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www.kent.ac.uk/chss
Centre for Health Services Studies
Funding Public health research in the UKProfessor Stephen Peckham
Centre for Health Services Studies www.kent.ac.uk/chss 2
The organisation of UK Public Health services
• England:Public Health EnglandLocal authorities• Scotland:NHS ScotlandArea health boardsLocal authorities• Wales:Public Health WalesLocal Health Boards• Northern Ireland:Public Health Agency
Centre for Health Services Studies www.kent.ac.uk/chss 3
Public Health England plays a co-ordinating and strategic role and makes financial allocations to local authorities. It provides research and intelligence, health protection services and advises government.
Public health services are funded by 152 local authorities across the country.
Centre for Health Services Studies www.kent.ac.uk/chss 4
Why public health research is needed
• Need to know what interventions lead to improvements in the public’s health
• Need to understand how to change health behaviour
• Need to know most effective and cost effective interventions
• Need to know how to organise and deliver public health services
Centre for Health Services Studies www.kent.ac.uk/chss 6
INVENTION EVALUATION ADOPTION
Creation•new things•new ideas•new techniques•new approaches
Assessment•new things•new ideas•new techniques•new approaches
Uptake•new things•new ideas•new techniques•new approaches
DIFFUSION
Spread•new things•new ideas•new techniques•new approaches
Basic Research Applied Research Commissioning Patient Care
• Better Quality• Better Value
NIHR NHS Commissioners
MRC & Charities
Providers of NHS services
The Innovation Pathway
Academic research councils
Centre for Health Services Studies www.kent.ac.uk/chss 7
Funding public health research in England
Research Councils
Central government
Charities(eg Cancer UK, British
Heart Foundation)
Local government
Local service
evaluations
Large scale medical research
NIHR
Department of Health
Service evaluations
Public Health
England
ESRC
MRC
Centre for Health Services Studies www.kent.ac.uk/chss 8
MRCResearch spend 2009 / 2010
Analysis of spend by public funder
Basic research DH
Applied research
Applied researchBasic
research
Centre for Health Services Studies www.kent.ac.uk/chss 9
Government funding
• Policy Research Programme – policy related research funded by the Department of Health
• NIHR Health Technology Assessment Programme,
• NIHR Health Services and Delivery Research Programme
• NIHR Public Health Research Programme• NIHR School for Public Health Research• Public Health England (Agency of Department
of Health)
Centre for Health Services Studies www.kent.ac.uk/chss 10
Established 2006 as a vehicle for implementing the Government’s strategy for applied health research
National Institute for Health Research
Strategic AimTo improve the health and wealth of the nation through research
Centre for Health Services Studies www.kent.ac.uk/chss 11
What is NIHR and what does it do?
• The NIHR is the largest funder of clinical research in the country: Wellcome £746m; MRC £767m; NIHR about £1bn
• It supports clinical and applied health & social care research to improve health, well-being and prosperity
• It is internationally recognised as the model for organising a health research system
Centre for Health Services Studies www.kent.ac.uk/chss 12
National Institute for Health Research
• Between Government, Charity and Industry• Between NHS and University• Between research leaders and research
facilitators• Between different health care professions• Between different research disciplines• Between researchers and patients
A Health Research System
Partnership
Centre for Health Services Studies www.kent.ac.uk/chss 13
An integrated health research system
• The different parts of the health system support each other• Basic science relies on NIHR funding for pull through to
patient benefit• Anchoring industry depends on NIHR-funded infrastructure• Research charities depend on the NIHR Clinical Research
Network• The NIHR addresses failure of ‘the market’ to meet nation’s
research needs• Works closely with other research funders e.g. through
OSCHR• Wider collaboration - £50m/yr for Genomics England
Centre for Health Services Studies www.kent.ac.uk/chss 14
Infrastructure
Clinical Research Facilities, Centres
& Units
Clinical Research Networks
ResearchResearch Projects &
Programmes
Research Management
Systems
Research Information
Systems
Systems
Patients&
Public
Universities
Investigators &Senior
InvestigatorsAssociates
Faculty
Trainees
Research Schools
NHS Trusts
NIHR Health Research System
School for Public Health Research
Centre for Health Services Studies www.kent.ac.uk/chss 15
NIHR Public Health Research Programme
• The PHR Programme funds research that evaluates public health interventions, providing new knowledge on the benefits, costs, acceptability and wider impacts of non-NHS interventions intended to improve the health of the public and reduce inequalities in health.• Funding for research with no maximum limit on the
duration and costs of proposals, but all costs should be clearly justified and demonstrate value for money
• Research topics advertised after expert identification and prioritisation
• Monitoring and support during the project• Full publication in the NIHR Journals Library.