RESEARCH

The Self-Care Academic Research Unit (SCARU)
SCARU is a tripartite collaboration between Imperial College School of Public Health, the Self-Care Forum & the International Self-Care Foundation where I am also Director & Trustee. SCARU will explore how the application of self-care could result in improved outcomes & lower dependency on NHS resources in the contemporary setting, whilst also identifying key evidence-based recommendations for the consideration of commissioners of health & policy makers. The Unit will act as a hub with the aim of making the absolute case for self-care by coordinating a wide portfolio of research activity.


The Measuring Loneliness in UK (INTERACT) Study
Loneliness & social isolation can affect people of all ages and from all walks of life. The Measuring Loneliness in the UK (INTERACT) study aims to map loneliness at borough and city level to highlight the scale of the issue and help decision makers consider new ways to support individuals who are lonely, feeling socially isolated and who may be suffering in silence.

INTERACT is the largest global study on lonelienss. The aim is to collect data from half a million community dwelling individuals aged 16 years or over to produce a visual snapshot of social isolation and loneliness across the capital, and other parts of the UK. Led by Imperial’s School of Public Health, Imperial College Healthcare NHS Trust and Hammersmith & Fulham Council, the team will reach out to thousands of residents and encourage them to complete a brief online survey. Responses will help build a clearer picture of how loneliness affects people at borough & city level & across regions.

Self-Driven Healthcare (SDH)
Self-Driven Healthcare (SDH) is an umbrella term introduced by Innovate UK to conceptualise aspects of healthcare delivery that can support people in becoming more engaged in their own health and wellbeing management rather than being passive receivers of healthcare. The defining characteristics of SDH include activities that empower people to play a more effective role in maintaining their own health & wellbeing, including those activities concerned with primary prevention and health promotion (e.g. detecting diseases earlier and proactively collaborating with a growing range of HCPs to manage their illnesses).


 London Research Trailblazers Group (RTBG) 
I am chair of the London Research Trailbalzers Group (RTBG) - an informal alliance of key stakehodlers north of the Thames. As the river flows, the aim of RTBG is to facilitate a forum where individuals with an interest in health & care are supported to develop their research ideas with dedicated input from the Self-Care Academic Research Unit (SCARU). An extensive RTBG roundtable was established in April 2019 & has since expanded significantly to include a wide mix of stakeholders (including directors of public health, Primary Care Networks, Local Authority leads, general practitioners, voluntary organisations, Community Mental Health Trusts, Healthwatch &  community leads). The RTBG roundtable meets quarterly to discuss research ideas that members feel are relevant. RTBG provides dedicated support to local stakeholders including protocol & study pack development to a level suitable for submission to the Imperial College London and/or the NHS Research Ethics Committee/HRA. Research proposals will ideally be developed with a view to apply for funding so that studies could be adopted by the NIHR portfolio. Contact me on a.el-osta@imperial.ac.uk for more information or if you'd like to get involved.

GRANTS

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    Using Team Science Approach to tackle Multiple Long Term Conditions ,
    NAtional Institute for Health and Care Research (NIHR)1 Feb 2025 - 31 Jan 2026
    £150,000 (2024)
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    National Institute for Health and Care Research (NIHR) I4i FAST (Funding At the Speed of Translation)1 Mar 2024
    NIHR207305, £150,000 (2024)
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    PA7886 National evaluation of workplace health and wellbeing initiatives that are free at the point of use (WHIFPUs)
    National Institute for Health Research1 Oct 2023 - 31 Jul 2024
    NIHR: PA7886 National evaluation of workplace health and wellbeing initiatives that are free at the point of use (WHIFPUs) (2023-2024)
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    Nocturia Evaluation and Treatment; Implementing Assessments and Consolidating Therapy in primary care
    Rosetrees Trust1 May 2023 - 30 Jun 2026
    Rosetrees Trust: Nocturia Evaluation and Treatment; Implementing Assessments and Consolidating Therapy in primary care (2023-2026)
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    Health Place digital platform for children and young people's mental wellbeing
    National Institute for Health Research1 Jan 2022 - 31 Aug 2022
    NIHR: Health Place digital platform for children and young people's mental wellbeing (2022-2022)
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    Pilot evaluation of a behaviour change support intervention for employers running health and wellbeing programmes
    National Institute for Health Research1 Sep 2021 - 31 Dec 2023
    NIHR: Pilot evaluation of a behaviour change support intervention for employers running health and wellbeing programmes (2021-2023)
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    National Institue for Health Research (NIHR)
    Health Place: a platform for integrated mental health care for children and young people Over eight months from January 2022, a partnership of CNWL NHS Trust, Health Place and Imperial College, supported by a panel of expert users and a staff team of four young people will further develop, test and evaluate a new support assistant (online tool) for children and young people with mental health problems. 2021 has seen a doubling in referrals for mental health support for children and young people. 3-4 month waiting times are now commonplace, with an increasing number of young people failing to access any support. The vision for this project is that every young person on a waiting list should have access to support that is safe and appropriate, without delay. We will help activate 250 young people to achieve goals and actions prioritised by them, by developing their cognitive skills and behaviours (Capability), streamlining access to support (Opportunity), and through peer-to-peer sharing of content (Motivation). By these means, participating in Health Place will increase individual confidence in self-care, improve well-being and contribute to improved clinical outcomes. The Health Place platform is distinctive and innovative in respect of its powerful recommendation engine that guides users along tailored support pathways, the breadth and flexibility of the support on offer, and the multiple conversational support feedback loops between the platform, the users and clinicians, that allows the platform to learn and improve with the collective intelligence of its users. This functionality enables a truly personalised focus on what a young person wants to do next: their priorities, their voice and their agency. The platform is designed and built with technologies that are capable of reaching thousands of young people on waiting lists with an ultra-low unit cost (£0.22 per young person), by optimizing the use of all the relevant support resources and capabilities in a local area, across both clinical and non-clinical support pathways - hence the name Health Place . NIHR funding will result in a mature system that can be scaled to other Integrated Care Systems, with a particular focus on support and reducing waiting lists for support. Evaluation by Imperial College will track a cohort of users of the enhanced Health Place solution and compare experience and outcomes to a synthetic cohort of CNWL s age matched patients. Imperial will deliver an objective evaluation of the benefits of the service from both patient and NHS perspectives and provide an indicative business case that we hope will encourage wider adoption.