Professor John Geen Clinical Lead for R&D
Cwm Taf Health Board
South East Wales Academic Health
Science Partnership
Strategy launch
Scoping of Health Service & Delivery
Research (HS&DR) and the NHS
• Many initiatives currently being undertaken across NHS
Wales, to improve and optimise the delivery of High Quality
Healthcare and “Achieving Excellence”
• Quantum changes in healthcare provision require multiagency, multi professional and multi-specialty co-operation
and approach involving the NHS Service, Education and
Research.
• Recognised that changes in Healthcare require a robust
Evidence Base
• With appropriate resources Health Service & Delivery
Research can help inform that Evidence Base and change.
• Area requiring more research as only 6 of 137 studies on
CRP in Wales are HS & DR related.
• UKCRN (England): 124 HS&DR related projects listed on
their portfolio
Development of the HS&DR
Sub-Group and the Strategic
Objectives of the NHS
Networking / Scoping
Networking / Scoping
• HS&DR Group is a Sub-Group of SEWAHSP
• 7 HS & DR sub-group meetings held to date
since 6th October 2011
• Excellent attendance from all members
• Extensive membership from the NHS and
Academic Research community across South
East Wales.
Networking / Scoping
Membership includes:
• Cwm Taf, Aneurin Bevan, Cardiff & Vale University Health
Boards, WAST, Velindre NHS Trust
• Public Health Wales (eg. DECIPHer)
• Cardiff University (TIME, SEWTU, MATHS, PHARM, School of
Medicine, Primary Care and Public Health, Social Sciences,
Healthcare Studies, Dental, Computer Science and
Informatics, Nursing and Midwifery)
• Cardiff Metropolitan University
• Newport University,
• University of Glamorgan
• Academic Health Science Collaboration ( S.E.W Regional Hub)
Networking/ Scoping
•
•
•
•
•
•
•
Opportunity to:
Introduce NHS & Academic colleagues and facilitate
round table discussion as equal partners.
Develop collaborative partnerships
Discuss and map members fields of expertise
Understand and appreciate each others drivers
Identify common areas of Research interest
Identify gaps in each others portfolios/expertise
with a view to providing support between
Organisations
Develop and document Research priority themes (5
to date) that can inform SEWAHSP and NHS Wales
HS & DR agenda, meeting the needs of all
Education and Training
Education and Training
• Planned to hold seminars for all members to
educate/train on matters pertinent to HS & DR
• Seminar hosted by Prof Davina Allen (Cardiff
University, Nursing & Midwifery) held 17th July 2012:
on writing Grant Applications for the National
Institute of Health Research (NIHR)
• Group recognise that HS & DR outcomes could
impact on Education provision to NHS staff as
Services and Staff roles change as NHS changes
• Research Delivery & Conduct Service (SEWTU) sits on
HS&DR group, providing expert advice, support and
education on research proposals for the NHS.
Education and Training
Dates for the HS&DR Diary
• 9th November 2012: Researching Whole
Systems
• 23rd November 2012: Applying for RfPPB
funding in Wales
• January 2013: Choosing the best design for your
Study
Sharing Resources in Support of the
HS & D Research Agenda
Financial
Clinical Intellectual Equipment
•Finance
• Constituent members of SEWAHSP provide financial support to
help fund SEWAHSP administrative hub and HS&DR agenda.
• NHS members investigating joint financial support for
collaborative Knowledge Transfer pilot study with Cardiff
University which could support NIHR bid
• Aneurin Bevan HB have funded mathematicians to support
collaborative research with Cardiff University to investigate
mathematical modelling of complex systems.
• Joint applications for funding should strengthen and increase
success of submissions through demonstration of a fully
collaborative / integrated approach
eg. AHSC (methodology), NIHR, HTA, AHSC informatics, NISCHR
(RfPPB)
• Finance
• Innovation & Improvement department at C&VUHB
has facilitated the collaboration between Cardiff
University and C&VUHB R & D, and developed
mechanisms to support joint applications for funding,
focussing on optimising healthcare delivery
………More on these from Sue and Alison later
• Clinical
• NHS members act as conduits for Academic members to
access appropriate clinicians critical for the success of
HS&D Research.
• NHS can advise on Service Delivery and how best to
incorporate research activity and comply with Research
Governance processes.
• NHS members can act co-operatively and collaborate
with Academic members to increase the critical mass of
personnel able to undertake high quality HS&DR studies
• NHS can identify the current R&D priorities which need
investigation, to implement required changes to service
delivery.
•Access to people
• A major Clinical resource
is access to patients with
a total population of 1.5m
• All Socio-Economic
backgrounds
• Population estimates:
• Cwm Taf 300,000
• Aneurin Bevan 560,000
• Cardiff & Vale 445,000
• Velindre tertiary centre
covering 500,000 across
Wales
• Intellectual
• NHS can access Academic HS&DR experts / experience to
provide support in traditionally non clinical areas
strengthening HS&D research studies / methodologies .
eg. Mathematical Modelling, Knowledge Transfer, Qualitative
Research, Statistics
• Developing R&D partnerships can support Career
Development for NHS staff through collaborative HS&DR and
Education.
• Build on previous HS&DR findings / outcomes to develop next
step Research and reduce duplication. Eg. WAST project and
investigation into complex whole systems approach, chronic
disease management and workforce redesign.
• Equipment

Sharing of equipment resources to strengthen research
and maximise information gathering from valuable
biological samples and patient recruits to include:
Analytical Laboratory based analyses: Academia and
NHS have different analytical priorities reflected in
equipment and services.
Academia: Often focus on pure science analyses
NHS: Clinical Application, measurement, interpretation
•
•
Imaging: X-ray, CT, MRI, PET.
Informatics: hardware, software, data banks/links
•

Additional Benefits of being an HS&DR
Collective
• Additional Benefits of being an HS&DR Collective:
• Raise the profile of Regional R&D with reference to HS&DR
and its importance for Health Service Change. Professors
Denman, Cohen and Bale have met with Mr David Sissling
CEO of NHS in Wales to promote establishment of
SEWAHSP and discuss its aims, objectives and strategy.
• Large group represents the views of multiple R&D agencies
and professionals across the region and can provide
informed view/opinion that could help influence
Government strategy.
• Improve chances of success of obtaining funding from Large
funding Organisations (NIHR, NISCHR) for HS&DR, as all
criteria and support requirements met as a collective.
• Attract Industry Partners as introductions, study coordination, monitoring and liaison could be centrally
regulated by SEWAHSP Hub
Summary
• Establishment of the HS & DR Group as a sub-group of
SEWAHSP, has helped facilitate, harmonise and consolidate
an important arm of the SEWAHSP strategy.
• Excellent opportunity for the NHS to engage symbiotically
with Industrial, Educational and Research fraternity,
promote collaboration and avoid duplication of HS&D
research
• Sharing Knowledge, Experience and Resources will
strengthen the quality of the funding applications,
research, evidence base and outcomes.
• Need to build on the momentum and meet the objectives
of the SEWAHSP HS&DR agenda
• Need to encourage increased funding and support of the
HS&DR agenda across the region.