ESHCRU I
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ESHCRU II is the NIHR Policy Research Unit in the Economics of Health Systems and Interface with Social Care. It builds on the experience of ESHCRU which conducted research on the economics of social and health care from 2010 to 2018.
ESHCRU II focuses on the interface between health and social care. Find out more about our research.
ESHCRU II – is a collaboration between the Centre for Health Economics (CHE) at the University of York and the Care Policy and Evaluation Centre (CPEC) at the London School of Economics and Political Science.
ESHCRU II is one of 15 Policy Research Units or PRUs. The 15 PRUs provide a long-term resource for policy research and a rapid-response service to provide evidence for emerging policy needs. Click here to meet the team.
Patient and public involvement
Our previous programme was the Economics of Social and Health Care Research Unit (ESHCRU). Two lay members were involved in a major way, and they have had a real impact on our work.
Below, Wendy Milborrow talks about her experience as a lay member of ESHCRU, and the director Anne Mason describes how Wendy's insights changed the analysis for a project on dementia.
Wendy Milborrow
"I am a lay member of the ESHCRU Advisory Group. I was asked to join because of my experience as a carer, supporting my husband who has dementia. During my time as a member, I have attended regular Advisory Group meetings; contributed to specific projects within the programme of work; provided feedback on written information aimed at a lay audience; and contributed to the preparation of funding proposals for research projects.
My involvement in all this work has been interesting and enjoyable. Attendance at meetings was a bit daunting at first – until I realised that I was not expected to understand some of the very technical work that is carried out! I have always felt welcome and supported and that my opinions have been listened to and respected.
As a lay person, I feel that my main contribution to the work of ESHCRU has been to offer a view on how the issues being researched affect real people, from my perspective as a carer and service user. When relevant, I have been able to share some of my experiences in navigating the system, to highlight difficulties and gaps in support as I have found them and to comment on health and care priorities as I see them, which helps to guide the direction of the research."
Anne Mason
Wendy made a fantastic contribution to our previous programme of work! Here's just one example.
GPs are paid to provide an annual health check for their dementia patients. Going into hospital can be a frightening experience for someone with dementia, and can trigger a downward spiral in their health. So we wanted to know – is this annual health check helping to prevent unwanted and unplanned hospitalisations?
Wendy was part of a larger group who helped us think about why unplanned hospital admissions happen. She explained that if GPs can't respond quickly enough when someone's health starts to deteriorate, they won't be able to prevent a hospital admission. So we added measures of access to GPs to our analyses to address this important issue. Wendy also pointed out that some carers will be better equipped than others in negotiating support from the health and care system. So we added measures to our models to capture factors that affect people's ability to navigate the system. Wendy's words made a real difference to our research."
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