Chairman Academic and Research Committee Introduction to Clinical Research and the British Heart Foundation View Monday 13th March 2017 Professor Gavin Murphy (Glenfield Hospital, Leicester & BHF Chairholder) Chairman Academic and Research Committee

Research Infrastructure Academic Training Innovation Trials Networks

Sen. Lecturer or equivalent Infrastructure: Most cardiothoracic surgery academics work in non-university posts Sub Specialty Professor Reader Sen. Lecturer or equivalent Hon Professor Hon Reader Hon Sen. Lecturer Adult Cardiac/ Cardiothoracic 5 1 2 10 39 Congenital 4 Thoracic Transplant

Lack of Critical Mass in University Appointments There are more university academics in cardiology and respiratory medicine at the University of Leicester than for the whole of Cardiothoracic Surgery in the UK

NIHR Research Career Pathways Note: Across the NIHR, ONLY TCC provide opps for integrated academic clinical training (IAT for docs and dentists and ICA for non medics/dentists) to ensure people can embed research in their clinical roles.

NIHR ACF and CL posts in General Surgery, Cardiothoracic Surgery, and Cardiology Specialty Current ACFs Ended ACFs Current CLs Ended CLs Cardiothoracic Surgery 5 3 2 4 General Surgery 32 103 20 36 Cardiology 25 62 26 33

CCT Academic Requirements by Surgical Specialty Certification Guidelines. Joint Committee on Surgical Training. http://www.jcst.org/quality-assurance/certification-guidelines.

National Institute for Health Research The research arm of the NHS Established in 2006 as a vehicle for implementing Government’s strategy for applied health research £1b annual spend Vision To improve the health and wealth of the nation through research Surgical research is under- represented in the NIHR portfolio Infrastructure demonstrates wide intra- and inter institutional variation

Research Capacity: Over 6000 patients in surgery trials

Research Networks NHS/ NIHR provides a unique opportunity for research. However New research networks established for each trial Loss of corporate memory In the ERICCA trial site set-up in one study was 24 months. Wasteful of resources. Disincentivises collaboration Reduces access to NIHR/ BHF/ CRUK funds

Strategy to Increase Critical Mass in Academic Cardiothoracic Surgery Academic and Research Committee. National Research Meeting. National initiatives: RCS specialty leads for clinical research. Engagement with funders. National research priority setting. National trials network. Trainees research network. Increase in ACF/ ACL posts.