Research & Development Annual Report 2008/09

Dr Peter Sharpe Consultant Chemical Pathologist Associate Medical Director Research & Development

Importance of Research

Research can be considered - Low Importance - Having no outcome - Saving money/false economy - Small numbers interested Advantages of Research - Improves Clinical Outcomes/Quality of Care - Safeguards the dignity, rights and safety of patients/clients - Majority of new devices/treatments have emanated from Healthcare Research - Raises standards of practice by participation in national/international studies - Engenders an enquiring, analytical, evidence based approach to all clinical and social care interventions/treatments - Enhances the recruitment and retention of high quality staff Research Governance Framework for Health and Social Care (Feb 2007) http://www.dhsspsni.gov.uk/research_governance_framework.pdf

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Research Governance Committee

  Established January 2008 Membership reviewed February 2009 Dr Peter Sharpe (Chairman) Consultant Chemical Pathologist, Associate Medical Director Research & Development Mrs Valerie Alcorn, Clinical Trials Pharmacist Mrs Carol Cassells, Senior Financial Management Accountant Dr Harry Douglas, Principal Social Worker for Training and Development Ms Jane Greene, Nurse Consultant, Older People Dr Stephen Hall, Associate Medical Director Cancer and Clinical Services Mrs Carmel Harney, Assistant Director AHP Governance Miss Irene Knox, Research Manager Dr Patrick Loughran, Medical Director Dr David McEneaney, Consultant Cardiologist Dr Neal Morgan, Consultant Nephrologist Mr Lindsay Stead, Assistant Director of Acute Services, Medicine and Unscheduled Care Dr Tom Teggart, Consultant Clinical Psychologist, Child and Family Mrs Fiona Wright, Assistant Director Nurse Governance Mrs Joy Youart, Acting Director of Acute Services 3

Research Governance Committee

(Meets every six weeks)

• • • • • • •

TERMS OF REFERENCE - SUMMARY

Promote, encourage and support research with all staff in the Trust.

Consider all research proposals received (following initial screening against the Research Management System by the Associate Medical Director), and make appropriate decisions with regard to approval.

Quality assure and sign-off research governance monitoring outputs prior to consideration by the Trust Research Governance Committee.

Promote and encourage a multidisciplinary research culture in the Trust and with other agencies.

Support the identification of research training needs of staff in the Trust and seek to ensure that these are met.

Liaise with outside bodies that have a statutory or advisory role in research matters. Monitor funding from commercial and non-commercial funders and ensure that all research funding within the Trust is managed to a high standard of cost-effectiveness and accountability to the public.

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Research & Development Staffing

Associate Medical Director Research & Development (July 2008) Research Manager (April 2008) Research Administrator (January 2009) Administrative Assistant (July 2009) Dr Peter Sharpe Consultant Chemical Pathologist Miss Irene Knox Mrs Valerie Hamilton Miss Gillian Marshall Clinical Trials Pharmacist (Band 7 0.5 WTE) Finance Officer (Band 4 - 0.5 WTE) Mrs Valerie Alcorn Miss Victoria Baird 5

Research & Development Strategy

    Build on existing research strategy Support clinical and social care research Improve health and well being of patients and clients Increase understanding - diagnosis - treatment  - disease prevention Support staff academic research 6

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Research & Development Action Plan

 Research & Development on Home Page of Trust’s Intranet  Priority Areas 2009/10 Nursing and Allied Health Professions Also Social Care  Appointment of NI Clinical Research Network 2.5 WTE band 6 Clinical Research Nurses 0.5 WTE Band 7 Clinical Physiologist  Develop appropriate financial management reporting systems for research (Finance Department)  Research Office Former Psychiatric Unit, Craigavon Area Hospital (June 2009) 8

New Research Applications

2007/08 Other Trusts 2008/09 Belfast Northern Western South Eastern 240 26 62 60 250 72 58 76

Southern 21 59

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Research Applications

59 Applications (2008/09) (21 Applications 2007/08)

Cardiology Cancer Psychology Universities/Academic Studies 16 5 4 14 Others 20 (Mammography, Mental health, Continence, Paediatrics, Diabetes, Eyes, Community Paediatrics, Stroke, Care in the Community, Travellers, Urology, Post-Adoption Contact, Day Care) 10

Research Governance Controls Assurance Standard

2008/09 Evidence submitted Substantive compliance 81% achieved 2007/08 66% compliance

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HSC Research Discretionary Fund

    Allocation of £50,000 per year from HSC R&D Office 2008/09 – 8 applications One attracted further funding of over £100,000 per annum for 2 years from Randox Laboratories 2009/10 – 17 applications 12

Research Governance Workshops

Held throughout the Trust for all staff To promote and support Research among Trust staff  Craigavon Area Hospital  Daisy Hill Hospital  South Tyrone Hospital 13

NI Clinical Research Network (NICRN)

Established to support Clinical Research Community in NI

Aims to increase access to and participation in high quality clinical studies in Health and Social Care

Funding provided for Clinical Research posts in Trust

Children's 0.5

Cardiovascular 0.5

Stroke 0.5

1.0

Band 6 Clinical Research Nurse Band 6 Clinical Research Nurse Band 7 Clinical Physiologist Band 6 Clinical Research Nurse 14

Research & Development in Health and Social Care NI

Memorandum of Understanding

• Signed by Trust Directors March 2009 • An integrated sign-off process for NI • For Research applications involving one or more Trusts • One Trust acts as Lead Trust for Research Governance • Accepted by all other Trusts • Each Trust, on the basis of the Research Governance Report from Lead Trust, issues own approval • Avoids duplication and increases efficiency 15

Links with Private Sector

Craigavon Industrial Development Organisation (CIDO)  Developing links with Trust to progress innovations  Six potential areas of development Digitised Syringe Driver – Palliative Care Medicine Screening Tests for MRSA/Clostridium Difficile Point of Care Testing - Management of diabetes based on glycated haemoglobin - Screening of Prostate Cancer Information Technology - Detection of Drugs of Abuse  Directors identified senior staff to liaise with inventors 16

Developments 2009/10

From 1 April 2009  Integrated Research Application System (IRAS) web based (myresearchproject.co.uk).

Single application for all approvals/permission  Site Specific Assessment Previously undertaken by Office for Research Ethics Committees NI Now responsibility of Trust Research Office 17