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- University of Keele
- 4 - Psychology, Psychiatry and Neuroscience
- Submitting institution
- University of Keele
- Unit of assessment
- 4 - Psychology, Psychiatry and Neuroscience
- Summary impact type
- Legal
- Is this case study continued from a case study submitted in 2014?
- No
1. Summary of the impact
Keele Policing Academic Collaboration (KPAC) specialises in the social psychology of policing. Our research has helped police and governmental organisations internationally to improve their capacity to reduce conflict and enhance human rights by engaging with crowds and communities proportionately. It has been included within the College of Policing police public order command training. Our work has also informed UK Government, police forces and other organisations on how to better manage mass emergencies, such as the Covid-19 pandemic. These impacts have increased public safety, reduced tensions, protected fundamental rights, lowered demand on public expenditure and improved the legitimacy of the rule of law.
2. Underpinning research
In April 2016 Professor Stott was awarded ESRC funding (ES/N01068X/1) to undertake research on the August 2011 English riots. This work has advanced theoretical understanding of the social and psychological dynamics of how urban riots develop and how they spread from one location to another. Analysis of the initial stages of rioting in the London Borough of Hackney confirmed and extended the Elaborated Social Identity Model of crowd behaviour (ESIM) as an explanation of the social psychology through which riots are initiated and spread . Analysis of subsequent riots provided support for the theoretical argument that while structural factors such as inequality are necessary, they are not sufficient to explain the evident patterns of where the riots did and did not spread.
While sociological factors such as economic deprivations and historical patterns of policing were identified as key determining factors in the 2011 riots, KPAC’s research also identified how participants’ capacities were shaped and reshaped by social psychological group level interactions that took place during the crowd event themselves [1]. This research also identified a process of ‘collective psychological empowerment’ that operated in a form of ‘positive feedback loop’ among those who shared anti-police sentiments. Through this social psychological process, rioting against the police in one location positively enabled different forms of rioting elsewhere. The research has, in combination, allowed for the development and testing of a novel theoretical model of the social psychological dynamics that can account for both the patterns and the sequence of urban riot diffusion [2, 3].
In 2018 Stott was awarded further ESRC (ES/R011397/1) and UKRI (ES/V005383/1) funding to lead programmes of inter-related research on the social psychological dynamics of police citizen encounters (a) among communities where levels of marginalisation, conflict and offending are high; (b) during the civil contingency response to the Covid-19 pandemic. This involved a series of observational studies of policing, including of football and protest crowds, in the UK and internationally. KPAC research has identified how current policing approaches to crowd management are often ineffective and, at times not Human Rights compliant [4]. The research has also highlighted the value of focusing strategically on facilitating the positive human rights of communities (including football supporters) and empowering conflict reduction and resilience through a focus by the authorities on the principles of negotiation and neighbourhood policing. Because of this, and other research within the Unit, a series of recommendations have been advanced on how and why police forces should approach both crowd management [5] and the rapidly changing contexts introduced by Covid-19 [6].
3. References to the research
Research work leading to conceptual innovation in theoretical understanding the relationships between policing, social identity, intergroup dynamics and riots.
1. Ball, R., Stott, C., Drury, J., Neville, F., Reicher, S. & Choudhury, S. (2019) Who controls the city? A micro-historical case study of the spread of rioting across North London in August 2011. City. https://doi.org/10.1080/13604813.2019.1685283
2. Drury, J., Stott, C., Ball, R., Reicher, S., Neville, F., Bell, L., Biddlestone, M., Choudhury, S., Lovell, M. & Ryan, C. (2020) A social identity model of riot diffusion: From injustice to empowerment in the 2011 London riots. European Journal of Social Psychology. https://doi.org/10.1002/ejsp.2650
3. Stott, C., Ho, L., Radburn, M., Chan, Y., Kyprianides, A., and Saavedra Morales, P. (in press) Patterns of ‘disorder’ during the 2019 protests in Hong Kong: policing, social identity, intergroup dynamics and radicalisation. Policing: An international journal of policy and practice.
Research work providing conceptual innovation, policy advice and evidence of the effectiveness of research informed policing intervention.
4. Stott, C., Pearson, G. & West, O. (2019) Enabling an evidence-based approach to policing football. Policing: A journal of policy and practice. https://doi.org/10.1093/police/pay102
5. Reicher, S. & Stott, C. (2020) Policing the Coronavirus Outbreak: Processes and Prospects for Collective Disorder. Policing: A Journal of Policy and Practice. doi.org/10.1093/police/paaa014
6. Stott, C., West, O. & Harrison, M. (2020) A Turning Point, Securitization, and Policing in the Context of Covid-19: Building a New Social Contract Between State and Nation? Policing: A Journal of Policy and Practice. doi.org/10.1093/police/paaa021
4. Details of the impact
Our research has increased the knowledge and skills of Government, police and other organisations. This impact has helped reduce ‘public disorder’ and community tensions as well as lowering demand on police resources, whilst also increasing public safety and police legitimacy. This has been achieved primarily by helping several external organisations, including the UK Home Office and several police forces, enhance their understanding of the dynamics of police citizen encounters, particularly in the context of crowds and mass emergencies. Our research has influenced:
The curriculum and training delivered by the U.K.’s College of Policing National Police Public Order Command Training, as well as that of the European Union Advisory Mission to Ukraine regarding the policing of crowds.
The strategy and tactics of several UK police forces and stadium safety officials toward the management of conflict during football crowd events, including the architectural design of the ‘bet365 stadium’, home of Stoke City F.C.
The inquiry of the Hong Kong Independent Police Complaints Council into the policing of protests in the Special Administrative Region.
UK Government policies as well as police force strategies and tactics toward the policing of the Covid-19 pandemic.
Impact of Police Knowledge and Training
KPAC’s research has had significant impacts upon police training at a national and international level. Through our pathways to impact [5.1] our research has been disseminated to representatives of the UK’s College of Policing who subsequently changed the national curriculum for the training of police public order commanders. The redesigned course was mandatory for all police public order commanders and advisors in the U.K., who number more than 2500 across all forces and was delivered between October 2019 and April 2020 [5.2]. Additionally, KPAC’s research was utilised by the Swedish Police International Affairs Division for their ‘Support to Police Reform in Ukraine’ project (SPRU). The SPRU subsequently evolved into the European Union’s Advisory Mission to Ukraine (EUAM). Since early 2016, EUAM has provided operational guidance and training activities to assist the implementation of democratic police reforms in Ukraine. KPAC’s research was used to inform and support guidance and training for public order police [5.3]. Finally, KPAC’s research-based expertise influenced the production of a report into the policing of the 2019 protests in Hong Kong. Although this advice was never properly realised due to political factors, based on our involvement, the Hong Kong Independent Police Complaints Council recognised a need to improve its capacity to produce an impartial, balanced and evidence-based report [5.4].
Impact on Policing Policy and Practice
As a result of engagement with KPAC’s research, England’s third (West Midlands Police, WMP) and fourth (West Yorkshire Police, WYP) largest police forces recognised their ways of policing football were problematic. There were limitations identified in their (a) strategic approach in terms of facilitating positive human rights (e.g., peaceful assembly and expression); (b) understanding of the role of intergroup interactions and dynamics in assessing the threats and risks that can develop during crowd events; and (c) low level of police engagement with fans through communication and dialogue. Piloting of innovations based upon KPAC’s research took place across several fixtures and were systematically evaluated [5.5, 5.6]. These novel policing approaches, and their underlying research rationale, were disseminated via specifically designed training events for police commanders, supported at Chief Officer level. The innovative approaches were subsequently implemented at several high-profile football events. This had the acknowledged effect of facilitating rights, improving the experience of policing among fans, de-escalating conflict, enhancing public safety, and achieving significant cost-savings for the taxpayer [5.7, 5.8]. In addition, Stoke City Football Club used Keele research findings during the redevelopment of their stadium. Consequently, the club has been better positioned to manage the intergroup interactions and dynamics between supporter groups within the stadium and is now more responsive to incidents requiring intervention before conflict develops and escalates within the crowd.
Impact on the Governance and Policing of Mass Emergencies
Finally, during the Covid-19 pandemic, Stott was invited, based on his research expertise, to advise the Behavioural Science sub-group (SPI-B) of the Scientific Advisory Group in Emergencies (SAGE). In this role he co-created and Chairs the SPI-B Policing and Security sub-Group. Several papers developed based upon KPAC’s research have subsequently been used to advise Government, police, and other stakeholders on policing the pandemic in ways that alleviate social tensions, address disproportionality, and avoid inadvertently creating the conditions for riots to emerge and spread [5.9, 5.10].
5. Sources to corroborate the impact
5.1 YouTube video of KPAC’s knowledge-coproduction and knowledge transfer workshops: Evidence Based Practice in the Policing of Crowds. https://www.youtube.com/watch?v=olk07Gd93Fg ( download also held within Keele’s repository)
5.2 Testimonial Olan Jenkins, Public Order Command, Licensing and Accreditation Manager, Uniformed Policing Faculty, College of Policing
5.3 Testimonial Kęstutis Lančinskas, Head of Mission, SPRU & EUAM Ukraine
5.4 Testimonial Anthony Francis Neoh QC, Chairman, Hong Kong Independent Police Complaints Council
5.5 University Research report for West Midlands Police: Hoggett, J (2017) Evaluation of West Midlands Police use of Police Liaison Officers at West Bromwich Albion fixtures.
5.6 Journal publication: Hoggett, J & West, O. (2018) Police liaison officers at football: challenging orthodoxy through communication and engagement. Policing: a journal of policy and practice. https://doi.org/10.1093/police/pay032
5.7 Internal communication video: West Yorkshire Police on the uptake and delivery of Keele Research ( download held within Keele’s repository)
5.8 Testimonial Chris Johnson, QPM, Assistant Chief Constable (Operations) West Midlands Police
5.9 Testimonial from Professor John Aston, Chief Scientific Adviser and Director General Science, Technology, Analysis, Research and Strategy Home Office
5.10 Testimonial from Dr Tony Sewell CBE, Chair of the Cabinet Office Commission on Race and Ethnic Disparities
- Submitting institution
- University of Keele
- Unit of assessment
- 4 - Psychology, Psychiatry and Neuroscience
- Summary impact type
- Health
- Is this case study continued from a case study submitted in 2014?
- No
1. Summary of the impact
Human papillomavirus (HPV), a common sexually transmitted infection, which has no treatment, causes ~5% of cancers (e.g., cervical, anal, oropharyngeal). Since 2008, the UK has offered HPV vaccination to girls, and, after much lobbying, to boys from Sept 2019. Sherman’s programme of research, developed with clinicians and charities, contributed to the government’s u-turn over gender neutral HPV vaccination and underpins European guidance. It has informed healthcare professional (HCP) education, leading to the revision of Public Health England (PHE) materials and has been used to educate the public about HPV through media engagement and informing charity and health authority communication strategy.
2. Underpinning research
Sherman, Senior Lecturer and academic lead for the School of Psychology’s Health and Wellbeing Research Group (HWB), has conducted research into issues surrounding knowledge about HPV and related conditions for the past 9 years. HWB promotes collaborative research: members work with clinicians, charity representatives, academics, and patients, both nationally and internationally. Sherman’s work focuses on how improving knowledge in HCPs, parents of teenage children, and women can increase engagement with vaccination and screening.
The underpinning research emerged during a highly charged political debate in the UK about extending HPV vaccination to boys. Simultaneously, the NHS cervical screening programme (NHSCSP) piloted, then rolled out, HPV testing as primary screening to replace cytology (examining cervical cells for pre-cancerous changes). Sherman’s research provided a solid evidence base on public and HCP knowledge about HPV and attitudes towards these changes to inform communication and implementation. It continues to inform the roll-out of gender-neutral vaccination across Europe.
HPV and HPV Vaccination:
Sherman’s Wellcome-funded study in PLOS ONE ( 3.1) demonstrated: a) only 50% of parents sampled have heard of HPV, and only 50% have heard of the HPV vaccine, b) before receiving information about the vaccine most of the 50% who had heard of it wanted it to be available for boys, c) after brief information was provided to the entire cohort (including those who had not previously heard of it) most parents thought the vaccine should be extended to boys. This was the first UK study to find out what parents know about HPV and males and what they think about HPV vaccination for boys. It was influential because it demonstrated public demand for a vaccine but simultaneously a lack of public knowledge about the health consequences of HPV for males.
Sherman and Leicester NHS Trust colleagues published a systematic review exploring what European adolescents know about HPV and HPV vaccination ( 3.2). Knowledge about both HPV and the vaccination was suboptimal. Boys know less than girls, which has implications for engagement with gender-neutral HPV vaccination as it is introduced across Europe.
HPV and cervical screening:
Working with gynaecological oncologists from Royal Stoke and Leicester NHS Trusts, and an epidemiologist from King’s College London, Sherman pitched to and published an article in the BMJ highlighting that 20% of new cervical cancer diagnoses and 50% of deaths in the UK are women aged 65+ who are past the eligible age for cervical screening ( 3.3). This article attracted considerable attention nationally and internationally.
Sherman, alongside colleagues at Leicester NHS Trust, Jo’s Cervical Cancer Trust (Jo’s Trust), and in New Zealand, conducted a series of surveys ( 3.4, 3.5) to understand what HCPs know about HPV, HPV vaccination, and changes to the NHSCSP. The findings consistently reveal that while basic knowledge is satisfactory, gaps in knowledge exist, particularly regarding changes to the NHSCSP and knowledge of the health consequences of HPV for males. The main UK study ( 3.4) recruited 643 HCPs who had previously contacted Jo’s Trust and has been used to inform Jo’s Trust advocacy work and update PHE training materials.
3. References to the research
The underpinning research as a whole is of at least 2* quality. Rigour: it is all published in well-respected peer reviewed journals and 3.1 was funded by Wellcome. Significance: the 6 references have been cited 124 times, including by researchers across the world including in the US, Europe, China, Brazil and so on. 3.2 is included in a Cochrane Systematic Review. Originality: for example, 3.4 & 3.5 are the first comprehensive evaluations of HCP knowledge in the UK and New Zealand.
3.1 Sherman, S. M. & Nailer, E. (2018). Attitudes towards and knowledge about Human Papillomavirus (HPV) and the HPV vaccination in parents of teenage boys in the UK. PLOS ONE 13(4): e0195801. (JCR IF 2019: 2.740)
3.2 Patel, H., Jeve, Y. B., Sherman, S. M., Moss, E. L. (2016). Knowledge of Human Papillomavirus and the Human Papillomavirus Vaccine in European Adolescents: A Systematic Review. Sexually Transmitted Infections, 92, 474-479. (JCR IF 2019: 3.396)
3.3 Sherman, S. M., Castanon, A., Moss, E., & Redman, C. W. E. (2015). Cervical cancer is not just a young woman’s disease. British Medical Journal, 350:h2729. (JCR IF 2019: 30.223)
3.4 Sherman, S. M., Cohen, C., Denison, H., Bromhead, C., & Patel, H. (2019). A survey of knowledge, attitudes and awareness of the human papillomavirus among HCPs across the UK. European Journal of Public Health, 30, 10-16. (JCR IF 2019: 2.391)
3.5 Sherman, S. M., Bartholomew, K., Denison, H. J., Patel, H., Moss, E. L., Douwes, J., & Bromhead, C. (2018). Knowledge, attitudes and awareness of the human papillomavirus amongst health professionals in New Zealand. PLOS ONE, 13(12): e0197648. (JCR IF 2019: 2.740)
3.6 Moss, E, L., Sherman, S. M., Pearmain, P., & Redman, C. W. E. (2012). The NHS cervical screening programme audit of invasive cervical cancers: who benefits? BJOG, 119, 1–4. (JCR IF 2019: 4.663)
4. Details of the impact
Sherman’s research has generated impact benefiting HCPs and the public by informing and influencing key partners involved in HPV vaccination and screening, including: PHE, Jo’s Trust and HPV Action. Impact has been achieved through inclusion in national and international materials and guidance documents, invited practitioner workshops and talks, and media engagement.
- Shaping government policy and decision making, UK, Europe, New Zealand
HPV Vaccination:
The European Cancer Organisation (ECCO, 2019) stated that “By 2030, gender-neutral vaccination programmes against the HPV infection should be in place in all European countries”. Sherman’s research forms part of the evidence used to encourage governments to meet this goal.
In 2018, after 5 years of evidence gathering, the Joint Committee on Vaccination and Immunisation (JCVI) advised the UK Government to extend the school-based HPV vaccination programme to boys and the Government agreed. 3.1 findings were submitted to the public phase of the JCVI consultation and Peter Baker, Campaign Director of HPV Action, who spearheaded the successful campaign for gender-neutral vaccination, confirms 3.1 “formed a significant part of the evidence base underpinning this policy change” (5.1). The vaccination is estimated to benefit 400,000 boys annually.
Currently, 17 countries in Europe lack gender-neutral HPV vaccination. In 2020, the European Centre for Disease Prevention and Control published guidance about gender-neutral and nonavalent HPV vaccination citing 3.2 as evidence (5.2).
Cervical Screening:
Based on 3.6, a New Zealand National Cervical Screening Programme (NCSP) report recommended that the NCSP continue to monitor cancer incidence trends in women under 30, with an emphasis on “engaging women with a high coverage rate at age 25” (5.3).
- Improving HCP knowledge
HPV and HPV Vaccination:
Following 3.3, Nursing in Practice (circulation:12,000), commissioned an article with learning points about HPV from Sherman (5.4). Sherman gave an invited gender-neutral HPV vaccination workshop at the 2019 School and Public Health Nurses Association conference. Greater Manchester Health & Social Care Partnership (GMHSCP) invited Sherman to present at their Universal HPV vaccination launch event (5.5). 80-100% of respondents from each event said they had/intended to use the information to inform their own practice and to disseminate the information further.
3.4 was cited as underpinning evidence for a call to improve public and professional awareness and education about HPV in a major report by ECCO urging action to reduce the annual 87,000 HPV-related cancers across 50 countries (5.6).
HPV and cervical screening:
Jo’s Trust use 3.4 to advocate for and deliver training to HCPs (5.7) and PHE used 3.4 to update smear taker online training materials (see screenshot).
- Raising public awareness and improving understanding
PHE (2017) seeks to halt declining cervical screening numbers and protect against future fluctuations in HPV vaccination. Public knowledge and awareness about HPV, vaccination, and screening are important to ensure optimal engagement with the programmes. A campaign of media activity (2015-2020) has led to Sherman’s research being disseminated to over 20 million people (5.9) and it has informed NHS and charity communications.
HPV and HPV Vaccination:
3.1 informed development of the GMHSCP communication strategy for the expansion of the HPV vaccine programme to boys (5.5) and informed Jo’s Trust’s interactions with the 4 nations’ national screening programmes to advocate for language around gender-neutral vaccination (5.7). Following 3.1, Peter Baker (HPV Action) invited Sherman onto the expert advisory group which helped develop the website launched to inform the public about male HPV vaccination (5.1).
A Conversation article (5.8) about 3.1 received 7,082 readers, 23 comments, 70 retweets, 247 Facebook shares, was republished by Medical Xpress, and Radio Stoke (weekly audience 121,000) interviewed Sherman about the research. Following publication of 3.4 and the announcement of universal HPV vaccination, further media interviews took place (5.9). Social media activity around Sherman’s publications indicate considerable reach. 3.1: 82 tweets from 59 users, reach-404,522; 3.2: 42 tweets from 22 users, reach-58,915 (Altmetric).
HPV and cervical screening:
3.3 received extensive national and international media coverage during Cervical Screening Awareness Week, including the Today Programme, Woman's Hour, BBC 5 Live (combined daily listeners: 8 million), national print newspapers including the Metro, Daily Mirror, i, Daily Express, Independent, Telegraph, Times, frontpage of The Scotsman (combined daily readership, 2015: 3.3 million) (5.9), and a BBC Breakfast Show interview (5.9). There were 40+ pieces of regional coverage, international coverage in 14+ countries and the BMJ identified it as one of their biggest stories of 2015 (5.10). Jo’s Trust confirmed that 3.3 significantly amplified their own awareness campaign and has been influential in focusing a spotlight on the issue of cervical screening for older women (5.7).
5. Sources to corroborate the impact
5.1 Testimonial from Peter Baker, Campaign Director of HPV Action, referring to the importance of Dr Sherman’s research.
5.2 Document published by European Centre for Disease Prevention and Control. Guidance on HPV vaccination in EU countries: focus on boys, people living with HIV and 9-valent HPV vaccine introduction. https://bit.ly/3ozCDOn
5.3 Advice and recommendations made to the Ministry of Health regarding the National Cervical Screening Programme by the independent review team based at the University of Otago, Christchurch. http://bit.ly/3coJkN6
5.4 Commissioned piece about HPV for Nursing in Practice: http://bit.ly/2VEznoK
5.5 Testimonial from Steven Senior from Greater Manchester Health and Social Care Partnership.
5.6 Baker P, Kelly D, Medeiros R (2020). Viral Protection: Achieving the Possible. A Four Step Plan for Eliminating HPV Cancers in Europe. European Cancer Organisation; Brussels. https://bit.ly/2HIgdK9
5.7 Testimonial from Kate Sanger, Head of Communications and Public Affairs at Jo’s Trust
5.8 Piece in The Conversation by Dr Sherman with extracts of comments: http://bit.ly/2Tii4IJ
5.9 Spreadsheet detailing some of Dr Sherman’s media coverage and including link to BBC Breakfast Show interview with Dr Sherman about cervical screening in older women
5.10 BMJ in the news: round up of 2015: Over 65s should be screened for cervical cancer https://bit.ly/3jGKea6