Clinical Academic Training - the NIHR scheme. JP Neilson NIHR Dean for Training

Clinical Academic Training - the NIHR scheme.

JP NeilsonNIHR Dean for Training

[DATE]November 2008

Infrastructure

Clinical Research Facilities & Centres

Clinical Research Networks

Research

Research Projects & Programmes

Research Governance

Systems

Research Information

Systems

Systems

Patients&

Public

Universities

Investigators &Senior

InvestigatorsAssociates

Faculty

Trainees

Research Units & Schools

NHS Trusts

NIHR In-Practice Fellowship

NIHR Clinician Scientist

NIHR Clinical Lecturer

NIHRAcademic Clinical

Fellowship

Masters in Health

Economics

NIHR Post-Doctoral Fellowship

NIHR Career Development Fellowship

NIHR Senior Research Fellowship

Research Capacity Development Programme

NIHR Research Training Fellowship

Research Funding

Medical Research National Institute forCouncil (MRC) Health Research (NIHR)

Basic Patient based

Wellcome Trust, Cancer Research UK, other charities.

National Coordinating Centre for Research Capacity Development www.nccrcd.nhs.uk

NIHR: NHS60

• 60 years of research benefiting patients:• 1948-58 Lung cancer & smoking• 1959-68 Hip replacement• 1969-78 Glasgow coma scale/first IVF baby• 1979-88 Genetically engineered hep B

vaccine• 1989-98 Prenatal corticosteroids• 1999-2008 Bioengineering heart valves


UK

• 6.5% of consultants (specialists) are clinical academics

• Research Assessment Exercise


Medical Schools Council

• Primary care 122%• Internal medicine 114%• Paediatrics 83%• Surgery 83%• Psychiatry 78%

• All posts 2007 cf 2000



• Public health 77%• Obstetrics & gynaecology 76%• Anaesthetics 67%• Pathology 46%

• All posts 2007 cf 2000



• All lecturer posts 50%

• Lecturer posts 2007 cf 2000



• Paediatrics 21.2%• Pathology 21.1%• Psychiatry 23.2%• Public health 17.5%

• Lecturer posts 2007 cf 2000



• Aging population (>46: 52% to 59% since 2004)• Women under-represented (12% professors).


‘Walport Report’

• March 2005• ‘Medically- and dentally-qualified academic staff:

Recommendations for training the researchers and educators of the future’.

• England, Scotland, Wales, Northern Ireland.


‘Walport Report’

• Deterrents to academic medicine and dentistry training in the UK:– Lack of clear career structure– Lack of flexibility in balance of clinical and academic

training, and geographical mobility– Shortage of appropriate posts on completion of

training.


NIHR In-Practice Fellowship

NIHR Clinician Scientist

NIHR Clinical Lecturer

NIHRAcademic Clinical

Fellowship

Masters in Health

Economics

NIHR Post-Doctoral Fellowship

NIHR Career Development Fellowship

NIHR Senior Research Fellowship

Research Capacity Development Programme

NIHR Research Training Fellowship

Funding

08/09 09/10

Integrated academic training £30m £43m€38m €54m

Fellowships £14m £17m€18m €22m


IAT implementation plan 2009• NIHR ACFs 25% research training, 3 years (4 GPs)• NIHR CLs 50% post-doctoral research, 4 years, matched posts• Locally funded ACFs• Each medical school allocated posts to be managed in partnership with deanery and

trust(s)• 200/250 ACFs and 80/100 CLs allocated by formula based on major NIHR funding (BRCs,

BRUs, CLAHRCs etc)• Minimum 2 ACFs per medical school• In 2009 & 2010 transition to respect previous allocations• In 2011 balancing figure available for additional training places


IAT implementation plan 2009• Specialty guidance for new posts• Non-prescriptive• Partnerships have flexibility to make appointments at variance with

specialty spread set out in their plan if this enables them to recruit candidates of the highest calibre.


NIHR ACFs 2009Newcastle Paediatric oncologySheffield PaediatricsLiverpool Paediatric surgery

Paediatric pharmacologyBirmingham Paediatric surgeryNottingam PaediatricsOxford Paediatric surgeryUCL Neonatal medicine

Paediatrics x4Paediatric endocrinologyPaediatric surgery


NIHR ACFs 2009

Imperial Neonatal medicinePaediatrics x4Paediatric allergy & infection

Bristol Paediatrics x2Southampton Paediatrics


NIHR CLs 2009

Birmingham PaediatricsNottinghamPaediatricsUCL Adolescent cancer

Adolescent medicinePaediatric pathology Paediatrics x2

Imperial Neonatal medicinePaediatrics

ICRPaediatric oncology


IAT implementation plan 2009• Plans: end October 08• Adverts: November 08• Appointments: January 09


ACF ‘stock-take’

• ACFs (60%)• Programme Leads (56%)

• Wellcome Trust Strategic Planning & Policy Unit• July 2008



• Difficulty with appointments (MTAS)• Challenges at interface between deaneries/medical

schools/trusts• Protection of research time• Inconsistent quality of research and clinical

supervision• Wellcome Trust Strategic Planning & Policy Unit



• ACFs:• 56% plan career in academic medicine• 67% had BSc or BA• 81% plan to apply for RTF• 3% had had training in writing funding applications

• Wellcome Trust Strategic Planning & Policy Unit


IAT implementation plan 2009• Taught courses• Annual appraisal (ARCP)• Site visits• NIHR Diploma• Bursary


New for 2008/2009

• NIHR Clinical Academic Training (CAT) Pathway for Nurses, Midwives and AHP

• NIHR Healthcare Scientists Fellowships• NIHR Research Methods Programme• Research Capacity Development for the NIHR SDO

Programme



JP NeilsonNIHR Dean for Training

[email protected]

[DATE]

Documents

Clinical Academic Training - the NIHR scheme. JP Neilson NIHR Dean for Training