Research & DevelopmentResearch & DevelopmentAnnual ReportAnnual Report

2008/092008/09

Dr Peter SharpeDr Peter SharpeConsultant Chemical PathologistConsultant Chemical Pathologist

Associate Medical Director Research & DevelopmentAssociate Medical Director Research & Development

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Importance of Research

Research can be considered - Low Importance- Having no outcome- Saving money/false economy- Small numbers interested

Advantages of Research - Improves Clinical Outcomes/Quality of Care- Safeguards the dignity, rights and safety of patients/clients- Majority of new devices/treatments have emanated from Healthcare Research- Raises standards of practice by participation in national/international studies- Engenders an enquiring, analytical, evidence based

approach to all clinical and social care interventions/treatments- Enhances the recruitment and retention of high quality staff

Research Governance Framework for Health and Social Care (Feb 2007)http://www.dhsspsni.gov.uk/research_governance_framework.pdf

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Research Governance Committee Established January 2008 Membership reviewed February 2009

Dr Peter Sharpe (Chairman) Consultant Chemical Pathologist, Associate Medical Director Research & Development

Mrs Valerie Alcorn, Clinical Trials PharmacistMrs Carol Cassells, Senior Financial Management AccountantDr Harry Douglas, Principal Social Worker for Training and DevelopmentMs Jane Greene, Nurse Consultant, Older PeopleDr Stephen Hall, Associate Medical Director Cancer and Clinical ServicesMrs Carmel Harney, Assistant Director AHP GovernanceMiss Irene Knox, Research ManagerDr Patrick Loughran, Medical DirectorDr David McEneaney, Consultant CardiologistDr Neal Morgan, Consultant NephrologistMr Lindsay Stead, Assistant Director of Acute Services, Medicine and Unscheduled CareDr Tom Teggart, Consultant Clinical Psychologist, Child and FamilyMrs Fiona Wright, Assistant Director Nurse GovernanceMrs Joy Youart, Acting Director of Acute Services

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Research Governance Committee(Meets every six weeks)

TERMS OF REFERENCE - SUMMARY

• Promote, encourage and support research with all staff in the Trust.

• Consider all research proposals received (following initial screening against the Research Management System by the Associate Medical Director), and make appropriate decisions with regard to approval.

• Quality assure and sign-off research governance monitoring outputs prior to consideration by the Trust Research Governance Committee.

• Promote and encourage a multidisciplinary research culture in the Trust and with other agencies.

• Support the identification of research training needs of staff in the Trust and seek to ensure that these are met.

• Liaise with outside bodies that have a statutory or advisory role in research matters.

• Monitor funding from commercial and non-commercial funders and ensure that all research funding within the Trust is managed to a high standard of cost-effectiveness and accountability to the public.

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Research & Development Staffing

Associate Medical Director Dr Peter Sharpe

Research & Development Consultant Chemical Pathologist

(July 2008)

Research Manager Miss Irene Knox

(April 2008)

Research Administrator Mrs Valerie Hamilton

(January 2009)

Administrative Assistant Miss Gillian Marshall

(July 2009)

Clinical Trials Pharmacist (Band 7 0.5 WTE) Mrs Valerie Alcorn

Finance Officer (Band 4 - 0.5 WTE) Miss Victoria Baird

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Research & Development Strategy

Build on existing research strategy Support clinical and social care research Improve health and well being of patients and clients Increase understanding - diagnosis

- treatment

- disease prevention

Support staff academic research

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Research & Development Action Plan

Research & Development on Home Page of Trust’s Intranet

Priority Areas 2009/10Nursing and Allied Health ProfessionsAlso Social Care

Appointment of NI Clinical Research Network2.5 WTE band 6 Clinical Research Nurses0.5 WTE Band 7 Clinical Physiologist

Develop appropriate financial management reporting systems for research (Finance Department)

Research Office - Former Psychiatric Unit, Craigavon Area Hospital(June 2009)

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New Research Applications

2007/08 2008/09Other Trusts

Belfast 240 250

Northern 26 72

Western 62 58

South Eastern 60 76

SouthernSouthern 21 21 59 59

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Research Applications

59 Applications (2008/09)

(21 Applications 2007/08)

Cardiology 16

Cancer 5

Psychology 4

Universities/Academic Studies 14

Others 20(Mammography, Mental health, Continence, Paediatrics, Diabetes, Eyes, Community

Paediatrics, Stroke, Care in the Community, Travellers, Urology, Post-Adoption Contact,

Day Care)

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Research Governance

Controls Assurance Standard

2008/09 Evidence submitted

Substantive compliance

81% achieved

2007/08 66% compliance

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HSC Research Discretionary Fund

Allocation of £50,000 per year from HSC R&D Office

2008/09 – 8 applications One attracted further funding of over £100,000

per annum for 2 years from Randox Laboratories 2009/10 – 17 applications

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Research Governance Workshops

Held throughout the Trust for all staff

To promote and support Research among Trust staff

Craigavon Area Hospital Daisy Hill Hospital South Tyrone Hospital

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NI Clinical Research Network (NICRN)

Established to support Clinical Research Community in NI

Aims to increase access to and participation in high quality clinical

studies in Health and Social Care

Funding provided for Clinical Research posts in Trust

Children's 0.5 Band 6 Clinical Research Nurse

Cardiovascular 0.5 Band 6 Clinical Research Nurse

0.5 Band 7 Clinical Physiologist

Stroke 1.0 Band 6 Clinical Research Nurse

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Research & Development

in Health and Social Care NI

Memorandum of Understanding

• Signed by Trust Directors March 2009• An integrated sign-off process for NI• For Research applications involving one or more Trusts• One Trust acts as Lead Trust for Research Governance• Accepted by all other Trusts• Each Trust, on the basis of the Research Governance Report from

Lead Trust, issues own approval• Avoids duplication and increases efficiency

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Links with Private Sector

Craigavon Industrial Development Organisation (CIDO) Developing links with Trust to progress innovations Six potential areas of development

Digitised Syringe Driver – Palliative Care Medicine

Screening Tests for MRSA/Clostridium Difficile

Point of Care Testing - Management of diabetes based on glycated haemoglobin

- Screening of Prostate Cancer

- Detection of Drugs of Abuse

Information Technology

Directors identified senior staff to liaise with inventors

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Developments 2009/10From 1 April 2009

Integrated Research Application System (IRAS)

web based (myresearchproject.co.uk).

Single application for all approvals/permission

Site Specific Assessment

Previously undertaken by Office for Research Ethics Committees NI

Now responsibility of Trust Research Office