Job Description Job Title: Research Associate (SM034-17BR) Section: NIHR Imperial Patient Safety Translational Research Centre (NIHR Imperial PSTRC) Institute: Institute of Global Health Innovation Academic & Research, Level B Job Family/Level: Salary Range: £36,070 – £40,030 per annum Location: St Mary’s Campus in Paddington, Charing Cross in Hammersmith or Dorset Rise (depending on project) Reporting to: Academic leads in research themes Working closely with: Other academic members, research associates, PhD students (including Clinical Research Fellows), support staff within both Centres and translational partners (i.e. charities, health and care providers, other academic institutions, and potentially overseas partners etc.) in the Institute of Global Health Innovation, as well as other associated Departments and Centres at Imperial College London and abroad Contract Full time, for a fixed term of 24 months, ideally starting from 1 August 2017 Summary of Posts Applications are invited for 6 Research Associate posts to work across six diverse research themes in the NIHR Imperial Patient Safety Translational Research Centre (NIHR Imperial PSTRC), aligned to the Institute of Global Health Innovation at Imperial College London. Research themes include the economic implications of patient safety, improving diagnostic decision-making, identifying and preventing the 1 deterioration of high-risk patients, improving the safety of handovers and other transitions of care, improving the culture of safety and the organisational resilience of providers, developing and evaluating the effectiveness of digital interventions (in partnership with patients) for safer care, and medication safety. The Centre The NIHR Imperial PSTRC focuses exclusively on translational research in patient safety. Our ambition is to improve the safety and quality of care received by patients in the NHS, through innovations which are underpinned by world-class science. As such, our focus is as much on generating high-impact publications as it is on ensuring that patients, their families and citizens tangibly benefit from our work. The Centre, funded by the NIHR, brings together multidisciplinary communities of clinicians, social scientists including psychologists, economists, designers, human factor specialists, computer scientists and etc. to work on the development and translation of innovations and practices for the improvement of patient safety and quality. Areas of application span from helping individuals and organisation become more resilient and adaptive in the wake of increasingly complex care, to developing ways to utilise advances in mobile and digital technologies and sensors to track and identify deteriorating patients, to understanding the whole-system cost of unsafe care. Projects vary in size, length and focus, but all strongly feature an element of translation and potentially further scale-up. The NIHR Imperial PSTRC, now in its second cycle of funding, was founded in 2007 (with £4.5 million in the first funding cycle). It was renewed in 2012 (second and current funding cycle; total of £7.2 million in funding) and is presently one of two such entities in the English NHS. In 2017, the Centre was successfully renewed for £7.3 million, marking what will be 15 years of focused translational research in patient safety by 2022 (end of the third and upcoming cycle of funding). In terms of impact, from 2005-2016, the Centre has had a stellar record of high-impact publications, including: ● 807 total publications ● 46 publications in journals with Impact Factor* ≥10 ● 172 publications in journals with Impact Factor* ≥5 ● 19,421 total number of citations *2016 Scopus Impact Factor Aside from publication, in the past 10 years, some notable innovations that have come of out of Centre includes: ● Contributing to the development of the WHO Surgical Safety Checklist and the first evaluation of the implementation of the Checklist in the NHS. ● HARK, a digital clinical task management and prioritisation platform, which was acquired by Google DeepMind. It’s Director, Professor the Lord Ara Darzi, has a long-standing track record in patient safety, global health and health policy. The Centre will be focal points for new and existing activities across Imperial College London, including collaborations with the IGHI, CRUK, BRC, EPSRC Centre for Mathematics in Precision Medicine, and NHS Hospitals and Trusts. To understand more about the NIHR Imperial PSTRC, please see here. 2 This initial tranche of positions consists of 6 Research Associate posts. Following the initial tranche of appointments, the Centre will seed further projects in collaboration with industry, healthcare NHS entities, charities and other partners. PhD students will also be appointed within both Centres (separate Job Description). Research Areas In the first instance, the research areas are as listed below. Please note that projects are currently being defined and the below is a general representation. Interested applicants are encouraged to seek more information through the website. Informal, exploratory chats can also be scheduled. Please: Email the theme leads (email links below), for queries regarding the research topic, the projects and methodology. Email the Centre Manager, Ms Angela Yu ([email protected]), for general queries regarding the Centre and the hiring process. Theme 1 – Safer systems across the continuum of care The theme, lead by Professor the Lord Ara Darzi and supported Ms Sonal Arora (please email Ms Arora for queries regarding the theme’s research at [email protected]). The theme aims to create safer systems for patients as they move along their care pathways, thereby reducing error and enhancing quality. It will firstly seek to identify the patient safety problems across the continuum of care, and then develop and evaluate robust interventions for enhancing safety in the wider system. Finally, it will explore how best to promote the diffusion of innovation. Examples of initial projects (in the first 2 years, not exhaustive) include: ● Map the volume and significant risks to patients across a sample of patient pathways ● Using behavioural insights and data-sharing to improve transitions across settings of care ● Design interventions to reduce clinician burnout and improve individual resilience The theme is hiring a total of 2 posts. Theme 2 – Partnering with patients for safer care The theme, led by Mr Erik Mayer ([email protected]), aims to create practical and actionable solutions for addressing priorities in patient empowerment and engagement in safety, and generate high-quality evidence for implementation and diffusion of practical and sustainable patient engagement initiatives. Ultimately, we aim to support more active, and safe, involvement of patients in their own care. Examples of initial projects (in the first 2 years, not exhaustive) include: ● ● ● Understanding attributes and circumstances influencing true patient activation and involvement in their care Developing a novel digital learning and social network platform to promote health literacy in the self-management of patients’ own conditions Evaluating strategies and various interventions to partner with patients for safer care, including for example, projects to patient-led reporting, etc. The theme is hiring a total of 1 post. 3 Theme 3 – Avoiding deterioration and delays in the care of patients with complex needs It is estimated that between 65-95% of medical errors are due to an action not being taken or being delayed. The theme, led by Professor Paul Aylin ([email protected]), aims to develop and implement solutions to identify deteriorating patients and ensure timely and appropriate clinical response by applying new methods to collect clinical information (e.g. sensors, wearable technology) and to analyse data (including artificial intelligence). Examples of initial projects (in the first 2 years, not exhaustive) include: ● Examining potential indicators of omission and delay using the Clinical Practice Research Datalink (CPRD) to highlight failure points ● Soliciting the views of primary care health professionals on the usefulness of reminders in electronic patient records and using databases ● Consulting mental health patients on key safety issues associated with deteriorating function. The theme is hiring a total of 1 post. Theme 4 – Enhancing the safety of medication and technology The theme, led by Professor Bryony Dean Franklin, aims to build on existing knowledge about medication error and its implications for antimicrobial resistance (AMR) and create new evidence on the potential risks engendered by technology. It will develop solutions to both issues by leveraging technology, design, behavioural sciences and human factors. Examples of initial projects (in the first 2 years, not exhaustive) include: ● ● ● Optimising the use of hospital electronic patient records Understanding and influencing macro-level demand for antibiotics Understanding the unintended consequences of technology in both hospital and community settings The theme is not hiring any posts, and information regarding the theme’s research has been provided to help candidates gain a complete picture of the Centre’s footprint. Theme 5 – Improving diagnostic accuracy and decision-making The theme, led by Professor Brendan Delaney ([email protected]), aims to tackle the challenges related to diagnosis and decision-making in primary care and in peri-operative situations. Translational solutions will harness the scientific and technological capabilities of our team to support decision-making. Examples of initial projects (in the first 2 years, not exhaustive) include: ● Identifying determinants of diagnostic accuracy and designing systems to support diagnosis ● Improving the use of antibiotics in primary care by incorporating clinical risk scores into the consultation The theme is hiring a total of 1 post. Theme 6 – Ensuring value for money in patient safety The theme, led by Professor Elias Mossialos and supported by Dr Joachim Marti (please contact Joachim for queries related to the research in the theme, [email protected]), aims to better understand the wider economic burden of 4 avoidable harm and generate evidence on the cost-effectiveness of safety-related initiatives to inform policy, improve efficiency, and incentivise safer, high-value care. It will work in close collaboration with other themes to test the cost-effectiveness of the developed solutions. Examples of initial projects (in the first 2 years, not exhaustive) include: ● Understanding the economic case for patient safety initiatives (via metaanalysis, analysis of large datasets, and primary data collection) ● Applying novel methods in economic evaluation and decision modelling to estimate costs and benefits of safety-related interventions ● Econometric analysis of hopsital readmissions and transitions of care The theme is hiring a total of 1 post. Our partners To deliver against this ambitious portfolio of work, the Centre will work with leading academic and translational partners, including but not limited to the following: Academic partners: ● The Behavioural Insights Team – The Behavioural Insights Team (BIT) is a social purpose company, jointly owned by the UK Government; Nesta (the innovation charity); and its employees. BIT started life inside 10 Downing Street as the world’s first government institution dedicated to the application of behavioural sciences. ● UCL, Centre for Behavioural Change (Professor Susan Michie) - The Centre for Behaviour Change is a unique initiative, harnessing the breadth and depth of academic expertise in behaviour change at UCL to address key challenges facing society. Behaviour change is increasingly recognised as central to human well-being, social cohesion and sustainability. Changing behaviour is a challenging and complex process, requiring theories, methods and evidence from many academic disciplines. ● King’s College London, Centre for Applied Resilience in Healthcare (Dr Janet Anderson) - The Centre is the first dedicated centre for translating emerging theory and practice in organisational resilience into practical steps to improve the quality and safety of care and reduce costs due to low quality care such as inappropriate admissions, avoidable complications and complaints. In the past, translation partners have included (not exhaustive): ● ● From industry – Google DeepMind – DeepMind is the world leader in artificial intelligence (AI) research and its application for positive impact. DeepMind’s scientific mission is to push the boundaries of AI, developing programs that can learn to solve any complex problem without needing to be taught how. In the past, collaborations have included the acquisition of HARK, a clinical task management programme developed by the Centre, and the continued collaboration to refine its features. From acute providers of healthcare – Imperial College Healthcare NHS Trust (ICHNT) - As the host entity of the Centre, ICHNT has been the test site for many NIHR Imperial PSTRC’s studies and innovations. Located in Northwest London, ICHNT providers care to around a million people every year, across its five hospitals and a growing number of community services in North West London. 5 ● ● From providers of mental health – West London Mental Health Trust (WLMHT) - WLMHT is one of the largest and most diverse providers of NHS mental health and community services in the UK, providing care and treatment for around 62,570 people each year. In the past, collabortions have included programmes to address the low reporting rate and to improve staff experience and resilience. From policy entities – Health Education England (HEE) – HEE supports the delivery of excellent healthcare and health improvement to the patients and public of England by ensuring that the workforce of today and tomorrow has the right numbers, skills, values and behaviours, at the right time and in the right place. In the past, collaborations have included partnering with the Centre, in an academic capacity, to answer the question “what works in education and training for patient safety?” Main Duties The main purpose of the posts is to support theme or programme leads, who will be leading defined packages of work, under the appropriate theme lead with the Centre Director, Professor the Lord Ara Darzi. Successful applicants will be given significant autonomy to plan, direct and execute research. There will also be significant opportunities to work across themes and individuals will gain significant exposure to research in other topic areas. Main duties include the following areas: Research and analysis ● ● ● ● ● ● ● ● ● ● ● ● ● To take initiative in the planning research, including the prospective determination of strategies to engage with translational partners, strategies to engagement with patients for members of the public, deliverables, and key milestones To carry out systematic reviews To assist in the preparation of Ethics Committee applications To direct the work of small research teams including postgraduate students (PhD students, Clinical Research Fellows and MSc students) To gather data and conduct data analysis. To ensure that data governance rules are followed in the storage, sharing and utilisation of all data To maintain accurate and complete records of all findings To take responsibility for organising resources and effective decision making in support of research To prepare material for presentation in oral and poster formats To draft publications and prepare them for submission to refereed journals To submit publications to refereed journals To perform other reasonable tasks related to the furtherance of the project aims To contribute to the writing of bids for other research grants From time to time, to contribute to other ongoing research across affiliated Centres, mainly the entities under the IGHI if necessary Reporting and management ● To attend progress and management meetings and internal and external seminars, as required 6 ● ● ● ● To work with the Centre Operational team (consisting of the Centre Manager, the Centre Administrator and the PPIE Manager) and theme/programme leads to ensure projects are delivered on-time, and to a high-quality standard To write internal progress reports on the status of progress with respect to research projects (expected every quarter) To write reports for submission to research sponsors, public bodies and industrial contacts (expected at least annually) To help with the smooth running of the Centre Collaboration, translation and impact ● ● ● ● ● ● ● ● ● ● ● To work in close collaboration with other project teams, researchers or leads across the Centre, other departments and across Imperial To work with all partners (academic partners or translational partners) to identify research gaps, if any To work with academic partners to execute research To have a relentless focus on translation and making a real-world impact on the safety of care provided to patients To work with translational partners to implement and evaluate the effectiveness of the interventions To follow-up with translational partners in the short (1-2 years), medium (2-4 years) and long term (4+ years) to continuously gauge the real-world impact of interventions To properly document the scale of impact on patients and care provided, including but limited to the drafting and submission of a project impact report at the end of the project. To update the impact report continuously to demonstrate impact over time To identify potential translational opportunities and to build relationships with translational partners To attend relevant workshops and conferences as necessary To develop contacts and research collaborations within the College and the wider community To promote the reputation of the Centre and the College Supervision and teaching ● To undertake instruction of PhD students as agreed ● To support teaching and administration of the MSc Patient Safety programme, a part-time MSc programme. Includes teaching on the programme, the supervision of MSc students on their dissertation, and marking of assignments throughout the year Patient and public engagement and involvement (PPIE) ● ● ● ● ● ● To work with the PPIE Manager to ensure that all projects are signed off by the Research User Group prior to their start Ensures diversity in lay partner involvement At the project level, ensure appropriate, effective and meaningful lay partner involvement in projects and throughout the research cycle To undergo the appropriate PPIE training upon joining the Centre and refreshers training as necessary Ensures lay partners get the appropriate training and support in their role Ensures lay partners are remunerated according to internal Centre standards 7 ● ● ● Ensures assessment and documentation of PPIE impact on the project, and from the perspective of researchers and lay partners Timely report PPIE progress, as required Supports the execution of the Centre’s PPIE strategy, including contributing to the James Lind Alliance Priority Setting Process, as necessary Other duties ● ● ● ● ● To undertake appropriate administrative tasks To maintain safe workplace practice and procedures in accordance with the requirements of Health and Safety legislation To comply with relevant College policies, including Financial Regulations, Equal Opportunities Policy, Promoting Race Equality Policy, Health and Safety Policy, Information Systems Security Policy and Intellectual Property Rights and Register of Interests Policies Any other duties commensurate with the grade of the post as directed by line manager / supervisor / Head of Department. To undertake specific safety responsibilities relevant to individual roles, as set out on the College Website Health and Safety Structure and Responsibilities page (http://www3.imperial.ac.uk/safety/policies/organisationandarrangements). Job descriptions cannot be exhaustive and the post-holder may be required to undertake other duties, which are broadly in line with the above key responsibilities. Imperial College London is committed to equality and valuing diversity. Person Specification Qualifications Essential ● ● Has a PhD or equivalent We are looking for individuals with the following educational backgrounds: ○ Statistics ○ Human factors ○ Engineering ○ Psychology, decision-making, behavioural science and other related disciplines ○ Medical informatics and data science ○ Health services research and service evaluation ○ Quality improvement ○ Public health ○ Health economics (including econometrics, economic modelling and behavioural economics) Knowledge / Experience 8 Essential: ● ● Is able to independently undertake foundational research activities, including: ○ Compiling ethics applications and experience in the ethical approval process ○ Able to conduct a systematic review ○ Write sections of a research grant, working with other more senior research staff ○ Prepare research papers Is familiar with mainstream research methods frequently used in patient safety including, but not limited to the following. We are looking for individuals with fluency in one or two areas; no individual is expected to harbour deep knowledge/fluency across all areas below. ○ ○ Qualitative methods, including: ■ Ethnographic research (including observational), ■ Focus groups ■ In-depth interviews ■ Thematic analysis ■ Consensus studies ■ Service audits and evaluation Qualitative methods with specific understanding of psychology or behavioural science, including: ■ ○ ○ ● ● Human factor methodologies Quantitative methods, including: ■ Survey design and data collection ■ Data mining techniques applied to healthcare data ■ Proficiency in data preparation, cleaning and analysis using standard statistical packages (e.g. SPSS, Stata, R) ■ Experimental studies of human judgment Quantitative methods with specific understanding of economics, including: ■ Econometrics, analysis of large patient-level datasets ■ Economic evaluation and decision-analytic modelling Has published 1 or 2 article in an esteemed journal in his or her previous area of research Able to demonstrate interest in and knowledge of current patient safety policies, initiatives and research Desirable (note: we are not looking for any single individual to harbour all of the below desirable traits): 9 ● Has previous post-doctoral research experience in any research area, and is able to justify why said experience is of value in a patient safety context ● Has published 2+ articles in an esteemed journal in his or her previous area of research ● Familiar with the development, use and evaluation of innovative technologies, including artificial intelligence or machine learning (including natural language processing), digital technologies (including apps) and etc. ● Familiar with applying behavioural science knowledge, theory and methods; can demonstrate ability to influence behavioural change in the real-world through the application of theory ● Has previous experience working in translational research, and is familiar with the intricacies of doing such research. ● Able to demonstrate real-world impact on health service provision as a result of his/her research or innovation ● Experience with independently designing, executing and managing mediumsized research programmes Skills and Abilities ● Research skills relevant to the research project described in the Job Description ● Ability to conduct a detailed review of recent literature and to absorb a widerange of research literature ● Creative approach to problem-solving ● Demonstrable research project management experience ● Ability to work autonomously and show initiative with research ● Excellent verbal and written communication skills and the ability to communicate complex information clearly. Individuals will be asked to give a short presentation on a specified topic and supply a writing sample during the interview process ● Ability to work with a wide range of people and as part of a team ● Proven analytical and problem solving capability ● Ability to encourage research culture in others Personal Attributes ● Willingness to work as part of a team and to be open-minded and cooperative ● Entrepreneurial and solution-oriented. Able to resolve day-to-day work issues independently. ● Responsive to requests from leads, other members of the research team, and other members of the Operational team ● Commitment to maintaining and enhancing facilities and training others in their use ● Commitment to meeting deadlines 10 ● Flexible attitude towards work ● Willingness to undertake any necessary training for the role APPLICATION GUIDANCE Please read the person specification carefully and describe, as part of your application, how you feel you meet each of the criteria. If you attach a CV it should include the following information: Applicant’s full name, private address and private telephone number A confidential e-mail address Degrees (including University and dates) Past and present posts List of publications Brief description of future research plans Names, addresses and, email, fax numbers, of three referees. Thank you for your interest in this post. We look forward to receiving your application. 11
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