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LYBRA: The Challenge

LYBRA: The Challenge. 2.5 million people Life expectancy 4.5 years lower than UK average; ↑infant mortality; ↑drug abuse, smoking and binge drinking. NHS Workforce 55,000 medical, clinical and & managerial staff Spend circa £3.5 billion per year. LYBRA partnership:

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LYBRA: The Challenge

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  1. LYBRA: The Challenge • 2.5 million people • Life expectancy 4.5 years lower than UK average; ↑infant mortality; ↑drug abuse, smoking and binge drinking. • NHS • Workforce 55,000 medical, clinical and & managerial staff • Spend circa £3.5 billion per year • LYBRA partnership: • Bradford & Airedale tPCT • Bradford Teaching Hospitals NHSFT • Leeds Partnerships NHSFT • Leeds PCT • Leeds Teaching Hospitals NHST • University of Leeds • University of York York Leeds Bradford

  2. Why a LYBRA CLAHRC? • We do things well • We do them together • We are an ambitious partnership • Unparalleled opportunity

  3. Bradford NHS Bradford Institute for Health Research 3 NIHR programmes: quality & safety, stroke, childhood obesity Leeds NHS £700k pa in HSR & trial income Translational research e.g. Leeds Musculoskeletal BMRU University of Leeds Institute of Health Sciences £21m HSR grants from SDO, HTA & national research councils University of York £36m HSR grants 2003-07 (£1m per WTE academic) Dept Health Sciences, CRD & Centre Health Economics We do things well

  4. We Do Them Together

  5. A Partnership With Ambition Core principles: • High calibre HSR (& key performance indicators) • Commissioning informed by research • Distributed research settings • Strong public engagement • Tackling health inequalities • Research capacity building within the NHS

  6. LYBRA: An Unparalleled Opportunity Service Development & Delivery Research-Led commissioning Top Class HSR

  7. LYBRA: step changes • structures: new partnerships, themes supported by LYBRA partners • ways of working: R&D embedded in frontline activities

  8. Patient Involvement Truly committed • Evidence: • involvement in existing R&D programmes • involvement in NHS and social services partners, e.g. Foundation Trust governors and members • Using existing NHS structures • Participation working group

  9. Risks and Responses • An NHS re-organization that changes the nature of the LYBRA partnership • Strong, adaptable governance arrangements • Creating novel networks • Commitment of all LYBRA partners: LYBRA is a strategic investment • Sustaining the networks in each theme • Bottom-up thematic network development

  10. Monitoring and Evaluation • Output measures: embedded partnerships • Outcome measures: key measures within each theme • Cross-cutting TRIP-LAB theme

  11. Governance

  12. LYBRA Governance • LYBRA Board: NHS Commissioner led • Organisational commitment: Memorandum of Understanding • Financial management • Strong theme management • Wider engagement • user/public • commissioners

  13. Where do we end up? • Here will be the “big ending” for Simon once raw materials from Justin are in…

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