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PenCLAHRC Matters - The NIHR CLAHRC for the South West Peninsula's E-Newsletter (March 2013)

Dear <<First Name>>,

Welcome to the March edition of the e-newsletter.

I am pleased to inform you that work is continuing on our bid for future funding for PenCLAHRC as we move towards the submission deadline of 13th May. We’ve established a CLAHRC in Transition web page where you can find more information on this process, and ways in which you can feed into it. On the 13th February representatives from the prospective CLAHRCs met with the National Institute for Health Research (NIHR) for a Q&A session on the bid. The results from this session can be found on the aforementioned web page and also viewed here.

This month I am also pleased to announce that PenCLAHRC’s Patient and Public Involvement (PPI) team will be hosting a conference here in November, to focus on the latest thinking about PPI in health research. Both registration and the call for abstracts are now open, and further information about bursaries/supported places is available online. Please share the conference flyer with others who may be interested – it should prove to be a very worthwhile event.

Stuart Logan
Director of PenCLAHRC

New Developments in Public Involvement in Research Conference
A conference entitled “New Developments in Public Involvement in Research” has been organised by PenCLAHRC’s Patient and Public Involvement (PPI) team and will take place in Exeter on 13th to 15th November 2013. The conference will explore how PPI can play a meaningful role in research projects, such as through setting research agendas.
The programme for the conference will contain a mixture of keynote lectures, presentations and poster sessions, small group meetings, working parties and workshops. Keynote speakers include: Derek Stewart OBE, who is currently the Associate Director for Patient and Public Involvement at the National Institute for Health Research for the Clinical Research Network; Sir Iain Chalmers (one of the founders of the Cochrane Collaboration and coordinator of the James Lind Initiative); and Professor Jennie Popay, Professor of Sociology and Public Health at Lancaster University.
The conference itself is designed to be of benefit to researchers, patients, carers, members of the public, health professionals and NHS research managers.
For more information about the conference, please read the full story, or alternately visit the event page, which contains booking and programme details.
In addition, the call is now open for abstracts for posters, verbal presentations and special events, such as workshops, round table discussions, panel sessions, performances, etc.

PenCLAHRC's 'Project of the Month': Preventing Venous Thromboembolism (VTE)
Over one-third of hospital in-patients are at risk of developing venous thromboembolism (VTE), which continues to be a major and often unrecognised cause of morbidity and mortality in hospitalised patients.
A completed PenCLAHRC study assessed what models for implementing VTE risk assessment and VTE prevention were applied in 4 NHS hospitals across the South West region. Examined were how each hospital compared in terms of design, assumptions and conditions for implementation. A before and after observational design study was used to evaluate the implementation of the guidelines from the National Institute for Health and Clinical Excellence (NICE), as well as investigate changes in VTE risk assessment and prevention measures.
The project team concluded that the documentation of risk assessment improved following the implementation of NICE guidance; however, it is questionable whether this led to improved patient safety when prescribing prophylaxis. A recently published paper also examined whether financial incentives in the form of CQUIN monies influenced the improvements seen in the recording of risk assessment.

PenCLAHRC Lead for Improvement elected chair of Faculty of Liaison
Congratulations go to Peter Aitken on his election to serve as Chair of the Faculty of Liaison Psychiatry at the Royal College of Psychiatrists. Peter is Lead for Improvement on the PenCLAHRC Executive Group, and Executive Lead for a number of PenCLAHRC projects including PenDEM, TeenTEXT and VTE.  He will take up his post as Chair for four years with effect from July 2013, representing the Faculty on the College Council to set strategy and policy for the development of psychological medicine across education, training, research and service quality. Read more here.

Opportunity to take part in clinical research: Exeter 10,000 study
The NIHR Exeter Clinical Research Facility at Royal Devon & Exeter Hospital is currently recruiting volunteers into the Exeter 10,000 project. The project aims to improve the diagnosis and treatment for common conditions such as diabetes and heart disease. Participation is open to anyone over 18 with a permanent address within 25 miles of Exeter.  It involves attending a 30 minute appointment to complete a questionnaire about your medical history and lifestyle, and giving a small blood and urine sample. If volunteers wish, blood results can be copied to their GP, and a copy of their health results will be made available to them. Find out more.

PenCRU publishes annual report on childhood disability research
The Peninsula Cerebra Research Unit for Childhood Disability Research (PenCRU) is one of five academic centres in the UK funded by Cerebra, a charity that aims to improve the lives of children and young people with brain-related and other neurological conditions. PenCLAHRC is working with PenCRU staff on a number of projects including Hospital Communications, Peer Support, and the Children's Outcome Measurement Study (CHUMS).
To read about the full range of PenCRU's work over the past year in their recently published annual report, click here.

PenCLAHRC statistician featured in national publication
William Henley, Professor of Medical Statistics at the University of Exeter Medical School, recently featured in International Innovation, a publication by Research Media. The article (p79) discusses the prior event rate ratio (PERR) method, a promising new statistical approach to analysing effectiveness of treatments using routine clinical data, as well as referring to William’s work within PenCLAHRC. Read it here.

Events Diary

• 12th March 2013 – Evidence Synthesis Team Search and Review Clinic, Exeter. More information.

• 22nd March 2013 - Deadline to submit poster/presentation abstracts to HSRN Symposium (date below).

• 28th March 2013 - Evidence Synthesis Team Search and Review Clinic, Exeter.
More information.

• 9th April 2013 - Evidence Synthesis Team Search and Review Clinic, Exeter. More information.

• 5th-7th June 2013 - NHS Confederation Annual Conference & Exhibition, Liverpool.
More information.

• 17th-18th June 2013 - HSRN Symposium, Nottingham.
More information.

• 20th June 2013 - Workshop: Using Evidence to Make Clinical Decisions, Plymouth.
More information.

• 18th October 2013 - Workshop: Using Evidence to Make Clinical Decisions, Truro. More information.

• 13th–15th November 2013 – Public Involvement Conference: “New Developments in Public Involvement in Research”, Exeter.
More information.

Recent Publications

• Child S, Sheaff R, Boiko O, Bateman A, Gericke C. Has incentive payment improved VTE risk assessment and treatment of hospital in-patients? F1000 Research.

• Child S, Bateman A, Shuttleworth J, Gericke C, Freeman R.
Can primary care nurse administered pelvic floor muscle training (PFMT) be implemented for the prevention and treatment of urinary incontinence? F1000 Research.

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The National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for the South West Peninsula (known as PenCLAHRC for short) aims to bring together local universities and their surrounding NHS organisations to test new treatments and new ways of working in specific clinical areas, to see if they are effective and appropriate for everyday use in the health service.  Where potential improvements are identified, NIHR-PenCLAHRC helps NHS staff to incorporate them into their everyday working practices, so that patients across the local community receive a better standard of healthcare.