Key questions for RNMs - 1

1
Key questions for RNMs - 1

• Flexible funding
• CC retains underspend and/or some of FSF
• Redistribution exercise
• Bidding system all English networks
• Targetted resources
• Priority
• NCRI or NIHR or loca
• Fixed term CLRN or commercial uptake
• Hopefully 1-2 years funding

How can you make this work in your network/ NHS
host?
2
Comments

• Reassure DH of scale
• Not just research nurses
• Permits consistent response across England
• Link to question 4 a means to respond
  nationally and effectively to new priorities
  without impacting on old
• MUST HAVE EXIT STRATEGY

3
Key questions for RNMs - 2

• Screening and Prevention
• NOW IN THE CANCER PORTFOLIO
• NCRN cannot supply all the resource
• National and local engagement with
• CLRN
• PCRN
• Research Funders
• CC will have nominated lead for this area

How will you do this locally?
4
Comments

• Activity will be lumpy
• Cannot have dedicated workforce in place upfront
• Issues of training and retention
• National ownership with NCRN
• Local ownership staff employment with CLRN
• Link with service networks for commissioning

5
Key questions for RNMs - 3

• Geographical alignment
• Cancer networks
• Patient journeys
• Clinical links
• NSSGs and MDTs
• Comprehensive networks
• Source of service support cost
• NCRN income generating for CLRNs

How to have two partners?
6
Comments

• Approach right co-existence
• NEED BOTH PARTNERS
• Future of both uncertain
• Service more commissioning
• Comprehensive may change boundaries
• Resources link to both
• Patient pathways service network(s)
• Organ-based RNs CLRN based (lung, skin)

7
Key questions for RNMs - 4

• Initiatives
• NCRI
• Supac, lung cancer, prostate cancer
• Screening/ prevention trials
• NIHR
• Commercial trials
• More RCTs
• Complete studies on time

How can you make your network respond to
initiatives?
8
Comments

• TWO WAY DIALOGUE
• Respond to and DRIVE initiatives
• Consumers, NCRI etc.
• Cumulative aspiration
• More lung without less breast, haem, colorectal
• Transient
• CC collate info on networks needs and drive
  flexibile funding and CLRN to support this
• Rewards not always more money/staff
• Harvey Nichols vs ASCO.

9
Key questions for RNMs - 5

• Networking
• Inter-hospital referrals for studies
• Inter-network referrals for studies
• Overcoming perceived NHS barriers
• Encourage knowledge of full portfolio
• Commercial trials and non-commercial
• Across the network
• In adjacent networks

What can you do to enhance accrual by better
networking?
10
Others

• Workforce development
• Where will we find future RNs?
• Consumers
• Future planning/resources
• Data Quality
• YES! US model 1 day/year
• Link to TE
• CSGs greater engagement with networks and NCRI