the influence of acculturation on their ideological preconceptions of PE teaching. Most research investigating PE teachers’ acculturation has relied on the retrospective accounts of PE teacher education (PETE) students or in-service teachers, what we call reflection- on -acculturation. Understanding the pre-existing ideological orientations that prospective recruits bring to PETE is vital for the disruption of conservative practice. Given that PE in England exceeded recruitment targets for trainee teachers in 2023/24 and 2024/25, establishing how these preconceptions are formed is increasingly important. Therefore, this study aimed to investigate the acculturation of prospective pre-service PE teachers while they are still in secondary school, and how it has shaped their perceptions of PE before formal recruitment into PETE. We call this reflection- in -acculturation. Data were generated through focus groups ( N = 9) with secondary school pupils aspiring to become PE teachers ( N = 62) from eight different secondary schools in the North of England. Data were analysed using reflexive thematic analysis and principles of collaborative qualitative analysis. Findings suggest that acculturation is profoundly influential to prospective recruits’ ideological preconceptions. Far from being ‘blank slates’, the prospective recruits had developed strong anticipatory ideas about, and fixed ideological preconceptions of, what PE teaching is or should be. We recommend that PETE programmes facilitate prolonged opportunities for recruits to critically reflect on their experiences, potentially disrupting and unlearning detrimental orientations developed during acculturation.

Venous leg ulcers (VLUs) are complex, chronic wounds that often recur after healing. The ongoing use of compression hosiery is the primary strategy to reduce the risk of VLU recurrence. However, adherence to this prophylactic treatment is low, undermining treatment effectiveness and placing a substantial burden on individuals with a history of VLUs and on healthcare systems. Understanding the factors influencing people's adherence to compression hosiery for secondary VLU prevention is essential to support approaches to promote uptake. The study aimed to (1) draw on the Capabilities, Opportunities and Motivations of Behaviour (COM-B) model and the Theoretical Domains Framework (TDF) to explore factors influencing individuals' use of prophylactic compression hosiery for the secondary prevention of VLUs and (2) use the behaviour change wheel to identify intervention strategies to support the ongoing use of prophylactic compression hosiery by individuals after VLU healing. A descriptive, interpretive qualitative study involving individuals with a history of healed VLUs. Semistructured interviews were conducted with people who had experienced healed VLUs. The interviews were guided by the COM-B model. Framework analysis was conducted using deductive coding informed by the TDF and inductive coding to capture emerging themes linked to barriers to and enablers of the target behaviour (ongoing compression use). Data management was aided by NVivo software, and coding was conducted by two researchers. Interventions were conducted in person, by telephone or online, based on participants' preferences, at community leg clubs or in their homes, from April 2024 to January 2025. Participants with experience of healed VLUs were recruited from three National Health Service (NHS) trusts and community leg clubs in the North of England. A total of 15 participants were interviewed, comprising 4 males and 11 females aged between 49 and 89 years. Our analysis identified six factors that may influence individuals' use of prophylactic compression hosiery following VLU healing: knowledge, skills, environmental context and resources, emotion, social influences and beliefs about consequences. Deficits in knowledge, skills and resources, such as limited availability of prophylactic compression sizes, delays in prophylactic compression delivery and limited access to NHS services after healing, were primary barriers to people's use of compression hosiery in this context. Conversely, positive beliefs about the benefits of ongoing use of prophylactic compression hosiery were a strong enabler. Emotion and social influences were identified as both barriers and enablers: fear of recurrence and social support encouraged adherence, while stigma and negative feelings hindered it. We identified six intervention functions (education, training, persuasion, environmental restructuring, modelling and enablement) and eight linked behaviour change techniques that could be explored further to support people's ongoing use of prophylactic compression therapy. These techniques include providing information about antecedents, discussing health and emotional consequences, instruction, demonstration, rehearsal, social support, framing/reframing and vicarious reinforcement. The identified intervention functions and behaviour change techniques provide theoretically informed insights for designing interventions to support sustained use of prophylactic compression hosiery following VLU healing. Key barriers to address include addressing gaps in individuals' knowledge about prophylactic compression therapy, prioritising posthealing VLU services, ensuring timely access to appropriately fitted compression and enhancing social support networks.

Priority setting with patients, public and professionals is essential for research utilising routinely collected data, as this ensures data are being used in the public interest. However, it is challenging to identify research priorities that are relevant to a wide range of local stakeholders and can be addressed with routinely collected data. To describe and present the results of a priority setting exercise aiming to identify research priorities for Born in Bradford for All (BiB4All), a routine data linkage cohort of mothers and babies born in Bradford, a city in the north of England. We developed a two-hour online workshop to engage a range of stakeholders across Bradford, including parents, early years practitioners, commissioners, and service providers. The workshop method combined elements of existing priority setting approaches to ensure priorities were identified in an inclusive, timely and deliberative way, and supported stakeholders to develop their understanding of using linked routine data for research. The workshop identified seventeen important and urgent research priorities around child and maternal health for research with locally linked routine data. Key topic areas included maternal and infant mental health, the long-term impact of the Covid-19 pandemic on maternal and child health outcomes, inequalities in access to services, and infant feeding experiences. The identified research priorities have been shared widely amongst interested networks and have shaped the BiB4All research agenda, demonstrating the feasibility of the stakeholder engagement method. They also have important implications for policy and practice. For policy, they provide an understanding of the key issues faced by local communities, which can steer policy priorities and investment in evidence generation. For practice, involvement in the workshop has generated a greater understanding of how local service data can be used for research and to inform improvements to service delivery.

Strong evidence highlights that sufficient physical activity (PA) has multiple benefits for people living with and beyond cancer. However, many are not meeting PA recommendations. APPROACH is a trial of a theory-driven, app-based behavioral support intervention to promote brisk walking after breast, prostate, or colorectal cancer. The aim of this trial is to evaluate the efficacy and cost-effectiveness of the intervention. APPROACH is a multicenter, phase III, 2-armed, individually randomized controlled trial (N=472). We will recruit patients with localized breast, prostate, or colorectal cancer from hospitals in Yorkshire and surrounding areas in the North of England, United Kingdom, and randomize them 1:1 between the intervention and control arm (usual care). The intervention consists of an app designed for the general population to encourage brisk walking (NHS Active 10), supplemented with habit-based behavioral support, including 2 brief telephone or video calls, a leaflet, website, and walking planners. The primary endpoint is the difference between trial arms in the changes from baseline in activPAL-assessed average minutes of brisk walking (≥100 steps per minute) after 3 months. Demographic and medical characteristics will be collected through self-report and hospital records. Secondary outcomes (assessed at 0, 3, and 6 months) will be the other activPAL-assessed outcomes (brisk walking at 6 months, total steps, light PA, standing time, and sitting times, weekly metabolic equivalent of task), self-reported PA, and self-reported BMI and waist circumference. Patient-reported outcome measures of quality of life, fatigue, sleep, anxiety, depression, self-efficacy, habit strength for walking, and social support will also be collected. Interviews will explore experiences of receiving the intervention. We will use health economic modeling to estimate the cost-effectiveness of the intervention over a lifetime horizon. The study was funded in June 2019. Trial recruitment commenced in November 2023 and is planned to be completed in 2025. As of December 2025, a total of 473 participants have been randomized. The publication of the main results is expected in autumn 2027 after all follow-up data collection and analysis are complete. Overall findings will determine the clinical and cost-effectiveness of the intervention for patients diagnosed with breast, prostate, or colorectal cancer. If successful, APPROACH provides a potential model of supportive care to increase PA among people living with and beyond cancer. ISRCTN Registry ISRCTN14149329; https://www.isrctn.com/ISRCTN14149329. DERR1-10.2196/77096.

ABSTRACT Concerns relating to child sexual exploitation (CSE) are increasing within the UK, with safeguarding policy and practice moving towards a multiagency approach to identifying and managing this form of abuse. Traditionally, collaborative approaches have primarily involved statutory organisations, with the knowledge and expertise of third sector organisations being overlooked. This research, therefore, aimed to explore the role and impact of a specialised third sector service on supporting young people at risk of CSE. Located in the north of England, the service provided a child‐centred, therapeutic approach to exploring CSE. Observations and interviews with young people ( n = 4), professionals from the specialised service ( n = 7) and other safeguarding professionals ( n = 7) were conducted. A thematic analysis was conducted across all interview transcripts, with three broad themes emerging: defining CSE, labelling CSE, and impact of service. Through this process, the paper compares the perspectives of young people referred to the service with those of professionals linked to the service. Recommendations around best practice are presented towards the end of the paper, with the importance of including voices of young people in the design and delivery of CSE support being highlighted.

This article comes out of initial research conducted into The Corporate Archive of Granada Television, on loan to the University of Manchester since 2022. Granada Television, established by Sidney Bernstein in 1954, developed a reputation for innovative and highly acclaimed drama during its lifetime, operating out of the UK first purpose-built regional television studios until 2009. Unseen before now, Granada’s archive offers access to thousands of production and personnel files that provide unparalleled insight into the decisions and processes involved in all aspects of its’ television production and planning, Television historians have frequently lamented the dearth of archive materials relating to commercial and regional programmes and the impact of this in shaping existing studies of the production, text, and reception histories of television in Britain. The article will focus on archive materials relating to the studio’s lavish and critically acclaimed adaptation of Evelyn Waugh’s Brideshead Revisited (1981), particularly those that relate to the often-hidden administrative, artistic and craft labour involved in finding and adapting locations in and around Manchester and the Northwest. The article will utilise documents in the archive which trace the production journeys of these settings. The use of settings in the North of England have often been understood in terms of how they underpin social realist notions of identity. However, this article will demonstrate instead how Granada’s studio practices and cultures were able to utilise locations in the Northwest to ‘perform’ place, thus demonstrating the medium’s capacity for a different kind of ‘place-making’ and underpinning the region’s often neglected contribution to innovation and creativity in broadcasting.

The scientific literature continues to recognize the changing health status of migrants residing in geographic destinations outside their homeland. However, very little research has compared the health of Caribbean residents within their homeland with those across various diasporic destinations. This five-country study examined the physical and mental health of Caribbeans within the region and those in host countries, and whether the length of time in host countries is associated with declining health. We analyzed population-based data collected in Jamaica (2005), Guyana (2005), Canada (2000/2001, 2003, and 2005), the United States (2001-2003), and England (1998-2000). Parallel descriptive statistics and multivariate logistic regression were used to assess the health status of first-generation Caribbeans. The study revealed that Caribbean people within the region generally maintained a higher degree of health advantage compared to Caribbean migrants in North America and England. Length of time was associated with physical and mental health problems within certain host countries. Sociodemographic factors contribute to health. The findings suggest that first-generation Caribbeans might initially lose certain health benefits in host countries, although we find trends for improved cardiovascular health over time in Canada. Further exploration of other influences on health among Caribbeans across the diaspora is needed.

Consultant pharmacists in the United Kingdom are appointed to lead across four pillars of advanced practice: clinical expertise, leadership, education, and research. Despite research being an expectation of the role, limited evidence exists on the nature and extent of research engagement in this group. We aimed to explore the research activity, readiness, and associated challenges and enablers experienced by consultant pharmacists in North England. Semi-structured interviews were conducted with 11 consultant pharmacists across primary and secondary care settings. Participants were recruited through professional networks and snowball sampling. Interviews were transcribed verbatim and analysed using template analysis. A hierarchical coding template was iteratively developed and applied to identify key themes. Five themes were identified: (1) Research skillset, (2) Job planning and time allocation, (3) Intrinsic motivation and resilience, (4) Structural barriers and enablers, and (5) Reach and influence. While participants demonstrated strong internal motivation to engage in research, many cited limited protected time, complex governance structures, and a lack of pharmacy-specific mentorship as barriers. Research activity was often deprioritized for clinical responsibilities. Participants frequently worked outside contracted hours to pursue research and often sought mentorship from other professions. Nonetheless, consultant pharmacists were seen to champion research culture, mentor junior staff, and influence practice through local and national dissemination of research. Consultant pharmacists are well positioned to advance applied research in pharmacy, but current systemic and cultural barriers must be addressed to fully realize their potential. Structured support, research training, clearer frameworks, and protected time are essential to sustain research engagement.

Abstract UK social care services for older people, typically provided by local authorities, are struggling to meet demands placed upon them leading to a sense of crisis in the sector. Capitalizing on digital transformation, social care providers are exploring how widely available household smart technologies (e.g., virtual assistants, medication boxes) can be utilized within existing social care services. Underpinned by life course theory, this study explored older adults experiences of, and opinions regarding the continuing and expanding use of technology in social care. Eighteen older (65+) users of social care services were recruited to take part in four co-production workshops in three sites in England (North East, South West and Central England). Workshops employed vignettes of exemplar cases of technology use in social care to generate discussion amongst participants. Descriptive insights were provided offering responses to challenging social care situations encountered by the participants. Findings identified four themes, 1. Current (or everyday) technology use, 2. Benefits of technology use, 3. Concerns with technology use, 4. Key priorities for technology enabled care. Across the four themes, participants noted areas for improvement including clear signposting of information/services provided, in-person care, the want and need to maintain independent living, digital literacy/accessibility concerns, trust in technologies, and training and support. Findings highlight priorities, challenges and concern the ongoing digital transformation of social care in the context of increasing demand and reducing financial resources, for services and their clients. Findings inform educators in gerontology and social work regarding the impacts of technology on social care delivery.

BackgroundIn the UK, over 980,000 people are living with dementia, and two-thirds of them live in their own homes. Up to 60% of this population is estimated to be at risk of or already experiencing malnutrition, with 45% facing significant weight loss. As dementia progresses, ensuring that people eat and drink well becomes challenging. Many families affected by dementia access home care services, with home care professionals playing a vital role in supporting and enhancing overall quality of life. Training in identifying nutritional problems and supporting family carers to prevent malnutrition is an identified research need; however, research on the contribution of home care professionals in this area is limited. This study aims to assess the feasibility and acceptability of a nutritional intervention for people living with dementia receiving home care from the perspectives of people with dementia, family carers (dyads), and home care professionals (including home care managers).MethodThis is a mixed-method single-arm feasibility study of a nutrition intervention with embedded process evaluation. Thirty-two participants living with dementia and their carers (dyads) will be recruited from home care organisations providing services for older adults across the South, Midlands, and North of England. The intervention comprises a nutritional awareness training session for home care workers, combined with educational resources for home care professionals, family carers, and friends. It is based on a model of person-centred nutritional care and will be delivered by trained home care professionals in the homes of participating dyads over 4 months. Outcome measures will be collected at baseline and at 4 months.Analyses will be descriptive and centred on the feasibility and acceptability of the interventions and study procedures. Key feasibility outcomes will include the rate of participant recruitment and dropout, and the percentage of home care staff who adhere to the intervention schedule (setting at least four actions in response to using the resources). Quantitative data analysis will primarily involve descriptive statistics. Acceptability of the intervention will be determined through in-depth semi-structured qualitative interviews conducted with a subsample of participants dyads and home care professionals. An embedded process evaluation will assess intervention implementation, capturing barriers and facilitators through participant interviews.DiscussionFindings from this study will help inform the development and implementation of a future RCT, should this nutrition intervention be feasible.Trial registrationNCT05866094.Supplementary InformationThe online version contains supplementary material available at 10.1186/s40814-025-01722-5.

ABSTRACT This article argues that continuity was the key feature of non-elite experiences of leisure in England 1700-1850. It uses a new dataset of leisure activities collected from criminal and coroners’ depositions which fills gaps in existing knowledge, particularly by providing new evidence on rural areas, the north of England, women, and those below the level of the middling sort. For all of these groups, the most popular form of leisure was drinking; distinctively new activities appeared only rarely. This contributes to a broader argument that changes to daily life in this period were less significant than once thought.

ABSTRACT Introduction As authors, we co‐facilitate a teaching session on anti‐racism as part of a module on ethical and cultural issues on an MA in counselling and psychotherapy in the North of England to a cohort of between 14 and 24 students. We have been ongoingly evaluating and conducting research with the student groups involved to try and improve the teaching session. Methodology This article reports on our duoethnographic approach to consider our learning from our pedagogical experience. Findings Themes emerged from our conversations using Colaizzi's phenomenological method which were: defences, pedagogies of discomfort, the work, and transformation. We also present an exhaustive description of the anti‐racist work involved. Discussion and Recommendations We draw out implications and recommendations for an anti‐racist pedagogy in counselling education, focusing on each of our responsibility to undertake the deep self‐examination and listening to others that this requires.

Abstract Introduction A point of care (POC) high sensitive cardiac troponin (hs-cTn) can improve early discharge and rule-in for suspected acute coronary syndrome (ACS) but large-scale prospective studies assessing clinical performance of whole blood POC troponin in the emergency department (ED) are lacking. Methods This was a preplanned nested cohort study of the MACROS trial, a randomised controlled study of the ESC 0-1 versus 0-3 hour pathway for suspected ACS. As well as central laboratory hs-cTn sampling all patients had real time whole blood (WB) sampling for Quidel TriageTrue POC hs-cTn I by non-laboratory operators at presentation and at 1 or 3 hours according to randomisation. The hs-cTn T (Roche, elecsys) biomarker was used for all clinical decisions. Subsequent event adjudication was undertaken in a blinded fashion using Abbott allinity hs-cTn I. The performance of the POC hs-cTn I assays was assessed using prespecified, and previously published criteria for single sample rule-out (SSRO) and the ESC 0-1 hour and 0-3 hour pathway. The clinical endpoints were by adjudicated type 1 or 2 MI (4th universal definition) and major adverse cardiac events (MACE), defined as adjudicated type 1 MI, cardiovascular death and urgent coronary revascularisation at 30 days. Results 3306 presentations in 3163 patients recruited from 2 large EDs in North England form the study population. The mean age was 59 years, 1755 (53.4%) were male, 206 (6.2%) an index type 1 MI and 237 (7.2%) had a MACE within 30 days. The median time, from blood sampling to result, for Quidel TriageTrue POC hs-cTn I and central laboratory hs-cTnT was 29 and 79 minutes respectively. Safety for SSRO, both for index MI and MACE at 30 days, for TriageTrue POC hs-cTn I (table) was equivalent to central laboratory troponins but the clinical efficiency (% cohort rule-out) was greater. Performance of triage true POC hs-cTn I in both the ESC 0-1 and 0-3 hour pathway was impressive, demonstrating rule-out of >60% and rule-in of approximately 10% with safety parameters similar to central laboratory hs-cTnT. The figure illustrates classification and performance metrics for MACE at 30 days in the 0-1 hour pathway Conclusion This is the first large prospective multicentre study that comprehensively determines clinical performance of POC hs-cTn I assay, when analysed in real time in ED. Triagetrue POC hs-cTn I has equivalent clinical performance to central laboratory hs-cTns but with a much faster turn-around time.

In 2018, Scotland introduced a minimum unit pricing (MUP) policy to remove very-low-cost alcoholic drinks from the market in an effort to reduce the adverse impacts of excessive alcohol consumption. Any increased spending on alcohol may be associated with reduced food and lower diet quality. This study aimed to estimate the relationship between MUP and dietary energy, nutrients, and diet quality. Difference-in-differences analyses were conducted on household-level purchase data, collected by Kantar Worldpanel (KWP) over 53 wk before and 54 wk after the implementation of MUP, from 1987 households in Scotland and 6064 households in the north of England. The Poisson pseudomaximum likelihood regression model with household fixed effects was used, with estimates adjusted for age of main shopper, household composition, duration of KWP participation, total spending on nonfood items, and month of the year. Primary outcomes were dietary energy, energy density, Diet Quality Index, and foods and nutrients relevant to the Scottish dietary goals after adjustment to per adult-equivalent values. Secondary outcomes explored the differential effects of MUP by area-level deprivation and levels of alcohol purchase. The introduction of MUP in Scotland was associated with a 1.6% [95% confidence interval (CI): 0.02%, 3.16%] reduction in the purchase of sugar from food and beverages or 8 g per adult equivalent per week. This reduction was partly a result of a 16.6% (95% CI: 7.15%, 25.96%) reduction in sugar from alcoholic drinks purchased. No other significant associations were found. Households from more deprived areas, and households with greater alcohol purchases, had greater levels of sugar reduction from alcohol. MUP in Scotland is associated with small, but beneficial, statistically significant reductions in the purchase of sugar. There is no significant change in overall diet quality.

BackgroundEach year in the UK approximately 367,000 people are diagnosed with cancer of whom half will experience moderate to severe chronic pain and a third are undertreated for their pain. Most people with cancer are cared for at oncology outpatient services where there are no standardised approaches for managing pain. As a result, cancer patients are at risk of receiving inadequate care for pain. There is a need for a standardised approach to pain management within oncology outpatient services.Methods/designThe aim of this pilot trial is to establish the feasibility of conducting a multi-centre clustered-randomised trial of an integrated standardised pain assessment and management programme integrated within routine care at oncology outpatient services in the United Kingdom National Health Service (NHS).We will conduct a two-arm pilot cluster randomised trial with nested process evaluation to evaluate the feasibility and acceptability of trial processes, establish fidelity of intervention implementation, estimate variability in outcomes and feasibility of future economic evaluation. Twelve outpatient services (clusters) from at least two NHS tertiary oncology referral centres (sites), in the North of England will be randomised (1:1) to deliver a pain management programme plus usual care or usual care alone and will recruit a total sample of 180 participants. Adults attending a participating outpatient service who self-report a score of ≥ 3 on the 0–10 Numerical Rating Scale (NRS) for worst pain in the past 72 h in any part of their body, and will be available for 1-week follow-up will be eligible. Participant self-reported questionnaires will be collected at baseline, 1-week, 1-month, and 2-months with medical record review at 1-month and 2-months. Progression to a future trial will be based on pre-defined criteria associated with eligibility and consent rates, follow-up and intervention delivery and acceptability.DiscussionLittle research has described optimal ways to implement a standardised pain assessment and management programme into oncology outpatient services. The strengths of the pilot trial are its sample size, number of clusters, and planned evaluation of trial processes and intervention fidelity to provide robust trial evidence to fully inform a future definitive phase III multi-centre cluster randomised trial within the UK NHS.Trial registrationThe CAPTURE pilot trial is registered on the ISRCTN registry (86,926,298).

ABSTRACT This ethnographic study examines how young British-Somali men in Northern England utilize khat-chewing as a cultural practice to negotiate hybrid identities formed by migration, marginalization, and transnational belonging. Drawing on 18 months of fieldwork, the research reveals how khat consumption within mafrish spaces functions as a ritual of cultural continuity, enabling participants to maintain symbolic ties to Somali heritage while navigating British urban life. These practices challenge binary notions of identity, illustrating how diasporic youth construct fluid, contextual selves that blend Somaliness with Britishness. Khat-chewing emerges as both a coping mechanism and a form of resistance, offering a sense of belonging amid experiences of exclusion, Islamophobia, and racialization. The study highlights the agency of young migrants in shaping diasporic spaces and identities, contributing to broader debates on hybridity, glocalization, and the politics of cultural expression in postcolonial Britain.

Background Alcohol-related liver disease is a common cause of premature death, with higher incidence in the north of England and particularly in areas of high deprivation. Despite this burden of disease, research into liver disease has historically been delivered in other areas of the United Kingdom. THe North of England Alcohol Team (NEAT) research partnership was funded by the NIHR to improve the infrastructure for research into ArLD and in the north of england. Methods NEAT used a variety of methods to bring together stakeholders in ArLD to face-to-face and virtual meetings to identify current barriers to research, possible solutions and research priorities in ArLD. A dedicated public and patient involvement and engagement (PPIE) group was established to support NEAT and future research. An online educational resource was developed. Finally, online workshops including all relevant stakeholders delivered applications for further research funding for specific projects. Results NEAT used a variety of workstreams to achieve its aims. Regional meetings allowed face to face discussion as well as online conversations to identify current barriers to research in ArLD and potential measures to overcome them. Research priorities were confirmed and means to address research barriers were discussed. A PPIE group was convened, and terms of engagement agreed. A virtual research training pack was developed. Research questions were developed, discussed and prepared for future funding applications. We plan to investigate the value of community clinics to improve engagement with liver medicine. Conclusions NEAT brought together a wide range of stakeholders with an interest in improving access to research for people living with alcohol related liver injury. Infrastructure for research was developed including training resources and a PPIE group. This will underpin future research into ArLD in the north of England and more widely.