Clinical Academic Training - the NIHR scheme. JP Neilson NIHR Dean for Training [DATE] November 2008

Infrastructure Clinical Research Facilities & Centres Clinical Research Networks Research Research Projects & Programmes Research Governance Systems Research Information Systems Systems Patients & Public Universities Investigators & Senior Investigators Associates Faculty Trainees Research Units & Schools NHS Trusts

NIHR In-Practice Fellowship NIHR Clinician Scientist NIHR Clinical Lecturer NIHR Academic Clinical Fellowship Masters in Health Economics NIHR Post-Doctoral Fellowship NIHR Career Development Fellowship NIHR Senior Research Fellowship Research Capacity Development Programme NIHR Research Training Fellowship

Research Funding Medical ResearchNational Institute for Council (MRC)Health Research (NIHR) BasicPatient based Wellcome Trust, Cancer Research UK, other charities. National Coordinating Centre for Research Capacity Development

NIHR: NHS60 60 years of research benefiting patients: Lung cancer & smoking Hip replacement Glasgow coma scale/first IVF baby Genetically engineered hep B vaccine Prenatal corticosteroids Bioengineering heart valves National Coordinating Centre for Research Capacity Development

UK 6.5% of consultants (specialists) are clinical academics Research Assessment Exercise National Coordinating Centre for Research Capacity Development

Medical Schools Council Primary care122% Internal medicine114% Paediatrics 83% Surgery 83% Psychiatry 78% All posts 2007 cf 2000 National Coordinating Centre for Research Capacity Development

Medical Schools Council Public health77% Obstetrics & gynaecology76% Anaesthetics67% Pathology46% All posts 2007 cf 2000 National Coordinating Centre for Research Capacity Development

Medical Schools Council All lecturer posts50% Lecturer posts 2007 cf 2000 National Coordinating Centre for Research Capacity Development

Medical Schools Council Paediatrics21.2% Pathology21.1% Psychiatry23.2% Public health17.5% Lecturer posts 2007 cf 2000 National Coordinating Centre for Research Capacity Development

Medical Schools Council Aging population (>46: 52% to 59% since 2004) Women under-represented (12% professors). National Coordinating Centre for Research Capacity Development

‘Walport Report’ March 2005 ‘Medically- and dentally-qualified academic staff: Recommendations for training the researchers and educators of the future’. England, Scotland, Wales, Northern Ireland. National Coordinating Centre for Research Capacity Development

‘Walport Report’ Deterrents to academic medicine and dentistry training in the UK: – Lack of clear career structure – Lack of flexibility in balance of clinical and academic training, and geographical mobility – Shortage of appropriate posts on completion of training. National Coordinating Centre for Research Capacity Development

NIHR In-Practice Fellowship NIHR Clinician Scientist NIHR Clinical Lecturer NIHR Academic Clinical Fellowship Masters in Health Economics NIHR Post-Doctoral Fellowship NIHR Career Development Fellowship NIHR Senior Research Fellowship Research Capacity Development Programme NIHR Research Training Fellowship

Funding 08/09 09/10 Integrated academic training£30m £43m €38m €54m Fellowships£14m £17m €18m €22m National Coordinating Centre for Research Capacity Development

IAT implementation plan 2009 NIHR ACFs 25% research training, 3 years (4 GPs) NIHR CLs 50% post-doctoral research, 4 years, matched posts Locally funded ACFs Each medical school allocated posts to be managed in partnership with deanery and trust(s) 200/250 ACFs and 80/100 CLs allocated by formula based on major NIHR funding (BRCs, BRUs, CLAHRCs etc) Minimum 2 ACFs per medical school In 2009 & 2010 transition to respect previous allocations In 2011 balancing figure available for additional training places National Coordinating Centre for Research Capacity Development

IAT implementation plan 2009 Specialty guidance for new posts Non-prescriptive Partnerships have flexibility to make appointments at variance with specialty spread set out in their plan if this enables them to recruit candidates of the highest calibre. National Coordinating Centre for Research Capacity Development

NIHR ACFs 2009 NewcastlePaediatric oncology SheffieldPaediatrics LiverpoolPaediatric surgery Paediatric pharmacology BirminghamPaediatric surgery NottingamPaediatrics OxfordPaediatric surgery UCLNeonatal medicine Paediatrics x4 Paediatric endocrinology Paediatric surgery National Coordinating Centre for Research Capacity Development

NIHR ACFs 2009 ImperialNeonatal medicine Paediatrics x4 Paediatric allergy & infection BristolPaediatrics x2 SouthamptonPaediatrics National Coordinating Centre for Research Capacity Development

NIHR CLs 2009 BirminghamPaediatrics NottinghamPaediatrics UCLAdolescent cancer Adolescent medicine Paediatric pathology Paediatrics x2 ImperialNeonatal medicine Paediatrics ICRPaediatric oncology National Coordinating Centre for Research Capacity Development

IAT implementation plan 2009 Plans: end October 08 Adverts: November 08 Appointments: January 09 National Coordinating Centre for Research Capacity Development

ACF ‘stock-take’ ACFs (60%) Programme Leads (56%) Wellcome Trust Strategic Planning & Policy Unit July 2008 National Coordinating Centre for Research Capacity Development

ACF ‘stock-take’ Difficulty with appointments (MTAS) Challenges at interface between deaneries/medical schools/trusts Protection of research time Inconsistent quality of research and clinical supervision Wellcome Trust Strategic Planning & Policy Unit National Coordinating Centre for Research Capacity Development

ACF ‘stock-take’ ACFs: 56% plan career in academic medicine 67% had BSc or BA 81% plan to apply for RTF 3% had had training in writing funding applications Wellcome Trust Strategic Planning & Policy Unit National Coordinating Centre for Research Capacity Development

IAT implementation plan 2009 Taught courses Annual appraisal (ARCP) Site visits NIHR Diploma Bursary National Coordinating Centre for Research Capacity Development

New for 2008/2009 NIHR Clinical Academic Training (CAT) Pathway for Nurses, Midwives and AHP NIHR Healthcare Scientists Fellowships NIHR Research Methods Programme Research Capacity Development for the NIHR SDO Programme National Coordinating Centre for Research Capacity Development

JP Neilson NIHR Dean for Training [DATE]