NIHR Delivering Better Health

26 November 2013, Leeds Dr David Cox Deputy Director – Research Finance & Programmes

NIHR Delivering Better Research

1. What is NIHR?

2. What has NIHR done for us?

3.

What’s the NIHR Faculty?

4. What should I do in Leeds?

What is NIHR and what does it mean to me?

• The National Institute for Health Research is the largest funder of clinical research in the country: Wellcome £746m; MRC £767m; NIHR just under £1b.

• NIHR supports clinical and applied health & social care research improving health, well-being and prosperity.

• NIHR is becoming internationally recognised as the model for organising a health research system.

• You are joining a community of over 20,000 researchers, in the NHS, public health, social care and universities.

• You are part of a family of over 2000 research trainees.

Government Commitment to research in the NHS

“The Government is committed to a future in which

research continues as a core function of the NHS

.” Earl Howe 30 July 2010

Why is Government committed to research?

• improve

health outcomes

through advances in research • improve

quality of care

by NHS participation in the research process • strengthen International competitive position in

science

• drive

economic growth

through investment by life science industries

Research and the NHS The NHS Constitution

…commitment to … the promotion, conduct and use of research to improve the current and future health and care of the population

NHS Mandate

Sets strategic direction. Objectives include: ensure new commissioning system promotes and supports participation by NHS organisations and NHS patients in research…

Research and Public Health

“Public health

research will be critical

in enabling public health practice to develop into the future and address key challenges and opportunities.” (para 4.84)

National Institute for Health Research

Established 2006 as a vehicle for implementing Government’s strategy for applied health research.

Almost £1b spend each year.

Strategic Aim

To improve the health and wealth of the nation through research

National Institute for Health Research Vision

To create a health research system in which the NHS supports: • outstanding individuals • working in world-class facilities • conducting leading-edge research • focused on the needs of patients and the public.

The Innovation Pathway INVENTION Creation

• new things • new ideas • new techniques • new approaches

EVALUATION Assessment

• new things • new ideas • new techniques • new approaches

ADOPTION Uptake

• new things • new ideas • new techniques • new approaches

DIFFUSION Spread

• new things • new ideas • new techniques • new approaches

Basic Research MRC & Charities Applied Research NIHR Commissioning NHS Commissioners Patient Care Providers of NHS services

• •

Better Quality Better Value

The NIHR Health Research System Faculty Investigators & Senior Investigators Trainees Associates Infrastructure Clinical Research Networks Clinical Research Facilities, Centres & Units Universities NHS Trusts Patients & Public Research Research Projects & Programmes Research Schools Research Management Systems Research Information Systems Systems

What have the Romans NIHR done for us?

• Radically increased number of clinical trials; 1300 new research studies via the NIHR Clinical Research Network • Patients recruited more than doubled to over 0.6m

• Highest proportion of cancer patients in the world taking part in trials (1 in 6) • Helped establish research culture in the NHS: 99% of NHS Trusts now delivering clinical research • Helped reverse the decline in numbers of clinical researchers

NIHR Clinical Research Network NIHR Stroke Research Network Recruitment

Medical Schools Council – Staffing survey 2011

NIHR Established

World citation share: Health & Medical Sciences

USA 2006 2007 2008 2009 2010 UK CHINA

NIHR improving health

• World’s first clinical trial in gene therapy for blinding eye disease • Saving thousands of lives following NIHR-funded CRASH-2 trial of TXA in trauma – BMJ paper of the year • IVAN Trial (treatments for age-related macular degeneration) could save NHS each year, more than total annual budget of HTA Programme • Rapid response to H1N1 ‘flu pandemic including comparison of two vaccines for children.

• Novel bio-marker for pre-eclampsia (soluble ST2)

What is the Faculty?

Faculty

Investigators & Senior Investigators Trainees Associates The community of people NIHR funds to train as health researchers, undertaking and supporting research:

“a vibrant community focused on research and innovation to improve the health and well being of the nation”

• Open to all professions working in health and social care research.

• NIHR believes in your abilities and potential • NIHR will support your development

Faculty

Investigators & Senior Investigators Trainees Associates

Investigators

• Engaged directly in research work • Main part of salary funded by NIHR programme, unit or centres of the Policy Research Programme

Senior Investigators

• Most eminent NIHR researchers • Funded through national competition • Just over 200

Faculty

Investigators & Senior Investigators

Associates

Trainees Associates • Support Research • Salary supported by NIHR • Dental and Medical ‘principal investigators’ • Nursing and Midwifery Professions and Allied Health Professionals • Administration, Management and Data Management • Health Care Scientists • Pharmacists • Research support • Clinical Psychologists

Faculty

Investigators & Senior Investigators Trainees

Trainees

• Schemes to support training at all levels from pre-doctoral (Masters, ACF) through PhD to post-doctoral. All professions • Trainees in NIHR Infrastructure: BRCs, BRUs, CLAHRCs • NIHR Research Professors Associates

Faculty

Investigators & Senior Investigators Trainees Associates

NIHR Research Professorships

• Enable outstanding early career academics to spend 5 years dedicated to translational research (T1 or T2) at Professorial level • Facilitate strong research leadership and develop research capacity in areas critical to accelerating the transfer of research ideas into improved health • Nominated by University/NHS partnerships • Linked to service delivery, or collaboration with service • 18 awards; 3 rounds so far

What Faculty membership offers?

• • • • •

Funding to train and develop

as a researcher – NIHR now funds from Masters to Chair

Leadership Development

– • Trainee Leaders: identified by TCC, in early leadership roles

Mentorship

– 1:1 or group

Career development opportunities

–training camp

Faculty World

Faculty

Investigators & Senior Investigators Trainees Associates

What do you need to do? The 6 Cs

1.

2.

3.

4.

5.

Capitalise

on the opportunities that being part of NIHR offers - including this meeting

Collect

a

mentor Connect –

network; your future Colleagues may be in this room

Collaborate

– health research benefits from different professionals and disciplines working together

Cultivate your career

– this time is not just about learning to be an academic

Only 5 Cs?

Faculty

Investigators & Senior Investigators Trainees Associates

And what do you need to do in Leeds?

• All of the above ...

• This is a great opportunity to discover things and meet people • NIHR organises this event each year because it believes in your potential – improvements in health will depend on you.

And a 6 th C: a bit of

celebration

is permitted