National Developments Drivers for Change

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National DevelopmentsDrivers for Change

• Shared vision
• To establish the position of the UK as a world
  leader in clinical research by harnessing the
  power of the NHS
• To benefit the public and patients by improving
  national health and increasing national wealth

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National DevelopmentsResearch for Patient
Benefit Working Party

• A UK Clinical Research Collaboration to oversee
• extension of research infrastructure in the NHS
  (experimental medicine trials)
• co-ordination and development of research career
  pathways
• development of better regulation practice
• That is
• a partnership of organisations working with key
  stakeholders to effect change
• new way of effecting change through negotiating
  solutions rather than publishing recommendations

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National DevelopmentsUKCRC Infrastructure - UKCRN
UK Clinical Research Network
Co-ordinating Centre
Mental Health
Medicines for Children
Dementias Neurodegenerative Diseases
Stroke
Diabetes
Cancer
Primary Care Network
Generic Network
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National Developments UKCRNGeneric Health
Research Network

• Currently being developed by the UKCRN
• Mapping local health economies
• Bringing together existing resources
• Links topic-specific networks and other
  structures
• eg RDSUs, CRFs, etc
• RD management role
• Providing regulatory, governance and
  methodological advice and
  support
• Supporting and advising researchers in all topics

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National Developments Current DH Primary Care
Research Support

• Personal Award Schemes
• Primary Care Research Networks
• Primary Care Academic Units
• Research and Development Support Units
• NHS RD Funding Allocations to NHS trusts (budget
  1)
• Project funding through the DH/MRC joint
  initiative
• National Primary Care RD Centre (Manchester)
• Impact

Need to build on success and take advantage of
opportunities offered by UKCRC
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National DevelopmentsPC Infrastructure The need
for change

• Need a national integrated infrastructure model
  to support the UKCRC
• Primary care infrastructure needs to support
  clinical trials and other well designed studies
• PCRNs as they presently exist are unlikely to
  support the objectives of UKCRC
• PCAUs are key to supporting the PCRNs
• Capacity development will remain
• DH/MRC/UKCRN working party - established Autumn
  04
• Consultation document setting out broad
  principles
• Consultation meetings - Sept 04 March 05

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National DevelopmentsDeveloping a UKPCRN

• To develop primary care research infrastructure
  that
• Maximises and better coordinates DH/MRC
  investments in PC research infrastructure
• Fully supports the UKCRC and the UKCRN family of
  networks
• Facilitates participation of practices and
  practitioners in recruitment and retention in PC
• Enables the efficient conduct of wide ranging
  national studies originating from a range of
  sources
• A unified and integrated structure will ensure
• PC is integrally linked to the UCRN
• PC is supported by the UKCRN activities - topic
  non-topic specific
• PC-led research has high priority within the
  UKCRN portfolio
• Capacity continues to be developed alongside

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National DevelopmentsEstablishing the UKPCRN

• Networks
• Local networks
• Academic units and departments
• MRC GPRF
• Portfolio Development Group(s)
• Operational Group
• Co-ordinating Centre

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UKCRN C.C.
UK PCRN C.C.
GPRF C.C.
C.C.
C.C.
TSRN C.C.
PC
APCU
PC
PC
PC
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National DevelopmentsRemodelled Local PCRNs
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UKCRC/MMC Academic Careers Sub-Committee

• Chaired by Mark Walport (Wellcome)
• Report produced in March 2005
• Medically- and dentally-qualified academic
  staff Recommendations for training for the
  researchers and educators of the future
• 33 recommendations
• Implementation Group chaired by Lisa Cotterill
  (NCCRCD)

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Walport Report

• Core proposal of Report (recommendations 9-15)
  create a dedicated academic training programme
• Competitions for Academic Clinical Fellowships
  and Clinical Lectureships launched 6th October
• England and Wales

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Walport pathway for dentists
Academic position
Dental School
GPT
Specialist training
Academic clinical fellow
Clinical lectureship
Senior lecturer
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Academic Clinical Fellowships

• Academic and clinical training
• For new entrants to SpR
• 25 salary funding for academic component
• Award of an NTN(a)
• Support in making application for training
  fellowship or educational programme leading to
  higher degree
• Up to 3 years (probably less)
• Programmes in orphan specialities encouraged

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Clinical Lectureships

• Academic and clinical training for those with
  higher degree
• Available to qualified GPs and GDPs with higher
  degree
• 50 of salary funding for academic component
• For qualified GPs and GDPs, other 50 from
  earnings
• Support in making application for Clinician
  Scientist Scheme or similar
• Up to 4 years, expected to be between 2-4 years
• End point marked by CCT and substantial piece of
  post-doctoral research or educational work
• Opportunities in orphan specialties encouraged

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Integrated academic trainingThe competition
process

• Administered by NCC RCD
• Two stages national then local
• Organisational partnerships submit proposals for
  Fellowships and/or Lectureships by 13th December
• Partnerships PG deanery, NHS organisation,
  University (at least one of each)
• CACP review proposals and outcome announced in
  May 2006

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Integrated academic trainingThe competition
process

• National advertisement of supported programmes
• Local selection committees (with national
  oversight)
• Select best trainees for Fellowships and
  Lectureships who start in Aug/Sept 2006
• Two rounds of competition (2005 and 2006) to
  establish-
• approximately 250 Fellowship places
• approximately 100 Lectureships

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What next?

• New blood senior clinical lectureships
• HEFCE (50m over 9 years) in partnership with NHS
  to fund
• Details to be announced soon