5 Rookwood hospital 32 inpatients beds Regional service for specialist neurorehabilitationAge 18 years and aboveRehabilitation community settingPopulation of 1.25 millionCardiff and vale, Gwent, RCTAll Wales service for minimally aware patients
12 Research opportunities? Busy clinical load – increasing complexityEmphasis on service developmentRestrictive job plansEmphasis on targets and waiting timesLittle chance of pure academic interestNo emphasis on outcomesFunding / ethics / junior staff / admin support
13 Research opportunities Evidence baseRobust support for business casesSpecific information for populationsEvidence for treatments especially therapeuticPayment by results
14 Research opportunities? Rich source of clinical casesOncology model – every patient is a research projectTeam work – expertise in complexityEnthusiastic staffExpectation that some research/ audit is done
16 Research opportunities? Emphasis on service developmentRestrictive job plansEmphasis on targets and waiting timesBusy clinical load – increasing complexityLittle chance of pure academic interestNo emphasis on outcomesFunding / ethics / junior staff / admin supportBuild in research to development plansSupport for allocated time / supervisionImproved ability to deliverDecrease wasteReady supply of research materialEvidence based practicePublish outcomesSupport for practicalities
17 Prioritise clinically relevant research Clinical networks linking with research networksResearch championsPromote clinical academicsResearch as part of the clinical culture
18 Culture shift? SPI – safer patient initiative 1000 lives Bundles of care
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