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Delivering an Evidence Based Research & Development Strategy-

Why, how and wherefore?

Eileen Dickinson

(Head of Profession,OT)

Suzie Willis,

( Head OT Research & Development)

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OVERVIEW

• Why do it? What are the incentives and drivers?

• Where to start?

• What do you need?

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Research & Development Strategy

WHY?

1. Government Policy

2.Professional requirement (COT)

3. Professional registration (HPC)

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Why ?

Government policy:

Modernising Mental Health Services, Safe, Sound, Supportive.DOH 1998.

A First Class Service. Quality in the New NHS. DOH. 1998.

The National Service Framework.1999

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Why?:COT Strategic Vision & Action plan Contributing to creation of a 5 yr strategic

framework for OT in collaboration with AHP’s Support the establishment of centres of excellence

with sufficient infrastructures to sustain a research active community of OTs.

Contribute to the inclusion of AHP’s in policy formation, implementation and evaluation

Promote priority research topics and diversity of methods

All members are expected to promote a culture to improve practice

Reinforce requirements and responsibilities regarding the research capacity of all members

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Why ? ‘Standards of proficiency’. HPC, July 2003 London

www. hpc-uk.org.info @ hpc-uk.org2B.2 p11: ‘Occupational therapists are to be able

to draw on appropriate knowledge and skills in order to make professional judgements.. through established theories, models, frameworks and concepts of OT.’

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Why?

The Clinical Specialist & Consultant OT:

- Expert clinical practitioners,

- Research (Master degree / Phd),

- Teaching / dissemination of skills , national/ international level

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Where to start : AuditWhat skills do you already have in your

workforce?

What are their thoughts/ views/ motivations?

What are the barriers currently faced?

What supports do they need?

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CNWL December 2000 Audit:84% Not involved in formal academic studies

90% Expressed an interest in undertaking or participating in research studies

72% Stated that they agreed that as a therapist they should invest more time in keeping up to date with research methods and findings.

87% Felt strongly that as a professional group greater respect and reimbursement would be given to a service that demonstrated greater efficacy

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Where to start ?

Start at the top:

Trust Board backing

A Champion for your cause

Academic partnership.

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Design your strategy:

Reference national policy & professional requirements

Review your trust business case & local initiatives

What will your work proposal add to the required output of the trust: clinical governance: benefits to patient & staff group

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What do you propose to do and why?

-Specify what it is you intend to do

-Identify what changes you hope to achieve

-How you will go about this

-What resources you will need

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CNWL OT R&D Strategy1. Raise research awareness amongst OT staff2. Identify research and development posts for OT’s3. Create an organisational culture that supports

OTs as researchers and research consumer 4.Develop staff skills to undertake evidence based

practice5.Enable staff to evaluate planned changes in local

practice based on their research findings6.Ensure sustained support for OTs undertaking

clinical R&D activities.

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What will you need?

Leadership posts :

Head OT R&D/ Research practitioner

Senior Research practitioners / Clinical specialists

Followers: all accountable through JD and supervision structures, CPD, training, support networks

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What will you need?

Organisational infra-structure:

1.Research & Development steering group

2. Seven Clinically based working sub groups

3. Monthly Link forum & training sessions

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Human ResourcesChief Executive

Trust Board

Head of Profession

Research & Development Committee

Ethics Committee

Head of Profession

Head OT’s

HEAD OT R&D

Head OT R&D

Rehab.Low Secure & Forensic.

Older People’s

Directorate Group

Day HospitalSpecialist:CAMHS

Eating Dis’rsSub. Misuse.

Acute ,ICU, Mo & Baby.

Services

CommunityGroup

Vocational Needs

Assessm’tGroup

The Link Forum comprises all clinicians represented within this large system

HEAD OT R&D

CNWL/ CORE STEERING GROUP SENOIR RESEARCH PRACTIONERS

(feeds into the Link Forum)

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What will you need?

Money and Elbow Grease!

Roll out your work incrementally in a phased/ managed approach

Ensure support is sustained

Friends in high places

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What will you need?

Link with:R&D consortia & Clinical governance

grpSenior managers Research active doctorsUniversities Anyone else you need to…..