1. 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

2. 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 Research. 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

3. Development of the HS&DR Sub-Group and the Strategic Objectives of the NHS

4. Networking / Scoping

5. HS&DR Group is a Sub-Group of SEWAHSP 7 HS & DR sub-group meetings held to date since 6 th October 2011 Excellent attendance from all members Extensive membership from the NHS and Academic Research community across South East Wales.

6. 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)

7. 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 Organisations Develop and document Research priority themes (5 to date) that can inform SEWAHSP and NHS Wales HS & DR agenda, meeting the needs of all

8. Education and Training

9. 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 17 th 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.

10. 9 th November 2012: Researching Whole Systems 23 rd November 2012: Applying for RfPPB funding in Wales January 2013: Choosing the best design for your Study Education and Training Dates for the HS&DR Diary

11. Sharing Resources in Support of the HS & D Research Agenda Financial Clinical Intellectual Equipment

12. Finance 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 (RfPPB)

13. 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

14. 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 delivery.

15. Access to people A major Clinical resource is access to patients with a total population of 1.5m All Socio-Economic backgrounds Population estimates: Cwm Taf 300,000 Aneurin Bevan 560,000 Cardiff & Vale 445,000 Velindre tertiary centre covering 500,000 across Wales

16. 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 Education. 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.

17. 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.  Academia: Often focus on pure science analyses  NHS: Clinical Application, measurement, interpretation Imaging: X-ray, CT, MRI, PET. Informatics: hardware, software, data banks/links

18. Additional Benefits of being an HS&DR Collective

19. 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

20. Summary 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 research 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.