An introduction to the NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) North Thames by Director Professor Rosalind Raine

1. NIHR Collaboration for Leadership in
Applied Health Research and Care
(CLAHRC) North Thames
Professor Rosalind Raine
Director, NIHR CLAHRC North Thames
Professor of Health Care Evaluation & Head of Department of Applied
Health Research, UCL
UCL Partners Programme Director for Population Health
1 November 2013

2. NIHR CLAHRCs Background
9 CLAHRCs were established in 2008 for five years
A new competition was launched in 2013
13 successful collaborations were announced in August 2013
Total funding £124M from the National Institute for Health Research (NIHR)

3. NIHR CLAHRCs 2014 - 2018
Collaborative partnerships (universities, NHS, LAs,
voluntary sector and industry)
Support the rapid translation of research
evidence into practice
Research targeted at chronic disease and public
health interventions
Focus on improving patient/public outcomes
Take account of the way that health care is
delivered across sectors and geographical areas

4. NIHR CLAHRC North Thames
World leading
research
Partnerships
across our
population
Transformational
impact

5. About NIHR CLAHRC North Thames
-Public and patients
Europe’s leading and
largest concentration
of internationally
excellent applied
health researchers
-Mental health &
community care
-Tertiary & district general
hospitals
-Public health providers
-Commissioners
- Partners from charities
and industry
A socially, ethnically and
geographically diverse population of
6 million
South
Bedfordshire
South
and
West
South
West and
Mid Essex

6. NIHR CLAHRC North Thames Funding
Funding
51 partners
From Jan 2014
• 6 HEIs
• 20 Trusts
• 7 CCGs
• AHSN – UCL Partners
• 9 Local authorities
• London Deanery
• 5 Industries
• 2 Charities
Over 5 years
From NIHR:
• £9 million
From partners:
• £34.4 million ‘in kind’
• £954k cash

7. NIHR CLAHRC North Thames 51 Partners
HEIs:
AHSN:
Trusts:

8. NIHR CLAHRC North Thames 51 Partners
CCGs:
LAs:
Industry:
Charities:
Deanery:

9. NIHR CLAHRC North Thames Aims
1. Conduct world leading applied health research (AHR)
2. Establish:
Infrastructure for the delivery of AHR
Stronger partnership between different organisations, patients & public
A shared commitment of evidence based practice
A teaching and training Academy
Improvements in health care
Reductions in health/health care and population health inequalities

10. NIHR CLAHRC North Thames Themes
Innovations In
Models And
Systems For
Health
Lead: Prof Naomi
Fulop (UCL)
Deputy lead
(academic): Prof
Chris Griffiths
(QMUL)
Deputy lead (NHS):
Prof Stanley Okolo
(NMUH)
Methodological
Innovation
Lead: Prof Jan Van
der Meulen
(LSHTM)
Deputy lead
(academic): Prof
Martin Utley
Deputy leady
(NHS): Breid
O’Brien (UCLH)
Optimising
Behaviour and
Engagement
with Care
Empowering
Mental Health
Service Users
and Families
Child &
Adolescent
Health
Lead: Prof Rob
Horne (UCL)
Lead: Prof Peter
Fonagy (UCL)
Deputy lead
(academic): Prof
Stephanie Taylor
(QMUL)
Deputy lead
(academic): Prof
Stephen Stansfeld
(QMUL)
Lead: Prof
Jonathan Grigg
(QMUL)
Deputy lead (NHS):
Daniel Waldron
Deputy lead (NHS):
Dr Steve Feast
(NEFLT)
(Homerton)
Deputy leady
(academic):
Prof Monica
Lakhanpaul (UCL)
Deputy lead (NHS):
David Law (HCT)

11. NIHR CLAHRC North Thames Models
Trust-wide quality
improvement
strategies
Pathways of care
e.g. COPD
e.g. Trust Board QI;
medication safety
HIV
Public health
interventions
e.g. response to
domestic violence
chronic eye disease
Develop
and
evaluate
innovations

12. NIHR CLAHRC North Thames Methods
Data linkage across
care settings
Service users as a
source of
intelligence for
priorities, outcomes
& experience
Consent &
recruitment
Research
foci
Analysis and
presentation of
complex
observational data
to meet
stakeholders’ needs
Research & decision
support processes &
tools to improve the
utility of research
outputs

13. NIHR CLAHRC North Thames Optimising Behaviour
Patients
e.g. reducing harmful alcohol
intake
Patients
Professionals
e.g. improving asthma
medication adherence
Patients
Organisations
Professionals
e.g. improving AF management)

14. NIHR CLAHRC North Thames Mental Health
Improve:
Management of young
people with mental &
physical health problems
Management of young
people with psychosis
Improving carers’
experiences
Improving dementia care
for ethnic minority groups

15. NIHR CLAHRC North Thames Child & Adolescent Health
Optimise healthy
weight and
nutrition in
Bangladeshi
groups
Design &
evaluate a
school-based
asthma
intervention
Patient centred
reconfiguration
community
diabetes services
Common risk
factors and
conditions;
Reducing
inequalities
Evaluation of the
GLA’s Healthy
School London
programme

16. NIHR CLAHRC North Thames
Patient & Public Involvement & Engagement (PPI/E)
CLAHRC
Research
Advisory Panel
PPI/E &
communications
co-ordinator
‘Consent for
consent’
Engagement
events, scientific
meetings

17. NIHR CLAHRC North Thames Research Partnership Team
Clinical
/public
health
researcher
1. To identify our
partners’
priorities
2. To build and
develop world
class research
Behavioural
scientist
Qualitative
researcher
Research
Partnership
Team (RPT)
Systematic
reviewer
Statistician
Health
economist
Research
facilitator

18. NIHR CLAHRC North Thames Research Selection Process
Fair and transparent process
CLAHRC does not proceed
Decide
Rank
Assess
methodological
quality and
feasibility
CLAHRC does not proceed
Identify
common
problem
Feedback & share with other HEIs
CLAHRC
proceeds

19. NIHR CLAHRC North Thames CLAHRC Academy
Increase applied health
research activity in
service settings
Develop a culture of
academic- servicepatient/public
knowledge exchange
Recruit, train and retain
a cadre of highly skilled
applied health
researchers

20. NIHR CLAHRC North Thames
Thank you
Rosalind Raine (r.raine@ucl.ac.uk)