Dr Helen Lloyd
Profiles

Dr Helen Lloyd

PenCLAHRC Senior Research Fellow (Qualitative)

Institute of Translational & Stratified Medicine - Plymouth University Peninsula Schools of Medicine and Dentistry (Faculties)

Role

PenCLAHRC Research Fellow (Qualitative).

A central theme of my work with PenCLAHRC focuses on complex interventions and experiences of care. I am currently co-leading the Person Centred Coordinated Care (PCCC) collaborative with Professor Richard Byng. The aims of this work involve creating a shared understanding and a taxonomy of components of PCCC to map the different ways in which models of deliver this type of care. We are also using practice based innovation to build robust theory about what forms of PCCC work for whom in what circumstances. I am also supporting the activity of several projects across the CLAHRC. The Partners 2 study is a multi-site PGfAR funded study developing and piloting a system of primary care based collaborative care for people with severe mental illness. 

Qualifications

I am primarily a qualitative researcher with a grounding in medical anthropology. I particularly enjoy innovating with mixed methods and have a passion for action research that applies and integrates qualitative and quantitative methodologies to create health and social improvements.  My research to date has explored how notions of race, ethnicity and self and community identity influence health behaviour and the experiences and outcomes of care.  I am also particularly interested in how micro, meso and macro factors interact to shape and potentially change health inequalities. 

My research experience spans the health sciences from occupational health,psychiatry, epidemiology, health services research and public health. In 2003 I completed an MSc in medical anthropology at UCL, followed by the successful completion of my D.Phil. at the University of Oxford in 2007.

Following this I established a research consultancy based in Oxford to promote and integrate medical anthropology as an applied approach in UK public health research. This was achieved by securing research contracts with a range of clients including the Department of Health and various UK Primary Care Trusts.  My public sector contracts included a novel qualitative synthesis for the Department of Health to investigate drivers of health inequalities across a range of health concerns including, childhood obesity,smoking, alcohol and drug use, sexual health and teenage pregnancy, and mental health. An outstanding example of this applied work is the Sub-21 project to reduce under age street drinking in North Tyneside. This research used participant observation sessions with youths engaging in street drinking and depth interviews to shape the subsequent intervention. Young people and retailers were placed at the heart of the intervention development process to create a two pronged approach; a rolling program of youth activities designed by and for local youths combined with a retailer’s campaign providing new tools to help them reduce illegal and proxy alcohol sales. The project has now reached over 3000 young people and resulted in a 30% decrease in anti-social behaviour and alcohol-related incidents. This project has been independently evaluated by the London School of Hygiene and Tropical Medicine.

In 2010 I joined the Nuffield Department of Population Health as Research Advisor for the Research Design Service South Central and as Research Associate. During this time I worked with Professor Ray Fitzpatrick and Professor Crispin Jenkinson on several projects related to PROMS and patient experiences of care.


Professional membership

I am an associate member of the School of Anthropology and Museum Ethnography, University of Oxford. I am also a visiting academic researcher at the Nuffield Department of Population Health University of Oxford and a member of the International Mixed Methods Research Association. 

Roles on external bodies

I am an NIHR grant application reviewer for the Research for Patient Benefit (RfPB) South Central. 

Research interests

I am a qualitative and mixed methods researcher with training in medical anthropology.  I have a particular interest in action research that applies and integrates qualitative and quantitative methodologies to create health and social improvements.   My research to date has explored how notions of race, ethnicity and self and community identity influence health behaviour and the experiences and outcomes of care.  I am also particularly interested in how micro, meso and macro factors interact to shape and potentially change health inequalities.  

Grants & contracts

Grants and research income prior to 2008:

2004 Oxford Health Services Research Committee: Alan Sharpe Travel Fellowship: £3K

Competitively Won Tenders:

2008 Committee for South London Principals: An Investigation of the Support Needs Of Students with Mental Health Problems (Phase 1 & 2 Research): £7K

2008 North Tyneside Primary Care Trust for the North East Social Marketing Demonstration Project. Understanding Alcohol Use and Drinking Patterns of Young People in North Tyneside: A Qualitative Study (Phase 1 & 2 Research): £20K

2008 National Social Marketing Centre (NSMC): Academic Development Scoping Research: £5K

2009 NHS Kensington & Chelsea & National Centre for Social Marketing: Increasing Access to NHS Dentistry: £20K

2009 Dudley Primary Care Trust for the National Social Marketing Centre Demonstration Project Social Marketing Food Retail Project: Increasing Consumption of Fruit and Vegetables: £9K

2010 Department of Health, Tackling Health Inequalities Task Force: Health Inequalities: A Qualitative Synthesis: £15K

2010 NHS Kensington & Chelsea: Impact Evaluation of ‘Increasing Access to NHS Dentistry in Kensington & Chelsea: A Social Marketing Project’: £10K 

2013 Oxford Health Services Research Committee: A preliminary qualitative study of patient reported safety concerns in community services for older adults: £5K

Commissioned Evaluations: 

2014 A Formative Evaluation of South Devon and Torbay’s Pioneer Hubs, contract awarded by the South West Academic Health Science Network on behalf of NHS England and the South Devon and Torbay Joined Up Board: £70K FEC

2014 A Pilot Evaluation of the Somerset Practices Quality Scheme (assessing the removal of QOF for PCCC) contract awarded by the South West Academic Health Science Network on behalf of Somerset CCG and NHSE: £40K FEC

2015 An Evaluation of Somerset’s Test and Learn Sites. Contract awarded by the South West Academic Health Science Network for Somerset CCG: £65K FEC

2015 A Formative Evaluation of Integrated Care Exeter (ICE). Contract awarded by the South West Academic Health Science Network for Somerset CCG: £116K FEC

2015 An Evaluation of the SW Integrated Person Commissioning Pilot. Contract awarded by the South West Academic Health Science Network for Somerset CCG: £170K 

2016 PCCC Metrics for LTCs, MLTCs and EofLC. A Portfolio of Intelligence. NHS England:£100K

Key publications are highlighted

Journals
Articles
Lloyd H, Lloyd J, Fitzpatrick R & Peters M 2017 'The role of life context and self-defined well-being in the outcomes that matter to people with a diagnosis of schizophrenia' Health Expectations , DOI
Lloyd HM, Tafoya AE & Merritt RK 2015 'Underage Drinking and Antisocial Behavior: Research to Inform a U.K. Behavioral Intervention' Journal of Child & Adolescent Substance Abuse 24, (1) 46-53 , DOI
Lloyd H, Jenkinson C, Hadi M, Gibbons E & Fitzpatrick R 2014 'Patient reports of the outcomes of treatment: a structured review of approaches' Health and Quality of Life Outcomes 12, (1) 5-5 , DOI PEARL
Lloyd H, Singh P, Merritt R, Shetty A, Singh S & Burns T 2013 'Sources of parental burden in a UK sample of first-generation North Indian Punjabi Sikhs and their white British counterparts' International Journal of Social Psychiatry 59, (2) 147-156 , DOI
Woodhouse L, Bussell P, Jones S, Lloyd H, Macdowall W & Merritt R 2012 'Bostin Value' Social Marketing Quarterly 18, (3) 221-233 , DOI
Lloyd H, Singh P, Merritt R, Shetty A, Yiend J, Singh S & Burns T 2011 'A Comparison of Levels of Burden in Indian and White Parents With a Son or Daughter With Schizophrenia' International Journal of Social Psychiatry 57, (3) 300-311 , DOI
Davies LM, Barnes TRE, Jones PB, Lewis S, Gaughran F, Hayhurst K, Markwick A & Lloyd H 2008 'A Randomized Controlled Trial of the Cost-Utility of Second-Generation Antipsychotics in People with Psychosis and Eligible for Clozapine' Value in Health 11, (4) 549-562 , DOI
Davies LM, Lewis S, Jones PB, Barnes TRE, Gaughran F, Hayhurst K, Markwick A & Lloyd H 2007 'Cost-effectiveness of first- v. second-generation antipsychotic drugs: results from a randomised controlled trial in schizophrenia responding poorly to previous therapy' The British Journal of Psychiatry 191, (1) 14-22 , DOI
Jones PB, Barnes TRE, Elton P, Davies L, Dunn G, Lloyd H, Hayhurst KP, Murray RM, Marwick A & Lewis S 2007 'First- vs Second-Generation Antipsychotic Drugs in Schizophrenia—Reply' Archives of General Psychiatry 64, (8) 979-979 , DOI
Lewis S, Davies L, Jones P, Barnes T, Murray R, Kerwin R, Taylor D, Hayhurst K, Markwick A & Lloyd H 2006 'Randomised controlled trials of conventional antipsychotic versus new atypical drugs, and new atypical drugs versus clozapine, in people with schizophrenia responding poorly to, or intolerant of, current drug treatment' Health Technology Assessment 10, (17) , DOI
Jones PB, Barnes TRE, Davies L, Dunn G, Lloyd H, Hayhurst KP, Murray RM, Markwick A & Lewis SW 2006 'Randomized controlled trial of the effect on quality of life of second- vs first-generation antipsychotic drugs in schizophrenia - Cost Utility of the Latest Antipsychotic Drugs in Schizophrenia Study (CUtLASS 1)' ARCHIVES OF GENERAL PSYCHIATRY 63, (10) 1079-10U6 Author Site , DOI
Lloyd HM, Markwick AJ, Page ER, Lewis S & Barnes TRE 2005 'Attitudes to atypical and conventional antipsychotic drug treatment in clinicians participating in the cutlass study' International Journal of Psychiatry in Clinical Practice 9, (1) 35-40 , DOI
Lewis SW, Barnes TRE, Davies L, Murray RM, Dunn G, Hayhurst KP, Markwick A, Lloyd H & Jones PB 2005 'Randomized Controlled Trial of Effect of Prescription of Clozapine Versus Other Second-Generation Antipsychotic Drugs in Resistant Schizophrenia' Schizophrenia Bulletin 32, (4) 715-723 , DOI
Burns T & Lloyd H 2004 'Is a team approach based on staff meetings cost-effective in the delivery of mental health care?' Current Opinion in Psychiatry 17, (4) 311-314 , DOI
2001 'Case-Referent Survey of Young Adults with Mesothelioma: I. Lung Fibre Analyses' The Annals of Occupational Hygiene , DOI
2001 'Case-Referent Survey of Young Adults with Mesothelioma: II. Occupational Analyses' The Annals of Occupational Hygiene , DOI
Books
2002 Outcome of Psychiatric Admission Through the Courts.
Reports
Lloyd H, Witts L, Callaghan L, Horrell J, Roberts J, Byng R, Blackwell R & Close J 2015 AN EVALUATION OF THE SOMERSET PRACTICE QUALITY SCHEME (SPQS). Academic Health Science Network Publisher Site