Embedding Research and Evaluation in Services

1. Embedding Research and Evaluation in Services Peter Brindle – R&D Programme Director Emma Moody – Programme Manager for older people

2. Summary • Policy context and background • Description of the project • The impact – local, regional and national • Opportunities for discussion

3. Background – The PM’s Challenge “ We would like people to feel confident that we are making significant progress towards dementia prevention, treatment and cure in the UK, and to be able to say that they wanted to take part in research and were able to do so. ““““ “ March 26 2012: Prime Minister’s Challenge on Dementia: Delivering major improvements in dementia care and research by 2015

4. Wider policy context www.dendron.nihr.ac.uk

5. Health and Social Care Act 2012 Commissioners, in the exercise of their functions, have a duty to “promote research and the use of evidence”

6. Research - benefits for patients • Take an active role in their care • Work closely with researchers to set priorities • Share their experience and knowledge • Contribute to advancements in medical research • Have their condition monitored more closely • Have the chance to try new treatments

7. Research - benefits to staff and organisations • Its good for patients! • Marker of quality • Research can generate income • Provide opportunities for staff development • Government priority: 10% ambition

8. 4.8% Are currently involved in a dementia-related study in the SW 34,097 People diagnosed with dementia in the South West

9. Service Evaluation • Value for money • Evidence for the service or initiative • Effectiveness and efficiency of the service or initiative • Informed decisions and legitimacy for making changes • Benefits of the service or initiative Recommission, modify or decommission

10. The Evaluation Wheel

11. The Process • A ‘form of words,’ drafted and widely consulted upon • Inserted into the Bristol Dementia Wellbeing Service specification • Service specification consulted upon

12. The Process • The ‘form of words’ shared with and adopted by the suite of 15 mental health service specifications • ‘Promoting research’ used to to judge tender applications • Key Performance Indicators

13. The Provider is required… • “to have processes in place to ensure that people are given the opportunity to take part in high quality research studies” • “to perform at least one full evaluation of the service within twelve months of operation, and thereafter at least every 18 months”

14. The Impact - local • Evidence informed commissioning • Work plans • Stimulated productive contact between the NIHR Clinical Research Network and commissioners • Information regarding research in practice post diagnostic packs

15. The Impact - regional • Community services procurement in South Gloucestershire and Bristol • Acute trust procurement in North Somerset • West of England AHSN

16. The Impact - national • Association of Medical Research Charities • NHS England research strategy • NHS England CCG toolkit • NHS Standard Contract

17. Conclusion A high impact intervention, easily replicated: • Costs little or nothing • Any Qualified Providers • Patient choice • Service quality • Significant contribution to wealth creation • National impact • locally devised and tested, leading to national policy

18. Thank you very much for listening!