1. Irish Health Research: Collaboration and Partnership HSE Regional Library & Information Health Research Seminar Dr. Steevens’ Hospital 11th February 2011 Jim Breslin, Department of Health & Children

2. Research & Health and Social Care - Where have we come from? (Relatively) -Simple -Low tech & - Modest outcomes

3. Where have we gotten to? - Complex & often hi-tech often hi-tech - Knowledge intensive - Expensive - Powerful in adding both years to life & life to years

4. Today’s Supply & Demand Drivers Technological development continues Technological development continues Biotech, genetics, convergence of products and devices, remote diagnostics and healthcare delivery, etc Biotech, genetics, convergence of products and devices, remote diagnostics and healthcare delivery, etc Public expectations - demand for access & quality Public expectations - demand for access & quality Requirement for integration between primary & specialist care Requirement for integration between primary & specialist care Demographics & growing burden of chronic illness Demographics & growing burden of chronic illness

5. Today’s Fiscal Drivers Reducing revenue. Tax revenue collected in 2010 below those collected in 2003. Reducing revenue. Tax revenue collected in 2010 below those collected in 2003. Public health spending of €14.5bn represents: Public health spending of €14.5bn represents: 27% of public expenditure, 27% of public expenditure, 49% of total tax receipts & 49% of total tax receipts & 133% of Income Tax receipts. 133% of Income Tax receipts. Reducing spend Reducing spend Reduction of €1.3bn or 9% since 2008 already Reduction of €1.3bn or 9% since 2008 already

6. The Role for Health Research: The Interconnections Quality health services, a vibrant health research system and social and economic prosperity are not separate but inextricably intertwined. High Performing Health Services Vibrant Health Research System Smart Economy

7. Using Health Research to Promote Both Health & Wealth Strong health research system needed to support: Strong health research system needed to support: Transformation of health service delivery and patient outcomes Transformation of health service delivery and patient outcomes Economic agenda in developing new products and services Economic agenda in developing new products and services

8. Health Research Pathway Translation & Application - Clinical & patient oriented research -Population Health Sciences -Health Services Research Basic Biomedical Research Transformation Health outcomes and system performance Commercialisation New technologies

9. The Health Outcomes Gap Coordination of Treatments and Services Implementation Gap Scientific Knowledge Gap EXISTING HEALTH OUTCOMES Potential Health Outcomes

10. The Health Outcomes Gap Service Coordination Implementation Gap Knowledge Gap EXISTING HEALTH OUTCOMES Potential Health Outcomes Alzheimer’s treatments Thrombolysis delays in stroke treatment Late discharge summaries for GPs

11. The Health Outcomes Gap Service Coordination Implementation Gap Knowledge Gap EXISTING HEALTH OUTCOMES Potential Health Outcomes Alzheimer’s treatments Thrombolysis delays in stroke treatment Late discharge summaries for GPs RESEARCHRESEARCH

12. Action Plan for Health Research (2009) The Health Research group published the Action Plan in order to be accountable, to generate support and to build partnerships amongst diverse stakeholders with passion for research & innovation.

13. What will the Action Plan for Health Research Achieve? 1. Framework for co-ordination & accountability across diverse stakeholders. 2. National priorities for health research. 3. Enabling research infrastructure; in particular clinical research facilities in our main academic hospitals & scalable informatics and bio-banking solutions. 4. More clinical trials networks, internationally linked. 5. Focus on commercialisation & industry partnerships. 6. Streamlined and predictable regulatory environment.

14. What will the Action Plan Achieve? 7.More clinicians & health care professionals doing high quality patient focused research. 8.Rebalancing activity towards patient related outcomes. 9.Increased capacity for population health and health services research. 10.Transformation of care pathways informed by (locally adapted) international research evidence. 11. Mechanisms to monitor and evaluate investment, across both health and economic dimensions.

15. Action Plan – Year 1 Progress

16. Investing in Clinical Research Facilities Benefits to industry: - Access to Clinical Specialists and Networks - Access to Patient Cohorts - Research Nurse Support - Biostatistics & Informatics Support - Regulatory Support - Bio specimen Storage and Processing - Linkage with International Researchers & Funding Programmes

17. Other Highlights of Year 1 Progress Infrastructure Infrastructure Networking of existing Clinical Research Facilities Networking of existing Clinical Research Facilities National Bio banking solution National Bio banking solution Centre of Excellence for Successful Ageing approved Centre of Excellence for Successful Ageing approved Rollout of TILDA (Older People) to complement Growing Up in Ireland longitudinal study Rollout of TILDA (Older People) to complement Growing Up in Ireland longitudinal study Governance Governance Revamp of Research Ethics Committee Structures Revamp of Research Ethics Committee Structures HSE research governance brought under Quality & Clinical Care Directorate & aligned with Clinical Care Programmes HSE research governance brought under Quality & Clinical Care Directorate & aligned with Clinical Care Programmes Commercial Linkages Commercial Linkages HSE Quality & Clinical Care partnering with Enterprise agencies on Innovation HSE Quality & Clinical Care partnering with Enterprise agencies on Innovation

18. Year 1 Progress Contd. Clinical Trials - Cardiovascular and Stroke Network under development Clinical Trials - Cardiovascular and Stroke Network under development Funding Funding HRB awards have been aligned more towards patient and health service benefits HRB awards have been aligned more towards patient and health service benefits New HRB/SFI Translational Research Awards New HRB/SFI Translational Research Awards SFI/HRB/Wellcome Trust Biomedical Research Partnership SFI/HRB/Wellcome Trust Biomedical Research Partnership International – Tripling in latest FP7 funding awards to €17.4. Strong Irish participation in Joint Programming in Neuro-degenerative and Food areas. International – Tripling in latest FP7 funding awards to €17.4. Strong Irish participation in Joint Programming in Neuro-degenerative and Food areas.

19. Year 1 Progress Contd. Accountability Accountability Year 1 Annual Report finalised. Year 1 Annual Report finalised. Year 2 Actions underway, including planning of stakeholder engagement with researchers, industry, charities and other interested parties. Year 2 Actions underway, including planning of stakeholder engagement with researchers, industry, charities and other interested parties. Our hope is that through the Action Plan and associated engagement we can generate support & feedback and tap into the enthusiasm & passion for research & innovation amongst diverse stakeholders. Our hope is that through the Action Plan and associated engagement we can generate support & feedback and tap into the enthusiasm & passion for research & innovation amongst diverse stakeholders.

20. Thank You THANK YOU! One Last Bridge….