Post on 23-Dec-2015
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Why?Universities2001 RAE- NMAHP subject groups did badlyCompared with other subjects NMAHP departments had high teaching loads, little time for research and few senior academic postsNHS1980s onwards committed to evidenced based careFrom late 1990s onwards increasingly organised in approach to clinical researchBecame obvious that research activity/ output very unbalanced with little research activity/ evidence to support some aspects of clinical care (NMAHPs, primary care, health service delivery)
Why clinical/ academic careers?Why does the NHS not just commission clinical research from Universities?Clinical research agenda is largely developed
from the bottom upEffective clinical research studies bring together
good science creative thinking Knowledge of how things work in a clinical context the ability to be enterprising within a large
organisationThe evidence is that this is easier to achieve when
there are some individuals working across clinical academic boundaries over sustained periods
More interesting jobs
What has been happening? 1994 – The CSO Nursing Research Initiative (now NMAHP research unit) 2002 – Choices and Challenges 2004 – AHP Research and Development Action Plan 2004 - The Research Training Scheme 6 post-docs and 6 PhD students 2004 – NMAHP Research Consortia 2004 – UKRC – Walport Report – Research Career Pathways for doctors
and dentists in training 2007 – SCREDS – Research Career Pathways for medical staff 2007 – UKCRC – Finch report - recommends Nursing Research Career
Pathways – funded in England 2008 – The Advanced Practice Tookit (SGHD) 2008 – RAE Results 2008/9 – Lothian CARC drafted and shared with NES 2009 – NMAHP Leaders Day focussing on NMAHP Research and
Development 2009 – NMAHP Clinical Academic Career Pathway Consultation Events May 2010 Lothian CARC launched October 2010 National NMAHP clinical academic career framework
Lothian CARC schemeInformal collaboration to draft proposal for
implementation of the Finch report recommendations in Lothian. Working group led by James Law and Andy Peters
Approached NES with draft in October 2008NHS Lothian R&D agreed 50% funding in
2009 NES and the 3 university partners agreed
remaining funding Scheme formally adopted by NHS Lothian in
2010 and launched in May
Support Worker – level 1
Practitioner – level 5
Assistant Practitioner – level 4
Senior Healthcare Support Worker – level 3
Healthcare Support Worker - level 2
More Senior Staff – level 9
Consultant Practitioner – level 8
Advanced Practitioner – level 7
Senior Practitioner – level 6
Career Framework for Health
Lothian CARC FeaturesFour levels relating to career framework for
healthMasters (level 5)PhD student (level 6)Post doctoral (level 7)Advanced (levels 8 & 9)
Only levels 6 & 7 included within current funding as time limited training posts
Embedded within the clinical services and academic departments, who must work in partnership
Some funding for independent evaluation
Demonstration sites3 demonstration sitesPartnership between a clinical area, a partner
academic department and potentially othersEach demonstration site will get funding for
one senior practitioner (PhD student – 5 years) one advanced practitioner (post doctoral – 3
years in first instance)Both will be 50% academic, 50% clinical Funding 50% clinical service, 50% CARC
schemeNHS contracts and appropriate academic
status within partner institutions
Progress1 demonstration site appointed (ICU/ U of E)Second call for applications closes tomorrowIssues/ opportunities
Some interesting partnerships developing – some at too early a stage for this call
Some clinical research interests are not within the priorities of any of the partner academic departments and vice versa
The NHS Lothian recruitment freeze has limited the pool of candidates to existing NHS Lothian staff at the present time, so the potential for the scheme to attract in talent cannot be explored.
ChallengesPressure for these 3 demonstration sites to
be successfulREFNurturing other partnershipsFinancial climateNHS support funding vs FECSustainability – although there is a national
framework there will not be a national scheme
How do we develop posts for career development? (levels 8&9/ permanent posts?)
Thank youAdditional slides for discussion if required
NIHR multi-professional career pathwayDraft Scottish NMAHP career pathwaySteering group
Steering GroupAndy Peters Juliet MacArthurJanet HanleyPam SmithShona CameronCatriona Kennedy
The programme is managed through the Edinburgh Health Services Research Unit www.HSRU.ed.ac.uk
Doctors and DentistsNIHR Integrated Academic
Training
All ProfessionsNIHR Fellowships
Nurses, Midwives, Allied Health Professionals
Clinical Academic Training
NIHR Clinical Lectureship
NIHR Clinician Scientist Award
Masters Health Economics,Masters in Med. Statistics.
NIHR Doctoral Research Fellowship
NIHR Post-Doctoral
Fellowship
NIHR Career Development
Fellowship
NIHR Senior Research Fellowship
NIHR/CNO Masters in Clinical
Research
NIHR/CNO Clinical Doctoral Research
Fellowships
Level of AwardOther Awards
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Senior/Pre-Chair
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NIHR Research Career Pathways
SeniorPost-Doc
Early Post-Doc
Doctoral
Pre-Doctoral/Masters
Undergraduate
NIHR/CNO/HEFCE Senior Academic Clinical Lecturer
In-Practice Fellowshipsand NIHR Academic Clinical Fellowships
NIHR/CNO Clinical
Lectureships
CSO Health Care Scientist
Doctoral Fellowship
CSO Health Care ScientistPostDoctoral Fellowship