Public Health Wales Research Strategy

Professor Mark A. Bellis

Policy, Research and International Development

Directorate

Why have a Research Strategy?

• Active public health research community internally and with external partners

• Culture of generating and using research evidence in policy and practice

• Health and Care Research Wales – KPI

• Research activity aligned with organisational objectives

• Research for better monitoring and evaluation

• Collaborate with NHS organisations, academic institutions … to undertake relevant research

• Further enhance our international reputation through the delivery of high quality services and high impact research

• Connecting with global policy, generating international income and providing development opportunities for our staff

Research Permissions granted in Public

Health Wales (2010-15)

Health and Healthcare

Improvement

Health Intelligence

Health Protection

Microbiology Screening Local Public

Health Teams

Policy, Research and Development

Division within Public Health Wales Total

2010 - 2011 3 1 1 9 5 0 0 19

2011 - 2012 7 2 0 5 6 0 0 20

2012 - 2013 0 0 2 9 2 1 0 14

2013 - 2014 4 0 0 10 0 1 0 15

2014-2015 3 0 2 8 2 1 1 17

0

5

10

15

20

25

Projects that were granted research permission across Public Health Wales (April 2010 – March 2015)

Microbiology

Research Strategy Development (July 2014 – Oct 2015)

• Literature reviews of public health research strategies

• Staff survey to understand current experience, facilitators

and barriers

• Interviews with internal and external stakeholders

• Academic consultation event

• Stakeholder engagement workshops

• Consultation on draft research strategy

1.Build Research Capability

2.Facilitate the Generation of New Knowledge

3.Strengthen public engagement and

collaboration with others

4.Communicating the Findings from Research

Public Health Wales Research Strategy Key Actions

Build Research Capability

• Support staff to training

• Develop the high level capacity required to provide statistical and health economics support within Public Health Wales and through collaboration with HEIs

• Provide guidance for job appraisers and appraisees

Research Management Communication and Development Structure

2) Facilitate the Generation of New Knowledge

• A frame work for systematic implementation and evaluation of public health activity

• Encourage collaborative projects that use routinely collected data

• Support research that informs implementation and scaling up of programmes that work

• Adapt and better utilise our systems for identifying and tracking diseases and infectious and environmental hazards for research

• New Pump-Priming Grants for Research in Public Health Wales

• Research Support funds for Public Health Trainees under taking Research

National Centre for Population Health and

Wellbeing Research

3. Strengthen Public Engagement and

Collaboration with others

• Medicine, Human Geography, Psychology, Genetics, Microbiology, etc.

Around £1.5 million per Year

4. Communicating the Findings from Research

• Encourage and support staff publish in peer-reviewed journals

• Support staff to present at national and international conferences

• Facilitate conferences, seminars and workshops promoting evidence-based practice A New Evidence Service

Reach – ‘the spread or breadth of influence or effect on the relevant constituencies’ Significance – ‘the intensity or the influence or effect’

PARTNERSHIP & COMMON CURRENCY

Scurvy - Killed more sailors than violence or injury

Diffusion of Innovation - Time

1795

1601 Captain Lancaster – 4 ships sailing England to India

Intervention 1 ship lemon juice vs. 3 nothing

Results –Lemon practically no deaths vs. 110 of 278

died from scurvy

1747 146 years later Dr James Lind – Physician – knew

Lancaster’s results repeats 6 trial arms – one citrus fruit

Results - same

49 years later – Adopted by Navy – Why

Prominent Political figure - Cook –not convinced

Credible advocate? - Captain Lancaster – not health expert

Dr Lind – not prominent figure in Medicine Mosteller 1981

Innovation - Diffusion and Adoption

• Relative Advantage – better than what it

replaces

• Compatibility – consistent with existing

values, past experiences, needs of adopters

• Not Complex – not perceived as difficult to

understand

• Trialability – how easy is it to just have a go

• Observability – are the results of the

innovation easily observable to others

(Rogers 1995)

Professor Mark A. Bellis Email: mark.bellis@wales.nhs.uk

With Thanks to: Shantini Paranjothy

Mark Griffiths Laura Rossiter

Ceri Smith Ben Gray

Kathryn Ashton Sara Long

And everyone else who helped shape the Research Strategy