R&D Directorate Difference between Research and Clinical Audit NHS Foundation Trust Aintree University Hospitals NHS R&D Directorate Lorraine Broadfoot R&D Co-ordinator Tel: x5870 Email: lorraine.broadfoot@aintree.nhs.uk Difference between Research and Clinical Audit and The R&D Department and how it helps

Difference between Research and Clinical Audit What is Clinical Audit and why do we need it? It’s a quality improvement process that seeks to improve patient care and outcomes through systematic reviewing of patient care against specific criteria, for example the time taken for performing a certain duty on a ward, or perhaps the figures involved in MRSA cases and steps taken to better these. Changes are implemented at an individual, team or service level and further monitoring is used to confirm improvements in health care delivery. To summarise why we need clinical audit: Firstly, Clinical Audit findings should improve patient care and the consistency/quality and effectiveness of treatments and care; it should improve access to healthcare; and improve patient satisfaction. On another level, it should improve how staff work together and communication between staff. It should improve staff awareness of guidelines and procedures and identify where their training needs lie.

Difference between Research and Clinical Audit Clinical Audit Cycle Clinical Governance sets new standards in healthcare and reviews existing standards by observing practices in the workplace, comparing these practices with the standards required and agreeing any changes needed. So it’s a continuous cycle of events. The Standards in question could be NICE guidelines, National Service Frameworks, Clinical Indicators, Policies, Procedures or Clinical Pathways

Difference between Research and Clinical Audit Where can ideas come from to do Clinical Audits? Ideas can come from various avenues, when comparing practice against different areas:- for example….. NICE/National Guidelines and practice Royal colleges and professional bodies National Service Frameworks and practice Local Guidelines and practice User Complaints/complaints via PALS triggering investigation and possible audit Clinical Incidents triggering evaluation and audit Performance Indicators not being met Advice via PCT’s

Difference between Research and Clinical Audit Audit vs Research Doing it right and Doing the right thing Unlike Harry Hill on TV Burp, I’m not going to shout “ research and audit, so which is better…..fight”! Both have their distinct places in health care, and provide their own advantages to healthcare. To summarise: Audit evaluates conformity, with knowledge that has been tested and proved to be acceptable to the majority. It seeks to evaluate whether best practice is being delivered to patients and is about “Doing it right”. Whereas Research is the quest for new knowledge it seeks to define what is best practice, and is all about “doing the right thing”.

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The R&D Department-How It Can Help ”Who is part of the Team"? Rob Moots-R&D Director: Neil Whalley-R&D Manager Lorraine Broadfoot-R&D Co-ordinator Paul Brown-Aintree Innovation Manager Lucy Berresford-M&CCRN Cancer Trials Facilitator Linda Kearns-Data Officer Leigh Pauls – Haemotology SRN Shirley Pringle-Head & Neck SRN Presentation Designed by Lorraine Broadfoot-R&D Co-ordinator Aintree

Why is R&D here. It began in Nov. 1993 1 Why is R&D here? It began in Nov. 1993 1. Government Task Force led by Prof. Anthony Culyer 2. Target: to examine NHS Research Nationwide 3. Plan: to implement an R&D infrastructure in Trusts, a) Create a single Research &Development Budget b) Develop criteria for coverage of this Budget c) Develop criteria and systems to access Budget d) Develop Principles for funding via the Budget e) Ensure Management is in place to Support these aims

R&D Funding Passage to Trusts The passage of funding has recently changed. With effect from 2008 – All eligible Research studies are now registered with the NIHR CRN (National Institute for Health Research Clinical Research Network). Their Central Office based in Leeds receives Government Research Funding which is disseminated to the regional hubs (CLRN’s) and allocated to Health organisations on a per study basis

What is our main remit for Aintree Trust’s Researchers? We report the level of research within Aintree Trust to the Government via the NIHR CRN. Also via an Annual Report sent to the Department of Health. These reports corroborate the level of funding Aintree can expect for our extensive research portfolio We aim to justify future increases in this funding 3. Reports and surveys undertaken throughout the year, advertise the level of research taking place at Aintree, and the expertise of our researchers. 4. We are the Research Governance service for Aintree Researchers, we provide permissions for all research that takes place at Aintree and provide Trust Insurance Indemnity against all research projects, which covers all research personnel taking part in a study.

What Practical Support do we provide for Researchers?

The next steps towards research study approval 1. The Research Ethics Committee will need to have their IRAS R&D/Ethics application with a copy of your research protocol and CV’s for participants 2. The R&D Support Unit will also need to see copies of your Ethics submission, protocol, any study finance agreements, your data protection form and a completed/signed Site Specific Information Form You have your piece of research formulated and ready to go Who do you need to apply to?

Do you have any questions? Finally……… Thanks for listening Do you have any questions?