Professor Ken Stein

Professor of Public HealthUniversity of Exeter Medical School (UEMS)

• Collaboration between NHS and HEIs• Established 2008 – five years• Funding from National Institute for Health Research with various matched funding• Applications for further CLAHRCs May 2013

“Needs led research programme for Devon and Cornwall”

ENGAGEMENT AT THE CORE

Peninsula Collaboration for Leadership in Applied Health Research and Care

Generatingthe Question

Structuringand

Prioritising the Question

Answeringthe Question

Implementingthe Answer

Evaluating theImplementation

OR

OR

NHS

Clinicians &Managers

ServiceUsers

EvidenceSynthesis

Team

SystematicReview

Answer Clear

PrimaryResearch

ImplementationGroup

ImplementationStrategy

Implementation

Evaluation

Synthesis

Dissemination

Engagement by Design©

Stakeholders

Peninsula Collaboration for Leadership in Applied Health Research and Care

Other elements of CLAHRC• Public and patient involvement (PenPIG)• NHS engagement through locality leads• Organisational engagement

– Leadership development– PenCHORD– Peninsula Health Technology Commissioning Group

• Projects– Systematic reviews – Research bids (synthesis, trials, realist evaluation, qualitative)

– Development of interventions

Focus on Families

• Behavioural disorders in children– Systematic review of teacher led interventions– Risk of exclusion and mental health disorders

• Non-pharmaceutical interventions for Attention Deficit Disorder

• Childhood – adult transition and ADHD

Healthy Lifestyles

• HeLP – Healthy Lifestyles Programme • Exercise outdoors vs indoors• Hypertension – differential arm pressures• Diabetic eye screening model• Healthy Workplaces

Independence in older age• Health Care Quality for Active Later Life • Falls • Late rehabilitation after stroke• Singing for aphasia• Stroke acute care pathway model • Dementia – vitamin D, computerised support

for diagnosis• Patient initiated care (RA and PD)

Social capital and building communities

• Evaluating stepped care for depression• Improving access to psychological therapies• Teentext – text message intervention in

mental illness• Treatment resistant depression • COCOA – Care for Offenders: Continuity of

Access• Connecting Communities

Peninsula Academic Health Science Network

• Devon, Cornwall and Somerset• Innovation, service improvement and research• Funding decision imminent (£10m p.a.)• All NHS Trusts, Local Authorities, HEIs, Industry in partnership• Alignment of purpose to improve health and efficiency