nischr crc delivering research support in primary care
TRANSCRIPT
Mae NISCHR CRC yn rhan o’r isadeiledd ymchwil i Gymru sy’n cael ei ariannu gan NISCHR, Llywodraeth Cymru www.wales.gov.uk/nischr NISCHR CRC is part of the research infrastructure for Wales funded by NISCHR, Welsh Government www.wales.gov.uk/nischr
NISCHR CRC – Delivering research support in
Primary Care
Jayne Jones Deputy Director NISCHR CRC
Participants recruited to studies 2013/14
Key features
Equipped and managed
Proactive and networked
Responsive
Flexible
Research Network support
• Supporting the planning, set up and co-ordination of studies – costing and feasibility
• Database searches and notes screening
• Ensuring compliance with research management and governance legislation, ethical and GCP requirements
• Identifying and recruiting patients, service users and collaborators
• Obtaining patient and service user consent for participation
• Collecting data for studies and follow up
NISCHR CRC staff -specific requirements in Primary Care
• Culture
• Engagement and access at GP practice level
• Communication processes within Primary Care
• Limitations on time
• Limited space
• Primary Care skills and knowledge
• IT and systems knowledge
• Model of working
• Sustainability
NISCHR CRC support –
enquiry sources
NISCHR CRC staff scoping
UK portfolio
Health Research
Wales
RRG members
NHS/ University
Other regional Network
Local clinician worked with us
previously
Local clinician Signposted
by R&D dept
Clinical Trials Unit
NISCHR CRC
NISCHR CRC
prioritisation of work
Non Commercial Portfolio Study
Commercial Portfolio Study
Non Portfolio Commercial/Pathway to
Portfolio
Network level assessment
of feasibility
Facilities equipment and training
PI and NHS Engagement/
resources
Location Eligible population and sample size
Timescales
Network Resource Allocation
When? Opening July 2013 How long? 12 month recruitment period
Follow up period? 12 months
Where?
Location of dispensing pharmacy may dictate which surgeries are recruited.
What? Ipad, Blackberry, cases, scales All equipment supplied by study.
Who?
Relevant experience of primary care/ paediatrics/ & /or dermatology.
How many?
Expected incidence x sites recruited.
What? GCP, Generic & study-specific Informed Consent training. Study methodology & use of study materials. How? Combined use of training resource:- study team and NISCHR CRC training facilitators.
Example: CREAM study - children with eczema,
antibiotic management study.
Appraise dates, times, duration of required support
Appraise equipment requirements
Identify staff
with relevant
clinical/
research skills
Appraise
location/
travel
requirements
Appraise
specific
training
requirement
Primary Care Research Incentive Scheme – PiCRIS
Incentivises participation in research, provides mentorship
and supports infrastructure development
NISCHR Infrastructure
NISCHR Clinical Research Centre – NISCHR CRC
Provides a nationally coordinated, regionally based,
skilled and experienced workforce
Oversee, develop and deliver a research specific training
program
Health Research Wales Facilitates the successful delivery of commercial research in the NHS and
promotes Wales as an effective place to do research
Case study: All-Wales co-ordinated support
Welsh-led, multi-centre study aiming to improve the Diagnosis of Urinary Tract infection in Young children
NISCHR CRC support:
• Early involvement
• Support co-ordinated on all-Wales basis
• Patient recruitment
• Local site management and administration to practices
• Engagement with Nurse Principal Investigator
• Running children’s clinics
Successes:
• All-Wales engagement
• Recruited ahead of time and target
• High recruitment rate - 976 of the 1779 participants recruited by NISCHR CRC
• Highest rates of urine sample retrieval across UK
• Recruitment of research-naive practices and development of working practices
“NISCHR CRC staff are a core part of the study team, and have been a driving force in the recruitment of primary care practices, engaging clinical staff in research, as well as actively recruiting participants to the study.”
DUTY Study Manager, South East Wales Trials Unit
Thank you!
NISCHR Clinical Research Centre Central Office
3rd Floor
12 Cathedral Road
Cardiff
CF11 9LJ
Tel: 029 2019 6821
e-mail: [email protected]
Today’s Research; Tomorrow’s Care
Ymchwil Heddiw; Gofal Yfory