Embedding Research and Evaluation in Services

Peter Brindle – R&D Programme Director

Emma Moody – Programme Manager for older people

Summary

• Policy context and background

• Description of the project

• The impact – local, regional and national

• Opportunities for discussion

We would like people to feel confident that we are making significant progress towards dementia prevention, treatment and cure in the UK, and to be able to say that they wanted to take part in research and were able to do so.

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Background – The PM’s Challenge

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March 26 2012: Prime Minister’s Challenge on Dementia: Delivering major improvements in dementia care and research by 2015

Wider policy context

www.dendron.nihr.ac.uk

Health and Social Care Act 2012

Commissioners, in the exercise of their functions, have a duty to “promote research and the use of evidence”

Research - benefits for patients• Take an active role in their care• Work closely with researchers to set

priorities• Share their experience and knowledge• Contribute to advancements in medical

research• Have their condition monitored more closely• Have the chance to try new treatments

Research - benefits to staff and organisations

• Its good for patients!• Marker of quality• Research can generate income• Provide opportunities for staff

development• Government priority: 10% ambition

34,097People diagnosed with dementia in the South West

4.8%Are currently involved in a dementia-related study in the SW

Service Evaluation• Value for money• Evidence for the service or initiative• Effectiveness and efficiency of the service or

initiative• Informed decisions and legitimacy for making

changes• Benefits of the service or initiative

Recommission, modify or decommission

The Evaluation Wheel

The Process

• A ‘form of words,’ drafted and widely consulted upon

• Inserted into the Bristol Dementia Wellbeing Service specification

• Service specification consulted upon

The Process• The ‘form of words’ shared with and

adopted by the suite of 15 mental health service specifications

• ‘Promoting research’ used to to judge tender applications

• Key Performance Indicators

• “to have processes in place to ensure that people are given the opportunity to take part in high quality research studies”

• “to perform at least one full evaluation of the service within twelve months of operation, and thereafter at least every 18 months”

The Provider is required…

The Impact - local• Evidence informed commissioning

• Work plans

• Stimulated productive contact between the NIHR Clinical Research Network and commissioners

• Information regarding research in practice post diagnostic packs

The Impact - regional

• Community services procurement in South Gloucestershire and Bristol

• Acute trust procurement in North Somerset

• West of England AHSN

The Impact - national

• Association of Medical Research Charities

• NHS England research strategy

• NHS England CCG toolkit

• NHS Standard Contract

ConclusionA high impact intervention, easily replicated:

• Costs little or nothing

• Any Qualified Providers

• Patient choice

• Service quality

• Significant contribution to wealth creation

• National impact– locally devised and tested, leading to national policy

Thank you very much for listening!