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Embedding Research in NHS Trusts. What NIHR CRN staff need to know about supporting the further integration of research and care in the nhs and beyond and what is available to help.

Patients are at the centre of everything we do.....

This guide aims to provide some helpful tips, messages and tools to help you support NHS partners to further embed research activity in their organisations for patient benefit. You will find 'key messages' such as the message below throughout the guidance:

Clinical research is finding out what works best in patient care in specific areas through a ‘study’. A study aims to answer a question, in this case about patient care, using a carefully designed method.

How do we engage with non-research colleagues about the benefits of research? In a busy, stretched NHS, staff are focused on patient care and 'research' can seem like an 'extra' thing and not a priority. The first tip might be to start with what we have in common and talk about 'best patient care through research.' This immediately makes a link.

Another helpful approach may be to discuss and celebrate with NHS staff how they already use research, thus drawing attention to how important research is to best patient care:

Everyone providing care in the NHS uses research. But not everyone is aware of it. The core of all good training is that it is based on evidence which can be trusted.

Engaging with your local NHS: Research Delivery Staff NIHR Learn Online Community

The NHS Engagement online community is a key tool for research delivery staff working on the frontline to deliver research in their NHS organisation. It is designed to share what works in engaging non-research colleagues through:

  • Success stories to inspire frontline staff to promote research within their department or Trust and lead key initiatives to help to create a research culture.
  • A toolkit of resources to introduce clinical staff to research.
  • A self assessment quiz to enable staff to evaluate their own practice, in terms of embedding research within their role and promoting a research culture.
  • An interactive forum to enable staff to share success stories and key barriers/ challenges, and discuss core elements of research.
  • An Expert Blog series, each edition written by a different guest speaker from different areas of the research world to improve awareness and understanding of the complexities of the research network.

The community is being expanded all the time, not only in content updates, but also as part of a developing active learning community, so its worth keeping an eye on it. Think about contributing success stories as well!

You can easily register with the community and log in with an NHS or NIHR related email address.

Research can help you identify effective and cost efficient treatments, processes and systems

Experience shows that it is important to demonstrate how research adds value to NHS care. There are perceptions that research costs more and is a burden to care whereas we know this is incorrect. There are some good research impact stories showing the value of research in the NHS on the NIHR website.

Evidence base for the Impact of Research on the Quality of Care

A growing body of evidence shows that trusts with high levels of clinical research activity have better patient outcomes (e.g. lower mortality rates)

It might be helpful to be familiar with some of this evidence when interacting with NHS staff and management at various levels. It will enable you to show another aspect of the value of research in the NHS:

In January 2020, the NIHR CRN organised a workshop to discuss what evidence we currently have about the link between research activity and outcomes and to start to identify priorities for further research in this area. Following the workshop, 3 core recommendations were made and can be found in the report linked below.

Surveys show that patients and staff have very positive, empowering experiences of research studies.

In a 2018 survey of over 8,500 research participants 90% of respondents had a good experience of participating in studies in the NHS. Much of this was due to the excellence of research staff and the increased monitoring study participants generally have for their condition.

Other helpful NIHR 'tools'

There are a range of useful 'tools' available to the CRN that assist with engaging non research staff about research. Some of these have already been referenced in this guide but there are a few others to consider:

'Clinical Research is Everyone's Future' is a short video designed for very busy people and provides some of the basic information about clinical research:

The Be Part of Research website

'Be Part of Research' is a platform for both lay people and professionals that makes it easy to understand what research is and does and find current research studies in specific clinical areas on its database. Where patients are asking about research that may not be available in a particular Trust it can be useful. NHS staff can give patients a route into what they might be looking for, or simply and quickly check on the patients behalf for studies that may suit them.

Best Patient Care, Clinical Research and You

'Best Patient Care, Clinical Research and You' is a leaflet for all NHS staff which briefly explains why clinical research is relevant to them. Click the button below the image for the pdf print version:

The leaflet is a precursor to a new easy and quick to use online guide for NHS staff which is currently in its pilot phase.

Research Engagement Champions

Research Engagement Champions have been established in every NIHR LCRN. Broadly their role is:

  • A link between local and national initiatives in the CRN
  • Part of a CRN national ‘Well Led’ community of practice being built up
  • A conduit for feeding back to the national CRNCC NHS Engagement team any issues, suggestions, innovations, concerns, and perspectives from the LCRN.
  • Catalysing new positive ways of working with NHS R&D teams in the joint effort to embed research in NHS care.

If you would like to get in touch with any of the Research Engagement Champions, please contact Lucy Gallagher in the first instance (lucy.gallagher@nihr.ac.uk).

Key Reports

RAND Europe 2018: 'Enabling NHS Staff to Contribute to Research' is an independent report about staff in NHS organisations being enabled to be research active. The report may be useful in influencing senior managers for example:

Transforming health through innovation: Integrating the NHS and academia, AMS Report: Having consulted with stakeholders across the sector, the Academy of Medical Sciences sets out a series of actions to achieve six key outcomes considered essential for enhancing the interface between the NHS and the UK’s academic biomedical and health research sector:

1. Creating a healthcare system that truly values research.

2. Fully integrating research teams across academia and the NHS.

3. Providing dedicated research time for research-active NHS staff.

4. Ensuring undergraduate curricula equip healthcare staff with the skills to engage with research.

5. Incorporating flexibility into postgraduate training pathways.

6. Streamlining research through joint R&D offices.

Royal College of Physicians: 'Research for All' is a strong statement which follows the work with the CQC, and endorsed by a range of Royal Colleges and related organisations including the NIHR. It concludes that Trusts should:

  • ensure that research activity is integral to the work of the organisation and its staff and overseen at board meetings
  • use job planning to protect time for clinical research, including within the direct clinical care programmed activities

Care And Research Embedded (CARE Group)

In October 2020, the NHS Engagement Team and colleagues from the NHS R&D Forum and the Royal College of Physicians brought together a number of national bodies who are funding clinical research, or supporting work to embed research activity in health and care. The aim of this group is to facilitate the sharing of initiatives, issues, challenges and solutions in relation to efforts to integrate research and care.

What next?

The NIHR CRN's NHS Engagement Team continues to work closely with colleagues inside and outside the organisation to continuously improve how research is embedded in NHS care:

Contact:

Roger Steel, NHS Engagement Programme Manager. email: roger.steel@nihr.ac.uk

Lucy Gallagher, Stakeholder Engagement Support Officer. email: lucy.gallagher@nihr.ac.uk

Robert Peveler, Clinical Director. email: robert.peveler@nihr.ac.uk