London School of Hygiene & Tropical Medicine by Kj24Q1


									London School of Hygiene & Tropical Medicine
(University of London)


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 ( 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

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.

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

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
 ( The Department is also part of the School’s European
Centre on Health of Societies in Transition (ECOHOST) (
which, in turn, is a major partner in the WHO-funded European Observatory on Health
Systems and Policies (
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; A similar collaboration
exists with the Royal College of Surgeons (

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
    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
    disseminate research through international and national conferences.
    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

Person specification
    PhD or equivalent in statistics, health services research, epidemiology, or a related
    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

     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

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 should be made on-line via our website at 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 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 or Dr David Cromwell (tel 020 7869
6608/6600 and email

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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