Janet HanleyR&D ManagerNHS Lothian

Why?Universities2001 RAE- NMAHP subject groups did badlyCompared with other subjects NMAHP departments had high teaching loads, little time for research and few senior academic postsNHS1980s onwards committed to evidenced based careFrom late 1990s onwards increasingly organised in approach to clinical researchBecame obvious that research activity/ output very unbalanced with little research activity/ evidence to support some aspects of clinical care (NMAHPs, primary care, health service delivery)

Why clinical/ academic careers?Why does the NHS not just commission clinical research from Universities?Clinical research agenda is largely developed

from the bottom upEffective clinical research studies bring together

good science creative thinking Knowledge of how things work in a clinical context the ability to be enterprising within a large

organisationThe evidence is that this is easier to achieve when

there are some individuals working across clinical academic boundaries over sustained periods

More interesting jobs

What has been happening? 1994 – The CSO Nursing Research Initiative (now NMAHP research unit) 2002 – Choices and Challenges 2004 – AHP Research and Development Action Plan 2004 - The Research Training Scheme 6 post-docs and 6 PhD students 2004 – NMAHP Research Consortia 2004 – UKRC – Walport Report – Research Career Pathways for doctors

and dentists in training 2007 – SCREDS – Research Career Pathways for medical staff 2007 – UKCRC – Finch report - recommends Nursing Research Career

Pathways – funded in England 2008 – The Advanced Practice Tookit (SGHD) 2008 – RAE Results 2008/9 – Lothian CARC drafted and shared with NES 2009 – NMAHP Leaders Day focussing on NMAHP Research and

Development 2009 – NMAHP Clinical Academic Career Pathway Consultation Events May 2010 Lothian CARC launched October 2010 National NMAHP clinical academic career framework

Lothian CARC schemeInformal collaboration to draft proposal for

implementation of the Finch report recommendations in Lothian. Working group led by James Law and Andy Peters

Approached NES with draft in October 2008NHS Lothian R&D agreed 50% funding in

2009 NES and the 3 university partners agreed

remaining funding Scheme formally adopted by NHS Lothian in

2010 and launched in May

Support Worker – level 1

Practitioner – level 5

Assistant Practitioner – level 4

Senior Healthcare Support Worker – level 3

Healthcare Support Worker - level 2

More Senior Staff – level 9

Consultant Practitioner – level 8

Advanced Practitioner – level 7

Senior Practitioner – level 6

Career Framework for Health

Lothian CARC FeaturesFour levels relating to career framework for

healthMasters (level 5)PhD student (level 6)Post doctoral (level 7)Advanced (levels 8 & 9)

Only levels 6 & 7 included within current funding as time limited training posts

Embedded within the clinical services and academic departments, who must work in partnership

Some funding for independent evaluation

Demonstration sites3 demonstration sitesPartnership between a clinical area, a partner

academic department and potentially othersEach demonstration site will get funding for

one senior practitioner (PhD student – 5 years) one advanced practitioner (post doctoral – 3

years in first instance)Both will be 50% academic, 50% clinical Funding 50% clinical service, 50% CARC

schemeNHS contracts and appropriate academic

status within partner institutions

Progress1 demonstration site appointed (ICU/ U of E)Second call for applications closes tomorrowIssues/ opportunities

Some interesting partnerships developing – some at too early a stage for this call

Some clinical research interests are not within the priorities of any of the partner academic departments and vice versa

The NHS Lothian recruitment freeze has limited the pool of candidates to existing NHS Lothian staff at the present time, so the potential for the scheme to attract in talent cannot be explored.

ChallengesPressure for these 3 demonstration sites to

be successfulREFNurturing other partnershipsFinancial climateNHS support funding vs FECSustainability – although there is a national

framework there will not be a national scheme

How do we develop posts for career development? (levels 8&9/ permanent posts?)

Thank youAdditional slides for discussion if required

NIHR multi-professional career pathwayDraft Scottish NMAHP career pathwaySteering group

Steering GroupAndy Peters Juliet MacArthurJanet HanleyPam SmithShona CameronCatriona Kennedy

The programme is managed through the Edinburgh Health Services Research Unit www.HSRU.ed.ac.uk

Doctors and DentistsNIHR Integrated Academic

Training

All ProfessionsNIHR Fellowships

Nurses, Midwives, Allied Health Professionals

Clinical Academic Training

NIHR Clinical Lectureship

NIHR Clinician Scientist Award

Masters Health Economics,Masters in Med. Statistics.

NIHR Doctoral Research Fellowship

NIHR Post-Doctoral

Fellowship

NIHR Career Development

Fellowship

NIHR Senior Research Fellowship

NIHR/CNO Masters in Clinical

Research

NIHR/CNO Clinical Doctoral Research

Fellowships

Level of AwardOther Awards

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Senior/Pre-Chair

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NIHR Research Career Pathways

SeniorPost-Doc

Early Post-Doc

Doctoral

Pre-Doctoral/Masters

Undergraduate

NIHR/CNO/HEFCE Senior Academic Clinical Lecturer

In-Practice Fellowshipsand NIHR Academic Clinical Fellowships

NIHR/CNO Clinical

Lectureships

CSO Health Care Scientist

Doctoral Fellowship

CSO Health Care ScientistPostDoctoral Fellowship