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Clinical Academic Training - the NIHR scheme. JP Neilson NIHR Dean for Training PowerPoint Presentation
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Clinical Academic Training - the NIHR scheme. JP Neilson NIHR Dean for Training

Clinical Academic Training - the NIHR scheme. JP Neilson NIHR Dean for Training

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Clinical Academic Training - the NIHR scheme. JP Neilson NIHR Dean for Training

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  1. Clinical Academic Training - the NIHR scheme. JP Neilson NIHR Dean for Training [DATE]

  2. Faculty Associates Investigators &Senior Investigators Trainees Universities Infrastructure Research Clinical Research Networks Research Projects & Programmes NHS Trusts Patients&Public Clinical Research Facilities & Centres Research Units & Schools Research InformationSystems Research GovernanceSystems Systems

  3. NIHR Senior Research Fellowship NIHR Career Development Fellowship NIHR Clinician Scientist NIHR Post-Doctoral Fellowship NIHR Clinical Lecturer NIHR Research Training Fellowship NIHR Academic Clinical Fellowship NIHR In-Practice Fellowship Masters in Health Economics Research Capacity Development Programme

  4. Research Funding National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk Medical Research National Institute for Council (MRC) Health Research (NIHR) Basic Patient based Wellcome Trust, Cancer Research UK, other charities.

  5. NIHR: NHS60 National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • 60 years of research benefiting patients: • 1948-58 Lung cancer & smoking • 1959-68 Hip replacement • 1969-78 Glasgow coma scale/first IVF baby • 1979-88 Genetically engineered hep B vaccine • 1989-98 Prenatal corticosteroids • 1999-2008 Bioengineering heart valves

  6. UK National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • 6.5% of consultants (specialists) are clinical academics • Research Assessment Exercise

  7. Medical Schools Council National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • Primary care 122% • Internal medicine 114% • Paediatrics 83% • Surgery 83% • Psychiatry 78% • All posts 2007 cf 2000

  8. Medical Schools Council National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • Public health 77% • Obstetrics & gynaecology 76% • Anaesthetics 67% • Pathology 46% • All posts 2007 cf 2000

  9. Medical Schools Council National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • All lecturer posts 50% • Lecturer posts 2007 cf 2000

  10. Medical Schools Council National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • Paediatrics 21.2% • Pathology 21.1% • Psychiatry 23.2% • Public health 17.5% • Lecturer posts 2007 cf 2000

  11. Medical Schools Council National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • Aging population (>46: 52% to 59% since 2004) • Women under-represented (12% professors).

  12. ‘Walport Report’ National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • March 2005 • ‘Medically- and dentally-qualified academic staff: Recommendations for training the researchers and educators of the future’. • England, Scotland, Wales, Northern Ireland.

  13. ‘Walport Report’ National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • Deterrents to academic medicine and dentistry training in the UK: • Lack of clear career structure • Lack of flexibility in balance of clinical and academic training, and geographical mobility • Shortage of appropriate posts on completion of training.

  14. NIHR Senior Research Fellowship NIHR Career Development Fellowship NIHR Clinician Scientist NIHR Post-Doctoral Fellowship NIHR Clinical Lecturer NIHR Research Training Fellowship NIHR Academic Clinical Fellowship NIHR In-Practice Fellowship Masters in Health Economics Research Capacity Development Programme

  15. Funding National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk 08/09 09/10 Integrated academic training £30m £43m €38m €54m Fellowships £14m £17m €18m €22m

  16. IAT implementation plan 2009 National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • NIHR ACFs 25% research training, 3 years (4 GPs) • NIHR CLs 50% post-doctoral research, 4 years, matched posts • Locally funded ACFs • Each medical school allocated posts to be managed in partnership with deanery and trust(s) • 200/250 ACFs and 80/100 CLs allocated by formula based on major NIHR funding (BRCs, BRUs, CLAHRCs etc) • Minimum 2 ACFs per medical school • In 2009 & 2010 transition to respect previous allocations • In 2011 balancing figure available for additional training places

  17. IAT implementation plan 2009 National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • Specialty guidance for new posts • Non-prescriptive • Partnerships have flexibility to make appointments at variance with specialty spread set out in their plan if this enables them to recruit candidates of the highest calibre.

  18. NIHR ACFs 2009 National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk Newcastle Paediatric oncology Sheffield Paediatrics Liverpool Paediatric surgery Paediatric pharmacology Birmingham Paediatric surgery Nottingam Paediatrics Oxford Paediatric surgery UCL Neonatal medicine Paediatrics x4 Paediatric endocrinology Paediatric surgery

  19. NIHR ACFs 2009 National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk Imperial Neonatal medicine Paediatrics x4 Paediatric allergy & infection Bristol Paediatrics x2 Southampton Paediatrics

  20. NIHR CLs 2009 National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk Birmingham Paediatrics Nottingham Paediatrics UCL Adolescent cancer Adolescent medicine Paediatric pathology Paediatrics x2 Imperial Neonatal medicine Paediatrics ICR Paediatric oncology

  21. IAT implementation plan 2009 National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • Plans: end October 08 • Adverts: November 08 • Appointments: January 09

  22. ACF ‘stock-take’ National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • ACFs (60%) • Programme Leads (56%) • Wellcome Trust Strategic Planning & Policy Unit • July 2008

  23. ACF ‘stock-take’ National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • Difficulty with appointments (MTAS) • Challenges at interface between deaneries/medical schools/trusts • Protection of research time • Inconsistent quality of research and clinical supervision • Wellcome Trust Strategic Planning & Policy Unit

  24. ACF ‘stock-take’ National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • ACFs: • 56% plan career in academic medicine • 67% had BSc or BA • 81% plan to apply for RTF • 3% had had training in writing funding applications • Wellcome Trust Strategic Planning & Policy Unit

  25. IAT implementation plan 2009 National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • Taught courses • Annual appraisal (ARCP) • Site visits • NIHR Diploma • Bursary

  26. New for 2008/2009 National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk • NIHR Clinical Academic Training (CAT) Pathway for Nurses, Midwives and AHP • NIHR Healthcare Scientists Fellowships • NIHR Research Methods Programme • Research Capacity Development for the NIHR SDO Programme

  27. National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk

  28. JP Neilson NIHR Dean for Training jneilson@liverpool.ac.uk [DATE]