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Integrating research into the NHS. Overview. The Challenge Systems and Infrastructure for supporting research in the NHS Background The opportunities of BRfBH Infrastructure Places People Systems R&D Research systems. The Challenge. BIGT report AMS Report WPB Working Party

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overview
Overview
  • The Challenge
    • Systems and Infrastructure for supporting research in the NHS
  • Background
    • The opportunities of BRfBH
  • Infrastructure
    • Places
    • People
  • Systems
    • R&D
    • Research systems
the challenge
The Challenge
  • BIGT report
  • AMS Report
  • WPB Working Party
  • UKCRC Liam O’Toole and JFK
  • The over-riding need of funders, researchers and participants
    • Safe, swift and sensible research
  • Making Research Easier
amateur approach
Amateur Approach
  • Regulation administered by people with limited experience of clinical research
  • Investigators wrestling with paperwork and the “day job”
  • Dominance of cell and molecular research resulting in de-skilled workforce
  • Lack of career structure for doctors and nurses
  • Feast-famine cycle induced by funding
background brfbh
Background BRfBH
  • Historical perspective
    • The Levy
  • Future
    • CRII
    • Technology platforms
    • BRC
    • Programmes
    • Projects
      • Response mode funding
winners and opportunists
Winners and opportunists
  • Limited resources
  • Alternative routes to funding
  • Relative spends of
    • NHS R&D-MRC
    • Charities and
    • Industry
clinical research facilities
Clinical Research Facilities
  • Well appointed and fit for purpose
  • Protected from service pressures
  • Administrative support
    • Clinical epidemiology, bio-informatics and biostatistics
  • IT needs
    • Integrated NHS and University
    • e-CRF
      • Secure
      • Auditable
      • Pharmaco-vigilance
  • Funding
physical environment
Physical Environment
  • Location
  • Dedicated rooms and beds
  • Offices and storage
  • Laboratories
  • Future proofing
  • Outreach
intellectual environment
Intellectual Environment
  • Valuing clinical research
  • Uniting universities and NHS
  • Facilitating research
  • Quality and Safety for patients and Staff
  • Having a strategy
    • Comprehensive or Specific
    • Priorities in research
the r d office
The R&D Office
  • Joint office with University
  • Key issues
    • Sponsorship
      • Finance
      • CTA
      • Governance
    • Indemnity
    • Governance
      • Monitoring and Audit
    • Intellectual property
staffing r d
Staffing R&D
  • The Office
    • Finance Manager
    • Research governance managers
    • Audit team
    • Clinical leads
    • Peer review
  • The Investigators
    • Certified CI and PIs
    • Research staff
research support
Research Support
  • Information Management and Technology
    • Ensure that studies are registered
    • Manage paperwork
    • Auditable data collection for trials compliance
    • Finding evidence: databases and library skills
  • Biostatistics
    • RDSU
  • Clinical Epidemiology
attitudes
Attitudes
  • Professionalising clinical research
    • Finding the solutions to clinical research problems
  • The well found laboratory
    • Providing the resources necessary to conduct clinical research
  • “Can do”
funding sources
Funding Sources
  • Research councils and charities
  • Governmental bodies
    • NHS R&D
    • HTA
    • FSA
  • Investigator lead, industry funded
  • “Own account” research
  • Contract commercial research
managing money crfs
Managing money - CRFs
  • Core funding
  • Charging for use
  • Commercial research income
  • Planning for Refreshment
  • The true cost of research
    • Training and staff development
    • Monitoring
    • IT
education and training building capacity
Education and TrainingBuilding Capacity
  • Staff training
  • Introducing students
  • F2 trainee rotations
  • MMC Lecturers
    • Pre-doc and Post-doc
  • Training Fellows
  • Research Nurses
  • Multi-professional research
applying research findings
Applying Research Findings
  • The “D” of R and D!
  • The step before NICE
  • Focus on savings
  • Clinical Effectiveness
  • Audit
  • N.B. Researchers are not always best at introducing change
  • Explicit bridge with NHS Trust Strategy
measuring quality
RAE

Grants in

Publications out

NHS

The NHS Plan

Healthier Nation

NSFs

Meeting the Needs of Patients

Measuring Quality
  • Developing people
  • Developing skills
networking
Networking
  • Wellcome Trust and the CRII
  • Nurse Managers Association
    • Operations Managers
    • Directors
  • UKCRC
  • International
what works
What works
  • Federation
  • Facilitation
  • Identifying problems and offering solutions
  • Pooling resources
    • Facilities
    • People
future challenges
Future Challenges
  • True networking
  • Cat herding
  • Curbing competitiveness
  • Metrics of success
  • Regulation change fatigue
  • Regulating multi-centre research
for the forum
For the Forum
  • Governance “Highway”
  • Study passports
  • FEC
  • Intellectual Property policy
    • With the NHS Innovations and Hubs
  • Metrics of success
integrative and translational research making research easier
Integrative and Translational ResearchMaking Research Easier
  • Facilitating Research from bedside to bench and back again
  • Promoting and providing excellence
summary
Summary
  • The right environment
  • The right staff
  • Understanding the problems
  • Developing the solutions
  • Setting priorities
acknowledgements
Acknowledgements
  • Christine McGrath
  • Michelle Cawte
  • Chris Counsell
  • Janet Messer
  • Noreen Caine
  • Catherine Johns