1. CLAHRC for South Yorkshire Collaborations for Leadership in Applied Health Research and Care for South Yorkshire (CLAHRC SY). www.clahrc-sy.nihr.ac.uk Interested in getting involved in Research? How CLAHRC SY can help? Gill Sarre Organisational Support Lead CLAHRC SY

2. CLAHRC for South Yorkshire Why do Research? Government commitment to the promotion and conduct of research as a core NHS activity: “Research is vital in providing the new knowledge needed to improve health outcomes and reduce inequalities” “Research is even more important when resources are under pressure” “The Government believes that outcomes will improve most rapidly when clinicians are engaged and creativity, research participation and professionalism are allowed to flourish” Equity & excellence: Liberating the NHS, DH July 2010

3. CLAHRC for South Yorkshire Why do Research? NHS Staff – individuals & teams Has the potential to provide better care for patients Generating and supporting research that is close to practice Increased skills development More reflective approach to everyday practice Professional & career development opportunities Greater job satisfaction

4. CLAHRC for South Yorkshire Why do Research? NHS Organisations Helps to deliver core business - meeting the QIPP agenda Best practice - improved healthcare outcomes Important for evidence-based policy making Partnership between NHS & Academia to ensure local priorities for research are taken into account and the NHS benefits from academic expertise Research organisations tend to be more innovative Increased reputation & profile – ‘cutting edge’ Attracting and retaining the best staff

5. CLAHRC for South Yorkshire What is CLAHRC SY? Collaboration for Leadership in Applied Health Research and Care for South Yorkshire. One of nine CLAHRCs across England funded for 5 years, from October 2008, as part of the National Institute of Health (NIHR) infrastructure. Designed to develop mutually beneficial partnerships between higher education institutions and NHS organisations to improve patient outcomes through applied health research and local implementation of the results.

6. CLAHRC for South Yorkshire Primary functions of the CLAHRCs The conduct of high quality applied health research Implementing findings from research in clinical practice Increasing the capacity of NHS organisations to engage with and apply research, including continuing professional development for professionals and managers

7. CLAHRC for South Yorkshire “Our mission is to undertake, over the next five years, high quality, strategic, applied research and related education in order to enable a ‘step change’ in the way research is delivered and services are designed in South Yorkshire; and to foster knowledge transfer that will improve the quality and effectiveness of health care delivery across South Yorkshire.”

8. CLAHRC for South Yorkshire CLAHRC SY Research and Implementation Themes

9. CLAHRC for South Yorkshire To improve the health and well being for people with long term conditions (LTC) in South Yorkshire. To develop new approaches to service design and delivery using a patient centred user experience methodology To utilise an innovative model for conducting applied research and evidence translation which is embedded in the self-management, self care agenda for people with LTC To promote the transfer of knowledge from applied research into practice and facilitate the implementation of new knowledge into health service policy practice and commissioning CLAHRC SY objectives:

10. CLAHRC for South Yorkshire To encourage commercial exploitation, where appropriate, for the benefit of the South Yorkshire economy. To use advances in health technologies- enhancing self- management, improving access, choice and personalised care for people with long-term conditions. To work together to foster capacity and innovation in applied research and health care. To inform and respond to the needs for service commissioning within South Yorkshire CLAHRC SY objectives:

11. CLAHRC for South Yorkshire CLAHRC research themes are embedded in self management, self care and innovation technology agenda for LTC (Equity & Excellence 2010, Operating framework for the NHS 2008/9, Our Health, Our Care, Our Say.’ 2006) The User Centred HealthCare Design theme links to valuing and using patient experience alongside the traditional dimensions of effectiveness and efficiency (Equity & Excellence 2010, Darzi Review, 2008) The Knowledge into Action theme utilises a unique distributed model of evidence translation and change behaviour. (Tooke report, Cooksey Translation gap) CLAHRC SY has a translation theme that particularly addresses the role of research in commissioning Unique Selling Points

12. CLAHRC for South Yorkshire Major inequalities reflected in health across South Yorkshire people in poorer areas of Barnsley are twice as likely to die prematurely as those in the more affluent areas in Sheffield there is a 14 year difference in life expectancies between the best and worst off neighbourhoods South Yorkshire has a strong track record of identifying and tackling chronic/life long conditions which represent major public health burden Rotherham Health Authority study showed 29% of stroke deaths had avoidable factors and 44% of those with hypertension (Payne et al Local confidential inquiry into avoidable factors in deaths from stroke. 1993;307:1027-30) Inequalities in South Yorkshire

13. CLAHRC for South Yorkshire Supporting Research Capacity Development (RCD) What is RCD? ‘a process of individual and institutional development which leads to higher levels of skills and greater ability to perform useful research’ (Trostle, 1992) 3 Levels to Explore Research Capacity Development in CLAHRC Individuals Teams ( CLAHRC Themes) Organisations

14. CLAHRC for South Yorkshire Developing Research Capacity in Individuals Increasing access to post graduate programmes in CLAHRC NIHR Clinical Academic Training Programme: MSc in Clinical Research for Nurses, Midwives & Allied Health Professionals (see ScHARR leaflets) Learning beyond registration - MSc in Health Economics, other research courses at SHU and ScHARR Research placements for masters students in CLAHRC Dissemination of information about funding opportunities – email update, ARC for CLAHRC Resource Bank Supporting next generation researchers in CLAHRC themes Database of people undertaking PhD & professional doctorates Research skills workshops Support for NIHR Fellowship applications CLAHRC mentorship scheme

15. CLAHRC for South Yorkshire Developing Research Capacity in Individuals Providing secondment opportunities - for example Knowledge into Action currently in Sheffield Teaching Hospital but other Trusts will follow Research Fellowships, e.g. Doncaster Hospital Foundation Trust Research Assistants working on CLAHRC projects Professional Doctorate, e.g. Intelligent Commissioning theme Seminar Series and Learning events- see our website for details http://clahrc-sy.nihr.ac.uk http://clahrc-sy.nihr.ac.uk Evaluation support from CLAHRC theme teams CASE studentships with ESRC

16. CLAHRC for South Yorkshire Developing Research Capacity in Teams (themes) Building sustainability in CLAHRC themes Close partnership working with NIHR Research Design Service for Yorkshire & The Humber in order to strengthening CLAHRC themes’ access to health economics & statistics expertise (especially for themes based in the NHS where these skills are rare) Develop bids for further NIHR funding Provide funds for protected time for researchers to write applications for NIHR funding Increase PPI, interagency and industry links and collaborations

17. CLAHRC for South Yorkshire Developing Research Capacity in NHS Organisations (1) Building an organisational environment that supports the development of research capacity and culture. Working with R&D Leads & teams to: Undertake a baseline audit (using the ARC for CLAHRC tool): to describe and map strengths and gaps in relation to research capacity development in CLAHRC SY partner NHS Trusts To support planning of further research capacity development at an organisational level Identify ways in which CLAHRC can help RCD Provide information, support and networking opportunities

18. CLAHRC for South Yorkshire ARC for CLAHRC Audit Tool An audit tool for measuring Research Capacity Development at an organisational level It is evidence based: Built on a theoretical model of RCD principles RCD indicators were generated using Nominal Group Technique with R&D community in East Midlands/South Yorkshire Piloted with NHS trusts Adapted and developed for CLAHRC by a Working Group of South Yorkshire NHS trust R&D Leads Now including metrics and measures for each indicator

19. CLAHRC for South Yorkshire ARC for CLAHRC Audit Tool Principles of RCD: Skills development Infrastructure Close to practice Linkages, partnerships & collaborations Dissemination Leadership Research culture Sustainable research activity Each principle has a range of indicators – including a CLAHRC indicator Metrics & measures – numerical & descriptive structured information on strengths & gaps, flexible, self- reflective, to benchmark RCD over time

20. CLAHRC for South Yorkshire

21. CLAHRC for South Yorkshire What can ARC do? Helps measure and plan Research Capacity Development in NHS organisations Provides structured information for Chief Executives, Boards and managers that will assist in planning Designed to be flexible to suit local circumstances Encourages self-reflection Builds on strengths & addresses development needs in relation to RCD Will act as a benchmark to measure RCD within the organisation over time

22. CLAHRC for South Yorkshire CLAHRC Support for RCD in NHS Organisations Organisations Support Lead, 1 day per week over the lifetime of CLAHRC to support RCD planning & facilitate communication between CLAHRC Core Team & partner trusts. ARC for CLAHRC Resource Bank Electronic links to a wide range of Information, guidance & resources to support each indicator within the ARC tool, e.g. links to relevant local university higher degree information; Learning Beyond Registration opportunities; NIHR and other Fellowships; ESRC Case Studentships Saving trusts’ time and effort Regularly updated

23. CLAHRC for South Yorkshire CLAHRC Support for RCD in NHS Organisations Regular email R&D updates (4-6 weekly) Including national research policy & guidance, local training opportunities, PPI News update from CLAHRC themes Trust R&D Leads Network with six monthly seminars / supported learning events Presentations from local experts Opportunity to find out more about CLAHRC activities related to RCD Networking and discussion

24. CLAHRC for South Yorkshire For more information please go to our web site at: www.clahrc-sy.nihr.ac.uk Acknowledgements: This article/paper/report presents independent research by the National Institute for HealthResearch Collaboration for Leadership in Applied Health Research and Care for South Yorkshire (NIHR CLAHRC SY). The views and opinions expressed are those of the authors, and not necessarily those of the NHS, the NIHR or the Department of Health. CLAHRC SY would also like to acknowledge the participation and resources of our partner organisations. Further details can be found at www.clahrc-sy.nihr.ac.uk.www.clahrc-sy.nihr.ac.uk © Sheffield Teaching Hospital NHS Foundation Trust and all other partner organisations 2012, a member of the National Institute for Health Research Collaborations for Leadership in Applied Health Research and Care for South Yorkshire (CLAHRC SY). This document can be distributed freely within CLAHRC SY’s partner organisations.