Annual NIHR Trainees Meeting Making a Difference: from evidence to impact 24 November 2015 Dr Russell Hamilton CBE Director of Research and Development Department of Health

Take-Home Message There has never been a better time to be involved in health research… for you and for the people who benefit from your skill and hard work

a bit about NIHR a bit about NIHR Training a few examples of what success can look like

a bit about NIHR a bit about NIHR Training a few examples of what success can look like

Why is the Government committed to research in the NHS? Improve health outcomes through advances in research Improve quality of care by NHS participation in the research process Strengthen international competitive position in science Drive economic growth through investment by life science industries Increase Health and Wealth

To improve the health and wealth of the nation through research Vision National Institute for Health Research

a health research system in which the NHS supports outstanding individuals working in world-class facilities conducting leading-edge research focused on the needs of patients and the public Structure National Institute for Health Research

NIHR: A Health Research System

Transparent Competitive High quality High relevance Value for money Focused on delivery Work in partnership Principles National Institute for Health Research

Between Government, Charity and Industry Between NHS and University Between research leaders and research facilitators Between different health care professions Between different research disciplines Between researchers and patients Partnership National Institute for Health Research

a bit about NIHR a bit about NIHR Training a few examples of what success can look like

NIHR Trainees NIHR Trainees are the next generation of health researchers, who show the potential to become leaders in their particular field and whose research is people or patient-focused and relevant to the NHS. There are over 5,000 trainees across NIHR including those funded through NIHR Personal Awards Schemes NIHR Integrated Academic Training Schemes NIHR-funded students based in the infrastructure (BRCs, BRUs, CLARHCs, Schools etc) Integrated Clinical Academic Programme in partnership with Health Education England (HEE) NIHR research programmes

NIHR Training: Levels, Schemes and Eligibility Chair Post-Doctoral (Senior) Post-Doctoral (Early to Senior) Doctoral Pre-Doctoral Undergraduate Research Level NIHR Training Scheme? All Disciplines/ Professions Eligible?            

NIHR Training: A complete package to foster success Financial support Culture, ethos and mentorship

NIHR Trainee Support NIHR Annual Trainees meeting Experimental Medicine Training Camp Bursaries Training programmes Trainee forums and workshops Systematic Reviews Training PPI Training NIHR Trainee Leadership Programme NIHR Mentorship Schemes Faculty World Infrastructure Training Forum

a bit about NIHR a bit about NIHR Training a few examples of what success can look like

NIHR Clinician Scientist NIHR Career Development Fellowship Specialist Registrar Endocrinology 1997 NIHR Leadership course PhD awarded (Wellcome Trust) NIHR Research Professorship Imperial ACF/CL training lead Other NIHR KEY Reducing complications of IVF treatment Waljit Dhillo NIHR Research Professor London MRC DPFS grant Co-organiser NIHR Doctoral Training Camp MRC DCS grant 2020 Chair of NIHR Infrastructure Forum Baby Heath – world’s first kisspeptin-induced baby Professor Dhillo has shown for the first time in women with infertility that the novel hormone kisspeptin can be used safely and effectively in IVF treatment. Kisspeptin could prevent the potentially life threatening complications of IVF treatment. New trigger for ovulation could make IVF safer

Professor Nadine Foster NIHR Professor of Musculoskeletal Health in Primary Care Warwick Professor Foster led a study which examined the implementation of stratified care in patients with low back pain - the IMPaCT Back study. In the UK, back pain accounts for 6-9% of consultations with a GP. The study’s results showed that stratified care led to a reduction in the number of sickness certificates issued for back pain patients, a halving in the number of days lost from work, and improved physical function for patients. It is estimated that use of the screening tool in general practice could potentially provide savings of more than £700 million if implemented Other NIHR KEY Senior LectureshipDirector of Clinical Trials Unit NCCRCD Primary Care Career Scientist 2007 NIHR Research Professorship RfPB (Co) RfPB (Lead) RfPB (Co) MRC/EME (Co) HTA (Co) HTA (Chief) National School of Primary Care NIHR Programme Grant (Co) HTA (Chief) NIHR Programme Grant (Chief) A cost efficient strategy for improving outcomes for patients with back pain NIHR Leadership Programme

NIHR RDA Research Assistant Health Protection Agency NIHR Programme Grant for Applied Research (PGfAR) Promoted to Research Associate PhD awarded NIHR Post Doctoral Fellowship Dr Hannah Christensen NIHR Post Doctoral Fellow Bristol Hannah is an epidemiologist whose work has informed the Joint Committee on Vaccination and Immunisation’s decision to recommend the new 'meningitis B' vaccine be introduced to the childhood vaccination programme in the UK. From September 2015, babies will now be offered the MenB vaccine to help protect them when they are most at risk of developing MenB disease. Based on the previous incidence of disease, the vaccine could prevent 4,400 cases over the next 10 years. Other NIHR KEY Informing public health policy Promoted to Lecturer in Infectious Diseases Member of NIHR Health Protection Research Unit

Senior Research Associate (CLAHRC) Post Doctoral Research Fellow Research Associate Marie Curie/CRUK Cancer Care RfPB NIHR Career Development Fellowship Dr Morag Farquhar NIHR Career Development Fellow Cambridge Other NIHR KEY Identifying care needs for COPD patients PhD awarded RfPB COPD is a chronic progressive condition with high symptom burden accounting for one death every 20 minutes in England and Wales. It is thought there are more than 3 million people living with the disease in the UK. Morag’s projects aim to enable person-centred care to improve patient quality of life and experience of care. She co-developed and evaluated the Breathlessness Intervention Service (BIS) for patients with advanced disease, which is helping people manage their breathlessness and has provided cost savings due to reduced emergency admissions. Services modelled on BIS are now being set up by other teams in the UK, Australia, and Canada. Morag has extended this work as part of her current Career Development Fellowship with the Living with Breathlessness study.

NIHR Academic Clinical Fellowship NIHR In-Practice Fellowship Foundation Trainee GP NIHR Research capability funding (Co) NIHR Doctoral Research Fellowship Dr Jess Drinkwater NIHR Doctoral Research Fellow Leeds Other NIHR KEY Strengthening the role of PPI in general practice service improvement NIHR Policy Research Programme Grant (Co) 2007 Jess is a GP with an interest identifying and evaluating a clear role for Patient and Public Involvement in health care services. Jess’s research during her In-Practice Fellowship identified the facilitators and barriers to patients influencing primary care service improvement. A patient engagement strategy for Bradford District CCG will now be implemented based on these research findings. Her research will be extended to develop an intervention to strengthen patient participation and ensure more patient-centred services as part of her current Doctoral Research Fellowship.

NIHR: A massive opportunity for research training

Take-Home Message There has never been a better time to be involved in health research… for you and for the people who benefit from your skill and hard work Seize this opportunity!

Annual NIHR Trainees Meeting Making a Difference: from evidence to impact 24 November 2015 Dr Russell Hamilton CBE Director of Research and Development Department of Health