Transcript Slide 1

Collaboration for Leadership in Applied Health Research and Care
for South Yorkshire (CLAHRC SY). www.clahrc-sy.nihr.ac.uk
Research within the context of
Government & NHS policy
Gill Sarre
Organisations Support Lead
CLAHRC SY, October 2011
CLAHRC
for South Yorkshire
Research is ‘core’ business
• “all providers of NHS care will need to increase their
participation in research” (NHS Operating Framework)
• “the national ambition is to double the number of patients
taking part in clinical trials and other well-designed
research studies within five years” (NHS Operating
Framework)
• “attract, develop and retain the best clinical, health
service and public health research professionals”
(National Research Strategy)
CLAHRC
for South Yorkshire
Why is Research a Government Priority?
• Improving health
• Tackling burden of disease & poor health
• Improving service quality & outcomes for patients
• Improving patient safety
• Improving wealth
• Knowledge economy – international competitiveness
& economic growth
• Importance of pharmaceutical industry
• More productive population
• Better use of taxpayers’ money
CLAHRC
for South Yorkshire
Government support for Health Research
CLAHRC
for South Yorkshire
Why engage in research?
• Studies suggest that patients receiving care in research-active
institutions have better health outcomes
• Meeting the QIPP agenda
• Contributing to building the body of evidence that can lead to
positive change in future care & the organisation & management of
healthcare services
• Workforce development – skills, critical thinking, reflection &
evaluation
• Financial reward – Flexibility & Sustainability Funding
• Reputation & kudos
• “Exposure to research strengthens managers’ ability to innovate”
Ron Kerr, CE, Guy's and St. Thomas' Hospital Trust
CLAHRC
for South Yorkshire
NHS Confederation Briefings
• Being a good research partner: the virtues
& rewards
http://www.nhsconfed.org/Publications/briefings/Pages/Being-a-good
research-partner.aspx
• The influence of health services research
on the NHS
http://www.nhsconfed.org/Publications/briefings/Pages/health-servicesresearch.aspx
CLAHRC
for South Yorkshire
For AHPs?
• Resource Manual for Commissioning and Planning
Services for Speech Language and Communication
Needs (SLCN)
• Contribution of Allied Health Assistants – Australian
literature review (2010) 415 studies identified ,10
included, 7 from UK
• Research Forum for Allied Health Professionals
• Promoting research in nursing & the allied health professionals
(2001) Report to HEFCE. Includes exemplars of the benefits
and impact of selected research studies
• Dedicated call for research questions from AHPs to NIHR Health
Technology Assessment Programme (2010)
• Representation on the AHP QIPP steering group
CLAHRC
for South Yorkshire
Levels of Research Involvement
• Using research evidence to inform practice
(everyone)
• Supporting research led by others – e.g.
recruiting patients to research studies (many)
• Collaborating in research – contributing to
design, delivery & dissemination as a research
partner (some)
• Leading research as a principal investigator (a
few)
CLAHRC
for South Yorkshire
How do we make Research ‘core’
• Key role of managers
‘There is a burgeoning literature that argues that organisational
performance is heavily influenced by what happens in the middle of
organisations rather than at the top’ (Dopson & Fitzgerald 2006)
• Middle managers as key change agents:
• Key strategic drivers – act as a conduit between ‘thinkers’ and
‘doers’ , change agents not just implementers of change
• Contextual knowledge (operational, social) – translation of
business-led strategic aims into operational performance
• Good source of entrepreneurship – more likely to know where
the problems are, know the culture
• Networks, cross-boundary working – social linkages &
information flows
CLAHRC
for South Yorkshire
Role & influence – negative view
• Perfectly placed but frequently maligned,
especially in times of cut-backs & change
‘A common feeling toward middle managers is that they are little
more than an addition to bureaucracy. Some view their positions
as a luxury or even a barrier to change’ (Embertson 2006)
• Cost rather than contributor to health services
• As managers = agents of change but as
employees = the focus of change
CLAHRC
for South Yorkshire
Blocks to research engagement
& support
• Lack of power and support to make changes
• Lack of involvement in higher strategic planning &
decision making – power hierarchy
• Time pressures – focus on fire-fighting
• Inflexible working structures
• Research interest and relevance
• Skills & understanding
• Lack of resources
• Poor communication & limited opportunity for discussion
with senior managers
CLAHRC
for South Yorkshire
What might help?
• Partnership /networking opportunities between
managers & between managers & researchers
• Changing research culture from the very top –
champions in key positions.
• Maximising local opportunities & support
infrastructure
• The innovation agenda - flexible approaches &
new ways of working
• Identifying models of research engagement &
how they might fit with local context
CLAHRC
for South Yorkshire
Some messages for Researchers
• The importance of marketing
• understand your organisation & current NHS
drivers
• Consider priorities
• patient, service, business
• QIPP - Quality, Innovation, Productivity, Prevention
• Actively seek opportunities & sources of
advice & support
• Networks
CLAHRC
for South Yorkshire
Local Research Infrastructure
CLAHRC
for South Yorkshire
Local NIHR Infrastructure Support
• CLAHRC SY
• Research and implementation – self management of long
term conditions
• Co-production model: academic/NHS/PPI partnership
• Secondment opportunities, skills workshops / learning events
• Capacity development
• CLRN
• Facilitate recruitment to studies
• Provide NHS Service Support Costs
• Deploy resources for research management & governance
• RDS
• Advice on research design for researchers submitting bids
• Help find funding streams, develop partnerships, develop PPI
CLAHRC
for South Yorkshire
www.clahrc-sy.nihr.ac.uk
Vimeo.com: clahrc sy
Twitter.com: clahrc_sy@
Acknowledgements:
This article/paper/report presents independent research by the National Institute for HealthResearch Collaboration for Leadership in Applied Health Research and Care
for South Yorkshire (NIHR CLAHRC SY). The views and opinions expressed are those of the authors, and not necessarily those of the NHS, the NIHR or the
Department of Health.
CLAHRC SY would also like to acknowledge the participation and resources of our partner organisations. Further details can be found at www.clahrc-sy.nihr.ac.uk.
© Sheffield Teaching Hospital NHS Foundation Trust and all other partner organisations 2012, a member of the National Institute for Health Research Collaborations
for Leadership in Applied Health Research and Care for South Yorkshire (CLAHRC SY). This document can be distributed freely within CLAHRC SY’s partner
organisations.
CLAHRC
for South Yorkshire