Funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRCs) are collaborative partnerships between the NHS, public services and Universities, focused on improving patient outcomes through:

  • Applied health research
  • Translating research into healthcare practice
  • Increasing the capacity of health services to undertake more applied research and translation in the future

Evidence Based Transformation with the NHS is a research theme involving more than 30 individual research projects. The aim of all the projects within this theme is to make sure that when people receive care, in hospital or in the community, that care is safe and focussed on their needs.

CLAHRCs were first piloted between 2008 and 2013 by the NIHR in nine regions across England. They were so successful that 13 new regional CLAHRCs were funded in 2014 and these current CLAHRCs will conclude in September 2019.


January 2014 – September 2019

Theme aims

Most research on the safety of care has looked at what happens when things go wrong. However, our approach within this research is to identify those teams and units performing better than average – providing exceptionally high-quality, safe care for patients. Having identified these high performers, we have been studying them closely, to understand what they are doing to get such good results. As we understand how they are doing so well, we are:

  • spreading this learning across the region
  • providing services to support improvements in patient safety
  • evaluating the cost-effectiveness of these improvements

Examples of our projects

  • Exploring how innovation is achieved in patient safety and quality by individuals working in the NHS.
  • Positive deviance and the Care Quality Commission: What makes an excellent general practice? To find out more about the positive deviance approach please see a recent webinar theme researchers participated in.
  • Investigating the link between GP wellbeing, burnout and patient safety.
  • Quality in Care Homes.
  • Safe staffing in mental health services.
  • Using video reflexivity to improve the quality and safety of care in maternity services.
  • Communication, wellbeing and errors in healthcare: supporting maternity staff disclosing news that an error has been made.
  • Understanding and enhancing how hospital staff learn from and act upon patient experience data.
  • Prisoners’ experiences of healthcare.
  • Developing a safety-netting intervention using co-design.

Further information

For further information contact Professor Rebecca Lawton, Theme Lead R.J.Lawton@leeds.ac.uk or Ruth Simms-Ellis, Programme Manager R.Simms-Ellis@leeds.ac.uk

This summary presents research funded by the National Institute for Health Research (NIHR) CLAHRC Yorkshire and Humber. The views expressed are those of the author(s), and not necessarily those of the NHS, the NIHR or the Department of Health and Social Care.