NIHR Delivering Better Health
26 November 2013, Leeds
Dr David Cox
Deputy Director – Research Finance & Programmes
NIHR Delivering Better Research
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What is NIHR?
What has NIHR done for us?
What’s the NIHR Faculty?
What should I do in Leeds?
What is NIHR and what does it mean to me?
• The National Institute for Health Research is the largest
funder of clinical research in the country: Wellcome
£746m; MRC £767m; NIHR just under £1b.
• NIHR supports clinical and applied health & social care
research improving health, well-being and prosperity.
• NIHR is becoming internationally recognised as the
model for organising a health research system.
• You are joining a community of over 20,000 researchers,
in the NHS, public health, social care and universities.
• You are part of a family of over 2000 research trainees.
Government Commitment to research in the NHS
“The Government is committed
to a future in which research
continues as a core function
of the NHS.”
Earl Howe
30 July 2010
Why is Government committed to research?
• 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
Research and the NHS
The NHS Constitution
…commitment to … the promotion,
conduct and use of research to
improve the current and future health
and care of the population
NHS Mandate
Sets strategic direction. Objectives
include: ensure new commissioning
system promotes and supports
participation by NHS organisations
and NHS patients in research…
Research and Public Health
“Public health research will
be critical in enabling public
health practice to develop
into the future and address
key challenges and
opportunities.” (para 4.84)
National Institute for Health Research
Established 2006 as a vehicle
for implementing Government’s
strategy for applied health
research.
Almost £1b spend each year.
Strategic Aim
To improve the health and
wealth of the nation through
research
National Institute for Health Research
Vision
To create 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.
The Innovation Pathway
INVENTION
EVALUATION
ADOPTION
DIFFUSION
Creation
• new things
• new ideas
• new techniques
• new approaches
Assessment
• new things
• new ideas
• new techniques
• new approaches
Uptake
• new things
• new ideas
• new techniques
• new approaches
Spread
• new things
• new ideas
• new techniques
• new approaches
Basic Research
Applied
Research
Commissioning
Patient Care
MRC &
Charities
NIHR
NHS
Commissioners
Providers of
NHS services
• Better Quality
• Better Value
The NIHR Health Research System
Faculty
Investigators &
Senior Investigators
Trainees
Associates
Universities
Infrastructure
Clinical Research
Networks
Clinical Research
Facilities, Centres &
Units
Research
NHS Trusts
Patients
&
Public
Research Projects &
Programmes
Research Schools
Research Management
Systems
Research Information
Systems
Systems
What have the Romans NIHR done for us?
• Radically increased number of clinical
trials; 1300 new research studies via
the NIHR Clinical Research Network
• Patients recruited more than doubled
to over 0.6m
• Highest proportion of cancer patients
in the world taking part in trials (1 in 6)
• Helped establish research culture in
the NHS: 99% of NHS Trusts now
delivering clinical research
• Helped reverse the decline in numbers
of clinical researchers
NIHR Clinical Research Network
NIHR Stroke Research Network Recruitment
Medical Schools Council – Staffing survey 2011
NIHR Established
World citation share: Health & Medical Sciences
USA
UK
CHINA
2006
2007
2008
2009
2010
NIHR improving health
• World’s first clinical trial in gene
therapy for blinding eye disease
• Saving thousands of lives following
NIHR-funded CRASH-2 trial of TXA in
trauma – BMJ paper of the year
• IVAN Trial (treatments for age-related
macular degeneration) could save NHS
each year, more than total annual
budget of HTA Programme
• Rapid response to H1N1 ‘flu pandemic
including comparison of two vaccines
for children.
• Novel bio-marker for pre-eclampsia
(soluble ST2)
What is the Faculty?
Faculty
Investigators &
Senior
Investigators
Trainees
Associates
The community of people NIHR funds to train as health
researchers, undertaking and supporting research:
“a vibrant community focused on research and innovation
to improve the health and well-being of the nation”
• Open to all professions working in health and social
care research.
• NIHR believes in your abilities and potential
• NIHR will support your development
Faculty
Investigators &
Senior
Investigators
Trainees
Associates
Investigators
• Engaged directly in research work
• Main part of salary funded by NIHR programme, unit or
centres of the Policy Research Programme
Senior Investigators
• Most eminent NIHR researchers
• Funded through national competition
• Just over 200
Faculty
Investigators &
Senior
Investigators
Trainees
Associates
Associates
• Support Research
• Salary supported by NIHR
• Dental and Medical ‘principal investigators’
• Nursing and Midwifery Professions and Allied Health
Professionals
• Administration, Management and Data Management
• Health Care Scientists
• Pharmacists
• Research support
• Clinical Psychologists
Faculty
Investigators &
Senior
Investigators
Trainees
Trainees
• Schemes to support training at
all levels from pre-doctoral
(Masters, ACF) through PhD to
post-doctoral. All professions
• Trainees in NIHR Infrastructure:
BRCs, BRUs, CLAHRCs
• NIHR Research Professors
Associates
Faculty
Investigators &
Senior
Investigators
Trainees
Associates
NIHR Research Professorships
• Enable outstanding early career academics to spend 5
years dedicated to translational research (T1 or T2) at
Professorial level
• Facilitate strong research leadership and develop
research capacity in areas critical to accelerating the
transfer of research ideas into improved health
• Nominated by University/NHS partnerships
• Linked to service delivery, or collaboration with service
• 18 awards; 3 rounds so far
What Faculty membership offers?
• Funding to train and develop
as a researcher – NIHR now
funds from Masters to Chair
• Leadership Development –
• Trainee Leaders: identified by
TCC, in early leadership roles
• Mentorship – 1:1 or group
• Career development
opportunities –training camp
• Faculty World
Faculty
Investigators &
Senior
Investigators
Trainees
Associates
What do you need to do? The 6 Cs
1. Capitalise on the opportunities that being
part of NIHR offers - including this meeting
2. Collect a mentor
3. Connect – network; your future Colleagues
may be in this room
4. Collaborate – health research benefits from
different professionals and disciplines
working together
5. Cultivate your career – this time is not just
about learning to be an academic
Only 5 Cs?
Faculty
Investigators &
Senior
Investigators
Trainees
Associates
And what do you need to do in Leeds?
• All of the above ...
• This is a great opportunity to
discover things and meet people
• NIHR organises this event each
year because it believes in your
potential – improvements in health
will depend on you.
And a 6th C: a bit of celebration is permitted