NIHR CLAHRC Community e-newsletter – Career development of the healthcare workforce Issue 76
This issue of the CLAHRC Community e-newsletter showcases initiatives that CLAHRCs are implementing in the regions to support the healthcare workforce to further their career development – from mentorship programmes, fellowships and leadership development programmes, to learning events like the Career Development Conference held in London earlier in the month, jointly run by the London CLAHRCs.
We’re adding new features to our website! Have a look at the new CLAHRC Impact section, containing numerous added-value examples of the world-class research that the CLAHRCs are leading across the regions. DROPLET, a weight management trial designed by CLAHRC Oxford is now complete and has been published in the BMJ. Read about the trial and share the infographic! CLAHRC North Thames, in partnership with RDS London and Clinical Research Network North Thames will be running a workshop to enable NHS staff and local authorities to become more research active by providing an introduction to the research process. CLAHRC NWC will present lessons from their Neighborhood Resilience Programme at the learning exchange event Pathways to tackling housing challenges. CLAHRC Yorkshire and Humber are hosting the event “ReQoL in practice”, to share learning about the implementation of their recovery-oriented patient reported outcome measure ReQoL.
CLAHRC East Midlands
Clinical academic and workforce development
NIHR CLAHRC East Midlands supports clinical academic and workforce development in a number of ways. Placements are offered for non-medical trainees as an introduction into applied health research. Students can spend up to 3 weeks with the CLAHRC clinical study teams and operational teams, gaining understanding and experience in research approaches and techniques, PPI and implementation.
Mentorship and coaching in developing both clinical academic careers, and applied health research careers, is offered to CLAHRC EM PhD and postdoc students, and provided by members of the Executive team and wider Faculty members. CLAHRC EM also support the East Midlands’ Clinical Senate’s Clinical Research Fellows in accessing appropriate mentorship.
Research bursaries are offered to any East-Midlands based PhD students through a regional competition held twice a year. Funds can be used to cover research costs or for dissemination purposes. Fellowships for clinical academics to study for a PhD and postdoctoral pump-priming development work are offered, and complement the NIHR ICA pathway. Training sessions are offered, free of charge, on a variety of research approaches and related study and community engagement skills.
Other initiatives include:
East Midlands Clinical Academic Careers Advisory Group
East Midlands Clinical Academic Practitioner Network
CLAHRC East of England
CLAHRC EoE Felowship
In 2017, a CLAHRC EoE Fellowship enabled East of England Ambulance Service (EEAST) Research Paramedic, Larissa Prothero, to undertake a qualitative patient safety research project, in collaboration with Cambridge Engineering Design Centre. The aim of the project was to evaluate pre-hospital sepsis care errors to help prevent their recurrence. Following this Fellowship, Larissa has become an integral member of EEAST Sepsis Quality Improvement Group, sharing her learning to improve patient care at Trust level and more widely, via publications and presentations at national sepsis and emergency care conferences.
As a CLAHRC EoE Fellow, Larissa has been exploring new opportunities for research collaborations with both academic researchers and clinicians from CLAHRC, The Healthcare Improvement Studies Institute, the Eastern Academic Health Science Network and the Q Community. Such collaborations would not only offer great personal development opportunities, but would also increase EEAST’s research capacity and capability.
Gabriel Abotsie works as a Lead Nurse Research Associate in Norfolk and Suffolk NHS Foundation Trust (NSFT), working with the Child, Family and Young People (CFYP) research team to develop clinical research protocols for NIHR funding grants.
During his CLAHRC Fellowship in the 2014 cohort, Gabriel worked on a project looking at physical health problems among people with the diagnosis of serious mental health illnesses such as schizophrenia and Bipolar disorder. Together with his supervisors, Gabriel designed the research protocol which was action-oriented, aimed at promoting physical health care in a community mental health team.
Having completed his CLAHRC EoE fellowship, Gabriel is now doing a PhD and working as an Associate Lecturer at Anglia Ruskin University.
CLAHRC Greater Manchester
Research career development for NMAHPs
The CLAHRC GM internship programme is a 30 day programme delivered over 6-9 months. The programme starts with an intensive 1.5 workshop that introduces interns to the world of health services research, including an introduction to research and evaluation methods. Interns select a topic, review the evidence and have the opportunity to conduct a small scale evaluation, and potentially implement their findings into practice. Interns present their progress at a second workshop mid-way through the programme and at a Celebration Event. Throughout the programme interns have monthly supervision with academic staff and a colleague from practice. Many interns go on to further study such as a Master’s in Research (MRes) or a Bridging Fellowship.
These opportunities have been taken up by a wide-range of partners, who wish to support their staff with developing research skills and initiatives that will ultimately benefit patients and service users. All of the programmes align with CLAHRC GM core objectives and our vision of delivering high quality research which improves healthcare and has impact in Greater Manchester and beyond.
For more information, please contact email@example.com
CLAHRC North Thames
CLAHRC North Thames Evidence in Practice Programme to hone NHS staff research skills
Getting evidence into practice is a challenge shared by all researchers, and CLAHRCs have a role in both addressing the underuse of effective treatments and promoting use of current best evidence in patient care. The Evidence in Practice (EiP) Programme is a UCLPartners-funded project that CLAHRC North Thames is undertaking with St Bartholomew’s Hospital to encourage evidence-based practice. The programme will work with point-of-care clinicians, nurses, and AHP in their workplaces, to share the importance of research in clinical settings, and to empower them to take leading roles in the implementation of evidence generated through research. The EiP Programme launches on the 26th of November 2018.
The programme builds on CLAHRC North Thames’ successful capacity building across its patch, in particular our Academy short courses aimed at partners in frontline services in the NHS and local Government. Our training is delivered by experienced researchers and provides staff with the tools and methods they need to use evidence based approaches to decision making and carrying out various types of evaluations of services and research. Contact firstname.lastname@example.org to register for our upcoming courses or for further information.
CLAHRC North West Coast
Interns shine under showcase spotlight
CLAHRC NWC Interns gathered in Lancashire to showcase their work to an enthusiastic audience at the University of Central Lancashire on 10th October. The research presented included improving access to psychological therapy for stroke survivors, stroke rehabilitation and building research capacity through a supported NIHR Internship. The Internship opportunities have been offered and taken up by staff from CLAHRC NWC partner organisations across the region.
Partners such as NHS Trusts, Local Authorities and Clinical Commissioning Groups are supporting their staff to complete research projects with the aim of findings being implemented for the benefit of their service users and wider health economy. Projects must address health inequalities and support the priorities of the CLAHRC NWC.
CLAHRC North West London
London CLAHRCs come together to support career development
An immense networking and connectivity opportunity. CLAHRC South London, CLAHRC Northwest London and CLAHRC North Thames recently co-hosted the NIHR Careers Development Conference. It was a timely gathering, with the launch of the NIHR Academy in October 2018. The event was attended by over 90 researchers from across the national CLAHRC network. The conference provided an opportunity for early career researchers to present and showcase their research to peers and senior researchers through a range of poster and oral presentations. Keynote speeches from Dr Louise Wood, Director of Science, Research & Evidence at the Department of Health and Social Care and Professor Dave Jones, NIHR Dean of Faculty Trainees, were energising and inspiring reminders of the challenges and opportunities for developing a career in applied health and care research. Visit the blog to read more about the NIHR CLAHRC Career Development Conference and relive the story of the day in tweets.
Dementia Education for Health and Social Care Staff
The DHSC Mandate to Health Education England (HEE) set out a work programme to create and develop, in collaboration with appropriate stakeholders, a tiered dementia training programme for all NHS staff beginning with a national roll-out plan for foundation level training. From this, PenCLAHRC created a set of high-level standards to be sued by educational commissioners across the full range of their commissioned programmes. These standards are used to as a guide in development programmes for dementia education and as a framework to support existing programmes. Read more here.
Health Modelling Service Associates (HSMA)
The Health Service Modelling Associates (HSMA) Programme is a scheme run by PenCLAHRC’s operational research team, PenCHORD. Working directly with staff from NHS organisations in Devon, Cornwall and Somerset, the programme aims to support the increased use of Operational Research (OR) within health service development and decision making.
The Associates undertake advanced modelling, simulation and analysis work on specific projects within their own organisations. They receive mentoring, support, and training from PenCHORD, whilst being supported in their own organisation by a HMSA Workplace Supervisor. The supervisor facilitates the implementation of the HMSA’s project and helps to champion the work within their wider organisation.
The next HSMA event will be taking place on the 5th December 2018 – Register here.
Read more here or head the HMSA website.
Nikki Cotterill on how CLAHRC West helped her develop her career
Dr Nikki Cotterill has been working at CLAHRC West for the last 18 months as Post-Doc Nurse Fellow in Continence Care. She has just been made Associate Professor in Continence Care, working across CLAHRC West, the University of the West of England and Bristol Urological Institute. Here she describes how her career has developed.
CLAHRC West Midlands
Leadership Development Training for Distributing Leadership
Evaluating a leadership development programme at one of the hospitals within the NIHR CLAHRC-WM region showed that localised in-house training, rather than national-level training, can support relational development within service teams by improving communication between individuals, but remains difficult to enact as distributed leadership across the wider hospital.
Barriers to enacting leadership training towards distributed leadership
Based on a longitudinal, qualitative study involving over 30 participants, professional identities meant some clinicians proved reluctant to enact hybrid leadership roles that crossed clinical and managerial organisation, hence transfer of leadership models presented in the classroom proved slow to realise. Rather than distributed, power was concentrated with doctors, which leadership development did not challenge. Finally, resource constraints meant participants were too pressurised to enact distributed leadership on the frontline, instead focusing upon immediate operational concerns commonly dictated by central government policy.
We need to consider the wider organisational and systems context within which leadership development is delivered, since this may stymie transfer of learning. Organisational managers should mediate the influence of professional hierarchy and resources as much as possible, and recognise that leadership development may be about socialising clinicians towards leadership, as much as developing leadership competence. In the absence of managerial agency to affect such matters, then we suggest foundations for distributed leadership may be better developed in earlier professional training.
For further information contact Gary Kerridge, email email@example.com.
CLAHRC Yorkshire and Humber
Shaping better practice through research: an integrated research competencies framework for Allied Health Professionals (AHPs)
The NIHR CLAHRC YH Capacity Lead Jo Cooke has been working with the Council of Allied Health Professions Research (CAHPR) to develop a research competencies framework for AHPs. The competencies framework aims to provide some guidance to managers, and provide a structure to plan and implement research into clinical job planning and practice.
This project was based on findings and recommendations from the national mapping exercise on the research capacity support delivered by CLAHRC community (see Cooke et al 2016). The mapping report found that clinical managers had a limited knowledge of how to support AHPs wanting to pursue an applied research career, and recommended that the CLAHRC community should work more closely with the AHP professional bodies to support such career trajectories.
Our project was jointly funded by NIHR CLAHRC YH and CAPHR. It involved integrating 19 research competencies frameworks across the full range of professional groups identified from the national and international literature, and from snowball sampling within the AHP professional networks. The content of these research frameworks were thematically coded and the first integrated framework presented to a consensus workshop of invited participants early in October 2018. We aim to publish the final version of the integrated framework early in 2019, and will disseminate this via the CAPHR and CLAHRC communities. Find out more about our Capacity Building work here.