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London School of Hygiene & Tropical Medicine (University of London) FACULTY OF PUBLIC HEALTH & POLICY Department of Health Services Research & Policy Lecturer in Health Services Research / Medical Statistics The NHS is facing major reform. Providing information on all aspects of obstetric and gynaecological practice is seen as the key to strengthen health services for women. As a result, there is a growing need for robust measures of health care performance. We are seeking an enthusiastic health services researcher who can contribute to the development and evaluation of these performance measures. You should have excellent analytical skills and experience of working within a multidisciplinary context. This post provides an opportunity to be involved in a number of ongoing large-scale clinical audits and epidemiological studies of health services for women in the UK. The programme covers a number of methodological issues including the development of performance indicators, performance monitoring, risk adjustment, use of administrative data, and patient- reported measures. You will be based in the Office for Research and Clinical Audit, a collaboration between the London School of Hygiene and Tropical Medicine and the Royal College of Obstetricians and Gynaecologists (http://www.rcog.org.uk/orca). These institutions play a leading role both nationally and internationally in shaping and guiding large-scale studies of healthcare quality. The School The London School of Hygiene & Tropical Medicine is one of Europe’s leading schools of Public Health and a leading postgraduate institution worldwide for research and postgraduate education in global health. Part of the University of London, the London School is the largest institution of its kind in Europe with a remarkable depth and breadth of expertise encompassing many disciplines. The School was ranked one of the top 3 research institutions in the country in the Times Higher Education’s 'table of excellence', which is based on the 2008 Research Assessment Exercise (RAE). In 2009, the School became the first UK institution to win the Gates Award for Global Health. The School’s environment is a rich multicultural one: there are almost 4000 students from 100+ countries following 22 taught Masters courses delivered either in London (~650) or through distance learning (~2700), and undertaking Research Degree training (~400). Over 40% of these students are from non-European countries. The largest growth has been in distance learning students (>40% over 3 years), although the London-based student population (where accommodation limits growth) is at its highest level ever. Alumni are working in more than 180 countries. The School has about 1500 staff drawn from over 60 nationalities. There are research collaborations with over 100 countries throughout the world, utilizing our critical mass of multidisciplinary expertise which includes clinicians, epidemiologists, statisticians, social scientists, economists, molecular biologists, immunologists, ophthalmologists, anthropologists, virologists, pharmacologists and nutritionists. At any one time around 100 School staff are based overseas, particularly in Africa and Asia. We have a strong commitment to partnership with institutions in low and middle income countries to support the development of teaching and research capacity. The School has expanded greatly in recent years. Its research funding now exceeds £67M per annum, much of it from highly competitive national and international sources. The commitment of staff to methodological rigour, innovative thinking and policy relevance will ensure that the School continues to occupy a leadership position in national and global health, adapting quickly to new challenges and opportunities. Mission To improve health and health equity in the UK and worldwide; working in partnership to achieve excellence in public and global health research, education and translation of knowledge into policy and practice. Organisation and Management There are three academic faculties, one principally concerned with infectious and tropical diseases and two with public health (Faculty of Epidemiology and Population Health; Faculty of Public Health and Policy). Faculty of Public Health and Policy The Faculty of Public Health & Policy is responsible for research and teaching in the policy, planning and evaluation of health programmes and services. Its interests are both national and international, encompassing industrialised, and less developed countries. The Faculty has three research departments: Health Services Research and Policy Global Health and Development Social and Environmental Health Research Each department is multidisciplinary containing about 50 - 70 academic staff representing medicine, statistics, epidemiology, sociology, economics, anthropology, operational research, psychology, nursing and history. Each department is responsible for its own research. The School has adopted a rotating system of management for its academic departments and faculties. The management of a department is under the control of the Department Head, appointed by the Director for a period of three years in the first instance. The Faculty Head is appointed in a similar manner but for an initial period of up to five years. The Faculty currently has a staff of 19 professors, 7 readers, 26 senior lecturers, 47 lecturers, 77 research fellows and assistants, about 40 computing, administrative and secretarial staff, and a number of honorary staff. Department of Health Services Research and Policy The aim of the Department is to carry out research that helps to improve the quality, organisation and management of health services and systems. This extends from establishing what care should be provided and how services should be organised, through assessing the quality of existing services, to how improvements can be brought about. Most of the research is in high income countries and, in particular, the UK. Our staff reflect both the multi-disciplinary (epidemiology, public health, sociology, psychology, economics, statistics, social and public policy) and multi-professional nature of our work (http://www.lshtm.ac.uk/php/hsrp/index.html). Establishing what care should be provided and how services should be organised involves primary evaluative research (on particular health care interventions and policies), reviews of existing research evidence and modelling possible options. In addition to specific projects, we run the Clinical Effectiveness Unit at the Royal College of Surgeons of England, support a similar Department at the Royal College of Obstetricians & Gynaecology, the Department of Health-funded Health Reforms Evaluation Programme (http://www.lshtm.ac.uk/hsru/hrep/). The Department is also part of the School’s European Centre on Health of Societies in Transition (ECOHOST) (http://www.lshtm.ac.uk/ecohost/) which, in turn, is a major partner in the WHO-funded European Observatory on Health Systems and Policies (http://www.euro.who.int/observatory). Teaching The Faculty of Public Health and Policy is responsible for organizing a one year Master's courses in Public Health, which allows students to take a general MSc in Public Health, or to follow one of the following streams: Health Services Management, Health Promotion, Environmental Health or Health Services Research. The Faculty also jointly teaches MSc Public Health in Developing Countries and MSc Control of Infectious Disease (with the Faculties of Infectious and Tropical Diseases and Epidemiology and Population Health), and MSc Health Policy, Planning and Financing (with the LSE). Master's courses are organised in a modular format across the whole School. One of the growing areas of Faculty teaching is in the distance-based MSc in Public Health, introduced in 2005/6 The Faculty has also reorganised and expanded its research degree (MPhil/PhD; DrPH) training. Currently there are about 108 students and 23 staff members registered for a research degree. The Royal College of Obstetricians and Gynaecologists The College is a professional body dedicated to the encouragement of the study and the advancement of the science and practice of obstetrics and gynaecologists. Obstetrics and gynaecology were recognised as separate specialties in the mid 19th century and an independent College was founded in 1929. Currently, the College has more than 11,000 Fellows and Members of which about 6,000 are based in the UK. To fulfil its role, the College aims to improve and maintain standards in the practice of obstetrics and gynaecology, to educate medical practitioners, and to promote study and research. Office for Research and Clinical Audit Since 2006, the Department of Health Services Research & Policy has worked in partnership with the Royal College of Gynaecologists and Obstetricians running the Office for Research and Clinical Audit (ORCA; www.rcog.org.uk/orca). A similar collaboration exists with the Royal College of Surgeons (www.rcseng.ac.uk/surgical_research_units/ceu). ORCA has become a national centre of expertise in methods, organisation, and logistics of large-scale studies of the quality of gynaecological and obstetric surgical care. It has fostered collaborative links with numerous NHS organisations, the Department of Health, and relevant regulatory bodies. Currently, the ORCA has 6 staff members, four of whom are academic staff members of the School with a multidisciplinary background (health services research, epidemiology, medical statistics, public health). Many projects that ORCA carries out straddle clinical audit and research. Clinical audit is a means of quality assessment, focusing on the structure, process and outcome of care. The objective of clinical research on the other hand is to provide answers to questions that directly or indirectly contribute to defining what is best practice. In addition, methodological research is required to solve the many challenges that national clinical audits bring about. There is a need to refine and further develop the statistical techniques that take the specific clinical context into account. The use of administrative data and patient-reported outcome measures are other areas of interest. Duties of the post Research carry out research on health care quality assessment, including the development of performance indicators, performance monitoring, improvement of methods for risk adjustment and statistical modelling, record linkage, use of administrative data, handling missing data; patient-reported measures analyse data of national clinical audits and other large scale research studies; publish in peer-reviewed and prestigious journals as well as in other appropriate media; disseminate research through international and national conferences. Teaching participate in the teaching programme of the Faculty of Public Health & Policy, LSHTM (up to 15% of available time) which may include acting as a tutor to MSc students and organising a Teaching Module. supervise up to three research degree (MPhil/PhD; DrPH) students registered at the LSHTM and be a member of several Advisory Committees for other students. undertake a management task at Department, Faculty or School level. facilitate any other activities that will help to achieve the Department of Health Services Research & Policy's objectives. provide and update quarterly a personal page on the School’s website. contribute to the life of the School by participating in committees and other group activities. Person specification Essential: PhD or equivalent in statistics, health services research, epidemiology, or a related discipline Experience in independently carrying out statistical analyses of complex data sets Experience in using advanced statistical techniques such as multiple regression analyses Proven ability to write up and communicate findings Proven ability to teach Desirable: Knowledge and experience of health care quality assessment and audit Knowledge and experience of multilevel modelling and Bayesian analysis, or multiple imputation of missing data. Experience in using administrative health datasets Experience in data linkage Experience of post-graduate teaching Experience of liaising with stakeholders and clinicians Accountability The post-holder will be responsible to Professor Jan van der Meulen, the Head of the Department of Health Services Research & Policy, the Head of the Faculty of Public Health & Policy and, ultimately, the Director of the School. Salary and conditions of appointment In accordance with current LSHTM policy, the post will be a full-time appointment for a fixed period ending 31 March 2017. A review will be undertaken at the end of the first year in accordance with the School's performance review policy. Salary will be on the Lecturer scale (£41,627 - £47,652 pa inclusive) depending on qualifications and experience. Applications Applications should be made on-line via our website at http://jobs.lshtm.ac.uk. The reference for this post is HSR-MS. Applications should include a CV and the names and email contacts of two referees who can be contacted immediately if shortlisted. The closing date for applications is Tuesday 20 November 2012. Any queries regarding the application process may be addressed to firstname.lastname@example.org. Please quote reference HSR-MS. The supporting statement section should set out how your qualifications, experience and training meet each of the selection criteria. Please provide one or more paragraphs addressing each criterion. The supporting statement is an essential part of the selection process and thus a failure to provide this information will mean that the application will not be considered. An answer to any of the criteria such as “Please see attached CV” will not be considered acceptable. Potential applicants are encouraged to contact Professor Jan van der Meulen (tel 020 7927 2266 and email email@example.com) or Dr David Cromwell (tel 020 7869 6608/6600 and email firstname.lastname@example.org). Please note that if you are shortlisted and are unable to attend on the interview date it may not be possible to offer you an alternative date.
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