Research and Innovation Strategy 2013-2018 1.0 Once printed off, this is an uncontrolled document. Please check the intranet for the most up to date copy. Version: 1 Issue: 0 Approved by: Trust Management Committee Date approved: February 2013 Ratified by: Trust Board Date ratified: August 2013 Author: Jo Hicks, Clinical Research Lead Lead Director: Medical Director Name of Responsible Individual/ Committee: Research Committee Consultation: Research Committee BHT Document Reference: BHT S029 Date Issued: September 2013 Review Date: January 2018 Target Audience: Trust wide Location: Swan Live intranet/ Policies and Guidelines/Policies and Strategies/ Corporate Equality Impact Assessment: February 2013
Document History Version Issue Reason for change Authorising body Date 1 0 New Strategy Trust Management Committee Feb 2013 Trust Board Aug 2013 Contents Strategic Goal... 3 Strategic Objectives... 3 Developing a Culture of Research... 3 Education and Guidance... 3 Promotion of Research and Innovation... 4 Research Management and Governance... 4 Expanding into new Territory... 4 Glossary... 5 Aim 1 : Developing a Culture of Research within the Trust... 6 Aim 2 : Provide Education and Guidance... 7 Aim 3 : Promotion of Research and Innovation to patients and staff... 8 Aim 4 : Provide Effective Research Management and Governance... 9 Aim 5 : Expanding into new Territory... 10 Page 2 of 10
Strategic Goal Buckinghamshire Healthcare NHS Trust supports and promotes high quality research as part of a service culture committed to the development and implementation of best practice in the delivery of care. There is a strong belief in the value of participation in research for patients, staff and the trust, and a clear strategy linking research to the trust s own objectives, to clinical governance, and to national priorities and needs. The trust recognises that its mission of excellence can only be achieved with the integration of research participation into clinical service, and by incorporating evidence obtained from research into practice development. The trust s research strategy values diversity in its patients and its staff, and promotes their active participation in the development, undertaking and use of research. Strategic Objectives Developing a Culture of Research 1. Trust Strategic Alignment Ensure R&D priorities are encompassed by Trust strategic objectives, developing an environment that promotes research and facilitates collaboration with academic centres. Open up research into the effectiveness of new models of care, particularly evaluation of the vertical integration model which distinguishes our trust. Explore opportunities for research into nursing practice. 2. Embed a research culture in clinical service delivery consider all clinical areas a potential research resource, and encourage patients, clinicians and management to realise the benefits of participating in research. Understand the value of patient diversity. Education and Guidance 3. Policy guidance advise and support the development of research through management policies and procedures, in line with national guidance. 4. Good Clinical Practice (GCP) Promote GCP training for all trust staff potentially involved in research this in time will extend to include the majority of clinical staff. 5. Support and facilitate grant applications Identify statistical support services, provide costing information, acting as sponsor, manage grant funds. Advice/assessment of applications including PPI. Page 3 of 10
Promotion of Research and Innovation 6. Encourage Innovation - Develop a culture that supports innovative practice, particularly evidence-based innovation. Encourage staff to challenge the status quo and to devise improved ways of working. Expand trust activities in identifying, protecting and exploiting the intellectual property arising within the Trust to transform invention to innovation for the benefit of patients and to provide an additional revenue stream to the organisation. 7. Increase patient/public awareness of research improving communication of research activity both in and outside the trust. 8. Increase staff awareness of research through the staff bulletin, research awards, and other areas. 9. Encourage staff participation in research - through revalidation and appraisal, include in annual staff awards. Research Management and Governance 10. Effective Project Delivery and Risk Management Ensure R&D projects are delivered with proportionate management of risks and benefits to patients, staff and the trust. 11. Maintain Efficiency & Effectiveness through implementing systems and procedures that identify delays, minimise duplication of effort, and integrate with central RM&G processes. 12. Deliver high quality research diversify NIHR portfolio studies, provide monitoring and support to ensure delivery targets are met, increase commercial study numbers, promote PPI. Recruit at least twice as many patients into portfolio studies by 2015, compared with 2010. Expanding into new Territory 13. Increase research income commercial studies (portfolio and non-portfolio). Encourage applications to charities and grant-funding agencies. 14. Collaboration drive up the quality of research that we can deliver by collaboration. Achieve this by developing research relationships between departments within the trust and with other trusts and academic institutions. Page 4 of 10
Glossary GCP Good Clinical Practice. This term covers the standards which must be followed in all clinical research undertaken in the NHS, primarily to ensure patient safety and good quality research. All staff undertaking research must therefore demonstrate that they have received GCP training - this can be provided by our own R&D trainer, or by using an e-learning course. NIHR National Institute for Healthcare Research. The body that oversees all NHS research activity. OAHSN Oxford Academic Health Sciences Network. This is a proposed new network composed of health and social care providers, NHS commissioners, universities, life sciences industry and business and commercial organisations, and the constituent population within Berkshire, Buckinghamshire (including Milton Keynes) and Oxfordshire The Thames Valley and Bedfordshire. PPI Patient and Public Involvement, ensuring that the patient and public viewpoint is considered at all stages of planning and implementing research. Portfolio study a study that is deemed by the NIHR to be of sufficient quality to be included on its portfolio, and which therefore qualifies for funding of research support costs. As far as our trust is concerned, these are mainly set up by other centres (esp teaching hospitals), but our participation in them is critical, as these studies require patients. R&D Research and Development. Page 5 of 10
Aim 1 : Developing a Culture of Research within the Trust Objectives Actions Key Performance Indicators 1.1 Trust Strategic Alignment Ensure R&D priorities are encompassed by Trust strategic objectives Develop an environment that promotes research and facilitates collaboration with academic centres. Develop the opportunity to evaluate the Trust s vertically integrated model of care in recognition that this novel structure presents specific opportunities for research in this area. Consider the NIHR Health Services & Delivery programme and collaboration with, for example, Oxford Brookes or Warwick. Proportion of trust strategic documents carrying specific reference to research 2012/13 Baseline : 0% Number of staff with specific allocation of time for research in job plan List of research links with academic centres 2012/13 Baselines: Data not available Participation in studies into the effectiveness of models of healthcare. Explore opportunities for research into nursing practice, particularly through links with Bucks New University and Oxford Brookes University. 1.2 Embed a research culture in clinical service delivery Consider all clinical areas a potential research resource, and encourage patients, clinicians and management to realise the benefits of participating in research. Understand the value of patient diversity. Number of clinical areas displaying research information 2012 Baseline: Data not available Page 6 of 10
Aim 2 : Provide Education and Guidance Objectives Actions Key performance indicators 2.1 Policy guidance for management Advise and support the development of research through management policies and procedures, in line with national guidance. 2.2 Good Clinical Practice (GCP) for clinicians 2.3 Support and facilitate grant applications Promote GCP training for all trust staff potentially involved in research this in time will extend to include the majority of clinical staff. Identify statistical support services Identify support for study design Provide costing information Act as sponsor Manage grant funds Provide advice / assessment for grant applications, including PPI. Number of staff receiving GCP training 2012 Baseline: staff trained this year 65 workshops held - 2 Number of grant applications submitted Number of successful grant applications 2012/13 Baseline : 1 / 6 applications successful 100% with Research Office support Page 7 of 10
Aim 3 : Promotion of Research and Innovation to patients and staff Objectives Actions Key Performance Indicators 3.1 Encourage Innovation Develop a culture that supports innovative practice, particularly where there is an evidence base Encourage staff to challenge the status quo and to devise improved ways of working Expand trust activities in identifying, protecting and exploiting the intellectual property arising within the Trust to transform invention to innovation for the benefit of patients and to provide an additional revenue stream to the organisation. 3.2 Increase patient awareness of research 3.3 Increase staff awareness of research Improve communication of research activity both in and outside the trust. Staff bulletin Research awards Number of patient areas displaying research results Increased recruitment to studies where results are publicised 2012 Baseline: Data not available Exploit other opportunities to promote research awareness as they arise 3.4 Encourage staff participation in research Through medical appraisal and PDPs Proportion of Personal Development Plans referring to research 2012 Baseline: Data not available Promote recognition of research activity in annual staff awards. Directly support grant writing, study design, analysis etc Not currently funded except for NIHR portfolio studies Page 8 of 10
Aim 4 : Provide Effective Research Management and Governance Objectives Actions Key Performance Indicators 4.1 Effective Project Delivery and Risk Management Ensure R&D projects are delivered with proportionate management of risks and benefits to patients, staff and the trust. Number of monitoring audits completed annually target 10% of actively recruiting studies Number and nature of findings in monitoring reports Number of research-related complaints Scale and nature of external inspection findings 2012/13 Baseline: 2 audits completed 4.2 Maintain Efficiency & Effectiveness Through implementing systems and procedures that identify delays, minimise duplication of effort, and integrate with central RM&G processes. Average time to approval (target 30 days) Proportion of studies approved within target time of 30 days Proportion of studies approved and recruiting within target time of 70 days Overall annual recruits to studies vs target 2012/13 Baseline: Average approval time - 18 days Studies approved within 30 days 82% Proportion of studies recruiting first patient within target time of 70 days 56% Overall patients recruited vstvclrn target 161% 4.3 Deliver high quality research Diversify NIHR portfolio studies Include studies which evaluate healthcare models, particularly cost-effectiveness of new models of community care, and multiagency care. Provide monitoring and support to ensure delivery targets are met Promote PPI List of Clinical Departments engaged in active research Proportion of studies meeting target recruitment 2012/13 Baseline: Proportion of studies meeting target recruitment 56% Number of studies clearly demonstrating incorporation of PPI 2012 Baseline: 100% Recruit at least twice as many patients into portfolio studies by 2015, compared with 2010. Annual recruitment numbers 2010 Baseline: 686 Page 9 of 10
Aim 5 : Expanding into new Territory Objectives Actions Key Performance indicators 5.1 Increase research income Increase numbers of Commercial studies (portfolio and non-portfolio). Increase income from charitable and grantfunding bodies by encouraging and advising on these. Number of Commercial studies in started per year / progress. Number / value of external grants obtained 2012/13 Baseline: 6 new commercial studies approved 5.2 Collaboration within the Trust and with other trusts and academic institutions Develop research relationships between departments within the trust Develop research relationships with other trusts Number of other trusts with which we have intellectual collaboration Develop research relationships with academic institutions particularly universities / NIHR / through the proposed OAHSN Number of collaborations active Build links with national and international research platforms Page 10 of 10