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Embedding renal research funding in clinical service

Embedding renal research funding in clinical service. Paul Cockwell Consultant Nephrologist University Hospital Birmingham. Benefits of clinical research. Patient Benefit Clinical Quality Staff appointment, development and retention Esteem – departmental Training

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Embedding renal research funding in clinical service

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  1. Embedding renal research funding in clinical service Paul Cockwell Consultant Nephrologist University Hospital Birmingham

  2. Benefits of clinical research • Patient Benefit • Clinical Quality • Staff appointment, development and retention • Esteem – departmental • Training • Flexibility and sustainability with clinical benefits • Organisational traction

  3. The clinical research environment • Changing funding infrastructure • UKKRC – Clinical Study Groups • High awareness of impediments to research

  4. Rawlins – Jan 2011 – A new pathway for the regulation and governance of health research – Academy of Medical Sciences - www.acmedsci.ac.uk/p99puid209.html • Delays and duplication in obtaining research permission • Complexity and inconsistency across the regulation pathway • Lack of proportionality • Inappropriate constraints on access to patient data • A healthcare structure that fails to support the value and benefits of health research

  5. Impediments to research – departmental/organisational • Money • Nursing • Job Plans • Expertise • Mentorship • NHS/University interface • Competitiveness • Recognition/Priorities

  6. What can the Renal CD do???

  7. What can the Renal CD do??? • Money • Your People (present and future) • Synergies

  8. Money • Priming • Infrastructure • Growth

  9. First!! • Get a structure (lead(s); nursing; users; collaborator; R+D office) – collective ownership – Governance - Accounts • Define a strategy • Short term wins • Long-term goals • Patience

  10. Money – how to use • Pick the winners – eg prime portfolio studies • High profile collaborations • Once you are convinced that a research strand is important – keep it active – be imaginative • Speculate • Be fair

  11. The funding streams • Trust Funds • CLRN • Peer-reviewed grant support • Industry support

  12. Money – Trust Funds • Ensure that a high proportion of Trust Fund money is committed to research • Involve the KPA • Utilise all opportunities to advertise and fund-raise • Equitable and Transparent processes • Use Trust Funds to pump-prime and provide flexibility and contingency support • Spend around 30% of Trust Funds/year

  13. Money - CLRN • Get them to gain an understanding of the challenges that you have a service level • Use the renal specialty lead • Use the secondary and tertiary care leads • Understand the CLRN funding opportunities

  14. Money – peer reviewed grants • Multicentre (co-applicants; collaborators) • Multicentre (lead centre) • University partnerships • Project and single centre programme grants

  15. Industry • Crucial • You can use from pump-priming to funding major academic studies • Get your funding templates right • Don’t take an industry study (or any multicentre study) unless it is portfolio eligible • Make sure that your overheads are properly costed

  16. Support the team • Give them time (years!!!!!!!!!!!!) • Be unremittingly positive • Your recent appointments are the key • Enable them to go for every opportunity

  17. Conclusion • Develop a strategy and an infrastructure • Utilise all available funding streams • Back your team

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