UK ENABLE Consortium vision, aims and objectives: Local government is uniquely placed to shape the environmental and social factors which fundamentally influence non-communicable diseases (NCDs) and thus our health and wellbeing. Our vision is for local government to consider the health of local populations in all policy and practice decisions and to have the best possible scientific evidence to support those decisions. We will test our vision by working with five different local authority (LA) based public health systems across the UK, learning what works best, and what can be useful for all LAs across the UK. Our consortium brings together academics, practitioners, policy makers and other stakeholders from across the UK in five centres in NE and SW England, Scotland, Northern Ireland and Wales; each with different models of public health delivery. We will develop and test a process that embeds research capacity and expertise in LAs. Working closely with our partners in each LA, we will identify a current priority for improving the health and wellbeing and reducing inequalities of people living in that area. By building relationships between academics, practitioners and policy makers we will enable the LA to access and create new evidence that is relevant for decision making about the priority issue. Scientific rationale for the proposed research: Evidence-informed policy-making aims to improve decision making by using the best available research. Organisational and cultural barriers within the current system have made this approach difficult to achieve. New methods and approaches are needed which bring together researchers, practitioners and policy makers in local government, where evidence is only one contributing factor to decision-making. Embedded researchers and knowledge brokers can help to ensure evidence is used by building understanding of the context, accessing existing, and co-producing new evidence. Intervention(s) of interest and the potential applications and anticipated benefits of the work: By the end of the project we will: 1. Increase research capacity and 'no how' in each LA, focusing on a local NCD priority issue, enabling access to evidence to inform local decision-making. We will develop and share learning which is generalisable across the UK 2. Build and support new partnerships for active and effective research use with practitioners, policy makers, and academia 3. Build knowledge and skills in local government and universities to maximise use of different kinds of evidence for policy, practice and public decision-making 4. Co-create evidence that addresses local government priorities, with a focus on prevention, by working across sectors and disciplines, utilising novel methodological approaches, including complex systems models 5. Develop a range of health and system interventions that have been co-produced and tested across LA areas 6. Create sustained change in research culture in LAs and academia so that evidence use is embedded across local government 7. Evaluate this new approach and methods to see if we made a difference to the health of people living in each area, related to their priority topic, and whether/how this approach could be rolled out across the UK We anticipate that this work will improve population health and wellbeing and increase the use of scientific research. It aims to improve quality, efficiency and effectiveness of public health interventions and services, reduce waste, and improve staff morale and retention. Consortium management: Our across-UK academic leadership brings together experience of applied translational research in prevention from four of the UKCRC funded Centres of Excellence in Public Health. Senior leaders in local government public health, bring practical experience of putting evidence into action. Other members have expertise in systems thinking, embedded research, knowledge brokerage and other skills essential to our success.

The quality of Roman silver coinage is often taken an an index of the economic health of the empire, with a fall in silver content being taken as an indication of fiscal inadequacy. During the third century AD debased silver coinage came to dominate the currency system of the Roman world, coinciding with a period that historians have dubbed the 'third century crisis'. Between AD 194 and 260 the silver content of the coinage declined from just under 50% to less than 10%, and previous studies have proposed that this decline in quality was almost continuous. By about AD 260 new technologies had to be employed to make the coins look silvery and to disguise the fact that they were made mainly of copper. The continuous decline is thought to signify perpetual fiscal crisis, where revenues and resources could not match Rome's expenditure on its armies. It is generally thought that public confidence in the coinage waned, leading to inflation and the collapse of the monetary system. However, the evidence on which this account of monetary crisis is based is seriously flawed. Until AD 260 Roman mints were able to disguise the extent of debasement by deliberately enhancing the silvery surfaces of the coins using a technique known as depletion silvering, and previous analyses did not take this fact into account. Consequently we do not know anything for certain about the full extent of debasement between AD 194 and 260, or about the frequency of debasement. We do not know whether there were long periods of stability or even improvements during this period. While there can be no doubt that the silver content in AD 260 was much lower than in AD 194, the way in which the decline occurred - and thus the reasons for the decline - remain obscure. Previous work by the applicants on earlier periods have overturned the picture of continuous decline and perpetual fiscal crisis for those periods. It remains to be seen whether one of the cornerstones of the 'third century crisis', the collapse of the coinage, is a sustainable narrative. The aim of the project is to analyse 2,250 Roman silver coins for the period AD 194 to 260, to determine not only the fineness of the coins but also to use minor and trace elements, and lead isotope analyses, to inform us about sources of raw materials and production technology. One explanation for the dramatic fall in the silver content of the coinage is that the Roman empire ran out of stocks of fresh silver. If this is so, evidence of recycling should be readily apparent. In addition, weight standards will also be scrutinised. These are important for drawing comparisons between different denominations of silver coinage, but they are also an important component of the concept of monetary standards. Finally, a study of hoards will look for evidence that the public was aware of changes made to the coinage. The PI and Co-I form a strong interdisciplinary team of archaeometallurgist and ancient historian/archaeologist working closely together and with a successful track-record of synergistic collaboration on this topic going back over two decades. To summarise: currently we know almost nothing about the condition of Roman silver coinage between AD 194 and 260, the period leading to the presumed collapse of the currency. Through interdisciplinary study, this project will bring together metrology, fineness standards, hoard evidence, metal supply and production technology to provide a comprehensive picture of Roman silver coinage at a crucial point in the monetary history of the Roman empire.

Abstracts are not currently available in GtR for all funded research. This is normally because the abstract was not required at the time of proposal submission, but may be because it included sensitive information such as personal details.

The LEAP Digital Health Hub is a partnership of the South West's leading Universities, more than 20 supporting companies nationally, many NHS Trusts & Health Boards, 4 social care organisations, the region's Local Authorities, the West of England Academic Health Science Network (AHSN), the award-winning business incubator SETsquared and Health Data Research UK (HDRUK). The 50+ partners that shaped this bid ranged from the research director for a provider of residential care homes, to a chief clinical information officer working in an intensive care unit; from the founder of a femtech startup to the head of the healthcare analytics team for a multinational consulting firm. In workshops through June and July 2022 they told us that Digital Health is as much about design and user experience as health data analysis; it is motivated by patient benefit but must also consider viable business models for industry. All Hub partners will have access to dedicated physical office space in central Bristol alongside the EPSRC Centre for Doctoral Training (CDT) in Digital Health and Care. There, they will train, network and research together across disciplines and sectors. They will engage with partners across the UK- and beyond. Recognising that UK breakthroughs in Digital Health may be equally (or more) impactful abroad, the Hub's new "Global Digital Health Network" links the Hub to Digital Health expertise from the US, China, India, Nigeria and Australia (sections B1.2, B5). The Hub's unique Skills and Knowledge Programme is designed to address the professional training needs of industry, health and social care providers and academia within the two Themes of Transforming Health & Care Beyond the Hospital and Optimising Disease Prediction, Diagnosis & Intervention. This is proposed to be the world's largest Digital Health taught programme. The Hub's Fellowship programme will comprise 5 different schemes to develop future leaders, within not only academia, industry and the health/care sector, but also within the community - as patients or informal carers. The Hub's Research programme focusses on pre-competitive research within the Hub's two thematic areas of Transforming Health and Care Beyond the Hospital and Optimising Disease Prediction, Diagnosis and Intervention. The Hub will add value by surfacing health priorities from its partner health and social care organisations, working with the West of England AHSN and also with Hub members such as Chief Nursing Information Officers, with charities, social care providers, patient and community groups.

When social workers work with children who have been or are likely to be abused or neglected, their first duty is to try to ensure the safety of the child. In many situations, such children can remain with their parents or main carers, so long as the necessary support can be provided to prevent further abuse or neglect from occurring. Where this is not possible, the removal of children into the care system is often the only remaining option. Crucial to maintaining a child successfully at home is the engagement of the parents with the necessary services, and the ability of those parents to make changes in their parenting behaviour. Unfortunately, the difficulties of assessing and understanding parents' engagement and capacities to change are significant. Instances are relatively common of social workers being over-optimistic about parents' abilities, or of misinterpreting willingness or friendliness towards professionals for a genuine ability to change their behaviour. Shortcomings of this kind have occurred in significant numbers of cases involving child deaths from abuse or neglect, the well-know case in the UK of 'Baby Peter' being a notable example. The principal investigator of the proposed project (Dr Platt) has extensive experience in both practice and research in relation to engaging parents with services, and working to change and enhance their parenting behaviour. Most recently, he has published a model that seeks to explain what leads to good engagement of parents with the necessary service interventions. This model will be used as the cornerstone for the project, which will involve developing methods and materials to help social workers assess, more accurately, parental engagement and capacity to change. The project will also draw on other relevant work, both at the University of Bristol, and (internationally) in social work and related disciplines. At the centre of this project will be a consultation with partner organisations to develop methods and materials that will be usable in the pressurised context of social work practice. Three organisations have agreed to work with the University of Bristol, all of which are local authority children's services departments in the South West of England. They have agreed to commit staff time to the collaborative development of these materials, working with a small team from the university, comprising the principal investigator, and a research associate who will be a social worker with relevant practice experience. Following an initial design phase, groups of staff in each partner agency will be given training in using the new methods, followed by a period during which consultancy will be provided to support the use of those materials in practice. Towards the end of the project, which has a proposed duration of 12 months, there will be an evaluation of the usefulness, applicability and success of the methods and materials that will have been developed. Following evaluation, the materials will be revised as necessary, and disseminated more widely. Dissemination will be through publication in suitably accessible formats, by offering training on a fee-paid basis to organisations who may request it, and through the usual academic outlets. Further evaluation of the impact of use of the materials on outcomes for children over a longer time frame would be beyond the scope of the project, but, depending on findings, a future funding bid from a suitable funder would be considered.