The ‘Deep End’ (DE) movement originated in Glasgow, aimed at addressing the Inverse Care Law identified by Tudor Hart more than 50 years ago. Work began as formal and informal networks of general practices working together with patients and communities.
The movement has spread, with ongoing DE research programmes running across the world, highlighting the stark disparities in resource allocation and health outcomes in primary care, which are linked to socioeconomic deprivation.
In 2016, The University of Sheffield's Academic Unit of Primary Medical Care (AUPMC) supported the development of the Sheffield Deep End cluster to enable the delivery of NIHR Clinical Research within 9 GP surgeries in Sheffield most marginalised communities. Alongside the research cluster, the Deep End Patient and Public Involvement (PPI) was established with patients from the Deep End GP Surgeries.
This collaboration became known as The Deep End Research Alliance (DERA).
Since 2019, DERA's reach has expanded across South Yorkshire, with collaborative grant-funded (NIHR, RCUK, RCGP) interdisciplinary work, supporting the wider inclusion of community groups for example, SACMHA , Shipshape and Roma community organisations and advocates. We are also active contributors to the NIHR Ethnic Minority Research Inclusion Yorkshire Humber group, (EMRI).