NIHR Collaboration for Leadership in Applied Health Research and Care

(CLAHRC) North Thames

Director, NIHR CLAHRC North Thames

Professor of Health Care Evaluation & Head of Department of Applied

Health Research, UCL

UCL Partners Programme Director for Population Health

1 November 2013

Professor Rosalind Raine

NIHR CLAHRCs Background

Total funding £124M from the National Institute for Health Research (NIHR)

13 successful collaborations were announced in August 2013

A new competition was launched in 2013

9 CLAHRCs were established in 2008 for five years

Collaborative partnerships (universities, NHS, LAs, voluntary sector and industry)

Support the rapid translation of research evidence into practice

Research targeted at chronic disease and public health interventions

Focus on improving patient/public outcomes

Take account of the way that health care is delivered across sectors and geographical areas

NIHR CLAHRCs 2014 - 2018

NIHR CLAHRC North Thames

World leading research

Partnerships across our population

Transformational impact

About NIHR CLAHRC North Thames

-Public and patients

-Mental health & community care

-Tertiary & district general hospitals

-Public health providers

-Commissioners

- Partners from charities and industry

A socially, ethnically and geographically diverse population of

6 million

Europe’s leading and largest concentration

of internationally excellent applied

health researchers

South West and Mid Essex

South Bedfordshire

South and West

NIHR CLAHRC North Thames Funding

Funding

From Jan 2014

Over 5 years

From NIHR:

• £9 million

51 partners

• 6 HEIs

• 20 Trusts

• 7 CCGs

• AHSN – UCL Partners

• 9 Local authorities

• London Deanery

• 5 Industries

• 2 Charities

From partners: • £34.4 million ‘in kind’ • £954k cash

HEIs:

Trusts:

AHSN:

NIHR CLAHRC North Thames 51 Partners

NIHR CLAHRC North Thames 51 Partners

CCGs:

LAs:

Industry:

Charities: Deanery:

Infrastructure for the delivery of AHR

Stronger partnership between different organisations, patients & public

A shared commitment of evidence based practice

A teaching and training Academy

Improvements in health care

Reductions in health/health care and population health inequalities

1. Conduct world leading applied health research (AHR)

2. Establish:

NIHR CLAHRC North Thames Aims

Innovations In Models And Systems For

Health

Methodological Innovation

Optimising Behaviour and Engagement

with Care

Empowering Mental Health Service Users and Families

Child & Adolescent

Health

NIHR CLAHRC North Thames Themes

Lead: Prof Naomi Fulop (UCL)

Deputy lead (academic): Prof

Chris Griffiths (QMUL)

Deputy lead (NHS): Prof Stanley Okolo

(NMUH)

Lead: Prof Jan Van der Meulen

(LSHTM)

Deputy lead (academic): Prof

Martin Utley

Deputy leady (NHS): Breid

O’Brien (UCLH)

Lead: Prof Rob Horne (UCL)

Deputy lead (academic): Prof Stephanie Taylor

(QMUL)

Deputy lead (NHS): Daniel Waldron

(Homerton)

Lead: Prof Peter Fonagy (UCL)

Deputy lead (academic): Prof

Stephen Stansfeld (QMUL)

Deputy lead (NHS): Dr Steve Feast

(NEFLT)

Lead: Prof Jonathan Grigg

(QMUL)

Deputy leady (academic):

Prof Monica Lakhanpaul (UCL)

Deputy lead (NHS): David Law (HCT)

Develop and

evaluate innovations

Pathways of care

e.g. COPD

HIV

chronic eye disease

Trust-wide quality improvement

strategies

e.g. Trust Board QI; medication safety Public health

interventions

e.g. response to domestic violence

NIHR CLAHRC North Thames Models

Research foci

Consent & recruitment

Service users as a source of

intelligence for priorities, outcomes

& experience

Data linkage across care settings

Analysis and presentation of

complex observational data

to meet stakeholders’ needs

Research & decision support processes & tools to improve the

utility of research outputs

NIHR CLAHRC North Thames Methods

Patients

e.g. reducing harmful alcohol intake

Patients Professionals

e.g. improving asthma medication adherence

Patients Organisations

Professionals

e.g. improving AF management)

NIHR CLAHRC North Thames Optimising Behaviour

Management of young people with mental & physical health problems

Management of young people with psychosis

Improving carers’ experiences

Improving dementia care for ethnic minority groups

Improve:

NIHR CLAHRC North Thames Mental Health

Common risk factors and conditions;

Reducing inequalities

Design & evaluate a

school-based asthma

intervention

Optimise healthy weight and nutrition in Bangladeshi

groups

Patient centred reconfiguration

community diabetes services

Evaluation of the GLA’s Healthy School London

programme

NIHR CLAHRC North Thames Child & Adolescent Health

NIHR CLAHRC North Thames

Patient & Public Involvement & Engagement (PPI/E)

PPI/E & communications

co-ordinator

CLAHRC Research

Advisory Panel

‘Consent for consent’

Engagement events, scientific

meetings

1. To identify our partners’ priorities

2. To build and develop world class research

Research Partnership Team (RPT)

Clinical /public health

researcher

Qualitative researcher

Systematic reviewer

Research facilitator

Health economist

Statistician

Behavioural scientist

NIHR CLAHRC North Thames Research Partnership Team

Identify common problem

Assess methodological quality and feasibility

Rank

Decide

CLAHRC proceeds

Fair and transparent process

CLAHRC does not proceed

CLAHRC does not proceed

Feedback & share with other HEIs

NIHR CLAHRC North Thames Research Selection Process

Increase applied health research activity in

service settings

Develop a culture of academic- service-

patient/public knowledge exchange

Recruit, train and retain a cadre of highly skilled

applied health researchers

NIHR CLAHRC North Thames CLAHRC Academy

Thank you

Rosalind Raine (r.raine@ucl.ac.uk)

NIHR CLAHRC North Thames