About this project
Integrated care systems (ICSs) are a new partnership of organisations that come together to plan and deliver joined-up health and care services. They have been tasked with reducing health inequalities. In England, 42 ICSs have now been constituted into statutory arrangements since 1 July 2022; and in this region, the ICS is Humber and North Yorkshire Health and Care Partnership. This PhD will deliver England-wide national research into the methods required to effectively deliver integrated care to reduce inequalities. The exciting PhD comprises several inter-related components; (i) a systematic review of evidence on approaches taken by systems to reduce inequalities; (ii) mapping concepts of integration through documentary analysis of publicly available ICS strategies and plans and (iii) a modified ethnography to study the developing culture and impact on inequalities, within at least two ICSs (including Humber and North Yorkshire Health and Care Partnership) through participant and non-participant observation, documentary reviews and discussions (observing, reflecting, building, testing theory).
For informal inquiries, please contact Dr Joanne Cairns.
Join us at a free webinar at 6 pm on Monday 28 November for more information about the funded projects available through this cluster. You will be able to hear from PhD supervisors and ask questions about the programme
About the research cluster
This PhD cluster comprises four cross-Faculty inter-linked PhD scholarships, to address health inequalities in advanced illness at regional, national, and international levels. In the United Kingdom, demographic changes mean the proportion of older people is growing fast, with a rapid increase in the number of people living with advanced illnesses, including long-term conditions, complex multi-morbidities, and frailty. These demographic changes significantly impact health and social care; care in the last year of life for this population accounts for >20% of all UK NHS expenditure. The marked reduction in public expenditure, the housing crisis, and growing levels of unstable employment have all increased health inequalities. For this population, unprecedented inequalities in care exist and have widened during the pandemic – particularly in deprived communities and in the global south. These inequalities include ethnic and social differences in access to and provision of care, and variable community participation in care and support. Globally, health inequalities are profound in low to middle-income countries and impact every aspect of health experiences and outcomes for people living with and dying from advanced illness and their families. For all PhDs, integrated approaches to care – drawing on community resources – are essential, if effective and efficient solutions to these challenges are to be found.
The successful candidate will be based on the University campus and join our thriving and diverse research community. Research into health inequalities in advanced illness is cross-cutting and researchers within the Institute for Clinical and Applied Health Research (ICAHR) and the cluster of postgraduate researchers. They will benefit from the vibrant ICAHR research environment and excellent facilities of the Allam Medical Building. They will have group support from the Wolfson Palliative Care Research Centre working closely with Primary Care academics, other Hull York Medical School research groups, the Faculty of Health Sciences, Environment Institute, and Faculty of Arts Cultures and Education partners. In ICAHR currently, there are 14 senior academics, 12 research associates and 37 postgraduate students, with a high proportion conducting research related to advanced illness. An Information Specialist and Patient Public Partners – through INVOLVE Hull – will also support.
How to apply
You will need to supply a personal statement when applying for this scholarship position. Find out more about writing a personal statement. Please also ensure you include the following information:
- What motivates you to pursue PhD study
- Why you are interested in this project
- How your skill set matches the requirements for your choice of project and/or any additional training you will need
- The wider significance of research in this area and potential future research directions for the project.
Apply for this scholarship Full time | Part time
Additional guidance on how to apply.
Closing date for applications
10 February 2023
1 October 2023