NIHR ARC South London is a research organisation that brings together academics, health professionals and local people in south London to develop new and improved ways of delivering health and social care. We are one of 15 ARCs across England and received our funding from the NIHR in October 2019. 

Each ARC works with local providers of health and care services, commissioners, local authorities, universities, charities and communities to carry out high-quality applied health and care research that addresses the specific health or care needs in their region.

The priorities that drive our work in south London

In south London, many people are affected by a complex range of health and social issues, including living with more than one long-term health condition, and facing poverty or other inequalities. Alongside this, south London’s healthcare system is under pressure, facing the challenges of a growing and ageing population. The impact of the Covid-19 pandemic, particularly on individuals from Black, Asian, and minority ethnic backgrounds, people with lower incomes and living in socially deprived areas, has been an important focus in our work.

The health and care priorities that drive our applied research are to:

  • improve care for vulnerable and older populations
  • support people living with multiple health conditions
  • address wider inequalities in health and care.

We deliver research that improves the quality, delivery and efficiency of health and care services, improving outcomes for patients and the public, both locally and nationally.

Impact case studies

Our work is helping to improve health and care services locally, nationally and internationally. 

Informing national policy on perinatal mental health and maternity care

What is the problem?

Up to one in four women experience mental illness during pregnancy and up to one year after birth, often with long-term adverse consequences for mother and child. In the UK, suicide is the leading cause of maternal death in the postpartum period and one of the leading causes during pregnancy. It is crucial that health professionals identify women experiencing mental health problems so that women can access mental health treatment and support, and we can improve outcomes for mothers and families.

What did we do?

The ARC’s maternity and perinatal mental health researchers have investigated perinatal mental health-related causes of near misses – events where a woman comes close to maternal death. Our researchers have also evaluated the delivery of the Maternal Mental Health Service (MMHS) programme, which aims to provide psychological interventions, integrated with maternity services, for women experiencing moderate to severe, or complex mental health difficulties during pregnancy.

What has been the impact?

Read more: Research which has been instrumental in informing clinical guidance and service delivery of perinatal mental health services.

Improving health outcomes for women and babies

What is the problem?

While maternity care for mothers and babies in the UK is of high quality overall, it could and should be more consistent and provide greater equity of outcomes. Around 8% of babies in the UK are born prematurely - higher than elsewhere in Europe. There are also major disparities in maternal health outcomes for women belonging to ethnic minorities and those living in disadvantaged areas.

What did we do?

Researchers in the ARC’s maternity and perinatal mental health theme led research to explore how health outcomes for women and babies at risk of complications could be improved, including an influential international review into the evidence on models of midwifery continuity of care.

What has been the impact?

Read more: Improving health outcomes for women and babies at higher risk of complications during pregnancy and birth

Improving support for families with children’s social care involvement

What is the problem?

The last decade has seen a rise in children's social care (CSC) involvement for children. Most children in care proceedings in England are under the age of one, with more than half newborns. In the UK, rates of babies under the age of one being placed in state care have nearly doubled over the last decade. Despite the scale of the problem, evidence about women with CSC involvement during pregnancy and the postnatal period has been limited.

What did we do?

Our ARC's maternity and perinatal mental health researchers collaborated with people with lived experience, the charity Birth Companions, Oxford Population Health and University of Lancaster to address this evidence gap. The researchers explored maternal characteristics, outcomes and experiences of women in contact with CSC in the perinatal period, particularly mothers facing separation from their infant. 

What has been the impact?

Read more: Improving healthcare and support for families with children’s social care involvement during pregnancy and the first two years of life

Improving care for children and young people in south London

What is the problem?

Children and young people’s healthcare in England should be better. Child mortality rates are worse than in comparable countries, and children with common long-term conditions receive poorer care. In Lambeth and Southwark research by the ARC children’s and young people theme revealed significant problems with children and young people’s health services, including high and increasing hospital use, poor management of long-term conditions and healthcare needs not being met.

What did we do?

ARC researchers developed and tested a new integrated model of care designed to improve care for all children and young people living in Lambeth and Southwark, the Children and Young People’s Health Partnership (CYPHP). The CYPHP was co-designed by local clinicians, parents, carers, children and young people, researchers, commissioners and providers. The model includes enhanced primary care clinics, targeted early interventions for children with long-term health conditions, and population health initiatives to identify children with unmet health and care needs.

What has been the impact?

  • The new clinical model has been tested and implemented. It is now embedded across Lambeth and Southwark, providing more integrated, fairer and higher-quality care.
  • The CYPHP trial showed improvements in care quality and health status for children receiving CYPHP interventions for existing long-term conditions, including asthma and eczema.
  • The model is increasing access to care, particularly for children living in the most deprived neighbourhoods.

Read more: Implementing and evaluating a new model of care – the Children and young people’s health partnership, which is improving the way care is delivered for the 128,000 children and young people in Southwark and Lambeth

Helping African and Caribbean adults who have diabetes

What is the problem?

Type 2 diabetes is a common, chronic condition that causes the level of sugar (glucose) in your blood to become too high. If not managed effectively, it can cause disabling and life-threatening complications, including heart disease and stroke. In the UK, African and Caribbean communities are 2-4 times more likely to develop type 2 diabetes than White Europeans. They also develop the condition, on average, 10 years earlier. In south-east London, an area with a large African and Caribbean population, 40% of people with newly diagnosed type 2 diabetes are of Black-British ethnicity.

What did we do?

Public health and multimorbidity researchers at the ARC worked with the Health Innovation Network to develop a new online programme specially designed to support adults of African and Caribbean heritage living with type 2 diabetes. Launched in south-east London, the Healthy Eating & Active Lifestyles for Diabetes (HEAL-D) programme helps participants to manage their diabetes better, improving their health and quality of life. 

What has been the impact?

A service evaluation of the online version of HEAL-D carried out with the Health Innovation Network showed:

  • 78% of people who completed the programme reported weight loss
  • 98% ‘strongly agreed’ or ‘agreed’ that HEAL-D Online has helped them to manage their diabetes
  • The proportion of patients experiencing ‘diabetes-related distress’ (a wellbeing measure for diabetes patients) reduced from 49% to 23% after attending

HEAL-D Online is now available across south London and is being piloted in other parts of the country. 

Read more: The development of a new online self-management programme specially designed to support adults of African and Caribbean heritage living with type 2 diabetes.

Improving care for people with alcohol addiction

What is the problem?

Alcohol-related hospital admissions are rising annually, putting pressure on NHS services. People with serious alcohol problems often turn to A&E because they struggle to engage with traditional addiction services for physical, practical or psychological reasons. Only 6%-20% of people with alcohol dependence in England access community alcohol services. 

What did we do?

Our researchers conducted a trial of Alcohol Assertive Outreach Treatment (AAOT) in Lambeth and Southwark, with health professionals supporting patients at home and in their neighbourhood.

What has been the impact?

  • Findings showed AAOT is highly cost-effective, improves quality of life and reduces hospital admissions.
  • Working with the NIHR Mental Health Implementation Network (MHIN), we implemented AAOT nationally for patients with addiction and mental health comorbidities
  • AAOT services have been commissioned across south-east London, and in Manchester and Hull – in some of the most deprived communities in England, which have the highest rates of deaths from alcohol liver disease and the least access to specialist treatment
  • Trial findings are included in draft UK clinical guidelines (DHSC, 2025) and commissioning guidelines, helping to shape future policy and practice
  • Working with the MHIN, researchers have created policy briefings, national webinars, and an implementation toolkit for clinicians, managers, commissioners and policymakers.

Read more: Improving care for people with alcohol addiction and complex needs

Transforming the management of breathlessness in advanced illness

What is the problem?

Breathlessness is the feeling of being out of breath as your lungs work harder to draw in more oxygen. It is a common symptom in patients with advanced diseases and is frightening and distressing for patients, families and carers. Breathlessness affects over two million people in the UK and 75 million people across the world.

What did we do?

Palliative and end of life care researchers at ARC South London have a longstanding programme of research that tackles breathlessness across advanced respiratory disease, cancer and other serious conditions. As part of this work, they gathered evidence on effective treatments for breathlessness, including non-drug interventions like hand-held fans and walking aids. They discovered that non-drug interventions could be effective in improving mobility, self-care and reducing the burden of breathlessness. This led to the development of the Breathlessness Support Service in London, a comprehensive programme that addresses the whole experience of breathlessness, not just its physical aspects.

What has been the impact?

This programme of work has transformed how breathlessness is recognised and managed in the UK and around the world. It has:

  • Equipped professionals to better recognise, assess and manage breathlessness
  • Helped patients manage their breathlessness, improving their quality of life
  • Helped policymakers and commissioners improve the quality of services
  • Widened access to helpful non-drug therapies
  • Benefited hospices and palliative care services
  • Provided a rapid response during the Covid-19 pandemic

Read more: Research and patient and public involvement and engagement, to transform the management of breathlessness in advanced illness

Informing policy on tobacco dependence treatment

What is the problem?

Each year, around half a million admissions to acute hospitals are attributable to people smoking tobacco, at an estimated cost of £850m. People who currently smoke or used to smoke also use primary care services and outpatient secondary care services more than those who have never smoked, which costs an extra estimated £1.1bn and £696m, respectively.

What did we do?

Smoking researchers in our public health and multimorbidity theme have been working collaboratively with local NHS Trusts and commissioners for several years to establish tobacco dependence treatment pathways in hospital settings and have evaluated a smoking cessation programme for patients admitted to local hospitals in south London.

What has been the impact?

  • The researchers have completed an evaluation of 2,084 patients who received tobacco dependence treatment started in hospital and supported after discharge (in King’s College Hospital and Guy’s and St Thomas’ NHS Foundation Trusts).
  • Our research showed that implementing a tobacco dependence treatment programme for hospital patients who smoke, reduces readmissions and provides significant cost-savings to the NHS.
  • Among patients who are readmitted, the hospital costs were £491,000 less than the benchmarked equivalent and they spent 275 fewer bed days in hospital. This report is influencing local commissioning decisions about funding tobacco dependence services.

Read more: Research used to support decision-making by local NHS Trusts and the South-East London Integrated Care System (ICS) about the funding and provision of tobacco dependence treatment, for patients admitted to hospitals in south-east London who smoke.

Measuring the impact of mental health care

What is the problem?

Therapeutic engagement is perceived as the crux of mental health nursing. But prior to the development of the Therapeutic Engagement Questionnaire (TEQ), there was no metric to measure this objectively in acute inpatient mental health settings.

What did we do?

ARC researchers developed the Therapeutic Engagement Questionnaire, a tool for measuring the impact on service users of therapeutic engagement by mental health nurses.

What has been the impact?

  • TEQ is now being implemented into routine clinical practice in England and internationally.
  • TEQ has been fully implemented in the adult acute wards of seven NHS mental health trusts in England.
  • A further three NHS mental health trusts are at the initial implementing phase including forensic services.
  • Internationally, it has been implemented in Finland, Malta, Jordan and Slovenia.

Read more: The development of a Therapeutic Engagement Questionnaire to measure the impact of mental health care

Brixton market

Addressing real-world problems

At ARC South London, our work is designed to find solutions to real-world problems. We want our research to move beyond academia to inform decisions around policy and service delivery with the latest evidence.

Identifying gaps in services

  • Our palliative and end of life care researchers published a report that identified gaps and inconsistencies in palliative care services across the UK, working with the national charity Marie Curie.
  • They have also developed evidence-based policy recommendations shared through two policy briefs (A Right to be Heard (2023) and Reforming end of life dementia care (2024)), calling for better palliative and end of life care for people affected by dementia. The evidence is informing discussions and planning at national and local levels, with international reach, helping to improve palliative and end of life care.
  • Our vascular researchers have identified the unmet needs of stroke survivors, providing recommendations for policymakers and care systems to address these problems.

Implementing and evaluating services

Influencing policymakers in the UK and internationally

  • Our maternity researchers have successfully made the case to policymakers of the health and care value of continuity of midwife care models. Our evidence on impact of continuity of midwifery care was cited in the Core20PLUS5 NHS England inequalities strategy and has informed the current strategy for enhanced continuity of midwifery care targeting areas of deprivation, high ethnic diversity and social exclusion.
  • Our children’s health researchers produced a policy brief and held a workshop in 2024 to inform national policy on children’s neighbourhood health. Leading clinical, academic and third sector partners discussed the pressing problems affecting the health and wellbeing of children and young people in the UK, and to inform recommendations drawing on evidence of effectiveness, impact and cost.
  • ARC researchers have co-led The Lancet Commission on Ending Stigma and Discrimination and are leading an implementation process for this report.

Understanding the impact on services caused by the pandemic

Supporting inclusive research

Impact on care and services only happens by people working together, sharing data and expertise, generating new knowledge, and listening and responding to diverse voices. We are committed to expanding public participation in research and engaging diverse communities. 

Building research skills capacity

An important area of the ARC’s work is offering training and building research skills capacity among the health and care workforce, and engaging with local communities. We have led the way in showing how new fields of research such as implementation and improvement science, and the involvement of patients, service users and carers can help to improve services.

ARC highlights in numbers:

Since October 2019, NIHR ARC South London has:

  • Recruited 63,305 participants to studies
  • Published 1,871 research papers
  • Leveraged £59.4m of external research funding
  • Attracted hundreds of international delegates to our annual implementation science events
  • Supported 7 PhD students
  • Funded 4 postdoctoral fellows in social care
Researchers sitting discussing and networking