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Professor John Geen Clinical Lead for R_D Cwm Taf Health Board


									Professor John Geen Clinical Lead for R&D
          Cwm Taf Health Board
  South East Wales Academic Health
         Science Partnership
           Strategy launch
    Scoping of Health Service & Delivery
      Research (HS&DR) and the NHS
• Many initiatives currently being undertaken across NHS
  Wales, to improve and optimise the delivery of High
  Quality Healthcare and “Achieving Excellence”
• Quantum changes in healthcare provision require multi-
  agency, multi professional and multi-specialty co-operation
  and approach involving the NHS Service, Education and
• Recognised that changes in Healthcare require a robust
  Evidence Base
• With appropriate resources Health Service & Delivery
  Research can help inform that Evidence Base and change.
• Area requiring more research as only 6 of 137 studies on
  CRP in Wales are HS & DR related.
• UKCRN (England): 124 HS&DR related projects listed on
  their portfolio
Development of the HS&DR
Sub-Group and the Strategic
   Objectives of the NHS
Networking / Scoping
         Networking / Scoping

• HS&DR Group is a Sub-Group of SEWAHSP
• 7 HS & DR sub-group meetings held to date
  since 6th October 2011
• Excellent attendance from all members
• Extensive membership from the NHS and
  Academic Research community across South
  East Wales.
       Networking / Scoping
Membership includes:
• Cwm Taf, Aneurin Bevan, Cardiff & Vale University Health
  Boards, WAST, Velindre NHS Trust
• Public Health Wales (eg. DECIPHer)
• Cardiff University (TIME, SEWTU, MATHS, PHARM, School of
  Medicine, Primary Care and Public Health, Social Sciences,
  Healthcare Studies, Dental, Computer Science and Informatics,
  Nursing and Midwifery)
• Cardiff Metropolitan University
• Newport University,
• University of Glamorgan
• Academic Health Science Collaboration ( S.E.W Regional Hub)
              Networking/ Scoping
    Opportunity to:
•   Introduce NHS & Academic colleagues and
    facilitate round table discussion as equal partners.
•   Develop collaborative partnerships
•   Discuss and map members fields of expertise
•   Understand and appreciate each others drivers
•   Identify common areas of Research interest
•   Identify gaps in each others portfolios/expertise
    with a view to providing support between
•   Develop and document Research priority themes
    (5 to date) that can inform SEWAHSP and NHS
    Wales HS & DR agenda, meeting the needs of all
Education and Training
          Education and Training

• Planned to hold seminars for all members to
  educate/train on matters pertinent to HS & DR
• Seminar hosted by Prof Davina Allen (Cardiff
  University, Nursing & Midwifery) held 17th July 2012:
  on writing Grant Applications for the National
  Institute of Health Research (NIHR)
• Group recognise that HS & DR outcomes could
  impact on Education provision to NHS staff as
  Services and Staff roles change as NHS changes
• Research Delivery & Conduct Service (SEWTU) sits on
  HS&DR group, providing expert advice, support and
  education on research proposals for the NHS.
        Education and Training
        Dates for the HS&DR Diary
• 9th November 2012: Researching Whole
• 23rd November 2012: Applying for RfPPB
  funding in Wales
• January 2013: Choosing the best design for your
Sharing Resources in Support of the
      HS & D Research Agenda
Financial   Clinical Intellectual Equipment
• Constituent members of SEWAHSP provide financial support to
  help fund SEWAHSP administrative hub and HS&DR agenda.
• NHS members investigating joint financial support for
  collaborative Knowledge Transfer pilot study with Cardiff
  University which could support NIHR bid
• Aneurin Bevan HB have funded mathematicians to support
  collaborative research with Cardiff University to investigate
  mathematical modelling of complex systems.
• Joint applications for funding should strengthen and increase
  success of submissions through demonstration of a fully
  collaborative / integrated approach
  eg. AHSC (methodology), NIHR, HTA, AHSC informatics, NISCHR
• Finance
• Innovation & Improvement department at C&VUHB
  has facilitated the collaboration between Cardiff
  University and C&VUHB R & D, and developed
  mechanisms to support joint applications for funding,
  focussing on optimising healthcare delivery

  ………More on these from Sue and Alison later
• Clinical
• NHS members act as conduits for Academic members to
  access appropriate clinicians critical for the success of
  HS&D Research.
• NHS can advise on Service Delivery and how best to
  incorporate research activity and comply with Research
  Governance processes.
• NHS members can act co-operatively and collaborate
  with Academic members to increase the critical mass of
  personnel able to undertake high quality HS&DR studies
• NHS can identify the current R&D priorities which need
  investigation, to implement required changes to service
•Access to people
                    • A major Clinical resource
                      is access to patients with
                      a total population of
                    • All Socio-Economic
                    • Population estimates:
                    • Cwm Taf 300,000
                    • Aneurin Bevan 560,000
                    • Cardiff & Vale 445,000
                    • Velindre tertiary centre
                      covering 500,000 across
• Intellectual
• NHS can access Academic HS&DR experts / experience to
  provide support in traditionally non clinical areas
  strengthening HS&D research studies / methodologies .
  eg. Mathematical Modelling, Knowledge Transfer, Qualitative
  Research, Statistics

• Developing R&D partnerships can support Career
  Development for NHS staff through collaborative HS&DR and

• Build on previous HS&DR findings / outcomes to develop next
  step Research and reduce duplication. Eg. WAST project and
  investigation into complex whole systems approach, chronic
  disease management and workforce redesign.
• Equipment
  Sharing of equipment resources to strengthen research
  and maximise information gathering from valuable
  biological samples and patient recruits to include:
• Analytical Laboratory based analyses: Academia and
  NHS have different analytical priorities reflected in
  equipment and services.
Ø Academia: Often focus on pure science analyses
Ø NHS: Clinical Application, measurement, interpretation
•   Imaging: X-ray, CT, MRI, PET.
•   Informatics: hardware, software, data
Additional Benefits of being an HS&DR
• Additional Benefits of being an HS&DR Collective:

• Raise the profile of Regional R&D with reference to HS&DR
  and its importance for Health Service Change. Professors
  Denman, Cohen and Bale have met with Mr David Sissling
  CEO of NHS in Wales to promote establishment of
  SEWAHSP and discuss its aims, objectives and strategy.
• Large group represents the views of multiple R&D agencies
  and professionals across the region and can provide
  informed view/opinion that could help influence
  Government strategy.
• Improve chances of success of obtaining funding from
  Large funding Organisations (NIHR, NISCHR) for HS&DR, as
  all criteria and support requirements met as a collective.
• Attract Industry Partners as introductions, study co-
  ordination, monitoring and liaison could be centrally
  regulated by SEWAHSP Hub
• Establishment of the HS & DR Group as a sub-group of
  SEWAHSP, has helped facilitate, harmonise and
  consolidate an important arm of the SEWAHSP strategy.
• Excellent opportunity for the NHS to engage symbiotically
  with Industrial, Educational and Research fraternity,
  promote collaboration and avoid duplication of HS&D
• Sharing Knowledge, Experience and Resources will
  strengthen the quality of the funding applications, research,
  evidence base and outcomes.
• Need to build on the momentum and meet the objectives
  of the SEWAHSP HS&DR agenda
• Need to encourage increased funding and support of the
  HS&DR agenda across the region.

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