Transcript Document

Strategy and priority issues in health
services research and associated funding
Overview of talk
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Making Knowledge Work for Health (2001)
Strategy for Science, Technology & Innovation (2006-2013)
European Research Area
Advisory Science Council Report (2006)
Funding and Structures to implement SSTI
HSE METR group
Framework 6 and 7
Research Workforce
Incentives
Research Funding
Regulatory/
Governance
environment
Infrastructure
(Networks)
Infrastructure
(facilities, equipment etc)
Making Knowledge Work for Health (2001)
Key recommendations
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Director of R&D in Department of Health and Children
Forum for Health and Social Care to determine priorities
R&D Offices and Officers in health boards/agencies
R&D for Health focus within HRB
Increased funding for research proposals
Protected time for research and research career pathway
Move to best practice in IP, ethics, standards
Translation of research evidence for decision making
Greater collaboration (academia, health, industry, charities etc)
Making Knowledge Work for Health (2001)
Implementation status
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Director of R&D in Department of Health and Children
Forum for Health and Social Care to determine priorities
R&D Offices and Officers in health boards/agencies
R&D for Health focus within HRB
Increased funding for research proposals
Protected time for research and research career pathway
Move to best practice in IP, ethics, standards
Translation of research evidence for decision making
Greater collaboration (academia, health, industry, charities etc)
Strategy for Science, Technology and
Innovation (2006-2013)
• Published in June 2006
• Set out how Ireland will (a) increase R&D activity to meet
national output targets and (b) contribute to the development of
a European Research Area.
European Research Area
• Lisbon European Council (2000) adopted a ten year goal of
making the EU the world’s most dynamic, competitive and
sustainable knowledge based economy
• Barcelona European Council (2003) agreed the goal of
increasing expenditure on research, technology and innovation
in the union to approach 3% of GDP by 2010, with 2/3 of this
investment coming from the private sector
Strategy for Science, Technology and
Innovation (2006-2013)
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Develop 4th level
Double PhD output
Structure training (graduate school mechanism)
Encourage mobility
Develop careers
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Spend on R&D as a % of GDP to rise from 1.4% to 2.5% by 2014
Estimated additional cost of €1.88 billion to 2013
Provision for 350PIs, 1050 Postdocs and 3500 PhD students
Provision for all disciplines including social sciences and humanities
Strategy for Science, Technology and
Innovation (2006-2013)
Public Sector Research: Health
• Funding for health research in Ireland is low by international
standards (0.25% of overall expenditure);
• Introduction of a R&D culture within mainstream health service
slow;
• Need to strengthen considerably the health services research
and policy research capacity nationally;
• While health reform altered structures, the main strategic
requirements of MKWFH unchanged;
Strategy for Science, Technology and
Innovation (2006-2013)
Public Sector Research: Health
• The HSE has a statutory mandate to support research;
• The capacity of the health services to complement and translate
it into new and innovative products and interventions has not
developed sufficiently;
• Careers in research for clinicians;
• Small number of centres of world significance with foundations
in both academia and the health services (relevance to health
service, critical research mass, international competitive
potential, potential economic relevance, advantages presented
by an Irish population group)
Strategy for Science, Technology and
Innovation (2006-2013)
Public Sector Research: Health
‘The Advisory Science Council is currently undertaking a review of
key policy requirements. This review will be completed during 2006
and will contribute to the further development of strategy in this
area’
Advisory Science Council Report (2006)
‘Towards better health – achieving a step
change in health research in Ireland’
• Published in November 2006
• Endorsed by Cabinet Sub-committee in March 2007
Advisory Science Council
Who are they?
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Replaced ICSTI
Has twelve members (chaired by Mary Cryan)
Chief Scientific Adviser to Government and DETE attends
Secretariat provided by Forfas
Serves as primary interface between stakeholders and
policymakers in the STI area
• Remit is to contribute to the development and delivery of
coherent and effective national strategy for STI and provide
advice for Government on medium and long term policy for ST
related matters.
Advisory Science Council Report
Key recommendations
• Assistant Sec in DoHC as Head of Health Research Policy
• Establish a Health Research Group under auspices of IDC
• Establish a health research forum to facilitate dialogue among
health research community and with HRG
• Develop clear and transparent governance structures between
hospitals and universities
• Incentivise interaction
• Promote academic leadership of research and integration of
research and clinical practice
• Funding for health research to increase in line with similar
benchmarked health systems
• Expand remit of SFI to include aspects of translational research
Advisory Science Council Report
• Research funding agencies to develop joint strategies and hold
joint calls
• Recruit increased numbers of clinicians with protected time for
research
• Recruit increased numbers of nurses, AHPs, epidemiologists,
social and behavioural scientists with protected time
• Develop attractive career structures for clinical and non-clinical
staff to pursue research
• Undergraduate and postgraduate medical training/research
• Infrastructure for translational research
• Introduction of integrated elec medical records system and
unique patient identifier
• IP, commercialisation and regulatory affairs
NDP funding to implement SSTI
• Interdepartmental committee established with overall
responsibility for driving and monitoring the implementation of
the SSTI and reporting to the cabinet sub-committee on
science, technology and innovation
• Over and above existing level of service and funding, the
Government needs an additional €192 million in 2007 and 2008.
This includes €66m in 2007 and €26m in 2008. This became
€14m and €26m respectively for public sector research.
• Department of Health and Children had to bid to IDC for health
portion
• It received €3.8m in 2007 and €6.33m in 2008
NDP funding to HRB
what type of priorities?
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Clinician Scientists
PhDs in structured training
Increase number of postdoctoral fellowships
Research careers for health professionals
Clinical Research Centres (x3)
Methodology Support Centre
Increased programmatic funding in key health service-related
areas
• Biobanks
• Imaging equipment
Committees/groups post-SSTI
• HERG (HEA/Forfas)
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Research careers
Research capacities (infrastructure)
Research indicators
HEA strategic innovation fund (€300m over 5 years)
• Health Research Group (DoHC)
– To advise the IDC on the formulation and implementation of a
comprehensive health research strategy
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Strategic priorities (translational, popn health and health services)
Governance arrangements
Human resource support systems
Timeframe for delivery
Health Research Group
who is on it?
•DoHC (chaired by Tom Mooney)
•Enterprise, Trade and Employment
•Education and Science
•Environ, Heritage and Local Government
•Agriculture and Food
•HRB
•HSE (Billy Burke)
•HIQA
•SFI
•Enterprise Ireland
•Forfas
•HEA
HSE
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Research budget
Co-ordination (R&D Office and officers)
Research priorities
Research governance
Protected time/Research posts and pathways/Incentives
• METR group
– Dedicated programme to train academic clinicians
– Research Ethics Framework
– Knowledge Brokering
Framework Programmes
• FP6 ran from 2003 to 2006. Irish researchers successfully
received approximately €200m
• FP7 runs from Jan 2007 to end 2013. A total of €50.5 billion is
available under four basic headings
Co-operation
People
Ideas
Capacities
•Enhanced health promotion and disease prevention
•Quality, solidarity and sustainability of health systems