Issue 1: The balance is changing between the number of research grants available and the number of Fellowships “However, the substantial increase in the budget size of each Project Grant, primarily due to a move towards more 4 and 5 years grants as recommended by the McKeon Review3 and adopted into Coalition Policy4 , is reducing the numbers of grants able to be funded each year.”…..” Question 1: How should NHMRC’s funding balance between research grants and fellowships be adjusted as the total number of Project Grants available falls progressively over the next few years?” If project grants are getting bigger (which assumes that projects are also increasing in scope and size) – then the maximum limit of 6 current project grants per CI needs to be lowered. It is simply inequitable for a few researchers to hold the majority of available NHMRC project funding. A maximum of 3 or 4 project grants per CI would be more equitable distribution of funds, as well as potentially easing the pressure Universities exert on research fellows to apply for multiple project grants every round, every year. Issue 2: Is the structure of NHMRC fellowship schemes appropriate for 2015 and beyond? “NHMRC maintains a pyramid shape to its Fellowships schemes. – 600 Early Career Fellowships (ECF), 256 Career Development Fellowships (CDF), and the long-standing NHMRC Research Fellowship scheme with 129 SRFA, 108 SRFB, 97 PRF and 99 SPRF level Fellows. Detailed numbers are given in Table 3. ECF and each of the two levels of CDF can only be held once. In contrast, Fellows in NHMRC senior Research Fellowships scheme (SRFA, SRFB, PRF and SPRF) may hold these any number of times (5 years each, including at the same level) provided they can successfully compete against all applicants in that year. The issue is whether this arrangement for NHMRC Research Fellows (SRFA and above) means that emerging researchers from the CDFs and other Fellowships, and other researchers emerging from clinical and academic research environments, industry and from overseas, have reduced chances to gain a Research Fellowship and therefore developing further as full time researchers.”…… “Question 2: To increase the turnover of NHMRC Research Fellows, should these schemes be seen as ‘up and out schemes’, whereby Fellows wishing to reapply can only do so at a higher level?” Re-distribution of funding to ensure there are (roughly) equal numbers of ECF, CDFs and RFs offered. Tighter eligibility for NHMRC fellowships of any type – restrict only to those who do not have permanent positions at Universities. If they have a secure position at a University, then their institution should be funding their time in research. In answer to Question 2: Yes – fellows wishing to re-apply should be required to do so at higher level each time they apply to ensure career flow and minimise “stagnation”. “Question 4: Taking into account that awarding longer grants means fewer grants overall in steady state funding, should NHMRC extend the duration of Early Career Fellowships to more than four years? Should the Career Development Fellowship be extended beyond 5 years to, say, seven or ten years?” If projects grants are now expected to last for at least 4-5 years, then 5 years should be the minimal term for all research fellowship schemes (excluding short non-research fellowships like TRIP, and Practitioner). Issue 3: Should there be a stronger strategic approach to granting Fellowships? “NHMRC must always base its decision-making on excellence and this is the primary basis of the current schemes. However, many urge NHMRC to establish special fellowships in areas of need such as bio- and health informatics and statistics, or for NHMRC to build capacity in particular areas of health. Governments have chosen mental health and dementia for particular focus in recent years.” …” Question 5: Should NHMRC identify particular areas that require capacity building for the future and maintain support for those areas for long enough time to make a difference? What else should be done to support women and increase participation and success by Aboriginal and Torres Strait Islander researchers?” NHMRC should continue to fund fellowships based on excellence. The challenge with strategically targeted fellowships is how to ensure that the most excellent medical researchers are being funded? Is there any evidence from overseas that strategic targeting produces better outcomes for medical research, and health benefits? To support women in science, particularly in later more senior positions, greater flexibility is required for those with family/carer duties. Either part-time fellowships should be offered or support packages that can assist in funding child-care, family travel requirements etc. The reporting of career breaks need to be broader. If an applicant has had a career break over 5 years ago to start a family, this career break is not considered under current reporting of career break (within last 5 years). Yet, a substantial break to have, say, 2 children, followed by some time working part-time, will affect outputs over at least the next 10 years as it takes a considerable amount of time to re-establish competitive rates of output. Also, a greater range of performance indicators should be considered in track record assessment. The traditional outputs of papers, grants and students are very sensitive to career breaks. A period of part-time work to care for family should not be considered a “lack of dedication to career” and “no leadership profile”. These women represent considerable talent with significant potential to be future research leaders, if they are supported through this time. Other outputs during part-time work could include examples of community/institutional service, examples of translation, and supporting, supervising and mentoring other members of the research team. Issue 4: Responsibilities of employing institutions and the health and medical research sector “Researchers employed by research institutions with fellowships support from NHMRC, unlike those employed to also teach or provide health care, are understandably concerned about security of employment….. Question 7: Should employing institutions be expected to provide more certainty to their employees than now? Question 8: Would this be achieved if NHMRC required institutions to commit to one or more years of ongoing support for researchers exiting from NHMRC Fellowships? Question 9: Should this be restricted to Early Career and Career Development Fellows?” Employing institutions should be expected to provide up to 2 years of salary security for those transitioning between fellowship schemes (say, from ECF to CDF, or CDF to SRF). In addition, they should be expected to match NHMRC salary support for those on senior fellowships (eg, five years salary following a term as SRF). Employing institutions receive many gains from the hard work and achievements of NHMRC fellows including research reputation and government funding. It is equitable to expect that some of these gains should be returned to successful NHMRC fellows in the form of job security.