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The Benefits of a Research Active Trust
What is Research?
Research is about finding out something new and
innovative by combining theory with evidence
(Diabetes UK, 2011)
Research is a systemic course of action which
contributes to the development of new and original
treatment options and approaches to care which
are achieved through the gathering of evidence
and application of knowledge. LoBiondo – Wood
and Haber (2006)
What are the alternatives to
Research?
Common sense and medical and nursing traditions.
The theory that something has always been done in a certain way so it must
work
Intuition and gut instinct
These alternatives can be of value but should not be used in place of evidence
based practice achieved through the meticulous research process in order to
achieve the best possible patient outcomes (Nieswiadomy,2008)
Benefits
Treatment effect
• If novel interventions are found to be better then
research participants could directly benefit and if this
leads to a change in practice it may have widespread
benefits.
Participation effect through rigorous
protocol driven care
• It is possible that all patients in research will do better
regardless of whether they receive standard or
experimental care due to implied improvements in the
control arms of the study.
Benefits
Overall improvement in care provision
• A research culture attracts the recruitment/retention of
key staff as well as providing access to novel
technologies
Research and evaluation awareness
• Increased awareness of research may help change
healthcare professionals’ behaviour and lead to
enhanced performance.
In Short…..
Research translates into evidence based practice which
means that we can give our patients in this trust the
best possible care and treatment as well as access to
the newest medications as soon as possible.
If we are not research active other Trusts will be and we
will adopt our future care and treatments from their
research.
So do we want to lead or do we want to follow?
The good news is…We are
already research active
• The Trust ‘sponsors’ (leads on) approximately 1 in 4
research projects that are approved (around 200 new
projects approved every year).
• Since April 2013 the Trust has recruited approximately
1,500 participants into clinical trials and research
projects (average recruitment is around 4,000
participants a year).
• Most clinical areas are involved in research activity at
some level with support from established and growing
research teams.
Research ‘Ins and Outs’
•
Research participation is not an ‘exclusive’ activity (all patients, relatives
and carers should be able to participate or contribute to research).
•
Research delivery is not an ‘exclusive activity for doctors’ (ideas
generated and led by nurses, support staff and allied health professionals
are of huge importance).
•
Research should not be limited to the ‘headline grabbing areas’ (i.e.
cardiovascular and cancer).
•
Research is not just ‘complex drug trials’ (observational, noninterventional and medical device research is equally important).
How is your Trust performing on
research?
• An annual league table, in collaboration with The Guardian Online
shows the most comprehensive picture of clinical research activity
available. The report shows that more than 630,000 NHS patients in
England took part in clinical research studies last year – the highest
level since the Network’s figures began.
2012/13 Large Acute Trusts (44 Trusts)
• Hull and East Yorkshire Hospitals NHS Trust was 6th in
terms of the ‘Number of Recruiting Studies’
• and 8th in terms of ‘Participant recruitment numbers’
Key R&D Strategic Objectives
Patient Focus
Partnership Working
R&D Infrastructure
Research Culture & Training
Finance & Risk
(1) Patient Focus
R&D
• All research will contribute to the delivery of
improved patient outcomes
• Provide safe, high quality, effective care
HEYHT
Vision +
Values
• Great Care
(2) Partnership Working
R&D
HEYHT
Vision +
Values
•
Together we can achieve more
•
Create and sustain purposeful partnerships
• Great Future
(3) R&D Infrastructure
•
R&D
•
HEYHT
Vision +
Values
Investing in infrastructure is safeguarding future
ambitions
To ensure efficient, economic use of resources –
targeted and prioritised effectively
• Great Staff
(4) Research Culture & Training
•
R&D
HEYHT
Vision +
Values
Creation of an all inclusive research culture in a
supportive environment
• To demonstrate strong, respectful, impactful leadership
• To have a capable, effective, valued and committed
workforce
• Great Staff
(5) Finance & Risk
•
R&D
Maximising income opportunities and managing
risks
• To ensure delivery against our priorities and objectives
HEYHT
Vision +
Values
• Great Future
(6) Foundation Trust
•
R&D
The R&D strategic objectives are a core and pivotal
component of the Trust Foundation Trust application.
• To be a strong, high performing Foundation Trust
HEYHT
Vision +
Values
• Great Staff, Great Care, Great Future
Faster, Easier Clinical Research
•
A common barrier to active research participation from clinical staff is the
lengthy and bureaucratic application process.
•
The National Institute for Health Research (NIHR) is working to promote
faster, easier clinical research to high standards through:
•
Implementation of a 30 day target for approval of portfolio research from
receipt of a ‘valid application’.
•
Implementation of a 70 day target for first patient recruited into portfolio
research from receipt of a ‘valid application’.
•
Implementation of national research agreement and costing
templates.
•
The Trust performance will be monitored by the NIHR and Trust
Board in 2013/14.
Contacts
•
R&D Manager, James Illingworth [email protected]
•
Email enquires: [email protected]
•
Telephone: 01482 461882
•
Fax: 01482 461886
•
Address:
Research & Development Department
Hull & East Yorkshire Hospitals NHS Trust
2nd Floor Daisy Building
Castle Hill Hospital
Cottingham
East Yorkshire
HU16 5JQ
Reference list
• Diabetes UK (2011) Research Strategy [on line] London:
DUK Available http://www.diabetes.org.uk/research
• Lo-Biondo-Wood.G and Haber.J(2006) Nursing
Research: Methods and Critical Appraisal for Evidence
Based Practice 6th ed. Missouri: Mosby Elsevier
•
Nieswiadomy R.M (2008) Foundations of Nursing
Research 5th ed. New Jersey: Pearson Prentice Hall