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NIHR Delivering Better Health 26 November 2013, Leeds

NIHR Delivering Better Health 26 November 2013, Leeds. Dr David Cox Deputy Director – Research Finance & Programmes. NIHR Delivering Better Research. What is NIHR? What has NIHR done for us? What’s the NIHR Faculty? What should I do in Leeds?. What is NIHR and what does it mean to me?.

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NIHR Delivering Better Health 26 November 2013, Leeds

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  1. NIHR Delivering Better Health 26 November 2013, Leeds Dr David Cox Deputy Director – Research Finance & Programmes

  2. NIHR Delivering Better Research • What is NIHR? • What has NIHR done for us? • What’s the NIHR Faculty? • What should I do in Leeds?

  3. 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.

  4. “The Government is committed to a future in which research continues as a core function of the NHS.” Earl Howe30 July 2010 Government Commitment to research in the NHS

  5. 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 economicgrowth through investment by life science industries

  6. 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…

  7. 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)

  8. 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

  9. 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.

  10. Better Quality • Better Value The Innovation Pathway DIFFUSION INVENTION EVALUATION ADOPTION • Spread • new things • new ideas • new techniques • new approaches • Creation • new things • new ideas • new techniques • new approaches • Assessment • new things • new ideas • new techniques • new approaches • Uptake • new things • new ideas • new techniques • new approaches Basic Research Applied Research Commissioning Patient Care MRC & Charities NIHR NHS Commissioners Providers of NHS services

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

  12. 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

  13. NIHR Clinical Research Network NIHR Stroke Research Network Recruitment

  14. Medical Schools Council – Staffing survey 2011 NIHR Established

  15. World citation share: Health & Medical Sciences USA UK CHINA 2006 2007 2008 2009 2010

  16. 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)

  17. What is the Faculty?

  18. Faculty Associates Investigators &Senior Investigators Trainees 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

  19. Faculty Associates Investigators &Senior Investigators Trainees 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

  20. Faculty Associates Investigators &Senior Investigators 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

  21. Faculty Associates 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

  22. Faculty Associates Investigators &Senior Investigators Trainees 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

  23. 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

  24. Faculty Associates Investigators &Senior Investigators Trainees What do you need to do? The 6 Cs • 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?

  25. Faculty Associates Investigators &Senior Investigators Trainees 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 6th C: a bit of celebration is permitted

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