Welcome Lynne Goodacre

 Over view of next 2 days  Overview of internship  Group coaching  Clarity re what they are required to produce by the end of the course  Engaging with each other and keeping in touch Things to cover

 More effective utilisation of resource  If we can become better at recognizing and rewarding innovation; ensure that good ideas don’t get lost; and adopt them more quickly and efficiently across the NHS, then we can deliver better patient outcomes at home and take a leading role in life science globally. (David Willetts 2011)  Knowing what works, when and for whom  Economic investment  Pharmaceutical, bioscience and medical tech. sectors employ 165,000 people in UK  Generated trade surplus almost £7 billion in 2009 Research and innovation

 Growing body of literature - research active centres produce better patient outcomes  A person diagnosed with cancer today is more than twice as likely to survive as someone 40 years ago  1970s 5 out of 10 women with breast cancer survived >5 yrs now 8 out of 10 do  Today more than 9 in 10 men diagnosed with testicular cancer are cured, up from fewer than 7 in 10 in the 1970s  In the 1960s around 25% of children diagnosed with cancer survived for at least 10 years, today that figure is almost 75% Research

 Art Frank, ‘The Wounded Story Teller’ the power of the medical narrative in illness narratives  The power and dominance of the academic research narrative, conducting studies, generating income, publishing papers Is this the right narrative for the NHS?  What is the impact of this narrative on clinicians?  What is the impact if you reframe the narrative for yourself and your service? Powerful narratives/shared purpose

NHS Constitution: Principle 3. The NHS aspires to the highest standards of excellence and professionalism ………… through its commitment to innovation and to the promotion, conduct and use of research to improve the current and future health and care of the population. DH 2013 Championing an NHS narrative

A few leading research Some Conducting research Everyone Using and promoting research What might this look like? Within the NHS

Promoting: It’s OK to Ask……… But can you answer the question?

Patients want the chance to take part in clinical research  93% of people say it is important to them to be offered new treatments by their healthcare professional.  94% of people say it is important for them that the NHS is a place where the life-sciences industry can carry out clinical research NIHR 2014 survey of 3,000 people in England Clinical research is important to the UK economy  95% of people think that the clinical research industry is important to the UK economy.  The industry provides around 165,000 jobs nationwide  Contribution of industry to the NHS Why is this promoting research important? (NIHR & CRNs)

 Evidence based practice Evidence based commissioning  How evidence based is your service?  Why does it take so long to get research & innovation into practice?  Diffusion of research is important to clinical practice and patient outcomes Implementing research (CLAHRCs)

NIHR Portfolio Studies Conducting research

 Undertaking small studies as part of a programme of study  Undertaking significant research which contribute original knowledge (PhD)  Being a collaborator in a funded research project  Specific NIHR funding streams require NHS collaboration Conducting research

 NIHR Faculty: supporting the individuals carrying out and participating in research NIHR Faculty  NIHR Research: commissioning and funding research NIHR Research  NIHR Infrastructure: providing the facilities for a thriving research environment NIHR Infrastructure  NIHR Systems: creating unified, streamlined and simple systems for managing research and its outputs. NIHR Systems NIHR