Opportunities for Research in conjunction with Primary Care – Rochdale, Heywood Middleton
Emma Oughton Primary Care Assistant Research Delivery Manager NIHR CRN GM Setting the scene, the NIHR
Clinical Research Networks
Research in Primary care
Opportunities The National Institute for Health Research Clinical Research Network is the research delivery arm across health and social care
National Institute for Health Research
Established in 2006 as a vehicle for implementing the Government’s strategy for applied health research
Clinical Research Network Greater Manchester Support for research
http://www.crn.nihr.ac.uk/greater-manchester/ OUR Commitment
To deliver the High-quality best possible Every person clinical research treatments for should have the helps patients, we need opportunity to NHS/Social care evidence participate improve the on ‘what works’ in research. health and wealth of the nation.
NHS England: Statutory responsibility to promote clinical research (NHS Constitution 2013, Health and Social Care Act 2012).
Clinical Research Network Greater Manchester Clinical Research Network Greater Manchester Facilitate delivery across health and social care to make our patients and services better
Support both NonNIHR:-Commercial CRN Studies Services & the Collaboration & Partnerships Life-Science Industry
Free Performance Research Provide Research Management Funding Infrastructure Training
Clinical Research Network Greater Manchester What are the challenges?
TIME COMMITMENT allenges?
SPACE FEASIBILITY What are the benefits?
9 Vast majority of care delivered entirely in the community
Majority of people with long term conditions now managed completely within primary care Access to ‘ healthy’ people
Established GP/patient relationships. Some SLS practices recruited around 70% of eligible patients
Increasing research expertise in primary care in GM with good track record of delivery Access to larger patient populations
Extended hours PC facilities- better access for researchers and patients
Collaborations of practices (led by GP federations, PCN )
Closer PC / SC working – hybrid models for research delivery
Expanding workforce – e.g.‘ in practice pharmacists’ nurse practitioners
Linked IT systems (Farsite, CPRD , EMIS)
Dedicated time/staff for research – more part time ‘ portfolio ‘ GPs and other PC health care professionals e.g. pharmacists, physician associates with a research interest Examples Primary Care Models in GM
• Single sites of varying sizes e.g. Swan Lane Bolton ( 3 GPs) , Tower Family Healthcare Bury (30 + GPs)
• Neighbourhood hub and spoke e.g. Chadderton cluster Oldham ( 5 practices)
• GP Federation led approach – multiple sites/ hub and spoke models encompassing all practices in CCG area e.g. South Manchester
• SILK Real World Research, company led by experienced researchers in East Cheshire providing ‘ gateway to’ and wrap around services for all practices in East Cheshire. The new GP Contract January 2019
8. Supporting research and testing future contract changes •Research 8.2 Research participation within general practice has many additional benefits: quality improvement, professional development, and generating income, amongst others. •Working with the Royal College of General Practitioners, the National Institute of Health Research and the Clinical Practice Research Datalink, we will use the opportunity created by Primary Care Networks to increase general practice research participation levels. •During 2019, we will develop a way of helping networks to do this, embedding approaches such as the RCGP Research Ready quality assurance model 59. •We welcome also the National Institute of Health Research’s intention to prioritise an expansion in academic research capacity into primary care.
Primary Secondary Care Collaboration
Studies delivered in the community – or based in CRF - Hybrid Model
Prof Dang, Pennine – Diabetes Prof Vestbo, South Manchester – Respiratory Dr Ustianowski , Pennine/ GM wide – infectious diseases
AIM – to provide the best possible model for research delivery for everyone involved in order to ensure delivery to time and target How Can Practices get Involved ?
Large and diverse study portfolio including most specialties/methodologies Academic and commercially sponsored trials
1. Promote studies and NIHR campaigns • Research For The Future / Join Dementia Research/ Be Part of Research • Study specific posters to aid recruitment 2. Patient Identification Centres • Identify patients (FARSITE) screen eligibility • send out invitation letters (DOCMAIL) 3. Delivery Sites Recruitment Centres • Recruit patients and deliver at practice Real World Research
The Salford Lung Study Scale of the project A first in the world achievement for 80 GP (family doctor) sites the UK 130 ‘high street’ • 2 late phase pRCTs sponsored by GSK pharmacies >300 study staff • 2802 COPD patients and 4233 asthma >3000 staff GCP trained and research ready patients were recruited in primary care and monitored in near real-time for safety and Specialist safety team outcomes using city-wide linked electronic covering 2 hospitals health records Bespoke e CRF and data monitoring system - • Study is as near to “everyday care” as designed built and possible working
• Scientific rigour is maintained NIHR Research Targeting Tool
Asthma 2018/19 Map on left-study activity Map on Right Asthma Prevalence Studies on Horizon
BICS – Respiratory study Bisoprolol
ATTACK –RCT Aspirin Well Led Research in the NHS: New Research Markers in CQC Inspection
Outputs of a Collaborative Project with the Care Quality Commission
Be Part of Research
● Designed with user input and assurance from GDS/NHSX
● Make it easy for people to find opportunities to take part in health research for any condition, across the UK.
● Designed for mobile, tablet & desktop
● Rebrand, redesign and www.bepartofresearch.uk improved content
● Improved analytics
• Encourages people to get involved in local NHS research
• Database of people who are interested in hearing about local research opportunities • Free to join • Registering means you receive information on • local research you might be interested in (surveys, discussion groups, clinical trials) • occasional health events and celebrations • a newsletter twice a year Patient Research Experience Survey (PRES)
• Survey to better understand the patient experience of taking part in research across Greater Manchester
• Information is shared with NIHR coordinating centre to help provide a national picture Thank You