1. Develop IMplement Evaluate TRiPLaB NIHR LYBRA CLAHRC Board meeting Carl Thompson (Theme PI) Erica Warren (Project Lead)

2. Develop IMplement Evaluate TRiPLaB: who’s who Clinical audit & effectiveness team NHS Leeds Clinical audit & effectiveness team Bradford DCT ???

3. Develop IMplement Evaluate from “why” to “how” in implementation Source: Clinical Evidence, BMJ Publishing No magic bullets (honest!) – effort needs evaluation Can’t leave it to NICE (HSC) Self report is not enough macro health economies, meso (organisations), & micro (professionals) all matter (Audit Commission)

4. Develop IMplement Evaluate Develop Implement Evaluate Describing and predicting importance (Conjoint Modelling) (Ryan 2004) –Innovation characteristics “scored” by experts –Clinician and Manager importance modelled ∆i = βCPD x βlocal prevalence x βcost effectiveness… βk BMJ 2000;320:1530-1533

5. Develop IMplement Evaluate Producing a contextual “map” –stakeholder analysis (barriers, politics, potential innov.) –Surveying Organisational (team) culture Attitudes to innovation Communication channels (Social network analysis, geo plotting) Develop Implement Evaluate

6. Develop IMplement Evaluate Strategy tailored to context Systematic theoretically informed targeting e.g. Develop IMplement Evaluate Ajzen I. Organ Behav Hum Decis Process. 1991;50:179-211

7. Develop IMplement Evaluate Interrupted time series analysis pre and post intervention comparison (MLM) qualitative process evaluation of why the intervention worked (or did not work) Develop Implement Evaluate

8. Develop IMplement Evaluate The work (so far) Maternal and child health in Bradford (increasing mental health screening quantity, quality and impact*) – 6000 new mums per year Mental health NICE guidance implementation (schizophrenia) Stroke care in Bradford … *with LYBRA CLAHRC child and maternal health theme

9. Develop IMplement Evaluate achievements already Partnership: academic - (CRD, health sciences, management) Partnership: NHS - establishing networks and infrastructure to deliver the programme Capacity (LPFT and BDCT) First publications and ‘spin offs’ imminent Research governance and the NHS research ‘maze’ negotiations progressing

10. Develop IMplement Evaluate TRiPLaB infrastructure

11. Develop IMplement Evaluate challenges Multi-site working across large, complex organisations Human resource capacity Scientific vs. service delivery expectation (scientific) standardisation of process should meet service delivery expectations Funding for change techniques (e.g. SHA money for training as part of TRiPLaB change strategies).