Irish Health Research: Collaboration and Partnership

HSE Regional Library & Information Health Research Seminar

Dr. Steevens’ Hospital 11th February 2011

Jim Breslin, Jim Breslin, Department of Health & ChildrenDepartment of Health & Children

Research & Health and Research & Health and Social CareSocial Care

- Where have we come - Where have we come from?from?

(Relatively)

-Simple

-Low tech &

- Modest outcomes

Where have we gotten Where have we gotten to?to?

- Complex & Complex &

often hi-techoften hi-tech- KnowledgeKnowledge

intensiveintensive

- - ExpensiveExpensive- Powerful in Powerful in

adding both adding both

years to life & years to life &

life to yearslife to years

Today’s Supply & Demand Today’s Supply & Demand DriversDrivers

Technological development continues Technological development continues Biotech, genetics, convergence of Biotech, genetics, convergence of

products and devices, remote diagnostics products and devices, remote diagnostics and healthcare delivery, etcand healthcare delivery, etc

Public expectations - demand for Public expectations - demand for access & qualityaccess & quality

Requirement for integration between Requirement for integration between primary & specialist careprimary & specialist care

Demographics & growing burden of Demographics & growing burden of chronic illnesschronic illness

Today’s Fiscal DriversToday’s Fiscal Drivers

Reducing revenue. Tax revenue Reducing revenue. Tax revenue collected in 2010 below those collected in 2010 below those collected in 2003.collected in 2003.

Public health spending of €14.5bn Public health spending of €14.5bn represents:represents: 27% of public expenditure, 27% of public expenditure, 49% of total tax receipts & 49% of total tax receipts & 133% of Income Tax receipts. 133% of Income Tax receipts.

Reducing spendReducing spend Reduction of €1.3bn or 9% since 2008 Reduction of €1.3bn or 9% since 2008

alreadyalready

The Role for Health Research:The Role for Health Research:The InterconnectionsThe Interconnections

Quality health services, a vibrant health Quality health services, a vibrant health research system and social and economic research system and social and economic prosperity are not separate but inextricably prosperity are not separate but inextricably intertwined.intertwined.

High Performing

Health Services

Vibrant Health

Research System

Smart

Economy

Using Health Research to Using Health Research to Promote Both Health & Promote Both Health &

WealthWealth Strong health research Strong health research systemsystem

needed to support:needed to support:

Transformation of health service Transformation of health service delivery and patient outcomesdelivery and patient outcomes

Economic agenda in developing new Economic agenda in developing new products and services products and services

Health Research PathwayHealth Research Pathway

Translation & Application -Clinical & patient oriented research-Population Health Sciences-Health Services Research

Basic

Biomedical

Research

Transformation Health outcomes and system performance

Commercialisation New technologies

The Health Outcomes The Health Outcomes GapGap

Coordination of Treatments and Services

Implementation Gap

Scientific Knowledge Gap

EXISTING HEALTH OUTCOMES

Potential Health Outcomes

The Health Outcomes The Health Outcomes GapGap

Service Coordination

Implementation Gap

Knowledge Gap

EXISTING HEALTH OUTCOMES

Potential Health Outcomes

AlzheimeAlzheimer’s r’s treatmentreatmentsts

Thrombolysis Thrombolysis delays in delays in stroke stroke treatmenttreatment

Late discharge Late discharge summaries for summaries for GPsGPs

The Health Outcomes The Health Outcomes GapGap

Service Coordination

Implementation Gap

Knowledge Gap

EXISTING HEALTH OUTCOMES

Potential Health Outcomes

AlzheimeAlzheimer’s r’s treatmentreatmentsts

Thrombolysis Thrombolysis delays in delays in stroke stroke treatmenttreatment

Late discharge Late discharge summaries for summaries for GPsGPs

RESEARCH

Action Plan for Health Action Plan for Health Research (2009)Research (2009)

The Health The Health Research group Research group published the published the Action Plan in order Action Plan in order to be accountable, to be accountable, to generate support to generate support and to build and to build partnerships partnerships amongst diverse amongst diverse stakeholders with stakeholders with passion for research passion for research & innovation.& innovation.

What will the Action Plan for What will the Action Plan for Health Research Achieve?Health Research Achieve?

1.1. Framework for co-ordination & accountability across Framework for co-ordination & accountability across diverse stakeholders.diverse stakeholders.

2.2. National priorities for health research.National priorities for health research.

3.3. Enabling research infrastructure; in particular Enabling research infrastructure; in particular clinical research facilities in our main academic clinical research facilities in our main academic hospitals & scalable informatics and bio-banking hospitals & scalable informatics and bio-banking solutions.solutions.

4.4. More clinical trials networks, internationally linked. More clinical trials networks, internationally linked.

5.5. Focus on commercialisation & industry partnerships. Focus on commercialisation & industry partnerships.

6.6. Streamlined and predictable regulatory Streamlined and predictable regulatory environment.environment.

What will the Action Plan What will the Action Plan Achieve?Achieve?

7.7. More clinicians & health care professionals More clinicians & health care professionals doing high quality patient focused research.doing high quality patient focused research.

8.8. Rebalancing activity towards patient related Rebalancing activity towards patient related outcomes. outcomes.

9.9. Increased capacity for population health and Increased capacity for population health and health services research. health services research.

10.10. Transformation of care pathways informed by Transformation of care pathways informed by (locally adapted) international research (locally adapted) international research evidence. evidence.

11.11. Mechanisms to monitor and evaluate Mechanisms to monitor and evaluate investment, across both health and economic investment, across both health and economic dimensions.dimensions.

Action Plan – Action Plan – Year 1 ProgressYear 1 Progress

Investing in Clinical Research Facilities

Benefits to industry:Benefits to industry:- Access to Clinical Specialists and - Access to Clinical Specialists and NetworksNetworks- Access to Patient Cohorts- Access to Patient Cohorts- Research Nurse Support- Research Nurse Support - Biostatistics & Informatics - Biostatistics & Informatics SupportSupport - Regulatory Support- Regulatory Support - Bio specimen Storage and - Bio specimen Storage and ProcessingProcessing - Linkage with International - Linkage with International Researchers & Funding Researchers & Funding ProgrammesProgrammes

Other Highlights of Year 1 Other Highlights of Year 1 ProgressProgress

InfrastructureInfrastructure Networking of existing Clinical Research FacilitiesNetworking of existing Clinical Research Facilities National Bio banking solutionNational Bio banking solution Centre of Excellence for Successful Ageing Centre of Excellence for Successful Ageing

approvedapproved Rollout of TILDA (Older People) to complement Rollout of TILDA (Older People) to complement

Growing Up in Ireland longitudinal studyGrowing Up in Ireland longitudinal study GovernanceGovernance

Revamp of Research Ethics Committee StructuresRevamp of Research Ethics Committee Structures HSE research governance brought under Quality HSE research governance brought under Quality

& Clinical Care Directorate & aligned with Clinical & Clinical Care Directorate & aligned with Clinical Care ProgrammesCare Programmes

Commercial Linkages Commercial Linkages HSE Quality & Clinical Care partnering with HSE Quality & Clinical Care partnering with

Enterprise agencies on InnovationEnterprise agencies on Innovation

Year 1 Progress Contd.Year 1 Progress Contd.

Clinical TrialsClinical Trials - Cardiovascular and - Cardiovascular and Stroke Network under developmentStroke Network under development

FundingFunding HRB awards have been aligned more towards HRB awards have been aligned more towards

patient and health service benefitspatient and health service benefits New HRB/SFI Translational Research AwardsNew HRB/SFI Translational Research Awards SFI/HRB/Wellcome Trust Biomedical Research SFI/HRB/Wellcome Trust Biomedical Research

PartnershipPartnership International – Tripling in latest FP7 funding International – Tripling in latest FP7 funding

awards to €17.4. Strong Irish participation in awards to €17.4. Strong Irish participation in Joint Programming in Neuro-degenerative and Joint Programming in Neuro-degenerative and Food areas.Food areas.

Year 1 Progress Contd.Year 1 Progress Contd. AccountabilityAccountability

Year 1 Annual Report finalised.Year 1 Annual Report finalised. Year 2 Actions underway, including planning Year 2 Actions underway, including planning

of stakeholder engagement with researchers, of stakeholder engagement with researchers, industry, charities and other interested industry, charities and other interested parties.parties.

Our hope is that through the Action Plan Our hope is that through the Action Plan and associated engagement we can and associated engagement we can generate support & feedback and tap into generate support & feedback and tap into the enthusiasm & passion for research & the enthusiasm & passion for research & innovation amongst diverse stakeholders.innovation amongst diverse stakeholders.

Thank YouThank You

THANK YOU!

One Last Bridge….