Professor Sue Mawson Director

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NIHR Collaborative Leadership in Applied Health
Research and Care for South Yorkshire
Professor Sue MawsonDirector Professor Stuart
ParkerAssociated Director
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The need for CLAHRCs in England

• Cooksey review (2006) - delays in translating
  evidence into changed health care practice '2nd
  translation gap.
• Tooke report (DoH 2007) - identified the need to
  revisit the evidence based clinical effectivenes
  s agenda using the science of behaviour change
  at an individual and organisational level.
• Canadian Health Services Research Foundation
  model for 'knowledge brokering agencies - linkin
  g researchers with health decision-makers, match
  funding.

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CLAHRCs and the Innovation Landscapes
Innovation is the implementation (adoption and
diffusion) of any practice or product that
represents a conscious and significant departure
from current behaviour. Adapted from Rye
and Kimberly 2007 Evaluation must be
incorporated into the ongoing process of
innovation implementation. Adapted from
Chapman et al 2004
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The NIHR collaborations have been designed to be
innovative communities of health professionals,
academic researchers, technologists, voluntary
agencies, industry and the public aimed at
improving patient outcomes through
appliedresearch, knowledge adoption and
diffusion.
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South Yorkshire representative and challenging
Doncaster
Barnsley
Sheffield
Rotherham
1559 sq km, 1.2 million people, 585,736
economically active (of which 100k in the public
sector). Average wage 87 of national average
above average prevalence CHD, COPD, diabetes,
obesity (www.statistics.gov.uk)
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The innovation in CLAHRC for SY

• Our research themes are embedded in the
  governments self management, self care and
  innovation technology agenda for LTC (Operating
  framework for the NHS 2008/9, Our health, Our
  Care, Our Say. 2006)
• Our User Centred HealthCare Design theme is
  unique in that it can enable the NHS to
  reconceptualise patients as sources of innovation
  and knowledge introducing a third dimension of
  user experience alongside the traditional
  dimensions of effectiveness and efficiency (Darzi
  Review 2008)
• Our Knowledge into Action theme utilises a model
  of evidence translation, diffusion and change
  behaviour based on the Canadian Knowledge to
  Action Cycle. (Graham et al 2006)
• 'World Class Commissioning' shifts the focus of
  reform from provider to purchaser, our
  Intelligent Commissioning theme will implement
  change through the purchasing process.

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as long as the acute care model dominates health
care systems, health care expenditures will
continue to escalate, but improvements in
populations health status will not.
WHOGeneva 2002
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Our mission is to undertake, over the next five
years, high quality, strategic, applied research
and related education in order to enable a step
change in the way research is delivered and
services are designed in South Yorkshire and to
foster knowledge transfer that will improve the
quality and effectiveness of health care delivery
across South Yorkshire.
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Tele-health and Tele-care
Chronic conditions
Application of innovative technologies
Self-management and self-care of long term
conditions
Genetics
Depression
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User engagement within CLAHRC will be achieved
on four levels
1 Communication dissemination of information
to user groups, stakeholders and access to
CLAHRC website. 2 Consultation activities
involved in securing ideas, suggestions,
feedback and advice. 3 Negotiation
involvement of users in decision-making and
planning through membership of the board and
project committees. 4 Participation working
with users as partners in service
innovation, design and evaluation (UCHD).
Systematically and rigorously finding out what
people want and need from their services is a
fundamental duty of both the commissioners and
the providers of services. It is particularly
important to reach out to those whose needs are
greatest but whose voices are often least heard.

Our Health, Our Care, Our Say. Dept
of Health (2006)
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Research theme leads

• Stroke Prof Pam Enderby p.m.enderby_at_sheffield.ac
  .uk
• Obesity Dr Paul Bissell p.bissell_at_sheffield.ac.uk
  
• Diabetes Prof Simon Heller s.heller_at_sheffield.ac.
  uk
• COPD Dr Robin Carlisle robin.carlisle_at_rotherhamPC
  T.nhs.uk
• Chronic Depression Prof Glenys
  Parry g.d.parry_at_sheffield.ac.uk
• Tele-health Tele-care Prof Gail Mountain
  Prof Mark Hawley a.mountain_at_shu.ac.uk
• Genetics Dr Jim Bonham jim.bonham_at_sch.nhs.uk

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Implementation theme leads

• User centred health care designProf Peter
  Wright, Rev Mark Cobb p.c.wright_at_shu.ac.uk
• Knowledge into Action Prof Kate
  Gerrish k.gerrish_at_shu.ac.uk
• Intelligent CommissioningDr Malcolm Whitfield
  m.whitfield_at_shu.ac.uk
• Inequalities in healthDr Elizabeth
  Goyder e.goyder_at_sheffield.ac.uk

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Promoting Innovation through CLAHRC

• Innovations in service delivery and service
  redesign
• Workforce developments to enable adoption of
  innovations
• Patient engagement as a source of innovation
• Evidence of clinical effectiveness used to change
  practice
• Inform local decision-making, commissioning,
  national policy
• Undergraduate and postgraduate curriculum
  development
• Change in research culture through local
  interactive dissemination and diffusion
• Capacity development to sustain innovation agenda

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For more information please go to our web site
at www.clahrc-sy.nihr.ac.uk
WHOGeneva 2002