Knowledge Mobilizationin the Acute NHS Trust setting

Dr Tim Doulton Director of Research & Development, Consultant Nephrologist

13th March 2014

Cooksey Report, 2006

Knowledge Mobilization

• refers to moving available knowledge (often from formal research) into active use. It involves efforts to bridge the gap between research, policy and practice in order to improve outcomes in various organizations or sectors.

• involves knowledge sharing between research producers (e.g. university researchers) and research users (including professionals or others whose work can benefit from research findings), often with the help of third parties or intermediaries.

Producer pushUser pullKnowledge exchangeCo-production

EventsNetworks

CollaborationsShared Resources

Evidence

Context

Facilitation

Adapted from Rycroft-Malone et al. 2013

PARIHS Framework

Evidence

Context

Facilitation

Scientifically robust

Matches professional consensus

Relevant to patient experiences/preferences (preferably based on local data)

Receptive culture

Appropriate leadership

Robust monitoring & feedback systems (evaluation)

Skilled internal/external

facilitation

Adapted from Rycroft-Malone et al. 2013

Challenges in implementation of SEIK

• Data governance• Persuading GPs of need• Seen as a small disease area (“much bigger fish to

fry”) … but could be seen as an exemplar for other larger disease areas e.g. diabetes

• Transferring to operational system– It is scalable?– It is transferrable?– How will it be funded? (soft money initially, then SHA)

‘How would I have done it differently?’

• More advice from those who’d been there before (… stealers vs. helpers)

• More qualitative work on the ‘soft stuff’ i.e. what GPs actually wanted vs. what guidance said

• Having the right team & right leaders for each part of the job

• Hard funding with peer-review process

‘… will delay project but more likely to work in the end’

Shared Purpose Framework

Thank you for listeningThanks to …

Dr Chris Farmer (Colleague & Director of IT, EKHUFT)

Prof Kim Manley (Assoc Director Transformational Research & Practice Development, EKHUFT)

“Winning … not about doing one thing 100% better, but about doing 100 things 1% better”

Sir Clive Woodward

“We do research because that’s how you get better treatment. I’d like to see that carved in stone above every hospital door”

Quote from a patient to PPI workshopAcademy of Medical Sciences Report

January 2011