Ever Decreasing Circles David G Smithard MD FRCP RICR Clinical Director Kent and Medway CLRN.

Ever Decreasing Circles

David G Smithard MD FRCP RICRClinical Director Kent and Medway

CLRN

FY2007/8 FY2008/9 FY2009/10 FY2010/11 FY2011/12 FY2012/13 FY2013/14 (to date)

0

50

100

150

200

250

300

350

KMPT Recruitment since April 2007

FY2013/140

100

200

300

400

500

600

700

800

Recruitment to all Kent and Medway Member Organisations. FY2013/4

EAST KENT HOSPITALS NHS TRUST

Eastern and Coastal Kent PCT

MEDWAY NHS TRUST

West Kent PCT

MAIDSTONE & TUNBRIDGE WELLS NHS TRUST

Kent and Medway NHS and Social Care Partnership Trust

DARTFORD & GRAVESHAM NHS TRUST

Kent Community Health NHS Trust

Medway Community Healthcare

South East Coast Ambulance Service NHS Foundation Trust

Medway PCT

EAST

KENT H

OSPITA

LS NHS T

RUST

MAIDSTONE &

TUNBRIDGE W

ELLS N

HS TRUST

West

Kent P

CT

MEDW

AY NHS T

RUST

Easte

rn an

d Coastal

Kent P

CT

DARTFORD &

GRAVESHAM NHS T

RUST

Kent a

nd Med

way NHS a

nd Socia

l Care

Partners

hip Trust

Medway

PCT

Kent C

ommunity Hea

lth NHS T

rust

South Ea

st Coast

Ambulance

Servi

ce NHS F

oundation Tr

ust

Medway

Community Hea

lthcar

e0

1000

2000

3000

4000

5000

6000

7000

8000

9000

Recruitment since April 2007 For all Kent and Medway member organisations

FY2013/14FY2012/13FY2011/12FY2010/11FY2009/10FY2008/9FY2007/8

Recruitment to Time and Target – based on portfolio data combined with portal RTT data collected by MH delivery team

97

126

FY2013/4 Recruitment by Study Design

InterventionalObservational

23

59

141

FY2013/4 Recruitment by Topic Category

CCRNCommercial TOPICTOPIC

FY2007/8 FY2008/9 FY2009/10 FY2010/11 FY2011/12 FY2012/13 FY2013/140

5

10

15

20

25

30

KMPT - Number of Recruiting Studies by FY

CLRN

• Support for– Portfolio Dr Ian Akers– Industry James Porecca

• Research Governance – Hazel Crawford

• Delivery Team– MHRN– DeNDRoN

Back to The Future

Set-up phase is over! Shift towardsperformance management• Management through the CoordinatingCentres/Teams• “With performance comes autonomy” –light touch for those who deliver• “Special measures” for those who don’t

Risk Management

• • There were 57,065 clinical claims through the NHS Litigation• Authority between 1995 and 2010• • Of these, just 6 related to clinical trials (0.01% of total)• • Of the six claims recorded, 3 were rejected, one is ongoing and

two• received payment.• • The total amount paid in damages for clinical claims (minus those• related to trials) between 1995 and 2010 was £8,660,644,000• • The total amount paid out in damages for claims relating to clinical• trials was £235,000 (£160,000 + costs). This is just 0.002% of the• total damages figure.• • Networks are spending 8% of Budget on RMG