UnumProvident Centre for Psychosocial and Disability Research Newsletter 2

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UnumProvident Centre for Psychosocial and Disability Research Cardiff University


Contents A successful Year and Better to Come


Staff Update


In the Media


Research Updates


Well-Being in Work


Conditionality in Context


Behaviour Change Research-Improving Practioners Performance


Grants Awarded & New Commissions


Conferences & Events


Conference Announcements


Staff ProďŹ le


Public representation at Conferences and events (Mar- Jul 06


Publications during 2006


The Staff


Newsletter Issue 2 September 2006

A successful Year and Better to Come By Professor Mansel Aylward CB, Director, UnumProvident Centre for Psychosocial & Disability Research, Cardiff University. It is but one year since we became fully operational; and what a year that has been. In Its first few days our second year is already bearing fruits brought about by some remarkable achievements gained so far, and a growing reputation in the biomedical and scientific spheres. Our staff has grown from the small nucleus of five to encompass fourteen, with an accompanying increase in the nature, diversity, and sophistication of the challenging research programmes and range of services that we now pursue and offer. Elsewhere in this Newsletter contributions by our research and administrative staff highlight the rewarding progress we have made in taking forward the seminal work in gaining insight and greater understanding of factors influencing the apparently high prevalence of common health problems in contemporary society; their nature and range. And more importantly investigation of the health-related, personal, psychological and socio-cultural elements in life which drive illness behaviours and account in great part for the translation of ubiquitous symptoms into chronic illness, disability, and work-incapacity in susceptible individuals. Here lies the key for unlocking the door to develop more effective interventions that successfully tackle obstacles to recovery, and barriers to (return to) work that shackle a growing numbers of people into a life of disability illness and harmful worklessness. Equally important have been the major strides made in our joint research with colleagues in the University’s Medical School in developing, and evaluating in field-studies, a novel behaviour change model. This has already provided considerable insight into the nature of the General Practitioner’s fitness for work consultation interface with the patient. The application and further development of the model into other areas that pose difficulties for GP’s show considerable promise for supporting, and engaging with, practitioners in Primary Care to facilitate more rewarding and mutually satisfying and effective contexts in the delivery of health and doctor-patient consultations. Backed by the formidable array of evidence gathered in evaluating this model these research endeavours have caught the attention of a growing number of potential and existing sponsors of our work in Government departments, public and private sectors, which in the coming year will enlarge and extend our commissioned research. Phase 1 of Wellbeing-in-work project, supported by the Welsh Assembly Government which we undertook in company with Swansea and Keele Universities has been successfully completed. This project now enters Phases 2 and 3 which will explore, document, and subject to robust analysis a broad range of psychosocial, cultural, and work-related data sets within a South Wales Community to enhance further, knowledge and understanding of health, work, illness, indices of multiple disadvantage and social exclusion within that community. Their relevance to work place health, employment, attendance management, placement in, and return to, work interventions and strategies will form a major plank of this continuing research. Staff at the UnumProvident Centre have published three books in the last twelve months and contributed a number of scientific papers to peer - reviewed journals as well as presenting the Centre’s research at several conferences and symposia at home and abroad. The Centre itself has also organised, or taken a lead role in arranging, conferences and symposia ranging from topics as varied as Happiness and Wellbeing, Communicating with the Public, Pathways to Work and Occupational Health. The coming year will see an increase in the number, range and diversity of such events which relate to the research areas in which we are involved. As I write we are also engaged in finalising protocols and arrangement for two large multi- intervention projects spanning 3 years. Both of these are concerned with the perceived growth in mental health problems in society at large, comparisons between experiences in the United Kingdom and continental European countries, and the search for best practice in supporting people with mental health problems and encouraging engagement with the world of work. We have had a successful and rewarding year. We strive to better that performance in the coming year. Mansel Aylward September, 2006


Psychosocial and Disability Research Staff Update We would like to offer a warm welcome the following new staff at the Unit. Dr Sue Ensaff is a GP who is working with Debbie Cohen on the DWP Competency framework project. Dr Kevin Fitzpatrick will be joining us to deliver a scoping exercise as part of the Healthy Minds at Work (HMAW) project. Dr Alice Varnava has joined us as Research Fellow on the Welbeing in Work Project (WIW). Jo Allen joined us earlier in the year as a Research Assistant working on the Sick Note or Bust Programme and has recently taken up post working with Kevin on the HMAW project. Katie Webb has been appointed to Research Assistant on the WIW project. Eleanor Higgins has recently been appointed on a permanent contract as Mansel Aylward’s Personal Assistant, funded by the Wales Centre for Health (WCfH). Louise Morris’ role has evolved and she now works as Business Manager at the Centre. Goodbye and Good Luck to Jo Menzies, who has recently taken up another post as Media Officer at the WCfH. She will continue to work closely with the centre as the two organisations work in partnership on various projects.

In the Media The Power of Belief July 24 2006, Western Mail. What role does belief play in illness, disability and incapacity? Professor Mansel Aykward argues that it has a powerful influence and should not be overlooked. What people hold to be true can affect their recovery. English boys live longer than the Welsh June 26 2006 Western Mail, Daily Mail Professor Mansel Aylward commented, “It’s well known that class differences in mortality, morbidity and economic inactivity are constant features of the entire human life span. It’s largely a matter of deprivation, multiple disadvantages and exclusion. “Even within Wales, for people in Merthyr Tydfil and Blaenau Gwent, the health inequality determinants the way people feel, their physical and mental health, smoking, obesity, body mass and inactivity - are all worse when compared to the Welsh average and to those in Conwy or Ceredigion.” Team of the Year Award for Dr Jonathon Gray & Team June 17 Cardiff News On 17th May Dr Jonathon Gray and his team at Cardiff University won Breast Cancer Campaigns prestigious ‘Team of the Year’ award for their research into men with breast cancer and the support services they require with a particular focus on cognitive behaviour therapies. This accolade is traditionally granted to the research team, which in the previous year has shown exceptional commitment to advancing scientific


knowledge for the benefit of people with breast cancer. Dr Gray’s research project has generated four research publications to date. Approximately 300 men a year will be diagnosed with breast cancer. Report shows Merthyr as one of the unhealthiest areas in Wales May 4 2006 Merthyr Express Community health profiles produced by the Wales Centre for Health paint a poor picture of health in Merthyr Tydfil. Commenting on the profiles Mansel Aylward stated “Our aim is to communicate to the public the health needs specific to their community, and the important role we can play in taking responsibility for our own health.” Health messages fail to reach needy April 17 2006 Western Mail Professor Aylward commented on the difficulties in reaching those with the greatest needs in the South Wales Valleys and the work which the UnumProvident centre is doing to reach those communities. “It is the people who live on certain estates in the South Wales Valleys who are prone to ill health and inactivity who we need to reach but before we can do that we have to find out what will help them to change their views and behaviour. One of the paradoxes of an effective health promotion campaign is whether those people who are likely to react to it and to change their behaviours are the ones who would receive the message anyway.” You are where you are born, say doctors March 31 2006 Western Mail The community in which people are born will shape their lifelong health, a leading expert says today. Commenting on the item that the community in which people are born will shape their lifelong health Mansel Aylward wrote “Health is not just about public health or healthcare delivery, it’s about what housing people live in, the culture, criminality. Unless we address these factors, then we won’t get any change. In simple terms, we can treat disease with pills but we don’t yet have any pills for psychosocial ills.” Childhood Obesity is reaching epidemic proportions March 13 2006 Mansel Aylward explained why Wales must reach those most in need of sound dietary advice. “The people we need to target are those people who are living in deprived communities, whose health profile is worst”

Research Updates The Common Health Complaints Programme Dr Rhiannon Buck & Maria Barnes


The main area of research within the Centre investigates factors which underpin Common Health Complaints (CHCs) with an emphasis on an integrated biopsycho-

Newsletter social approach to gain a greater understanding of the phenomena. The central question in this programme of research is ‘why do some people not recover from common health complaints as expected?’ This will give us a greater understanding of personal and socioeconomic issues which are involved in the pathways to work – incapacity, disability, and chronic illness. However, people’s perceptions and beliefs about health and illness can have a strong influence on how they respond to everyday symptoms. A series of studies are being conducted to discover more about how people respond to CHCs, exploring the psychosocial factors that contribute to the extent and duration of disability and incapacity for work. A series of focus groups have been undertaken in the South Wales community to explore how people think about and respond to CHCs. The most striking findings have shown the high prevalence of perceived mental health conditions in the population. Depression and stress were commonly discussed in all groups, regardless of age, gender and socio-economic status. The impact of these conditions on work sickness absence was perceived as far greater than other CHCs. Whilst they were considered serious and legitimate, there was still considerable stigma and tension attached to the reporting of these symptoms.

health and work and is sponsored by the Wales Centre for Health and the Welsh Assembly Government. Stage 1 involved gathering baseline data, and was completed in March 2006. The final report is now available, a socio-economic profile of Merthyr Tydfil . We will be working in partnership with employers to investigate further the relationship between health and work in their workforces, and to scope rehabilitation and work retention interventions and health promotion initiatives. This is an exciting yet demanding project involving qualitative and quantitative approaches to understanding how health impacts on work in terms of both sickness absence and performance. This includes work to identify occupational and psychosocial risk factors which have high impact on health status at work. These can be targeted for intervention in Stage 3.

We are now conducting in depth analysis on the data and are running further research involving people on Incapacity Benefit. MB Phase 2 of the CHC research involves large scale surveys to identify psychosocial predictors of responses to CHCs. We are particularly interested in identifying psychosocial risk factors which underpin the more severe or prolonged disability associated with incapacity for work than would be expected based on underlying medical factors. We are working in collaboration with experts in epidemiology and psychology at the Medical School in Cardiff to design a new measure of symptoms and psychosocial variables. This is an intensive and highly technical process. This measure is designed to predict recovery or perpetuation of illness and work-incapacity. We are now piloting the questionnaire. The ultimate aim of this research is to identify individuals at risk of developing problems with CHCs so that they can be targeted for interventions to reduce the impact of these conditions on their everyday lives, including their capacity for work. RB

Well-Being in Work Dr Rhiannon Buck

The centre has been working on this project (WiW) in collaboration with Swansea and Keele Universities. This high profile project investigates the relationships between

Conditionality in Context

Dr Rhiannon Buck & Maria Barnes A commissioned report has been prepared on the issue of introducing conditionality for Incapacity Benefit claimants in a multi-disadvantaged community . The social and regional disadvantages which affect a significant proportion of the population are critically important in considering the role of conditionality as an effective tool in moving people to (or return to) work. Many IB recipients in Merthyr Tydfil, as in other deprived areas of the country, have multiple disadvantages, and face multiple barriers to work, including age, work history, low skills, local labour market, high unemployment rates and attitudes of health professionals and employers. Even if a health condition is not totally incapacitating, it is profoundly confounded by these other disadvantages in this context. It is argued that conditionality can only be a fair process if there is a real, rather than a theoretical prospect of suitable work that the person exiting benefit can engage in. Economic inactivity does urgently need to be tackled in areas of multiple disadvantage as part of regeneration


Psychosocial and Disability Research strategies to reduce poverty on an individual and community basis, and enabling people who have health conditions to work or return to work is a vital part of achieving this. However, the complexity of the relationship between health and worklessness should not be underestimated, and it is best understood from a bio-psychosocial perspective.

Behaviour Change Improving Practioners Performance Dr Debbie Cohen

Debbie’s research project investigating the fitness for work consultation has progressed well. She delivered a presentation on the project to Margaret Hodge MP, then Minister for Work and Employment at the Department for Work and pensions in Whitehall in March 2006. This provoked considerable interest and a request for proposals to further develop the models for use in taking forward the engagement of GPs’ programme. Jo Allen reports that over 200 GPs have signed up to the evaluation project and later this year Debbie will be presenting the work at the annual Occupational Health Meeting in Birmingham and the RSM occupational health meeting in Brighton. Debbie’s other research is remediation of Poorly Performing Doctors. The service she provides in Wales now has UK recognition. Debbie has recently completed a book chapter on Remediation, along with a colleague Melody Rhydderch (a chartered occupational Psychologist) for a new book to be published on this topic entitled Assessment in Medical Education and Training, Radcliffe Publishing. Both Debbie and Melody have presented their work at a national Occupational health meeting in Birmingham and a Communication and Ethics meeting here in Cardiff.

Grants Awarded & New Commissions Healthy Minds at Work Scoping Study


The Centre has recently been commissioned by Healthy Minds at Work and Remploy to carry out an initial scoping exercise to establish the nature and extent of mental health issues at work in Wales and to review activities, policies and effective practice in Wales, elsewhere in the UK and internationally. The newly recruited research team will assess the effectiveness of the interventions and activities carried out as part of the programme in improving the wellbeing of people facing mental health issues. The study will also focus on raising awareness and self-help solutions for employers with specific regard to employees with Mental Health Issues and provide recommendations on ‘best practice’ to improve mental health in the workplace in Wales The relationship between health and work will be viewed

and explored from a biopsychosocial perspective and will involve the use of both qualitative and quantitative methods. Comparison of the impact of the initiative in other European partners’ work will be undertaken with a view to proposing a more detailed study of all of the above. The study will influence the direction of further research in this area to be developed throughout the lifetime of the initiative. Development of resources for final year medical student competencies in Occupational health Recently Debbie Cohen obtained a substantial grant from the Department for Work and Pensions to create the resources for the new Undergraduate competency framework in Occupational Medicine which will be posted on the faculty of occupational medicines website at the end of the year. The centre has recently recruited Dr Sue Ensaff to work on this framework agreement. She is a GP with a background in Occupational Health. Work is currently underway and the project will run until December 2006.

Conferences & Events The launch of “The Power of Belief” Psychosocial influence on illness, disability and medicine. Edited by Peter W. Halligan & Mansel Aylward (Oxford University Press) Following the success of the Savoy event the UnumProvident Centre at Cardiff University invited guests to celebrate the launch of ‘The Power of belief’ on the 19th June at the Royal Society of Medicine, London. The evening was introduced and hosted by Professor Peter White (Barts and the London) and the audience were entertained with presentations from a broad range of speakers. Prof. Simon Wessely (Kings College London) and Lord Archie Kirkwood delivered messages about the importance of belief, with the humour and levity we would expect. Professor Chris French (GoldSmiths University of London) wowed the audience with his presentation on the tangible power of belief. He demonstrated the subliminal messages believed to be contained in rock music when it is played in reverse. An excellent example of how the senses can be manipulated into believing certain things to be true. Other speakers then went on to highlight how important the role of belief is in illness diagnosis and perception. For those who were unable to attend you can hear some of the clips Chris French played on the following website:

Newsletter http://jeffmilner.com/backmasking.htm. We were most honoured that The Right Rev Bishop David E Jenkins (Former Bishop of Durham) joined us to give

their eventual recovery from illness, but also the way in which medical professionals view and treat illness. It also presents an opportunity to probe deeper into the nature of beliefs and, in particular, highlights recent theoretical considerations and clinical studies which illustrate the significant role that beliefs play in defining illness, compliance with treatment and vocational rehabilitation. At a time when public trust in doctors and science is diminishing, a better understanding of patients’ and doctors’ beliefs regarding illness is clearly a priority for research in clinical practice. The Launch of “The Scientific and Conceptual Basis of Incapacity Benefit” Waddell G and Aylward M (TSO, London) UnumProvident hosted a reception in on the 31st January at the Savoy Hotel to celebrate the launch of this seminal new book.

a thought provoking keynote address. His views on the nature of beliefs (both religious and secular) added a further dimension to the way in which belief has been considered in the book. He highlighted the need for professionals to avoid paralysis of analysis which is indeed advice that the audience certainly took heed of. Short Synopsis of the book As editors of the publication Professors Aylward and Haligan brought together a collection of distinguished scientists and clinicians from neuroscience, rehabilitation and disability medicine to provide a unique account of the role and influence that belief plays in illness manifestation, medical training, biopsychosocial interventions and society at large. The book examines how beliefs can affect not only the patient, in terms of

The evening was introduced by Dr Peter Dewis, UnumProvident’s Customer Care Director and was followed by inspiring presentations on the issues raised in the book from: • • • •

Lord Archie Kirkwood – former Chair of the Work and Pensions Select Committee Bert Massie CBE – Chairman, Disability Rights Commission Dr Kevin Fitzpatrick – Disability Rights Commissioner for Wales Professor Tony Newman Taylor CBE – Chair: The Industrial Injuries Advisory Council

Attendees had the opportunity to network with influential figures in this area from the academic, clinical, political and business worlds. The event was well attended and an interesting and enjoyable evening was had by all!


Psychosocial and Disability Research Short Synopsis of the book The rise in the number of Incapacity Benefit recipients over the last three decades is a phenomenon which hides a number of important social issues. This work, written by two of the most influential experts and opinion formers in this area, explores these issues in detail and proposes a logical framework for tackling them. This includes addressing the way in which financial benefits should be structured, but more importantly proposes a whole approach to the overriding issue of worklessness arising from sickness and disability. Communicating with the public: behaviour change Conference


A conference on communicating with the public was organised by the Wales Centre for Health and the UnumProvident Centre on Tuesday 28 February 2006. The keynote address was given by Professor Aidan Halligan, Director of Clinical Governance for the NHS, who inspired the audience to shape their perspectives in line with the needs of those they serve, namely the public. Other speakers discussed the success of a range of initiatives to communicate with the public and the determinants of poor public health. Examples included the Welsh Backs initiative, Healthy Working Lives strategy in Glasgow, and the work to produce an evidence base for poor public health by the Cardiff Institute of Society, Health and Ethics. Findings presented at the conference by Mary Morris, Community Health Information Officer and Professor Mansel Aylward CB, Chair, revealed that the way in which health messages are disseminated needs to change dramatically if they are to reach individuals with the worst health profile. The findings stressed that most members of the public reject health messages delivered via leaflets. “People indicated that they don’t want to hear general health messages, they want information that is specific to them at a particular time in their lives.” The research also demonstrated the fact that many members of the public think in terms of sickness rather than health, and do not believe that they, as individuals, have the power to influence their health and well being; a finding echoed by Professor Rob Horne. Last Drag? The Ban and You - Smoking in Public Places Question Time In collaboration with the Wales Centre for Health, the centre successfully arranged a public question time session on the 2nd February 2006. The event which was Chaired by BBC Wales presenter, Jamie Owen proved to be a lively and thought-provoking event.


Panelists included representatives from the BMA, Forest, Brains Brewery, and Madate Trade Union in Eire. The event inspired debate on diverse issues relating to banning smoking in public places: bar workers’ rights to breathe clean air, a smoker’s right to choose whether or not to light up, the dangers of passive smoking, the potential financial impact of a smoking ban on the hospitality industry.

Conference Announcements ‘Happiness & Resilience at Work’ Conference 14th September 2006, Royal College of Physicians, London This conference will explore the meaning of “happiness” and why we have such a strong instinct to pursue happiness. The latest scientific insights into the nature of our feelings of wellbeing will be discussed and if money doesn’t buy happiness what does? There is accumulating evidence that work is central to wellbeing and certain features correlate highly with happiness. The most up to date evidence will be analyzed and discussed. Should we just be happy with what we have got and stop comparing ourselves unfavorably with others- a surer route to happiness than pursuing wealth? This conference will explore resilience, the meaning of “happiness” and why we have such a strong instinct to pursue happiness. To register please contact: Suzanne.cox@unumprovident. co.uk Historical Perspectives on Health Seminar Series Tuesday 17th October, Cardiff University Seminar One: Psychological Injury: Mental Trauma in War and Peace, 1900-2000 vs 2000. This is the first in a series of seminars that will explore the implications of historical research for contemporary medicine and health care. This seminar on ‘Psychological Injury’ will bring together historians and health care practitioners to consider experiences of mental trauma during the twentieth century. Modern military conflicts will be compared with the shellshock of the First World War,

Newsletter but the neglected history of psychological injury in the civilian sphere will also be opened up. There will be the opportunity for delegates to discuss the key issues in workshop sessions. The seminar will be of particular relevance to health care practitioners particularly those dealing with traumatized patients, medical historians, military historians and historians of industrial south Wales, and others with a general interest in mental trauma, past and present. The UnumProvident Centre at Cardiff University is hosting the event in partnership with Swansea University, Wales Centre for health and the Royal Society of Medicine. To register please go to www.wch.wales.nhs.uk or contact wchevents@cardiff.ac.uk Schizophrenia Conference, February 2007, Cardiff



Attendees will gain a broad understanding of the nature of schizophrenia, and of recent advances in understanding the aetiology and pathogenesis as well as an overview of current therapeutic approaches. This conference is hosted by the UnumProvident Centre in company with the Royal Society of Medicine. Please go to www.rsm.ac.uk/diary for details. Pathways to Work 2, RSM, Wimpole Street, Spring 2007 Details of this joint conference will be announced in the Autumn. Please go to www.rsm.ac.uk/diary for details.

Staff Profile Louise Morris, Business Manager Louise Morris was the first member of staff recruited to the centre back in November 2004. Working initially as Mansel Aylwards’ PA she took responsibility for furnishing the new premises for occupation, recruiting the initial research staff and for administering the centre’s finances. She continues to be responsible for HR, personnel and finance management, the day to day running of the centre and the arrangement of conferences and events. Since September 2005 Louise has been seconded part time to the Wales Centre for Health as a Conference and Events Coordinator. During this time she has arranged various high profile events ranging from a live public debate on the smoking ban, a conference on Communicating with the public and many more are

coming up after the summer. She also organises events for the Centre including the Power of Belief Book launch and the upcoming conference on Psychological Injury. The main proportion of her time is occupied administering new research grants, managing and recruiting staff, preparing reports, updating the website, and searching for new space to house the ever expanding number of staff employed in the unit! Louise previously worked as a PA for a short time and as an Events Organiser at the university. Louise seems to enjoy the stress in the run up to an event! She graduated from Cardiff University in 2001 with a 2:1 in Law and took a year out from employment in 2003 when she travelled around New Zealand and Australia, earning money selling life insurance and holiday membership over the phone. She adds “We have a great team here at the Centre and we are working together to ensure the long term sustainability of the unit; through new business and formalising existing partnerships and collaborations. It is an exciting time to be part of this new enterprise, and no one day is the same!”

Public representation at Conferences and events (Mar- Jul 06) Dr Rhiannon Buck • Stress and depression as common health complaints. 27th International Conference of the Society for Stress and Anxiety Research, Crete, 13-15th July 2006. Maria Barnes, Katie Webb, & Rhiannon Buck • Common health complaints: Symptom perception, beliefs, and behaviour. British Psychological Society Annual Conference, Cardiff, Wales, UK, 30 March – 1 April 2006. Dr Debbie Cohen • Stress and distress: the evolution of an individual support programme for doctors. Implementing Back on Track: Restoring doctors and dentists to safe professional practice. National Patient Safety Agency, London, 6th July 2006 •

Stress and distress: the evolution of an individual support programme for doctors. 4th Interdisciplinary Conference, Communication, Medicine & Ethics, Cardiff University (UK), 29 June – 1 July 2006

Stress and distress: the evolution of an individual support programme for doctors. Society of Occupational Medicine Annual Scientific Meeting 2006 “PRACTICE MADE PERFECT”, 19-22 June 2006, Solihull, Birmingham


Psychosocial and Disability Research Professor Mansel Aylward CB • Chaired session on intermittent capacity, incapacity benefit, healthy living and SMEs. Beginnings Spring Conference, London, 16th March 2006 •

Awarded Honorary Membership of the Society of Occupational Medicine, Royal College of Physicians, London, 24th March 06

Challenging the Path to Inactivity and Occupational Rehabilitation. A Spotlight on Welfare Reform Conference, London, 29th March 2006

Chaired Launch of Community Health Profiles in Caerphilly, Wales, 24th April 2006.

Welcome address, RSM Conference The Practical Management of Antibiotic Resistance, Cardiff, 25th April 2006

Sick Note Or Bust Presentation to Margaret Hodge, Whitehall, 26th April 2006

Building self-confidence amongst people with long term health conditions: Condition Management, empowering disabled people and promoting success. Skills for Liberty – valuing disabled people in civil society, Swansea, 27th April 2006.

Return to work. Britspine: The fourth combined meeting in the CIA Cardiff, 28th April 2006

Challenging the Path to Economic Inactivity: Vocational Rehabilitation or Bust! Vocational Rehabilitation Association AGM, 8th May 2006:

Chaired Assurance Medical Society and Select 74 Conference. Cardiff, 10th May 2006

A Surfeit of Symptoms: A Welfare Crisis? Symposium on Symptoms With and Without Disease, Edinburgh, 25th May 2006

Psychosocial Determinants in Health and Work: Meeting the Challenge. International EUMASS conference in Dublin. Psychosocial Aspects of Disability and Healthcare, 8th June 2006

Community Health Profiles Launch, Portcullis House, Westminster, London, 13 June 2006

Changing the Culture about Work, Health and Inactivity: the Pivotal Role of Occupational


Health. Annual meeting of the Society of Occupational Medicine, The Thackrah Lecture, Solihull, 20th June 2006 •

Vocational rehabilitation – Getting occupational therapists back to work. Occupational Therapists Annual Conference, Cardiff, 22nd June 2006

Community Health Profiles Launch, Senedd, Cardiff Bay, 27th June 2006

Community Health Profiles Launch, Porticullis House, Westminster, 13th June 2006

Publications during 2006 Aylward M. A review of Disability and Social Policy in Britain Since 1750: A History of Exclusion. Anne Borsay, Palgrave Macmillan. In Occupational Medicine 2006 56(1):69-70 Aylward M. Beliefs: Clinical and vocational interventions; tackling psychological and social determinants of illness and disability. In: Halligan P, Aylward M (Eds) The Power of Belief. Oxford University Press, Oxford. Chap 10 pp xxvii-xxxvii. Aylward M, Sawney P. Support and Rehabilitation Restoring Fitness for Work. In Keith T Palmer, Robin A F Cox, and Ian Brown (Eds) Fitness for Work. The medical Aspects 4th Edition. Oxford University Press, 2006 In press. Aylward M, Power of Belief. Western Mail, 2006 24 July, p.30-31 Buck R, Phillips CJ, Main CJ, Barnes MC, Aylward M, Waddell G (2006). Conditionality in Context: Incapacity Benefit and Social Deprivation in Merthyr Tydfil. Burton AK Waddell G Main CJ (2006). Beliefs and obstacles to recovery in low back pain. In: Halligan P, Aylward M (Eds) The Power of Belief. Oxford University Press, Oxford. Chap 10 pp 161-176 Cohen D, Rhydderch, M (2006). Remediation. In Assessment in Medical Education and Training. Radcliffe Publishing. In Press Cohen D. (2006.) Measuring a Doctor’s Performance: Personality, Health and Wellbeing. In Occupational Medicine Journal. In Press Cohen D. (2006) Review - Problem doctors - is there a system level solution? Leape and Fromson, Annals of Internal, Medicine,144:107-115 In Press

Newsletter Cohen D et al. (2005) Sickness certification and stress; reviewing the challenges. Primary care Mental Health. 3:201-4 Cohen D. (2005) Review vocational Rehabilitation from the Users Perspective. Book Review of New Thinking of Mental health and Employment. Edited by Bob Grove. Occupational Health Review. Bulletin 118, 21-23 Cohen D et al.(2005) The future is flexible. Medical Education 39:653-654 Gross D.P. Ferrari R. Russell A.S. Battie M.C. Schopflocher D. Hu R.W. Waddell G. Buchbinder R. A Population based study of back pain beliefs in Canada. Spine 2006. 31:2142-5

L, Brown G. (2006). Profiling the community in Merthyr Tydfil: Problems, challenges and opportunities. Wellbeing in Work Partnership Study 1: Final Report. Waddell G. Editorial: Health care systems research. Pain 2006 In press Waddell G, Burton AK. (2006). Principles of rehabilitation for common health problems. Chief Medical Officer’s Report 2006. UnumProvident, Dorking. In press Waddell G, Burton AK.(2006). Is work good for your health and well-being? (Monograph: Evidence review on Work and health) The Stationery Office, London. In press Waddell G, (2006). Nonorganic symptoms and signs. In Turk D (Ed) Encyclopaedia of pain. In press 2006

Halligan, P.W., & Aylward, M. (Eds.) (2006). The Power of Belief: Psychosocial influence on illness, disability and medicine. Oxford University Press, UK.

Waddell G. (2006). Nonorganic signs. In Bergeron Y Fortin L Leclaire R (Eds) Pathologie medicale de l’appareil locomoteur. Montreal University Press. In press

McGregor AH, Burton AK, Sell P, Waddell G. (2006). The development of an evidence-based patient booklet for patients undergoing lumbar discectomy and uninstrumented decompression. European Spine Journal 2006 Pre-publication pdf available on-line at http:// dx.doi.org/10.1007/s00586-006-0141-9

Waddell G. (2006). Foreword to Liebenson C Rehabilitation of the spine: a practitioner’s manual. 2nd Edition Lippincott Williams & Wilkins, Philadelphia.

Phillips CJ, Main CJ, Buck R, Button L, Farr A, Havard

Waddell G, Aylward M. (2005). The scientific and conceptual basis of incapacity benefits. The Stationery Office, London

The staff Professor Mansel Aylward CB* Professor Peter Halligan Professor Gordon Waddell CBE Dr Jonathon Gray Dr Debbie Cohen Dr Kevin Fitzpatrick Dr Sue Ensaff Dr Rhiannon Buck* Maria Barnes* Dr Alice Varnava Katie Webb Jo Allen Louise Morris* Eleanor Higgins

Director Associate Director Honorary Professor Senior Medical Research Fellow Senior Medical Research Fellow Project Manager (HMAW) Honorary Research Fellow Research Fellow Research Fellow Research Fellow Research Assistant Research Assistant Business Manager PA to Mansel Aylward

* Funded by UnumProvident


Contact Us: UnumProvident Centre for Psychosocial & Disability Research Cardiff University School of Psychology 51A Park Place Cardiff CF10 4AT Email: UPCDR@Cardiff.ac.uk Telephone: 029 2087 9311 http://www.cf.ac.uk/psych/cpdr/ Newsletter Issue 2; August, 2006