Finding grant schemes [email protected] 3 major types of funding Project- specific idea Person- fellowships Program- area of work with workstreams Multiple sources • National Governmental level – NIHR – MRC – Wellcome • Charity – Broad – Specific areas • Local funds 4th strand • Industry eg Pharma often have schemes AND/OR will consider direct approaches • Eg How to find them • Google! Check your area and ask for advice from peers • Research design service • Rdinfo www.rdinfo.org.uk www.rdinfo.org.uk www.wellcome.ac.uk What has the NIHR ever done for research? Managing evaluation research on behalf of the National Institute for Health Research Aim • Outline of what the NIHR does & how it is a key target for research funding • Flavour of what’s on offer Why research is important for your organisation •Since 2010 every NHS Trust has been required to publish an annual Quality Account which is available to the public. This includes a statement of the number of patients who were recruited to participate in research approved by a research ethics committee during that period. What is NIHR and what does it mean to me? • The National Institute for Health Research is the largest funder of clinical research in the country: Wellcome £746m; MRC £767m; NIHR just under £1b. • NIHR supports clinical and applied health & social care research improving health, well-being and prosperity. • NIHR is becoming internationally recognised as the model for organising a health research system. What have the Romans NIHR done for us? • Radically increased number of clinical trials; 1300 new research studies via the NIHR Clinical Research Network • Patients recruited more than doubled to over 0.6m • Highest proportion of cancer patients in the world taking part in trials (1 in 6) • Helped establish research culture in the NHS: 99% of NHS Trusts now delivering clinical research • Helped reverse the decline in numbers of clinical researchers Background: • National Institute for Health Research (NIHR) funds • • • • Research infrastructure (networks, sessions, nurses) Individuals (AHPs, Nurses, STs/SpRs, Professors) Platforms Grants : many different schemes – NIHR Evaluation, Trials and Studies Coordinating Centre (NETSCC), Based at the University of Southampton) The Innovation Pathway INVENTION EVALUATION ADOPTION DIFFUSION Creation • new things • new ideas • new techniques • new approaches Assessment • new things • new ideas • new techniques • new approaches Uptake • new things • new ideas • new techniques • new approaches Spread • new things • new ideas • new techniques • new approaches Basic Research Applied Research Commissioning Patient Care MRC & Charities NIHR NHS Commissioners Providers of NHS services • Better Quality • Better Value The NIHR Health Research System Faculty Investigators & Senior Investigators Associates Trainees Infrastructure Universities Research Clinical Research Networks NHS Trusts Research Projects & Programmes Patients & Public Clinical Research Facilities, Centres & Units Research Schools Research Governance Systems Research Information Systems Systems Dr Katy Hester NIHR fellowships for non medical staff • Allied Health Professionals scheme- nurses, physio (PhD Fellowships- eg Sr K Heslop) • NIHR CAT scheme • NIHR Biomedical scientists • Also Knowledge mobilisation fellows…. NIHR fellows • You are joining a community of over 20,000 researchers, in the NHS, public health, social care and universities. • You are part of a family of over 2000 research trainees Fellowships • Early stage ones are about fellow and training • Later ones are about impacts and developing the applicants group • High rate of success locally NIHR Research Career Pathways Other Awards Doctors and Dentists NIHR Integrated Academic Training All Professions NIHR Fellowships NIHR Senior Research Fellowship Nurses, Midwives, Allied Health Professionals Clinical Academic Training Level of Award NIHR/CNO/HEFCE Senior Academic Clinical Lecturer Senior/ Pre-Chair -------------------------------------------------------------------------------------------------------------------------------NIHR Clinician Scientist Award NIHR Career Development Fellowship Senior Post-Doc NIHR Post-Doctoral Fellowship Early Post-Doc NIHR/CNO Clinical Lectureships -------------------------------------------------------------------------------------------------------------------------------CSO Health Care Scientist PostDoctoral Fellowship NIHR Clinical Lectureship -----------------------------------------------------------------------------------------------------------------------------CSO Health Care Scientist Doctoral Fellowship NIHR Doctoral Research Fellowship NIHR/CNO Clinical Doctoral Research Fellowships Doctoral ------------------------------------------------------------------------------------------------------------------------------Masters Health Economics, Masters in Med. Statistics. In-Practice Fellowships and NIHR Academic Clinical Fellowships NIHR/CNO Masters in Clinical Research Pre-Doctoral/ Masters -------------------------------------------------------------------------------------------------------------------------------Undergraduate Infrastructure • Research networks until 1.4.14 – Combined Local Research Networks as of today – North East & North Cumbria LRN • Funds Trusts nurses, pharmacy, radiographers etc to support “NIHR Portfolio research” – Bidding process- based on recruitment and hitting targets • Funds Consultants time in job plan to deliver research – Bidding process The Comprehensive Clinical Research Network Support delivered through 25 Comprehensive Local Research Networks (CLRNs) Also work UK-wide Each CLRN has clinical/operational leadership CLRNs allocate their budget to hospitals and support a local workforce of research nurses etc All coordinated by a national coordinating centre New Clinical Research Network : Post Transition 15 larger networks Accessing the UKCRN portfolio database http://public.ukcrn.org.uk/search/ Managing evaluation research programmes on behalf of NIHR • NIHR Evaluation, Trials and Studies (NETS) programmes – – – – – Efficacy and Mechanism Evaluation (EME) programme NIHR Health Technology Assessment (HTA) programme NIHR Public Health Research (PHR) programme NIHR Service Delivery and Organisation (SDO) programme NIHR Health Services Research (HSR) programme – NIHR CTU support funding NIHR Evaluation, Trials and Studies (NETS) programmes- from 2012 Health Services and Delivery Research NETSCC from 2012 Health Technology Assessment Public Health Research Established: 2008 Established: 1993 Efficacy and Mechanism Evaluation Funded by the MRC Managed by NIHR Established: 2008 Needs-led and science-added approach for NETS programmes • Needs-led The NETS programmes work closely with policy-makers, professionals and the public to identify areas where high-quality evidence for decisionmaking is needed • Science-added because we ask does the proposal meet the scientific quality we insist on, and how can we support the delivery of quality • Value for money because assessment of need and scientific support maximises the relevance and benefits achievable within a funding stream We encourage Public and Patient Involvement • Closer working with patient/service user organisations on topic identification • Open recruitment of wider group of public contributors to prioritisation and commissioning • Panels & boards require clear evidence of commitment to PPI in design and conduct of research • Wider dissemination of ‘plain English’ findings to interested communities • Reference group of public contributors to advise on strategic development of PPI Research themes Research theme Technology evaluation EME HS&DR HTA PHR Health services & organisation Public health Full and appropriate funding • We provide: – Full and appropriate funding because we place no upper limit on the amount of funding granted for a project – If the question is important enough and the science requires it, we will fund it – University based projects: we fund up to 80% of the Full Economic Cost (FEC) – NHS Trust based projects: we fund 100% of the direct costs – Other organisations are also welcome to apply The EME programme remit • The EME programme is broadly aimed at supporting 'science driven' studies with an expectation of substantial health gain and aims to support excellent clinical science with an ultimate view to improving health or patient care • The remit includes evaluations of new treatments, including therapeutics (small molecule and biologic), psychological interventions, public health, diagnostics and medical devices. Treatments or interventions intended to prevent disease are also included Managed Translational Pathway Translating science into better health • MRC: can it work? • EME: does it work? • HTA: is it worth it? • The EME programme is funded by the MRC and NIHR, with contributions from the CSO in Scotland, NISCHR in Wales and the HSC R&D, Public Health Agency in Northern Ireland • It is applicable to all parts of the UK Types of Research Researcher-led Commissioned Primary Research; Clinical efficacy of interventions Primary Research; Large stage projects Clinical efficacy of interventions Who defines the question? Frequency Per year Researcher Continuous with 3 submission deadlines EME programme 3 calls per year Examples of EME funded research Evaluation of Image Guided Radiotherapy (IGRT) for more accurate Partial Breast Intensity-Modulated Radiotherapy: comparison with standard imaging technique [£308,362] Professor Phil Evans Institute of Cancer Research, Royal Marsden NHS Foundation Trust Renal protection against ischaemia-reperfusion in transplantation [£811,528] Professor Raymond MacAllister University College London A Randomised DoubleBlind, Placebo-Controlled Study to Evaluate the Efficacy of Oral Azithromycin as a Supplement to Standard Care for Adult Patients with Acute Excaberbations of Asthma [£1,092,118] Professor Sebastian Lennox Johnston Imperial College London NIHR Health Technology Assessment programme • Purpose and Remit To deliver information about the effectiveness, costs and broader impact of healthcare treatments and tests for those who plan, provide or receive care in the NHS • The HTA programme includes The programme includes all interventions used to promote health, prevent or treat disease, improve rehabilitation or long-term care including drugs, devices, procedures, settings of care and screening The HTA programme funding workstreams: Types of Research Primary research Feasibility & pilot Evidence synthesis Commissioned Clinical evaluation Researcher Led NICE Guidance Who defines the question? Frequency Per year HTA programme 4 calls Primary research Feasibility & pilot Researcher Evidence synthesis Theme from HTA programme Themed Calls Primary research Evidence synthesis Question from researcher Specific technology NICE assessment Continuous with 4 closing dates 1 call Direct referral to On-contract teams Examples of HTA funded research A randomised control trial to compare minimally invasive glucose monitoring devices to conventional monitoring in the management of insulin treated diabetes mellitus (MITRE) [£955, 189] Dr Steven John Hurel University College London CRASH2 Trial, a large randomised placebo controlled trial among trauma patients with significant haemorrhage of the effects of an antifibrinolytic treatment on death and transfusion requirement [£2,545,661] Professor Ian Roberts London School of Hygiene and Tropical Medicine CTU A multicentre randomised controlled trial of an intelligent system to support decision making in the management of labour using the cardiotocogram (INFANT) [£5,957,981] Professor Peter Brocklehurst Institute for Women’s Health, University College London TWICS trial- currently open now THEOPHYLLINE WITH INHALED CORTICOSTEROIDS 12 MONTH STUDY LED ABERDEEN; NEWCASTLE, BIRMINGHAM ETC DEVELOP- EVLP IN LUNG TRANSPLANTATION Propose a study to the NIHR HTA http://www.nets.nihr.ac.uk/identifying-research/make-a-suggestion Research for Patient Benefit • Responsive scheme, funding research: – arising from daily practice in the NHS. – developed between NHS and other partners. – with potential for influencing practice. • Annual budget of £25m p.a. • 3 funding competitions per year. • Regional funding panels. RfPB scope • Regionally commissioned health services and public health research - qualitative and quantitative designs to: • Study the provision and use of NHS services. • Evaluate the effectiveness and cost effectiveness of interventions. • Examine the resource utilisation of alternative means for healthcare delivery. • Formally scrutinise innovations and developments. • Pilot or feasibility studies. RfPB requirements • Principle investigator and up to six co-applicants. Strong research team with expertise covering all aspects of the proposal. • Maximum of three years of funding up to a value of £250,000 (possibly £350,000). • NHS Trust holds the money. • University academic partners are actively encouraged. RfPB requirements • Main research outcome of some tangible form of PATIENT BENEFIT. Ideally the results will impact directly on current practice. • Strong evidence of Patient-Public involvement (PPI) in the design stages of the research as well as in the running of the study and in the dissemination of its results. • Clear plans for dissemination. HS&DR background The HSDR programme builds on the strengths and contributions of two existing programmes – Service Delivery and Organisation (SDO) and Health Services Research (HSR) research programmes ► Purpose and Remit To produce rigorous and relevant evidence on the quality, access and organisation of health services. ► History This is a new programme and will be launched in January 2012. Types of Research Who defines the question? Frequency Per year Commissioned Primary research Evidence synthesis HS&DR programme 3 calls per year (6+ topics) Researcher-led Primary research Evidence synthesis Researcher 3 calls per year Examples of SDO/HSR funded research In-patient alternatives to traditional mental health acute in-patient care [£584,544] Improving the effectiveness of multidisciplinary team meetings for patients with chronic diseases [£695,002] Dr Mike Slade King’s College London Professor Rosalind Raine University College London Investigating the contribution of Physician Assistants to primary care in England [£413,625] Professor Vari Drennan, Kingston University & St George's, University of London So I have an idea………….. ► Think about PICO ► ► ► ► Patient Intervention Comparator Outcome ► Think about scheme(s) ► Contact a Research design service… What the NIHR funds someone to help me ask the NIHR for tons of cash???? ► They fund a trials “prematch fitness” team called the NIHR Research Design service RDS ► Free service funded by the NHS National Institute of Health Research (NIHR). ► Supports development of research projects for submission to NIHR funding programmes. ► Provides advice and help with research design and research funding applications. RDS provide help with: •Formulating research questions. •Identifying appropriate funding programmes. •Evidence review. •Epidemiological techniques. •Methodological advice. •Statistics. •Health economics and economic evaluation. •Qualitative methods. •Patient-public Involvement (PPI). But I want to give patients drugs…. ► The NIHR also fund a clinical trials unit (CTU) ► This unit doesn’t work like the clinical research facility/ William Leech.. (where trials activity are done) ► Its more like a contract research organisation (eg Quintiles/ Parexel – where trials management is conducted) ► NIHR CTUs are now essential ► They will charge (take away the pain of..) Regulatory filing MHRA approvals, trials set up etc In summary ► The UK government wants the NHS to be research active ► Your Trust gets kudos and £ to do so ► New Consultants and existing ones can develop time to write grants (NIHR Research capability funding) and time to deliver grants (NIHR Network sessions) ► There are people orientated schemes ► There are a myriad of project schemes…. Applying to NETS programmes • Have you established that your research idea is within remit? Talk to the programmes concerned or consult the NETSCC web pages for advice: www.netscc.ac.uk/funding/which_programme.asp • Is your research feasible? For example - design complexity, participant recruitment and retention. • Patient and public involvement? Applying to NETS programmes cont. • Have you clearly explained your research question and made clear why this is an important topic? • Have you explained how your research will fit/add to existing knowledge? • Have you used appropriate outcome measures? • Have you sought guidance / involvement from a CTU / RDS? • Is your team appropriately multi-disciplinary and sufficiently experienced? • Is your research realistically costed and does it offer value-for-money? Applying to NETS programmes cont. • Is the cost proportional to the disease / health issue in question, and does your topic clearly justify the cost requested? • Have you consulted with any relevant research networks to determine whether they can contribute / support? • Is your application clearly structured and written in language easily understood by non-experts? • Have you properly proof-read your documents? Current funding opportunities • Programme-specific calls • EME, HTA and SDO currently have calls open • A six month call summary is available on our website: www.netscc.ac.uk/funding/funding_timetable.asp Supporting researchers • Wealth of information at www.netscc.ac.uk – Remit check form – Call dates • Individual programme websites: – FAQs – Guidance • Further advice: contact RDS or contact us directly Further information Visit: www.netscc.ac.uk Email: [email protected] Thank you Managing evaluation research on behalf of the National Institute for Health Research Eligibility • EME researcher-led workstream uses research council eligibility criteria and is open to applicants from the whole of the UK. The EME commissioned workstream requires all applications to be in the form of a significant collaboration between at least two of the following partners; industry, academia, and the NHS. • HTA, PHR and HS&DR [HSR, SDO] have broader eligibility criteria and will consider applications from any applicants who consider that they are able to conduct the study. Funding streams ► Researcher-led workstream (2-stage application) ► Occasional highlight notices ► Outline proposals are assessed by the Programme Advisory Board for public health importance ► Outline proposals are shortlisted, and full proposals are assessed by the Research Funding Board for scientific quality, feasibility and value for money. ► Commissioned mode (two stage application) ► Commissioning briefs developed and prioritised by Programme Advisory Board ► Outline proposals are shortlisted, and full proposals are assessed by the Research Funding board for scientific quality, feasibility and value for money. PHR background ► Purpose and Remit The PHR programme evaluates non-NHS public health interventions for benefits, costs, acceptability and wider impact and to reduce inequalities in health ► History The PHR programme was launched in Autumn 2008. ► Unique characteristics Non-health care settings Intervention evaluation Wide range of methodologies supported Examples of PHR funded research A population-level evaluation of a familybased community intervention for childhood overweight and obesity [£417,845] ‘On the buses': evaluating the impact of introducing free bus travel for young people on the public health [£536,226] Crime, fear of crime (CFOC) and mental health: evidence synthesis of theory and effectiveness of interventions [£391,169] Professor Catherine Law Institute for Child Health, University College London Dr Judith Green Public Health & Policy Department, London School of Hygiene & Tropical Medicine Professor Mark Petticrew London School of Hygiene and Tropical Medicine
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