Today’s Research, Tomorrow’s Care Why research matters to you Dr Peter Isaacs, R&D Director Dr Megan Thomas, Associate R&D Director Michelle Stephens, R&D Manager Joanne Howard, Clinical Research Nurse Manager

Why Research Matters All of us have high expectations of the NHS and its ability to offer the most cutting-edge care Delivering the best possible health care relies on doing the best possible research Research: – Underpins the quality of all health services – Contributes to new advances in conditions and treatments – Makes a vital contribution to improved health outcomes In research-active hospitals benefits are felt by: – All patients – Staff – Facilities – Culture

Blackpool has largely un-researched populations: 12 th most deprived local authority in England Large temporary population 7 th worst nationally, 2 nd worst in the North West for teenage pregnancy 2 nd highest suicide rate in males nationally, 4 th highest across both genders nationally 4 th highest estimated percentage of smokers in the North West Mortality from cardio-vascular disease is in the worst 10% of the North West Approx 500 deaths from cancer each year, in the worst 10% in the North West

Blackpool Teaching Hospitals is research active Supporting a mixed range of studies – multicentre & international, including: interventional, medicines / devices and observational studies Working with a variety of sponsors - NHS, universities, charities and pharmaceutical companies

Historically research activity has taken place in: – Gastroenterology – Cardiology – with industry – Haematology – Endocrinology – Anaesthetics Research has expanded into: – Stroke – Obstetrics & gynaecology – Critical care – Emergency Medicine – Ophthalmology – Oncology – Microbiology – Orthopaedics – Cardiothoracic – Paediatrics Allowing the Trust to build its research profile across a wider number of therapeutic areas

Good site to recruit patients 20010/11 target

The Trust has recruited high calibre clinical research staff: 9.5 funded sessions for consultant staff 24 WTE research staff – Research Nurse Manager – Senior Research Nurses – Research Nurses & Midwives – Clinical Trials Administrators – Senior Pharmacy Clinical Trials Technician – Pharmacy Clinical Trials Technicians Research Management and Governance Staff – —R&D Manager —R&D Officer —R&D Administrator

NIHR CRN North West Exemplar Programme Three Exemplar Studies running in the pilot. Opportunity to: – Streamline systems and processes for issuing NHS Permission – Benchmark performance against bigger Trusts – Work with new pharmaceutical companies in new areas – Showcase what we can do – NHS permissions and recruitment

Good NHS Permission Times R&D Approval in: – 37 days – 43 days – 49 days First patient recruited in: – 180 days – 105 days – 2 days - recruited the first global patient!

Achieved Exemplar standards – rolling out to all commercial studies Blackpool on the map for: – Senior level and board engagement in R&D – Streamlined research governance processes – Communication and Teamwork – Good demonstrable results for NHS permission – First global patient recruited Exciting plans for a new Clinical Research Centre for 2011

Research has improved the outcomes for stroke patients Almost half of patient’s admitted to hospital with stroke develop a Deep Vein Thrombosis (DVT) DVT can: – cause further complications – increase the risk of bleeds with anti clotting drugs NICE guidance recommended the use of graduated compression stockings

The Study CLOTS1 A multicentre, randomised controlled trial of the effectiveness of graduated compression stockings in the prevention of DVT and PE in patients after stroke March 2001 – November 2008

CLOTS Trial 1 Immobile Stroke patient Day 0-3 of admission Routine care & Stockings Routine care Duplex of both legs at 7-10 days Duplex of both legs at 7-10 days Duplex of both legs at days (optional) Duplex of both legs at days (optional) Centralised 6 month follow up Centralised 6 month follow up

Outcome Measures DVT on doppler ultrasound Pulmonary Embolism (PE) Skin Damage Follow up at 6 months

Results Thigh length compression stockings were not effective in the prevention of DVT and PE in stroke patients. Skin damage to legs was higher with patients who wore stockings than those who did not. Thigh length graduated compression stockings were not well liked by stroke patients.

Implications For Clinical Practice Staff on the stroke unit no longer use stockings This change in practice will save the NHS around £7 million and 320,000 hours of nursing time. NICE guidance amended January 2010

CLOTS 3 Intermittent Pneumatic Compression

Patient and Public Involvement in Research Who are we talking about? People who use health and social care services Informal carers and families Organisations representing the users of NHS services and community groups YOU !

Why have PPI in Research? Leads to better research Clearer outcomes Faster uptake of new evidence

What involvement? At every stage………. Set research priorities Identify the important questions that health and social care research needs to answer

Give your views on research proposals alongside clinicians, methodologists, scientists, other professionals Help assess proposals for funding

Take part in clinical trials and other health and social care research studies, not just as subjects but as active partners in the research process Publicise the results

What can you do today? Complete a form with your contact details Indicate how you would be happy to be involved Indicate which areas/conditions you are particularly interested in

What can you do in the future? Inform your friends and family about research Liaise with the Patient Reps Respond to our requests for help Inform your friends and family about research Liaise with the Patient Reps Respond to our requests for help

Thank you Any Questions?

The next Foundation Trust Health Seminar will take place on Monday 7th February 2011 between 2 – 3 pm The topic is: ‘The Importance of Donated Time and Money and How Fundraising and Volunteering Benefits the Trust and its Patients’