1. Research for All: Now is
the time!!
Ged Byrne
DDEQ (North)

2. Research: what are we trying to do?
The Quadruple Aim:
•Improving the health of populations
•Improving the individual experience of care
•Reducing the per capita cost of care
•Improving the experience of providing care
- Increasing joy and meaning for the workforce
The Quadruple Aim: care, health, cost and meaning in work;
BMJ, 2 June 2015; Sikka, Morath, Leape
http://qualitysafety.bmj.com/content/early/2015/06/02/bmjqs-2015-004160.full.pdf+html

3. Never has there been a better time?
• Demographic change
• The NHS is amazing
• System change
• Technology
• Research emphasis change/ bench to bedside to
policy
• System resources
• Research funding opportunities
• Globalisation

4. Demographic change
• Ageing population
• 2.8 million with diabetes rising exponentially
• Male obesity 13.2-24.3% between 1993 and 2014
– Boys aged 2-10 up 10% in 9 years
– Girls aged 2-10 11% in same period
• Complex morbidity but slowing mortality

5. The NHS is amazing
• £113.3 Bn 2015-16 and 1.31M workforce
– 209 CCGs, 154 Acute trusts, 56 MH Trusts, 10
Ambulance Trusts, 7,875 GP practices
– 149,808 docs, 314,966 nurses, 146,792 scientists
• 1 million people every 36 hrs
– 22.923M ED/yr
– 85.632m outpatient apts
– 250M GP/population interactions/yr

6. Life Sciences
• Analytical Toxicology
• Anatomical pathology
• Blood transfusion
science/transplantation
• Clinical biochemistry
including paediatric
metabolic biochemistry
• Clinical genetics/Genetic
Science
• Clinical embryology &
Reproductive Science
• Clinical immunology
• Cytopathology including
cervical cytology
• Electron microscopy
• External quality assurance
• Haematology
• Haemostasis and thrombosis
• Clinical Immunology
• Histocompatibility &
immunogenetics
• Histopathology
• Microbiology
• Molecular pathology of
acquired disease
• Phlebotomy
• Tissue banking
Physiological Sciences
• Audiology
• Autonomic neurovascular function
• Cardiac physiology
• Clinical perfusion science
• Critical care science
• Gastrointestinal physiology
• Neurophysiology
• Ophthalmic and vision science
• Respiratory physiology
• Urodynamic science
• Vascular science
Physical Sciences and
Biomedical Engineering
• Biomechanical engineering
• Clinical measurement &
Development
• Clinical Pharmaceutical Science
• Diagnostic radiology & MR physics
• Equipment management & clinical
engineering
• Medical electronics &
instrumentation
• Medical engineering design
• Clinical photography
• Nuclear medicine
• Radiation protection & monitoring
• Radiotherapy physics
• Reconstructive Science
• Rehabilitation engineering
• Renal dialysis technology
• Ultrasound & non-ionising radiation
Bioinformatics including
• Clinical Bioinformatics and Genomics
• Computer science and modelling
• Health Informatics
Apr 2013
Themed Healthcare Science Divisions

7. System change STPs and LWABs
7

8. Sustainability and Transformation Plans
• The NHS Five Year Forward View Shared Planning Guidance
required every local health and care system in England to create a
Sustainability and Transformation Plan (STP).
• These will be place-based, multi-year plans built around the
needs of local populations.
• STPs will drive transformation in health and care outcomes
between 2016 and 2021.
• They will help strengthen local relationships and better enable a
shared understanding of how we can best deliver the FYFV.
@NHS_HealthEdEng #HEELKS http://tinyurl.com/zfwu7p6

9. HEE strategic direction
To enable our discussion about focus
for efforts in workforce transformation
we believe our work in HEE is
organised in 3 interrelated domains:
•Workforce observatory (planning,
modelling)
•Quality (education frameworks)
•Transformation (including culture,
leadership, OD)
We need to ensure that work in these
3 domains is aligned so there is a
cumulative positive impact
Workforce
observatory
Quality
Transformation

10. A changing landscape…
Within the wider NHS:
Introduction of sustainability
and transformation
partnerships
Development of new care
models
• Supply
• Up-skilling
• New roles (Nurse
associate)
• New ways of working
(greater community
involvement)
Within Health Education:
September 2016

11. @NHS_HealthEdEng
HEE
transformation
offer
Developing a
menu of
‘products’ to
support
workforce
transformation,
mapped to the
triple aim
requirements

12. The clinical learning environment: the gateway to team
learning
Broad multi-professional education support infrastructureBroad multi-professional education support infrastructure
Consistent and
comparable view of
quality
Consistent and
comparable view of
quality
National and local
level
National and local
level
High quality patient
care
High quality patient
care
Supporting learnersSupporting learners
Quality improvementQuality improvement
September 2016

13. What are clinical learning environments for??
Student
Current
workforce
Wider
impact
September 2016

14. Technology: OMG1!

15. 2005
Didn't exist Still a sound Still in the sky Parking space
A prison Sent to college Typo
Thomas Friedman,
World Economic Forum,
Quoted by http://ayeletbaron.com
TEL: simulation m-Learning e-Learning

16. Key research priorities for 2015/16 are:
• Big data/Medical Bioinformatics; by 2015 MRC will be consolidating links between
molecular and clinical and population level data; links with industry; and strengthening
training and research programme opportunities built on medical bioinformatics
infrastructure.
• Capacity, infrastructure and skills; MRC recently announced the Clinical Research
Infrastructure Initiative, following a £150M provided by the Department of Health41. The
initiative will enhance translational capability, partnerships with industry and existing
strategic clinical research infrastructures. At least £50m of additional funding is sought from
potential partners in the public, charity and private sectors to add value to all aspects of this
work
• Dementia; MRC will maintain a portfolio of high quality research to deliver greater
understanding of neurodegenerative diseases and design new interventions that may
prevent the later devastating impact of dementia.
• Antimicrobial resistance; MRC will lead a cross-funder initiative to support new research in
this important area. The work will involve the integration of novel chemistry with biology and
extensive collaboration across research councils,
Research priorities are
changing: e.g. MRC

17. E&T Reform Programmes
HEE lead focus on structure & delivery of E&T ~
time bounded 10 plus years
• Medical E&T reform (incl. Shape of
training)
• Shape of caring
• Pharmacy reform
• Paramedic training
• Advanced Clinical Practice
National HEE strategic reviews
•TEL
•Patient safety
•Primary care
Research emphasis change
Workforce transformation programmes
These are nationally lead, usually linked to a ministerial priority, often jointly owned and delivered with other
ALBs and sometimes with E&T funding coming from NHS England.
• Primary Care
• Diagnostics
• Children & Young People
• Urgent & Emergency Care
• Public Health
• Mental health
• AMR & Sepsis
E&T Policy

18. Resources: We are broke!!
• Currently trajectory predicts £22Bn financial deficit year on year
by 2020
• The NHS net deficit for the 2014/15 financial year was £471
million (£372m underspend by commissioners and a £843m
deficit for trusts and foundation trusts). This year £2.2Bn
• 80% of NHS Trusts declared a deficit
We MUST innovate to
survive

19. TEL: simulation m-Learning e-Learning
“Healthcare in the UK is underpinned by
world-class life long education and
training that is enhanced through
innovation and RESEARCH and the use of
evidence-based, existing and emergent
technologies and techniques.”
Originates from the Department of Health’s
A Framework for Technology Enhanced Learning (2011) and other key
reports.

20. Leadership
Leadership
Teamwork
Teamwork
communication
communication
Value for money
Value for money
Empathy
Empathy
‘M
aking
do’
‘M
aking
do’
Cultural
competence
Cultural
competence
Equality &
diversity
Equality &
diversity
Public healthPublic health
wellness
wellness
Infectious
diseases
Infectious
diseasesPatient safety
Patient safety
Personal
effectiveness
Personal
effectiveness
Managing riskManaging risk

21. The characteristics of the future
workforceThe ‘workforce’ will need to...
•Continue to help people prevent ill health and manage their own care
•Have the skills, values and behaviours required to provide personalised
care
•Have adaptable skills, responsive to innovation to enable ‘whole
person’ care
•Have the skills, values and behaviours to provide high quality care
•Deliver the NHS Constitution: “able to bring the highest levels of
knowledge and skill at times of basic human need when care and
compassion are what matters most”.

22. Paradoxically burgeoning sources
of Research funding
• Cash rich resource poor health economies
• Pharma/ commercial
• Third sector
• Ring fenced UK funding

23. Globalisation: The UK is not alone
• WHO: Global Health Workforce deficit to reach 12.9 million
by2035 however…………………………..
• Indian Healthcare skills Council: Demand for 6 MILLION new
physicians/ 60 million healthcare workers in next 25 years
• UK not immune
• 29000 nurses
• poor fill rates in some medical specialities

24. The NHS has its own global USPs
• Systems
• people

25. Now is the time
•GO FOR IT!!