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Welcome to the
East Midlands Research into Ageing Network
Launch Event
Holywell Park ӏ 25th February 2015
@EMRAN_ageing
#EM_Ageing
The East Midlands Research into
Ageing Network
John Gladman
EMRAN Lead
CLAHRC EM Caring for Older People and Stroke Survivors (COPSS)
Theme Lead
Professor of Medicine of Older People, UoN
Consultant Geriatrician, NUH
Content
• Outline of EMRAN project plan
• Other talks will elaborate
• Workshops will seek your engagement
What’s the issue?
• The best research into the care of older people
• High quality yet complex: different perspectives &
skills
• Findings into practice at scale and pace
• Involvement of commissioners, providers,
practitioners, patients and the public
• Islands of expertise across the universities and R&D
departments
• Networks help conduct research and implement the
findings
The vision
• An East Midlands wide network of people with an
interest in research into the care of older people:
researchers; commissioners; providers and
practitioners from all sectors; patients and the public
• Facilitating high quality applied health research in the
care of older people in the East Midlands: getting it
funded; conducting it; and putting the findings into
practice
• Through collaboration
• Sustained
What will we do to achieve the vision?
• An inclusive management structure
• A database of members: research partners and their
interests
• Active partner engagement
• Events to bring research partners together on topics
of common interest
• Newsletter
• An on-line EMRAN Discussion Paper journal
• An on-line summary of EMRAN research, its outputs
and impacts: “institutional cv”
• Work with other East Midlands groups with common
interests: CRN, AHSN, CLAHRC
• Future funding – currently CLAHRC EM
What is success for EMRAN?
• Outcome indicators: number, size and quality of
collaborative research funding and outputs
• Process indicators:
- network size
- network reach - geographical, stakeholder groups
- network engagement in events
- number of Discussion Papers
- richness of “institutional cv”
- grant applications
- evidence of collaboration
- securing longer term funding & support
What are the challenges for EMRAN?
• Everyone is busy: making it worthwhile for potential
partners to engage
• Geographical spread: making it easy for potential
partners to engage
• Creating a sense of identity around the East Midlands
• Sustainability: activity; management; funding
Today
• Links to AHSN & its partners – shorten the gap
between what research tells us and what we do
• Links to other research networks
• Workshops: your ideas and participation
• Brief video from two important partners: Kamlesh
Khunti who is Director of CLAHRC East Midlands and
Martin Orrell who is the newly appointed Director of
the Nottingham Healthcare’s Institute of Mental
Health
@EMRAN_ageing
#EM_Ageing
What can EMAHSN do for
ageing research?
Professor Rachel Munton, Managing
Director
EMRAN launch
Weds 25th February 2015
What can EMAHSN do for
ageing research?
Our respective work programmes and areas
of expertise within EMRAN & EMAHSN
How can we best work together to optimise
research opportunities, approaches and
impacts?
How can EMAHSN help in putting research
outcomes onto practice?
About AHSNs
The 15 regional Academic Health Science Networks
connect academics, NHS, researchers and industry to
accelerate innovation and facilitate the adoption spread
of proven ideas and technologies across large
populations.
We are catalysts and facilitators of change across
whole health and social care economies, with a clear
focus on improving outcomes for patients.
We open doors and create a more conducive
environment for relevant industries to work more
effectively with the NHS and other parts of the UK
healthcare sector.
About AHSNs cont’d
The diversity of AHSN priorities reflects the many
challenges of improving health and wealth in each
region.
However all 15 share a focus on:
Promoting economic growth [e.g. SBRI programme]
Diffusing innovation and putting proven research into
practice
Improving patient safety
Improving quality and reducing variation
Optimising medicine use
Four key objectives
of EMAHSN
Build a culture of
partnership,
collaboration,
inclusivity in
addressing local
and national
priorities
Create wealth
through co-
development,
testing, evaluation
and adoption of
new products and
services
Speed up
adoption of
innovation to
improve clinical
outcomes and
patient
experience
Focus on needs
of patients and
local
populations,
promoting
health equality
INVENTION EVALUATION ADOPTION DIFFUSION
NIHR
Infrastructure
BRCs, BRUs, CRFs
NIHR
Infrastructure
CLAHRCs
AHSCs AHSNs
NHS
Patient Care
NHS
Patient Care
NIHR
Infrastructure
Clinical Research Network
NIHR
Programmes
MRC
Programmes
Research and Innovation Landscape
INVENTION EVALUATION ADOPTION DIFFUSION
NIHR
Infrastructure
BRCs , BRUs etc
NIHR
Infrastructure
CLAHRCs
AHSCs AHSNs
NHS
Patient Care
NHS
Patient Care
NIHR
Infrastructure
Clinical Research Network
NIHR
Programmes
MRC
Programmes
3. “AHSNs will have a complementary role in the translation
process by focusing on the adoption and spread of innovative
clinical practice that are of proven cost-effectiveness, across
whole healthcare systems, linking back with the research and
development community.”
Research and Innovation Landscape
Specific AHSN research related
activity – from NHS England
licence measurements
Measurement 5: summary of research
evidence that has successfully been
implemented and translated into practice,
and provide evidence of working with NIHR
CLAHRCS
Measurement 12:work with their Clinical
Research Networks and demonstrate how
they have supported delivery of their
metrics
Specific AHSN research related
activity – from NHS England
licence measurements
Measurement 13: demonstrate how the AHSN has
supported the delivery of NIHRS objectives. AHSNs
may seek to engage in additional research activities
beyond those agreed within NIHR objectives –in this
case the AHSN must demonstrate how the research
aligns with the AHSNs clinical or service priorities,
expenditure, clinical and ROI activities
Measurement 14: reflect the breadth and depth of the
AHSNs academic partnerships ensuring that academic
collaboration is not fixed around a single institution
Our purpose
.....is to “ignite innovation” by
bringing together the NHS, universities,
industry and social care to transform the
health of our 4.5 million East Midlands
residents to improve health and wealth
outcomes
Our values
We place the quality and safety of patient care
above all other aims
We work collaboratively to facilitate vibrant relations
across sectors acting as an “honest broker”
We agree our key priority areas with stakeholders
We demonstrate our reputation for delivery, impact
and responsiveness
EMAHSN:
Transforming the health of
4.5m East Midlands
residents and stimulating
wealth creation
Name: Rachel Munton
Phone: 0115 8231300
Email: rachel.munton@nottingham.ac.uk
www.emahsn.org.uk
@EM_AHSN
@EMRAN_ageing
#EM_Ageing
Vulnerable Adults’
Providers Network
Holly Neill
Nottingham CVS
• Vulnerable Adults’ Providers
Network (VAPN)
• Looking After Each Other
programme
• A network for voluntary and community
sector organisations that work with
vulnerable adults
• To help network members to better
support the vulnerable adults they work
with and improve their services
• Connect groups to each other and to
commissioners
What is the VAPN?
• Identify training and development needs
• Ensure members are connected to local
commissioning opportunities, consultations and
events
• Encourage joint working and consortia for
tenders
• Helping to make groups ready to tender for
contracts
• Letting groups know about funding
• Information sharing
What is the VAPN?
• The VAPN is connected to other networks
and forums in the city and this provides
another opportunity to share information
and keep everyone updated
• Information from these other networks can
then be distributed amongst members
Connections
• Age Friendly Nottingham
• Children and Vulnerable Adult Workforce
Strategy Group
• SPLAT – Learning Disability and Autism
Partnership Board
• Dual Diagnosis Forum
• HWB3
• Mental Heath and Employment Network
• Voluntary Homelessness Forum
Connections
• Meetings are held every 2 months and will
usually focus on a different theme.
• Network members can attend all the
meetings or choose ones they want to
attend
• Meetings will be about sharing information,
connecting to other voluntary sector
colleagues and groups, and the
commissioning process
Meetings
• Meetings will be about sharing information,
connecting to other voluntary sector
colleagues and groups, and the
commissioning process
• In between meetings e-newsletters are
sent out with updates on commissioning
and funding opportunities, training, events,
consultations, new services etc
Information sharing
• Enabling and equipping
citizens and communities
to do more to support
themselves and each
other
What is LAEO all about?
• LAEO came about in response to
the Vulnerable Adults Plan 2012 –
2015.
• The 2nd strand is to
• ‘Focus on building community
capacity, personalisation and
citizen choice’
What is LAEO all about?
Focus
• Current phase - Vulnerable Adults –people
with disabilities, people with poor mental
health, older people
• Planned next phase – Vulnerable Families
and Children
Outcomes
• Increase of social action and engaged
communities
• Reduced loneliness and social isolation
• Fewer Children in Care System
Focus and outcomes
• Jointly led by the Nottingham City Council, NHS
Nottingham City Clinical Commissioning Group
and Nottingham CVS
• LAEO programme launched late March 2014 –
attended by 200 people representing:
• Partners
• Providers
• Citizens
• Voluntary Groups
• Business
• 160 individual LAEO pledges
• But this is only the tip of the iceberg – everyone
needs to be involved to ensure LAEO is a
success
Who’s involved?
• 1000+ ideas generated at launch - and existing
LAEO type support across the city mapped
• Supported by funding from HWBB, NCC have used
these ideas (and information on gaps) to shape a
set of six initial pilot projects
• As a basket of ideas should help people and
communities to overcome problems before they
become serious, and to reduce isolation
• Communications and engagement strategy in place
to support these and LAEO as a whole
What’s happening?
•‘Get to know your neighbour’ - postcard campaign to
encourage people to get to know their neighbours better and
‘make time for tea’.
•Befriending schemes – befriending adults with learning or
physical disabilities, or mental health issues
•Timebank – way of sharing skills in the local community
•Community Navigators - local volunteers who will help
vulnerable people find their way to local activities or services
•Better connecting need to support - helping frontline staff
identify and support isolated people as early as possible
•Rallyround - a simple website service that enables chores
for vulnerable people to be shared by families, friends,
volunteers and professionals
Six Pilot Projects
• So far 3 consultations have been held at NCVS
to get the voluntary sector involved in shaping
projects
• Sign up to the NCVS e-bulletin as all
information goes out through this – click here to
register
•Future consultations and events relating to
LAEO will be promoted, and potentially held, at
NCVS
•Community Navigator grant application is
currently open – click here for more info
How can you get involved?
Thank you for listening
Holly Neill
hollyn@nottinghamcvs.co.uk
0115 934 9560
Nottingham Community and Voluntary Service
(NCVS)
@EMRAN_ageing
#EM_Ageing
www.le.ac.uk
Why do we need an EM research into
ageing network?
Simon Conroy
Geriatrician & Honorary Senior Lecturer
Outline
• Why ageing research at all?
• Existing support for research & delivery
• UK Clinical Research Network
• Ageing speciality group
• Possible roles for EMRAN
Why do we need research into older people?
• To improve patient care
• To test interventions
– Valid findings
– Intervention effect & health economics
– Generalisability
• Old & frail vs. old & fit
Why do we need research into older people?
• Historically older people have been excluded from
clinical trials (PREDICT study)
– Ageism – societal & clinicians/researchers
– Practical features to support participation
– Study design – excluding people who can’t give
consent
 Leading to treatments that are not tested in the
populations for whom they are given (OR not given)
Older people & research participation
• http://www.crn.nihr.ac.uk/ageing/pcpie/
Traditional evidence base
Frailty related evidence base
Existing support - EM
• Support for portfolio development
– http://www.rds-eastmidlands.nihr.ac.uk/
• Funding for portfolio development
– http://www.clahrc-em.nihr.ac.uk/clahrc-em-
nihr/index.aspx
• Research delivery
– http://www.enrich.dendron.nihr.ac.uk/news-
item.php?ID=141
– http://www.crn.nihr.ac.uk/ageing/
Existing support - EM
• Translating research into practice
– http://emahsn.org.uk/
• Patient & public involvement
– http://emahsn.org.uk/public-involvement/
– Local groups
UK Clinical Research Network
• Recruited over 600k study participants in 2013/14
• Infrastructure
– Set up clinical studies
– Support delivery
– Research training
– Patient & public involvement
NIHR CRN: East Midlands
• Population: 4.5 M
• Derbyshire, Lincolnshire, Nottinghamshire,
Leicestershire & Rutland, Northamptonshire
• 10 NIHR hosted research networks
• 15 NHS Trusts
• 19 CCGs
• 8 universities
• Budget £23 M
UK CRN divisional structure
0 2000 4000 6000 8000 10000 12000
Ageing
Dermatology
Health services and delivery research
Musculoskeletal disorders
Oral and Dental Health
Primary Care
Public Health
Recruitment by County & Specialty in 21014-15
Derby City & County Lincolnshire
LLR Leicester City & County & Rutland Northamptonshire
Notts City & County Non-NHS - East Midlands LCRN
Ageing speciality group - remit
• Healthy ageing and frailty
• Organising and delivering interventions for health
promotion
• Ageing process and early markers of ill health
• Modelling links between disease and functioning
• Education and lifelong learning
• Environmental conditions for ageing well
• Effectiveness of clinical and social care
Acronym Active Status Trust Name Local Investigator Lead
CLOTS-3
Closed - in follow-
up
Chesterfield Royal Hospital NHS Foundation
Trust Dennis, Prof M Strok
CLOTS-3
Closed - in follow-
up
Sherwood Forest Hospitals NHS Foundation
Trust Cooke, Dr Justin Strok
CLOTS-3
Closed - in follow-
up United Lincolnshire Hospitals NHS Trust
Leach, Dr Simon; Mangion, Dr
David Strok
PD REHAB
Closed - in follow-
up University Hospitals of Leicester NHS Trust
Deme
neuro
Survey of Older Adults' views on Advance Care Planning in UK &
Japan
Closed - in follow-
up University Hospitals of Leicester NHS Trust Musa, Irfan Prima
Survey of Older Adults' views on Advance Care Planning in UK &
Japan
Closed - in follow-
up Formerly Nottingham City PCT Musa, Dr Irfana Prima
Survey of Older Adults' views on Advance Care Planning in UK &
Japan
Closed - in follow-
up Formerly Nottinghamshire County Teaching PCT Musa, Dr Irfana Prima
Hypertension in Dementia - Feasibility Study In Set-Up Nottingham University Hospitals NHS Trust Van Der Wardt, Dr Veronika Prima
The FINOF Study Open Nottingham University Hospitals NHS Trust Sahota, Prof Opinder Muscu
IVANOF1 Study Open Nottingham University Hospitals NHS Trust Moppett, Dr Iain K Injuri
The effect (s) of routine administration of Fluoxetine in patients
with a recent stroke - FOCUS Open United Lincolnshire Hospitals NHS Trust
Mangion, Dr David; Leach, Dr
Simon Strok
PRoBaND: Parkinson's Repository of Biosamples and Network
Datasets Open University Hospitals of Leicester NHS Trust Critchley, Peter
Deme
neuro
PRoBaND: Parkinson's Repository of Biosamples and Network
Datasets Open Derby Hospitals NHS Foundation Trust Bajaj, Dr Nin
Deme
neuro
PRoBaND: Parkinson's Repository of Biosamples and Network
Datasets Open United Lincolnshire Hospitals NHS Trust Sharma, Prof Jagdish
Deme
neuro
Clinical Trial for Elderly Patients with Multiple Diseases (CHROMED) Open Formerly Lincolnshire Teaching PCT
Siriwardena, Prof Aloysius
Niroshan Respi
Clinical Trial for Elderly Patients with Multiple Diseases (CHROMED) Open NHS Lincolnshire East CCG
Siriwardena, Prof Aloysius
Niroshan Respi
Clinical Trial for Elderly Patients with Multiple Diseases (CHROMED) Open NHS Lincolnshire West CCG
Siriwardena, Prof Aloysius
Niroshan Respi
Clinical Trial for Elderly Patients with Multiple Diseases (CHROMED) Open NHS South Lincolnshire CCG
Siriwardena, Prof Aloysius
Niroshan Respi
Increasing physical activity in older adults Open Lincolnshire Partnership NHS Foundation Trust Collins, Dr Iheanyichukwu Esiwe Prima
Hypertension in Dementia - Feasibility Study Open Leicester City PCT Prima
Hypertension in Dementia - Feasibility Study Open Formerly Derby City PCT Van Der Wardt, Dr Veronika Prima
Hypertension in Dementia - Feasibility Study Open Formerly Derbyshire County PCT Van Der Wardt, Dr Veronika Prima
Hypertension in Dementia - Feasibility Study Open Formerly Lincolnshire Teaching PCT Van Der Wardt, Dr Veronika Prima
Hypertension in Dementia - Feasibility Study Open Formerly Nottinghamshire County Teaching PCT Van Der Wardt, Dr V Prima
Hypertension in Dementia - Feasibility Study Open NHS Mansfield and Ashfield CCG Van Der Wardt, Dr V Prima
Hypertension in Dementia - Feasibility Study Open NHS Nottingham City CCG Van Der Wardt, Dr V Prima
OPTIMAL: Better health for care homes Open NHS Nottingham City CCG Pitchford, Russell
Deme
neuro
OPTIMAL: Better health for care homes Open Nottinghamshire Healthcare NHS Trust Pithford, Richard
Deme
neuro
Possible roles for EMRAN
• Navigation & translation
• Connection & coordination
• Peer-support
• ‘Memory’
Summary
• ‘We’ve never had it so good’
• Opportunities
• Mechanisms
• Collaboration key
@EMRAN_ageing
#EM_Ageing
Supporting Older People’s Resilience through Assessment
of Need and Outcomes (SOPRANO )
Principal Investigator: Prof John Gladman
Research Fellows; Neil Chadborn, Gina Sands
Research Assistant; Chris Craig
Co-Investigators: Prof Justin Waring, Prof Justine Schneider
A partnership between
Nottinghamshire Healthcare and the
Universities of Nottingham and Leicester
Care of Older People and Stroke Survivors (COPSS)
@CLAHRC_EM #CLAHRC
• Remaining independent and keeping well is a priority for
older people
• Many people fall through the gaps between services
• Services often delivered by non-statutory organisations
(i.e. voluntary groups and charities)
SOPRANO Background
@CLAHRC_EM @nchadborn 64www.emfop.org.uk
To understand the contribution of non-statutory support for
older people’s resilience and wellbeing and to explore how
services may be “integrated around the individual”.
• Explore relationships, processes, and values shared between
commissioning bodies and third sector
• Investigate barriers and facilitators to more co-ordinated
services
Aim
Stakeholders
@CLAHRC_EM @nchadborn 66www.emfop.org.uk
Commissioners
Voluntary org. managers
Staff & volunteers who
advise older people
Older people & carers
Commissioning relationship
@CLAHRC_EM @nchadborn 67www.emfop.org.uk
Funding & support
Services & activities
Information: Needs & Outcomes
Population Needs
2014 2015 2016
Literature review
Survey Interviews
Commissioner
Synthesis
Publications
Implementation
3rd Sector
Director
Assessor
Older person &
carer
Timeline
• Currently underway in some regions
• Online survey sent to commissioners including:
– Directors of public health, adult social care, CCGs, health and
wellbeing boards
• To gain an overview of the types of third sector services
commissioned by health and social care
Survey of commissioners
@CLAHRC_EM @nchadborn 69www.emfop.org.uk
• Semi-structured interviews with four groups of stakeholders
across the region:
– Commissioners
– Third sector managers / decision makers
– Third sector volunteers / case workers
– Older people
Stakeholder Interviews
@CLAHRC_EM @nchadborn 70www.emfop.org.uk
• EASY-Care needs assessment tool
– Led by Chris Craig
Craig, C., Chadborn, N., Sands, G., Tuomainen, H., Gladman, J. Systematic Review
of EASY-Care Needs Assessment for Community Dwelling Older People. Age and
Ageing 2015; 44: 559–565. DOI: 10.1093/ageing/afv050
• Overview of needs assessment tools
– Led by Neil Chadborn
Systematic reviews
@CLAHRC_EM @nchadborn 71www.emfop.org.uk
Review of comprehensive needs assessment tools
72
Tool Abbreviation
Articles
reviewed
Abbreviated Comprehensive Geriatric Assessment aCGA
11
Camberwell Assessment of Needs for Elderly CANE
34
Comprehensive Frailty Assessment Instrument
3
EasyCare
32
Everyday Competencies Questionnaire
3
Health Enhancement Lifestyle Profile HELP
5
Minimum Data Set- Home Care MDS-HC (InterRai HC)
68
Older Americans Resources and Services OARS
101
• External and Public Advisory Group
– Representatives include commissioning bodies, older people’s groups,
clinicians, and academics
• Presenting work to interested parties
– Local councils, third sector events, older people’s groups, academic and
clinical colleagues
• Knowledge brokers
Engagement & Implementation
@CLAHRC_EM @nchadborn 73www.emfop.org.uk
• Regional
• Breaking down
boundaries
• Network of
practice
Regional stakeholders network
74www.emfop.org.uk
• East Lindsey
• Talk Eat & Drink
• Big Lottery
Ageing Better
• Northampton
• Live at Home
• MHA
• Newark & Sherwood
• PRISM
• CCG
• Leicester
• Leicester Ageing Together
• Big Lottery Ageing Better
• North Derbyshire
• Voluntary Single Point of
Access
• CCG & LA
• Two systematic reviews
– One published and summary being produced
• Menu of what works
– Co-produced with stakeholders to present our findings in a way which
will be useful to commissioners and third sector organisations
• Publication of findings
– Using dissemination strategy to reach end users
Expected Outputs and Impact
@CLAHRC_EM @nchadborn 75www.emfop.org.uk
• Co-production of research design
• Knowledge brokers
• Specific knowledge transfer activities
Implementation Strategy
@CLAHRC_EM @nchadborn 76www.emfop.org.uk
Thank you for listening
Gina.Sands@Nottingham.ac.uk
Neil.Chadborn@Nottingham.ac.uk
@CLAHRC_EM
CLAHRC website: www.clahrc-em.nihr.ac.uk
Community of interest website: www.emfop.org.uk
This research was funded by the National Institute for Health Research Collaboration for Leadership in Applied
Health Research and Care East Midlands (NIHR CLAHRC EM). The views expressed in this presentation are those of
the speaker(s) and not necessarily those of the NHS, the NIHR or the Department of Health.
@EMRAN_ageing
#EM_Ageing
Manchester Institute for
Collaborative Research on Ageing
(MICRA)
DEVELOPMENT OF MICRA
• MICRA established as a network in 2010
• Designated as a research institute in 2013
• Core funding from Medical Health Sciences
& Humanities
MICRA: Strategic Objectives
• To establish the University as a major interdisciplinary
centre for research into ageing
• To develop a global presence in working with national
and international partners in seeking solutions to the
challenges associated with population ageing
• To advance knowledge about ageing through the pursuit
of high quality research
• To transform public and professional perceptions of
ageing
• To engage with older people and organisations working
on their behalf
MICRA: Research Themes
• Social and cultural change in later life
• Later life working, retirement and pensions
• Frailty, cognition and dementia
• Physical decline and tissue regeneration
• Biology of ageing and the life span
• Inequalities, health and well-being
• Engineering, environment and technology
• Public policy and care provision
MICRA: Public Engagement Strategy
Shaping the debate on population ageing through:
• Influencing government, IGOs, key policy groups working in
the field of ageing
• Developing partnerships with organisations working on
behalf of older people e.g. Age UK,
International Longevity Centre-UK
• Work with local authorities, third sector and housing
associations.
• An electronic newsletter which reaches over 1400
academics, practitioners, policy makers and older people.
• A re-designed website launched in January 2014
MICRA: Organisation and
Research Activities
Inter-disciplinary team of co-directors
Institute Manager and .6 administrator
• Supporting age-related research bids across the University
• Annual national Ph.D student conference
• Seedcorn funding: 95 applications since launch in 2010 with
31 supported
• Cross-faculty workshops (e.g. biomedical and social aspects of
frailty, work and retirement)
• Supporting areas of research collaboration
• Supporting early career researchers
Internal capacity-building and
support for research applications
• Dementia Research day: 110 participants
• Research event with Engineering and Physical Sciences:
50 participants
• Support for development of research network on
‘Work, Retirement and Pensions’
• Continuation of discussions around Centre for Frailty
• Support for Horizon 2020 application led by Life
Sciences
• Support for two successful ESRC Impact Accelerator
Account applications
Annual Lecture and seminars
• MICRA Annual Lecture given by Professor
Peter Whitehouse attracted attendance of
c.170, drawn from wide range of professions
and academic groups
• 18 seminars in 2014 organised in association
with wide range of academic
schools/faculties/partner organisations
Links with external partners
• Signing of memorandum of agreement with
AgeUK
• Extensive programme of work with Greater
Manchester and Manchester City Council
(likely to be extended with devolution)
• Developing formal partnerships with
international research centres (e.g. ANU)
Communications and marketing
• Resourcing of website/ e-newsletter
• New sections added to website reflecting
particular research strengths in age-related
areas
• MICRA network increased to c.1,500
• Increasing use of Twitter account
• Around 1400 people attended MICRA events
in 2014/15
SOME ISSUES
• Where do networks/institutes fit in University
structures?
• Accept that not everyone will want to become
involved
• Interdisciplinarity is hard work – co-directors
drawn from all faculties is important
• There may be a case for identifying key themes
• Importance of targeting early career researchers
@EMRAN_ageing
#EM_Ageing
• Issue: the potential of East Midlands to do research in the care of older people is
underexploited
• What we want to achieve: a regional network of researchers, stakeholders,
patients and the public
• What the network will do: steering group, databases of partners and projects,
workshops, newsletters, EMRAN Discussion Papers, website to share and
communicate
• What will count as success: more collaborative research in the East Midlands
• Challenges: offering a useful product; geographical and stakeholder reach;
sustainability
• Time-scale: supported by CLAHRC-EM until end 2018
EMRAN- Plan On A Page
‘Building Partnerships’
Karen Glover
Director of Partner Relations and Operations, NIHR CLAHRC EM
Head of Clinical Programmes EMAHSN
A partnership between
Nottinghamshire Healthcare and the
Universities of Nottingham and Leicester
• NHS
• Industry
• Academia
• Voluntary Sector and Local Authorities
• Patients/Public
• EM-wide: BRU, CRN, SCN, Clinical Senate, HEEM, EMLA, PHE,
AHSN
• National NIHR CLAHRC
Who are our Partners?
• Improve population health
• Capacity and capability for research and innovation
• Shared understanding and ownership
• Translation of research to practice
The Birth of EMRAN!
Why Collaborate?
• Communications
• Clinical and Research Leadership Teams
• Organisational Presentations
• Regional Roadshows
• EMRAN
How Do We Engage?
• Governance Arrangements
• Annual Conference
• CLAHRC Faculty
• Networks of Practice
• Knowledge Brokers
How Do We Engage?
Thank you for listening
karen.glover@nottingham.ac.uk
www.clahrc-em.nihr.ac.uk
@CLAHRC_EM
This research was funded by the National Institute for Health Research Collaboration for Leadership in Applied
Health Research and Care East Midlands (NIHR CLAHRC EM). The views expressed in this presentation are those of
the speaker(s) and not necessarily those of the NHS, the NIHR or the Department of Health.
@EMRAN_ageing
#EM_Ageing
Closure
• Next steps:
- archive event on EMRAN website (in CLAHRC-EM
www.clahrc-em.nihr.ac.uk)
- invite membership to EMRAN
- develop the EMRAN Discussion Paper journal
- develop the Institutional CV
- develop an inclusive management structure
- respond to your advice
- continue to invite advice
- prepare the next meeting
- keep informed with a newsletter
• Thanks
• Safe journey
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EMRAN Launch Event February 2015

  • 1. Welcome to the East Midlands Research into Ageing Network Launch Event Holywell Park ӏ 25th February 2015 @EMRAN_ageing #EM_Ageing
  • 2. The East Midlands Research into Ageing Network John Gladman EMRAN Lead CLAHRC EM Caring for Older People and Stroke Survivors (COPSS) Theme Lead Professor of Medicine of Older People, UoN Consultant Geriatrician, NUH
  • 3. Content • Outline of EMRAN project plan • Other talks will elaborate • Workshops will seek your engagement
  • 4. What’s the issue? • The best research into the care of older people • High quality yet complex: different perspectives & skills • Findings into practice at scale and pace • Involvement of commissioners, providers, practitioners, patients and the public • Islands of expertise across the universities and R&D departments • Networks help conduct research and implement the findings
  • 5. The vision • An East Midlands wide network of people with an interest in research into the care of older people: researchers; commissioners; providers and practitioners from all sectors; patients and the public • Facilitating high quality applied health research in the care of older people in the East Midlands: getting it funded; conducting it; and putting the findings into practice • Through collaboration • Sustained
  • 6. What will we do to achieve the vision? • An inclusive management structure • A database of members: research partners and their interests • Active partner engagement • Events to bring research partners together on topics of common interest • Newsletter • An on-line EMRAN Discussion Paper journal • An on-line summary of EMRAN research, its outputs and impacts: “institutional cv” • Work with other East Midlands groups with common interests: CRN, AHSN, CLAHRC • Future funding – currently CLAHRC EM
  • 7. What is success for EMRAN? • Outcome indicators: number, size and quality of collaborative research funding and outputs • Process indicators: - network size - network reach - geographical, stakeholder groups - network engagement in events - number of Discussion Papers - richness of “institutional cv” - grant applications - evidence of collaboration - securing longer term funding & support
  • 8. What are the challenges for EMRAN? • Everyone is busy: making it worthwhile for potential partners to engage • Geographical spread: making it easy for potential partners to engage • Creating a sense of identity around the East Midlands • Sustainability: activity; management; funding
  • 9. Today • Links to AHSN & its partners – shorten the gap between what research tells us and what we do • Links to other research networks • Workshops: your ideas and participation • Brief video from two important partners: Kamlesh Khunti who is Director of CLAHRC East Midlands and Martin Orrell who is the newly appointed Director of the Nottingham Healthcare’s Institute of Mental Health
  • 11. What can EMAHSN do for ageing research? Professor Rachel Munton, Managing Director EMRAN launch Weds 25th February 2015
  • 12. What can EMAHSN do for ageing research? Our respective work programmes and areas of expertise within EMRAN & EMAHSN How can we best work together to optimise research opportunities, approaches and impacts? How can EMAHSN help in putting research outcomes onto practice?
  • 13. About AHSNs The 15 regional Academic Health Science Networks connect academics, NHS, researchers and industry to accelerate innovation and facilitate the adoption spread of proven ideas and technologies across large populations. We are catalysts and facilitators of change across whole health and social care economies, with a clear focus on improving outcomes for patients. We open doors and create a more conducive environment for relevant industries to work more effectively with the NHS and other parts of the UK healthcare sector.
  • 14. About AHSNs cont’d The diversity of AHSN priorities reflects the many challenges of improving health and wealth in each region. However all 15 share a focus on: Promoting economic growth [e.g. SBRI programme] Diffusing innovation and putting proven research into practice Improving patient safety Improving quality and reducing variation Optimising medicine use
  • 15. Four key objectives of EMAHSN Build a culture of partnership, collaboration, inclusivity in addressing local and national priorities Create wealth through co- development, testing, evaluation and adoption of new products and services Speed up adoption of innovation to improve clinical outcomes and patient experience Focus on needs of patients and local populations, promoting health equality
  • 16. INVENTION EVALUATION ADOPTION DIFFUSION NIHR Infrastructure BRCs, BRUs, CRFs NIHR Infrastructure CLAHRCs AHSCs AHSNs NHS Patient Care NHS Patient Care NIHR Infrastructure Clinical Research Network NIHR Programmes MRC Programmes Research and Innovation Landscape
  • 17. INVENTION EVALUATION ADOPTION DIFFUSION NIHR Infrastructure BRCs , BRUs etc NIHR Infrastructure CLAHRCs AHSCs AHSNs NHS Patient Care NHS Patient Care NIHR Infrastructure Clinical Research Network NIHR Programmes MRC Programmes 3. “AHSNs will have a complementary role in the translation process by focusing on the adoption and spread of innovative clinical practice that are of proven cost-effectiveness, across whole healthcare systems, linking back with the research and development community.” Research and Innovation Landscape
  • 18. Specific AHSN research related activity – from NHS England licence measurements Measurement 5: summary of research evidence that has successfully been implemented and translated into practice, and provide evidence of working with NIHR CLAHRCS Measurement 12:work with their Clinical Research Networks and demonstrate how they have supported delivery of their metrics
  • 19. Specific AHSN research related activity – from NHS England licence measurements Measurement 13: demonstrate how the AHSN has supported the delivery of NIHRS objectives. AHSNs may seek to engage in additional research activities beyond those agreed within NIHR objectives –in this case the AHSN must demonstrate how the research aligns with the AHSNs clinical or service priorities, expenditure, clinical and ROI activities Measurement 14: reflect the breadth and depth of the AHSNs academic partnerships ensuring that academic collaboration is not fixed around a single institution
  • 20. Our purpose .....is to “ignite innovation” by bringing together the NHS, universities, industry and social care to transform the health of our 4.5 million East Midlands residents to improve health and wealth outcomes
  • 21. Our values We place the quality and safety of patient care above all other aims We work collaboratively to facilitate vibrant relations across sectors acting as an “honest broker” We agree our key priority areas with stakeholders We demonstrate our reputation for delivery, impact and responsiveness
  • 22. EMAHSN: Transforming the health of 4.5m East Midlands residents and stimulating wealth creation Name: Rachel Munton Phone: 0115 8231300 Email: rachel.munton@nottingham.ac.uk www.emahsn.org.uk @EM_AHSN
  • 25. • Vulnerable Adults’ Providers Network (VAPN) • Looking After Each Other programme
  • 26. • A network for voluntary and community sector organisations that work with vulnerable adults • To help network members to better support the vulnerable adults they work with and improve their services • Connect groups to each other and to commissioners What is the VAPN?
  • 27. • Identify training and development needs • Ensure members are connected to local commissioning opportunities, consultations and events • Encourage joint working and consortia for tenders • Helping to make groups ready to tender for contracts • Letting groups know about funding • Information sharing What is the VAPN?
  • 28. • The VAPN is connected to other networks and forums in the city and this provides another opportunity to share information and keep everyone updated • Information from these other networks can then be distributed amongst members Connections
  • 29. • Age Friendly Nottingham • Children and Vulnerable Adult Workforce Strategy Group • SPLAT – Learning Disability and Autism Partnership Board • Dual Diagnosis Forum • HWB3 • Mental Heath and Employment Network • Voluntary Homelessness Forum Connections
  • 30. • Meetings are held every 2 months and will usually focus on a different theme. • Network members can attend all the meetings or choose ones they want to attend • Meetings will be about sharing information, connecting to other voluntary sector colleagues and groups, and the commissioning process Meetings
  • 31. • Meetings will be about sharing information, connecting to other voluntary sector colleagues and groups, and the commissioning process • In between meetings e-newsletters are sent out with updates on commissioning and funding opportunities, training, events, consultations, new services etc Information sharing
  • 32.
  • 33. • Enabling and equipping citizens and communities to do more to support themselves and each other What is LAEO all about?
  • 34. • LAEO came about in response to the Vulnerable Adults Plan 2012 – 2015. • The 2nd strand is to • ‘Focus on building community capacity, personalisation and citizen choice’ What is LAEO all about?
  • 35. Focus • Current phase - Vulnerable Adults –people with disabilities, people with poor mental health, older people • Planned next phase – Vulnerable Families and Children Outcomes • Increase of social action and engaged communities • Reduced loneliness and social isolation • Fewer Children in Care System Focus and outcomes
  • 36. • Jointly led by the Nottingham City Council, NHS Nottingham City Clinical Commissioning Group and Nottingham CVS • LAEO programme launched late March 2014 – attended by 200 people representing: • Partners • Providers • Citizens • Voluntary Groups • Business • 160 individual LAEO pledges • But this is only the tip of the iceberg – everyone needs to be involved to ensure LAEO is a success Who’s involved?
  • 37. • 1000+ ideas generated at launch - and existing LAEO type support across the city mapped • Supported by funding from HWBB, NCC have used these ideas (and information on gaps) to shape a set of six initial pilot projects • As a basket of ideas should help people and communities to overcome problems before they become serious, and to reduce isolation • Communications and engagement strategy in place to support these and LAEO as a whole What’s happening?
  • 38. •‘Get to know your neighbour’ - postcard campaign to encourage people to get to know their neighbours better and ‘make time for tea’. •Befriending schemes – befriending adults with learning or physical disabilities, or mental health issues •Timebank – way of sharing skills in the local community •Community Navigators - local volunteers who will help vulnerable people find their way to local activities or services •Better connecting need to support - helping frontline staff identify and support isolated people as early as possible •Rallyround - a simple website service that enables chores for vulnerable people to be shared by families, friends, volunteers and professionals Six Pilot Projects
  • 39. • So far 3 consultations have been held at NCVS to get the voluntary sector involved in shaping projects • Sign up to the NCVS e-bulletin as all information goes out through this – click here to register •Future consultations and events relating to LAEO will be promoted, and potentially held, at NCVS •Community Navigator grant application is currently open – click here for more info How can you get involved?
  • 40. Thank you for listening Holly Neill hollyn@nottinghamcvs.co.uk 0115 934 9560 Nottingham Community and Voluntary Service (NCVS)
  • 42. www.le.ac.uk Why do we need an EM research into ageing network? Simon Conroy Geriatrician & Honorary Senior Lecturer
  • 43. Outline • Why ageing research at all? • Existing support for research & delivery • UK Clinical Research Network • Ageing speciality group • Possible roles for EMRAN
  • 44. Why do we need research into older people? • To improve patient care • To test interventions – Valid findings – Intervention effect & health economics – Generalisability • Old & frail vs. old & fit
  • 45. Why do we need research into older people? • Historically older people have been excluded from clinical trials (PREDICT study) – Ageism – societal & clinicians/researchers – Practical features to support participation – Study design – excluding people who can’t give consent  Leading to treatments that are not tested in the populations for whom they are given (OR not given)
  • 46. Older people & research participation • http://www.crn.nihr.ac.uk/ageing/pcpie/
  • 49.
  • 50. Existing support - EM • Support for portfolio development – http://www.rds-eastmidlands.nihr.ac.uk/ • Funding for portfolio development – http://www.clahrc-em.nihr.ac.uk/clahrc-em- nihr/index.aspx • Research delivery – http://www.enrich.dendron.nihr.ac.uk/news- item.php?ID=141 – http://www.crn.nihr.ac.uk/ageing/
  • 51. Existing support - EM • Translating research into practice – http://emahsn.org.uk/ • Patient & public involvement – http://emahsn.org.uk/public-involvement/ – Local groups
  • 52. UK Clinical Research Network • Recruited over 600k study participants in 2013/14 • Infrastructure – Set up clinical studies – Support delivery – Research training – Patient & public involvement
  • 53.
  • 54. NIHR CRN: East Midlands • Population: 4.5 M • Derbyshire, Lincolnshire, Nottinghamshire, Leicestershire & Rutland, Northamptonshire • 10 NIHR hosted research networks • 15 NHS Trusts • 19 CCGs • 8 universities • Budget £23 M
  • 55. UK CRN divisional structure
  • 56. 0 2000 4000 6000 8000 10000 12000 Ageing Dermatology Health services and delivery research Musculoskeletal disorders Oral and Dental Health Primary Care Public Health Recruitment by County & Specialty in 21014-15 Derby City & County Lincolnshire LLR Leicester City & County & Rutland Northamptonshire Notts City & County Non-NHS - East Midlands LCRN
  • 57. Ageing speciality group - remit • Healthy ageing and frailty • Organising and delivering interventions for health promotion • Ageing process and early markers of ill health • Modelling links between disease and functioning • Education and lifelong learning • Environmental conditions for ageing well • Effectiveness of clinical and social care
  • 58. Acronym Active Status Trust Name Local Investigator Lead CLOTS-3 Closed - in follow- up Chesterfield Royal Hospital NHS Foundation Trust Dennis, Prof M Strok CLOTS-3 Closed - in follow- up Sherwood Forest Hospitals NHS Foundation Trust Cooke, Dr Justin Strok CLOTS-3 Closed - in follow- up United Lincolnshire Hospitals NHS Trust Leach, Dr Simon; Mangion, Dr David Strok PD REHAB Closed - in follow- up University Hospitals of Leicester NHS Trust Deme neuro Survey of Older Adults' views on Advance Care Planning in UK & Japan Closed - in follow- up University Hospitals of Leicester NHS Trust Musa, Irfan Prima Survey of Older Adults' views on Advance Care Planning in UK & Japan Closed - in follow- up Formerly Nottingham City PCT Musa, Dr Irfana Prima Survey of Older Adults' views on Advance Care Planning in UK & Japan Closed - in follow- up Formerly Nottinghamshire County Teaching PCT Musa, Dr Irfana Prima Hypertension in Dementia - Feasibility Study In Set-Up Nottingham University Hospitals NHS Trust Van Der Wardt, Dr Veronika Prima The FINOF Study Open Nottingham University Hospitals NHS Trust Sahota, Prof Opinder Muscu IVANOF1 Study Open Nottingham University Hospitals NHS Trust Moppett, Dr Iain K Injuri The effect (s) of routine administration of Fluoxetine in patients with a recent stroke - FOCUS Open United Lincolnshire Hospitals NHS Trust Mangion, Dr David; Leach, Dr Simon Strok PRoBaND: Parkinson's Repository of Biosamples and Network Datasets Open University Hospitals of Leicester NHS Trust Critchley, Peter Deme neuro PRoBaND: Parkinson's Repository of Biosamples and Network Datasets Open Derby Hospitals NHS Foundation Trust Bajaj, Dr Nin Deme neuro PRoBaND: Parkinson's Repository of Biosamples and Network Datasets Open United Lincolnshire Hospitals NHS Trust Sharma, Prof Jagdish Deme neuro Clinical Trial for Elderly Patients with Multiple Diseases (CHROMED) Open Formerly Lincolnshire Teaching PCT Siriwardena, Prof Aloysius Niroshan Respi Clinical Trial for Elderly Patients with Multiple Diseases (CHROMED) Open NHS Lincolnshire East CCG Siriwardena, Prof Aloysius Niroshan Respi Clinical Trial for Elderly Patients with Multiple Diseases (CHROMED) Open NHS Lincolnshire West CCG Siriwardena, Prof Aloysius Niroshan Respi Clinical Trial for Elderly Patients with Multiple Diseases (CHROMED) Open NHS South Lincolnshire CCG Siriwardena, Prof Aloysius Niroshan Respi Increasing physical activity in older adults Open Lincolnshire Partnership NHS Foundation Trust Collins, Dr Iheanyichukwu Esiwe Prima Hypertension in Dementia - Feasibility Study Open Leicester City PCT Prima Hypertension in Dementia - Feasibility Study Open Formerly Derby City PCT Van Der Wardt, Dr Veronika Prima Hypertension in Dementia - Feasibility Study Open Formerly Derbyshire County PCT Van Der Wardt, Dr Veronika Prima Hypertension in Dementia - Feasibility Study Open Formerly Lincolnshire Teaching PCT Van Der Wardt, Dr Veronika Prima Hypertension in Dementia - Feasibility Study Open Formerly Nottinghamshire County Teaching PCT Van Der Wardt, Dr V Prima Hypertension in Dementia - Feasibility Study Open NHS Mansfield and Ashfield CCG Van Der Wardt, Dr V Prima Hypertension in Dementia - Feasibility Study Open NHS Nottingham City CCG Van Der Wardt, Dr V Prima OPTIMAL: Better health for care homes Open NHS Nottingham City CCG Pitchford, Russell Deme neuro OPTIMAL: Better health for care homes Open Nottinghamshire Healthcare NHS Trust Pithford, Richard Deme neuro
  • 59.
  • 60. Possible roles for EMRAN • Navigation & translation • Connection & coordination • Peer-support • ‘Memory’
  • 61. Summary • ‘We’ve never had it so good’ • Opportunities • Mechanisms • Collaboration key
  • 63. Supporting Older People’s Resilience through Assessment of Need and Outcomes (SOPRANO ) Principal Investigator: Prof John Gladman Research Fellows; Neil Chadborn, Gina Sands Research Assistant; Chris Craig Co-Investigators: Prof Justin Waring, Prof Justine Schneider A partnership between Nottinghamshire Healthcare and the Universities of Nottingham and Leicester Care of Older People and Stroke Survivors (COPSS) @CLAHRC_EM #CLAHRC
  • 64. • Remaining independent and keeping well is a priority for older people • Many people fall through the gaps between services • Services often delivered by non-statutory organisations (i.e. voluntary groups and charities) SOPRANO Background @CLAHRC_EM @nchadborn 64www.emfop.org.uk
  • 65. To understand the contribution of non-statutory support for older people’s resilience and wellbeing and to explore how services may be “integrated around the individual”. • Explore relationships, processes, and values shared between commissioning bodies and third sector • Investigate barriers and facilitators to more co-ordinated services Aim
  • 67. Commissioners Voluntary org. managers Staff & volunteers who advise older people Older people & carers Commissioning relationship @CLAHRC_EM @nchadborn 67www.emfop.org.uk Funding & support Services & activities Information: Needs & Outcomes Population Needs
  • 68. 2014 2015 2016 Literature review Survey Interviews Commissioner Synthesis Publications Implementation 3rd Sector Director Assessor Older person & carer Timeline
  • 69. • Currently underway in some regions • Online survey sent to commissioners including: – Directors of public health, adult social care, CCGs, health and wellbeing boards • To gain an overview of the types of third sector services commissioned by health and social care Survey of commissioners @CLAHRC_EM @nchadborn 69www.emfop.org.uk
  • 70. • Semi-structured interviews with four groups of stakeholders across the region: – Commissioners – Third sector managers / decision makers – Third sector volunteers / case workers – Older people Stakeholder Interviews @CLAHRC_EM @nchadborn 70www.emfop.org.uk
  • 71. • EASY-Care needs assessment tool – Led by Chris Craig Craig, C., Chadborn, N., Sands, G., Tuomainen, H., Gladman, J. Systematic Review of EASY-Care Needs Assessment for Community Dwelling Older People. Age and Ageing 2015; 44: 559–565. DOI: 10.1093/ageing/afv050 • Overview of needs assessment tools – Led by Neil Chadborn Systematic reviews @CLAHRC_EM @nchadborn 71www.emfop.org.uk
  • 72. Review of comprehensive needs assessment tools 72 Tool Abbreviation Articles reviewed Abbreviated Comprehensive Geriatric Assessment aCGA 11 Camberwell Assessment of Needs for Elderly CANE 34 Comprehensive Frailty Assessment Instrument 3 EasyCare 32 Everyday Competencies Questionnaire 3 Health Enhancement Lifestyle Profile HELP 5 Minimum Data Set- Home Care MDS-HC (InterRai HC) 68 Older Americans Resources and Services OARS 101
  • 73. • External and Public Advisory Group – Representatives include commissioning bodies, older people’s groups, clinicians, and academics • Presenting work to interested parties – Local councils, third sector events, older people’s groups, academic and clinical colleagues • Knowledge brokers Engagement & Implementation @CLAHRC_EM @nchadborn 73www.emfop.org.uk
  • 74. • Regional • Breaking down boundaries • Network of practice Regional stakeholders network 74www.emfop.org.uk • East Lindsey • Talk Eat & Drink • Big Lottery Ageing Better • Northampton • Live at Home • MHA • Newark & Sherwood • PRISM • CCG • Leicester • Leicester Ageing Together • Big Lottery Ageing Better • North Derbyshire • Voluntary Single Point of Access • CCG & LA
  • 75. • Two systematic reviews – One published and summary being produced • Menu of what works – Co-produced with stakeholders to present our findings in a way which will be useful to commissioners and third sector organisations • Publication of findings – Using dissemination strategy to reach end users Expected Outputs and Impact @CLAHRC_EM @nchadborn 75www.emfop.org.uk
  • 76. • Co-production of research design • Knowledge brokers • Specific knowledge transfer activities Implementation Strategy @CLAHRC_EM @nchadborn 76www.emfop.org.uk
  • 77. Thank you for listening Gina.Sands@Nottingham.ac.uk Neil.Chadborn@Nottingham.ac.uk @CLAHRC_EM CLAHRC website: www.clahrc-em.nihr.ac.uk Community of interest website: www.emfop.org.uk This research was funded by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care East Midlands (NIHR CLAHRC EM). The views expressed in this presentation are those of the speaker(s) and not necessarily those of the NHS, the NIHR or the Department of Health.
  • 79. Manchester Institute for Collaborative Research on Ageing (MICRA)
  • 80. DEVELOPMENT OF MICRA • MICRA established as a network in 2010 • Designated as a research institute in 2013 • Core funding from Medical Health Sciences & Humanities
  • 81. MICRA: Strategic Objectives • To establish the University as a major interdisciplinary centre for research into ageing • To develop a global presence in working with national and international partners in seeking solutions to the challenges associated with population ageing • To advance knowledge about ageing through the pursuit of high quality research • To transform public and professional perceptions of ageing • To engage with older people and organisations working on their behalf
  • 82. MICRA: Research Themes • Social and cultural change in later life • Later life working, retirement and pensions • Frailty, cognition and dementia • Physical decline and tissue regeneration • Biology of ageing and the life span • Inequalities, health and well-being • Engineering, environment and technology • Public policy and care provision
  • 83. MICRA: Public Engagement Strategy Shaping the debate on population ageing through: • Influencing government, IGOs, key policy groups working in the field of ageing • Developing partnerships with organisations working on behalf of older people e.g. Age UK, International Longevity Centre-UK • Work with local authorities, third sector and housing associations. • An electronic newsletter which reaches over 1400 academics, practitioners, policy makers and older people. • A re-designed website launched in January 2014
  • 84. MICRA: Organisation and Research Activities Inter-disciplinary team of co-directors Institute Manager and .6 administrator • Supporting age-related research bids across the University • Annual national Ph.D student conference • Seedcorn funding: 95 applications since launch in 2010 with 31 supported • Cross-faculty workshops (e.g. biomedical and social aspects of frailty, work and retirement) • Supporting areas of research collaboration • Supporting early career researchers
  • 85. Internal capacity-building and support for research applications • Dementia Research day: 110 participants • Research event with Engineering and Physical Sciences: 50 participants • Support for development of research network on ‘Work, Retirement and Pensions’ • Continuation of discussions around Centre for Frailty • Support for Horizon 2020 application led by Life Sciences • Support for two successful ESRC Impact Accelerator Account applications
  • 86. Annual Lecture and seminars • MICRA Annual Lecture given by Professor Peter Whitehouse attracted attendance of c.170, drawn from wide range of professions and academic groups • 18 seminars in 2014 organised in association with wide range of academic schools/faculties/partner organisations
  • 87. Links with external partners • Signing of memorandum of agreement with AgeUK • Extensive programme of work with Greater Manchester and Manchester City Council (likely to be extended with devolution) • Developing formal partnerships with international research centres (e.g. ANU)
  • 88. Communications and marketing • Resourcing of website/ e-newsletter • New sections added to website reflecting particular research strengths in age-related areas • MICRA network increased to c.1,500 • Increasing use of Twitter account • Around 1400 people attended MICRA events in 2014/15
  • 89.
  • 90. SOME ISSUES • Where do networks/institutes fit in University structures? • Accept that not everyone will want to become involved • Interdisciplinarity is hard work – co-directors drawn from all faculties is important • There may be a case for identifying key themes • Importance of targeting early career researchers
  • 92. • Issue: the potential of East Midlands to do research in the care of older people is underexploited • What we want to achieve: a regional network of researchers, stakeholders, patients and the public • What the network will do: steering group, databases of partners and projects, workshops, newsletters, EMRAN Discussion Papers, website to share and communicate • What will count as success: more collaborative research in the East Midlands • Challenges: offering a useful product; geographical and stakeholder reach; sustainability • Time-scale: supported by CLAHRC-EM until end 2018 EMRAN- Plan On A Page
  • 93. ‘Building Partnerships’ Karen Glover Director of Partner Relations and Operations, NIHR CLAHRC EM Head of Clinical Programmes EMAHSN A partnership between Nottinghamshire Healthcare and the Universities of Nottingham and Leicester
  • 94. • NHS • Industry • Academia • Voluntary Sector and Local Authorities • Patients/Public • EM-wide: BRU, CRN, SCN, Clinical Senate, HEEM, EMLA, PHE, AHSN • National NIHR CLAHRC Who are our Partners?
  • 95. • Improve population health • Capacity and capability for research and innovation • Shared understanding and ownership • Translation of research to practice The Birth of EMRAN! Why Collaborate?
  • 96. • Communications • Clinical and Research Leadership Teams • Organisational Presentations • Regional Roadshows • EMRAN How Do We Engage?
  • 97. • Governance Arrangements • Annual Conference • CLAHRC Faculty • Networks of Practice • Knowledge Brokers How Do We Engage?
  • 98. Thank you for listening karen.glover@nottingham.ac.uk www.clahrc-em.nihr.ac.uk @CLAHRC_EM This research was funded by the National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care East Midlands (NIHR CLAHRC EM). The views expressed in this presentation are those of the speaker(s) and not necessarily those of the NHS, the NIHR or the Department of Health.
  • 100. Closure • Next steps: - archive event on EMRAN website (in CLAHRC-EM www.clahrc-em.nihr.ac.uk) - invite membership to EMRAN - develop the EMRAN Discussion Paper journal - develop the Institutional CV - develop an inclusive management structure - respond to your advice - continue to invite advice - prepare the next meeting - keep informed with a newsletter • Thanks • Safe journey

Editor's Notes

  1. Welcome and who I am
  2. Start with why I think we need EMRAN
  3. Outline EMRAN as a means of dealing with the need
  4. The nuts and bolts, that makes the network tangible
  5. Must have some crunch, to be focussed hard nosed and productive: no-one wants a mere talking shop,
  6. Initial thoughts about what we are going to have to do
  7. What the rest of the day will do in the context of this being the launch
  8. What do we mean by the term ‘vulnerable adults’? Other agencies are part of the network too as their work impacts on vulnerable adults so as the DWP, Nottingham City Council, CDP
  9. Many people fall through the gaps between services and do not receive the low-level preventative interventions that could make a difference – improve resilience
  10. Interviews with staff & volunteers: To explore the relationship and shared values between commissioners and non-statutory providers To explore the network of relationships “integrated around the individual” and analyse how the services reach vulnerable groups and minority groups (ethnicity, gender, sexual orientation) Interviews with older people who have accessed these services will investigate their experience, including aspects such as continuity of care, person-centredness
  11. NHS – 19 CCG, 5 MH Trusts, 8 Hospital Trusts Industry partners 11 HEIs Patient groups/CBMEH National CLAHRC – in Sept we hosted a national CLAHRC event to showcase achievements to date and create an opportunity for shared learning.
  12. Our Vision ‘To improve the health of the East Midlands population by carrying out and  implementing world class research in prevention and management of long term conditions’. Philosophy of CLAHRC is to co-produce and co-conduct translational research for service improvt through partnership working across the NHS, Industry, Academia and importantly patients /public. We invest significant energy into our PPI activities – engaging with community groups across the EM. Importantly we have established a CBMEH to focus on improving the health of underserved communities More of the same is not the answer – service demand increasing, financial envelope decreasing! We have to do more with less! Cap and cap for research and innovation in partner org’s- ‘research receptive culture’ thru the developt of ‘research-facing workforce’ and utilising the expertise in partner organisations to develop ‘clinical –facing researchers’. Educational courses/Student placements. Breaking barriers to create a shared understanding and ownership of healthcare interventions that will drive quality improvt Facilitate timely translation of research outputs to clinical practice – to enhance PE,PS and CE and secure cost efficiencies Why EMRAN – EMRAN will achieve all these things through collaborative research into ageing….unique in the East Midlands, no other ageing network.
  13. Communication – SPOC, Newsletter, website, social media (Twitter XX followers/ Linkedin XX connections), Publications eg ‘Getting Involved’, Portfolio of CLAHRC Projects, BITES Networks – as a member of key groups: make an active contribution to addressing healthcare challenges (R and D, MD/DoN AT) Presentations at every organisational level and to a range of professional groups (HEI, Industry and NHS) – role of our organisation, scope of work, impacts and achievements (Upward Trajectory), ‘offer’ to support capacity and capability for research and innovation Roadshows – showcase, raise org profile, build relationships EMRAN is another vehicle through which we can extend our reach and strenthen partnerships specifically in this case for collaborative research into ageing.
  14. Gov board – Primary and Sec Care NHS, all counties, HEI, PPI Annual Conference – EMRAN presence Faculty – 90 at end Feb - benefits - becoming a member?
  15. What the rest of the day will do in the context of this being the launch