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Professor Rachel Munton, Director, NIHR CLAHRC-NDLDr Sarah Rodgers, Senior Research Fellow, NIHR CLAHRC-NDL

Rachel Illingworth, Head of Research & Development, NHS Nottingham City

Research into Practice: Practice into Research

National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care

for Nottinghamshire, Derbyshire, Lincolnshire (NIHR CLAHRC-NDL)

Aims of the presentation

• Introduce NIHR CLAHRC initiative

• Showcase NIHR CLAHRC-NDL as a vibrant, distinctive strategic local partnership addressing the three core aims of CLAHRC

• Bring to life one project in some detail, demonstrating its co-production, outputs and impacts on the patient experience

• Outline the outputs, impacts and vision for the next period

Joint NIHR BITEs - Brokering Innovation Through Evidence

Suicide preventionNIHR CLAHRC Cambridgeshire & Peterborough

Treatment of verrucasNIHR Centre of Evidence-based Dermatology

EczemaNIHR Centre of Evidence-based Dermatology

NIHR CLAHRC-NDL Vision and Purpose

“NIHR CLAHRC NDL is a unique partnership between the NHS, University of Nottingham, and partner organisations delivering or

commissioning health and social care in Nottinghamshire, Derbyshire and Lincolnshire. It improves patient outcomes by conducting and implementing high quality, clinically relevant

research that matters to our partners.”

Diffusion Fellows

Steps to reduce diabetes risk in South Asians (STEP OUT)

• People of South Asian origin are 4-6 times more likely to develop diabetes than people of European origin

• Lifestyle interventions, in particular increasing physical activity, can prevent or delay the onset of type 2 diabetes

Research urgently needed on developing culturally appropriate community level interventions to prevent diabetes among most at risk (NICE, 2011)

NICE public health guidance 35

Diffusion Fellow input

Engagement with community leaders

Review of the literature

One-to-one and family interviews

Focus groups with health professionals

STEP OUT Intervention

Collaboration with NHS stakeholders

STEP OUT Study

Unique aspects of intervention:

• Co-produced with target communities

• Facilitated by bilingual community workers in community settings and home

• Educational sessions, delivered in multiple languages, to promote walking, to reduce the risk of developing type 2 diabetes

• Using local stories to engage/support intervention

Discussions facilitated by multilingual “Talking Heads” DVD

Impact

Innovative

“Community-centric”

Strategically collaborative

Co-produced affordable intervention that addresses public health priorities

Engaging the community to bring practice into research and research into practice

Developing joint work with nascent Health & Wellbeing Boards and local public health commissioners

Included in local Joint Strategic Needs Assessments

NHS partner organisation’s perspective

• Positive collaboration between Public Health, R&D and NIHR CLAHRC-NDL

• Decade of Better Health (health promotion) Team facilitated links with South Asian community volunteers and groups

• The STEP OUT and ABC (pre-conception care) studies both relate to important public health issues in Nottingham particularly re:  Black and Minority ethnic groups [“Make Every Contact Count”]

• Key outcomes: research in areas of need, collaborations developed for future joint working, capacity building (for staff and volunteers)

NIHR CLAHRC-NDL Strategic Objectives

• Objective 1: To improve patient outcomes through the co-production of applied health research with our NHS and social care partners

• Objective 2: To conduct high quality applied health research and implementation science which is locally relevant and nationally important

• Objective 3: To optimise research in areas important to partners, so that academic staff can achieve their required goals supported by strong corporate governance, performance and stakeholder management.

• Objective 4: To achieve ongoing funding for NIHR CLAHRC – NDL so we can continue to contribute to a sustainable legacy of research and implementation that is of benefit to patients

Research Into Practice (RIP) Initiative

Research into Practice Placements11 placements; 6 organisations;

7 disciplines - selected from 37 applicants

Research into Practice Awards3 Trusts

Selected NIHR CLAHRC-NDL Impacts

Mental Health

Children & Young People

Stroke Rehabilitation

Mood Disorders: • Safer and more effective treatment regimes• Service user run support group• Health Economics data show less cost through inpatient

stays and medication in specialist arm

Medication optimisation Strategy for ADHD in childhood [MOSAIC]: • Adoption of evidence based medication strategy to

optimise treatment outcome based on service user and clinician consensus

Early Supported Discharge:• Findings used to guide East Midlands ESD service

specification • Informed guidance for national audit by NHS Stroke

Improvement Programme & Stroke Networks

Sustainability and the POSITIVE future

• Partnership: CLAHRC LNR; LETB, Leadership Academy; Academic Health Science Networks

• Opportunities: AHSNs and future funding

• Sustainability: legacy of research and implementation

• Innovation: rapid adoption and spread

• Timeline: consultation, preparation

• Impacts: consolidation, articulation, return on investment

• Value added: best research for best health

• Engagement: with Industry, new partners

CLAHRC Senior Team

Prof Chris HollisChildren & Young People’s

Theme Lead

Prof Joe KaiPrimary Care Theme Lead

Prof Marilyn JamesHealth Economics

Prof Marion Walker, MBE Stroke Rehabilitation

Theme Lead

Prof Min Yang Medical Statistics

Prof Richard MorrissDirector of Research and Mental Health Theme Lead