LYBRA: The Challenge

2.5 million people

•Life expectancy 4.5 years lower than UK average; ↑infant mortality; ↑drug abuse, smoking and binge drinking.

NHS

•Workforce 55,000 medical, clinical and & managerial staff

•Spend circa £3.5 billion per year

LYBRA partnership:

•Bradford & Airedale tPCT

•Bradford Teaching Hospitals NHSFT

•Leeds Partnerships NHSFT

•Leeds PCT

•Leeds Teaching Hospitals NHST

•University of Leeds

•University of York

York

LeedsBradford

Why a LYBRA CLAHRC?

• We do things well

• We do them together

• We are an ambitious partnership

• Unparalleled opportunity

We do things well

Bradford NHS• Bradford Institute for Health

Research• 3 NIHR programmes: quality &

safety, stroke, childhood obesity

Leeds NHS

• £700k pa in HSR & trial income

• Translational research e.g. Leeds Musculoskeletal BMRU

University of Leeds

• Institute of Health Sciences

• £21m HSR grants from SDO, HTA & national research councils

University of York

• £36m HSR grants 2003-07 (£1m per WTE academic)

• Dept Health Sciences, CRD & Centre Health Economics

We Do Them Together

A Partnership With Ambition

Core principles:• High calibre HSR (& key performance

indicators)• Commissioning informed by research• Distributed research settings• Strong public engagement• Tackling health inequalities• Research capacity building within the NHS

LYBRA: An Unparalleled Opportunity

Top Class HSRService

Development & Delivery

Research-Led commissioning

LYBRA: step changes

• structures: new partnerships, themes supported by LYBRA partners

• ways of working: R&D embedded in frontline activities

Patient Involvement

Truly committed • Evidence:

involvement in existing R&D programmes involvement in NHS and social services partners,

e.g. Foundation Trust governors and members

• Using existing NHS structures• Participation working group

Risks and Responses

• An NHS re-organization that changes the nature of the LYBRA partnership

• Strong, adaptable governance arrangements• Creating novel networks• Commitment of all LYBRA partners: LYBRA is

a strategic investment• Sustaining the networks in each theme• Bottom-up thematic network development

Monitoring and Evaluation

• Output measures: embedded partnerships

• Outcome measures: key measures within each theme

• Cross-cutting TRIP-LAB theme

Governance

LYBRA Governance

• LYBRA Board: NHS Commissioner led

• Organisational commitment: Memorandum of Understanding

• Financial management• Strong theme management• Wider engagement

– user/public

– commissioners

Where do we end up?

• Here will be the “big ending” for Simon once raw materials from Justin are in…