1. Research & Development Annual Report 2008/09 Dr Peter Sharpe Consultant Chemical Pathologist Associate Medical Director Research & Development

2. 2 Importance of Research Research can be considered- Low Importance - Having no outcome - Saving money/false economy - Small numbers interested Advantages of Research- Improves Clinical Outcomes/Quality of Care - Safeguards the dignity, rights and safety of patients/clients - Majority of new devices/treatments have emanated from Healthcare Research - Raises standards of practice by participation in national/international studies - Engenders an enquiring, analytical, evidence based approach to all clinical and social care interventions/treatments - Enhances the recruitment and retention of high quality staff Research Governance Framework for Health and Social Care (Feb 2007) http://www.dhsspsni.gov.uk/research_governance_framework.pdf

3. 3 Research Governance Committee  Established January 2008  Membership reviewed February 2009 Dr Peter Sharpe (Chairman) Consultant Chemical Pathologist, Associate Medical Director Research & Development Mrs Valerie Alcorn, Clinical Trials Pharmacist Mrs Carol Cassells, Senior Financial Management Accountant Dr Harry Douglas, Principal Social Worker for Training and Development Ms Jane Greene, Nurse Consultant, Older People Dr Stephen Hall, Associate Medical Director Cancer and Clinical Services Mrs Carmel Harney, Assistant Director AHP Governance Miss Irene Knox, Research Manager Dr Patrick Loughran, Medical Director Dr David McEneaney, Consultant Cardiologist Dr Neal Morgan, Consultant Nephrologist Mr Lindsay Stead, Assistant Director of Acute Services, Medicine and Unscheduled Care Dr Tom Teggart, Consultant Clinical Psychologist, Child and Family Mrs Fiona Wright, Assistant Director Nurse Governance Mrs Joy Youart, Acting Director of Acute Services

4. 4 Research Governance Committee (Meets every six weeks) TERMS OF REFERENCE - SUMMARY Promote, encourage and support research with all staff in the Trust. Consider all research proposals received (following initial screening against the Research Management System by the Associate Medical Director), and make appropriate decisions with regard to approval. Quality assure and sign-off research governance monitoring outputs prior to consideration by the Trust Research Governance Committee. Promote and encourage a multidisciplinary research culture in the Trust and with other agencies. Support the identification of research training needs of staff in the Trust and seek to ensure that these are met. Liaise with outside bodies that have a statutory or advisory role in research matters. Monitor funding from commercial and non-commercial funders and ensure that all research funding within the Trust is managed to a high standard of cost-effectiveness and accountability to the public.

5. 5 Research & Development Staffing Associate Medical DirectorDr Peter Sharpe Research & DevelopmentConsultant Chemical Pathologist (July 2008) Research ManagerMiss Irene Knox (April 2008) Research AdministratorMrs Valerie Hamilton (January 2009) Administrative AssistantMiss Gillian Marshall (July 2009) Clinical Trials Pharmacist (Band 7 0.5 WTE)Mrs Valerie Alcorn Finance Officer (Band 4 - 0.5 WTE)Miss Victoria Baird

6. 6 Research & Development Strategy  Build on existing research strategy  Support clinical and social care research  Improve health and well being of patients and clients  Increase understanding - diagnosis - treatment - disease prevention  Support staff academic research

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8. 8 Research & Development Action Plan  Research & Development on Home Page of Trust’s Intranet  Priority Areas 2009/10 Nursing and Allied Health Professions Also Social Care  Appointment of NI Clinical Research Network 2.5 WTE band 6 Clinical Research Nurses 0.5 WTE Band 7 Clinical Physiologist  Develop appropriate financial management reporting systems for research (Finance Department)  Research Office -Former Psychiatric Unit, Craigavon Area Hospital (June 2009)

9. 9 New Research Applications 2007/082008/09 Other Trusts Belfast 240 250 Northern 26 72 Western 62 58 South Eastern 60 76 Southern 21 59

10. 10 Research Applications 59 Applications (2008/09) (21 Applications 2007/08) Cardiology 16 Cancer 5 Psychology 4 Universities/Academic Studies14 Others20 (Mammography, Mental health, Continence, Paediatrics, Diabetes, Eyes, Community Paediatrics, Stroke, Care in the Community, Travellers, Urology, Post-Adoption Contact, Day Care)

11. 11 Research Governance Controls Assurance Standard 2008/09 Evidence submitted Substantive compliance 81% achieved 2007/08 66% compliance

12. 12 HSC Research Discretionary Fund  Allocation of £50,000 per year from HSC R&D Office  2008/09 – 8 applications  One attracted further funding of over £100,000 per annum for 2 years from Randox Laboratories  2009/10 – 17 applications

13. 13 Research Governance Workshops Held throughout the Trust for all staff To promote and support Research among Trust staff  Craigavon Area Hospital  Daisy Hill Hospital  South Tyrone Hospital

14. 14 NI Clinical Research Network (NICRN) Established to support Clinical Research Community in NI Aims to increase access to and participation in high quality clinical studies in Health and Social Care Funding provided for Clinical Research posts in Trust Children's0.5Band 6Clinical Research Nurse Cardiovascular0.5Band 6Clinical Research Nurse 0.5Band 7Clinical Physiologist Stroke1.0Band 6Clinical Research Nurse

15. 15 Research & Development in Health and Social Care NI Memorandum of Understanding Signed by Trust Directors March 2009 An integrated sign-off process for NI For Research applications involving one or more Trusts One Trust acts as Lead Trust for Research Governance Accepted by all other Trusts Each Trust, on the basis of the Research Governance Report from Lead Trust, issues own approval Avoids duplication and increases efficiency

16. 16 Links with Private Sector Craigavon Industrial Development Organisation (CIDO)  Developing links with Trust to progress innovations  Six potential areas of development Digitised Syringe Driver – Palliative Care Medicine Screening Tests for MRSA/Clostridium Difficile Point of Care Testing- Management of diabetes based on glycated haemoglobin - Screening of Prostate Cancer - Detection of Drugs of Abuse Information Technology  Directors identified senior staff to liaise with inventors

17. 17 Developments 2009/10 From 1 April 2009  Integrated Research Application System (IRAS) web based (myresearchproject.co.uk). Single application for all approvals/permission  Site Specific Assessment Previously undertaken by Office for Research Ethics Committees NI Now responsibility of Trust Research Office