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Supporting research to make patients, and the NHS, better
Supporting the implementation of LPMS for the good of research information... A National Perspective Richard Corbridge, CIO
…for the good of research information...
“As part of the National Institute for Health Research, we ensure that the NHS can provide the infrastructure that allows high-quality clinical research to take place within the NHS, so that patients can benefit from new and better treatments”
Our key roles are: To enable the provision of research To performance manage where provision has been provided To provide information about research capability To facilitate the sharing of best practice for delivery
The HLOs: Target Summary
The HLO Family
Measure: Number of par,cipants recruited in a repor,ng quarter into NIHR CRN Por:olio studies Calcula,on: Recruitment (both commercial and non-‐commercial) by quarter, mapped to an English site
100,398 174,820 149,196
112,233
125,410 159,963
126,949
124,668 152,583 114,558
139,800
133,798
0
100,000
200,000
300,000
400,000
500,000
600,000
700,000
2009/10 2010/11 2011/12
Part
icip
ants
Q1 Q2 Q3 Q4 Financial Year Target
Measure: HLO 2: Propor,on of contract studies achieving or surpassing their recruitment target during their planned recruitment period, at confirmed Network sites Calcula,on: Part 1: (Actual Closure Date-‐Actual Opening Date)/(Planned Closure Date -‐ Actual Opening Date) Part 2: (Recruitment total at network sites / Planned Network Sample Size) Studies have to meet Part 1 & Part 2 to count toward objec,ve. Therefore ≤ 100% to ,me AND ≥ 100% to target Closed studies only: Actual Closure Date will determine repor,ng period Por:olio Entry Date & Actual Opening Date (from April 1st 2010) will determine which studies are included
1 4 5 6
15 14
19 54
0
1 7
11 19 13 13
25 16 67
0%
50%
100%
Q1 Q2 Q3 Q4 Annual Total
Q1 Q2 Q3 Q4 Annual Total
2010/11 2011/12 Perc
enta
ge o
f Stu
dies
Studies failing to achieve their recruitment target during their planned recruitment period Studies achieving or surpassing their recruitment target during their planned recruitment period
Measure: Number of commercial contract studies on the NIHR CRN Por:olio as a percentage of the total commercial MHRA CTA approvals for Phase II–IV studies, on an annual basis Calcula,on: No. of studies adopted on to the CRN Por:olio No. of Industry studies approved by MHRA per financial year
63
55
71 74 263 71
84
60
98
313
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Q1 Q2 Q3 Q4 Annual Total
Q1 Q2 Q3 Q4 Annual Total
2010/11 2011/12
Perc
enta
ge o
f Stu
dies
% NIHR CRN adopted studies as a proportion of MHRA CTA approvals Interim Target
Final Target
Measure: Propor,on of studies obtaining NHS permission within 40 calendar days (from receipt of a valid complete applica,on)
9 12 19 14 54
37 60 47 69 213
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
Q1 Q2 Q3 Q4 Annual Total
Q1 Q2 Q3 Q4 Annual Total
2010/11 2011/12
Perc
enta
ge o
f Stu
dies
% Studies Achieving NHS Permission Within 40 Days Interim Target Final Target
Measure: HLO 5: Propor,on of contract studies achieving first par,cipant recruited within 30 calendar days of NHS Permission being issued or First Network Site Ini,a,on Visit, at confirmed Network sites Calcula,on: Date of First Network Par,cipant First Visit ( FNPFV) -‐ (Date of first NHS Permission at network site OR First Network Site Ini,a,on Visit, whichever is later)
3 9 12
8 32
29 20 25
30 104
4
7
5
16 8
12 9 3
32
1 5 8
14 8 9 10 8 35
0% 10% 20% 30% 40% 50% 60% 70% 80% 90%
100%
Q1 Q2 Q3 Q4 Annual Total
Q1 Q2 Q3 Q4 Annual Total
2010/11 2011/12
Perc
enta
ge o
f Stu
dies
30 Days or Less Between 31 and 60 Days More than 60 Days Interim Target Final Target
Measure: HLO 6: Propor,on of NHS Trusts recrui,ng each year into NIHR CRN Por:olio studies Calcula,on: The propor,on of trusts on the CCRN team's list of member organisa,ons that are repor,ng recruitment at any point in the previous rolling year. For example the metric in Q3 2011/12 will examine whether there has been recruitment a]ributed to that trust at any point in Q4 2010/11, Q1 2011/12, Q2 2011/12 or Q3 2011/12.
90%
91%
92%
93%
94%
95%
96%
97%
98%
99%
100%
Q1 Q2 Q3 Q4 Annual Total
Q1 Q2 Q3 Q4 Annual Total
2010/11 2011/12
Perc
enta
ge o
f NH
S Tr
usts
Percentage of Trust Participating in Studies
Interim Target
Final Target
- Quarterly - Annual
Activity Report Publication…
NIHR Clinical Research Network
Supporting the implementation of LPMS for the good of research information… Although the Clinical Research Network operates as one organisation, we are made up of a number of different parts: • Six “Topic” Research Networks (covering Cancer, Dementia and
Neurodegenerative Diseases, Diabetes, Medicines for Children, Mental Health and Stroke)
• A Primary Care Research Network to support research in this part of the health service
• A Comprehensive Clinical Research Network, which covers all other disease areas
dfd CPMS Context diagram
CPMSIRAS
CRN Finance Tool
Local PortfolioManagement
Systems
CommercialCTMS
Other NHSOrganisation Systems
CSP RDMISModule/ LRR
NIHR CoordinatingCentre MIS
Requirements for interfacing not currently known.
Requirements for interfacing not currently known.
CCT
Requirements for interfacing not currently known.
Feasibil ity Tool
Study and Site Data
Study and Site Data
Study Related Data
Research Activity Data
Research Activity Data
Study and OrganisationDataStudy Related Data
Study Related Data
ISRCTN Number
Study Related Data
Study Related Data
Study Related Data
Study and OrganisationData
Initial Study Data
ISRCTN RegistrationRequest and Study Data
Data Form Submissions
Site Activity and Performance Data
Version 2.0
Strategic Alignment and Change
Modular design ODS Codes
ODS codes
HEFCE codes
Contact Mgmt Service layer
Hierarchies
Index tables
Indexed tables
Lookups
Tasks by role
“to do” panes
Monitor progress
Structured legacy data
Sta,s,cs package
Forecasts
Trend analysis
Scheduled data cuts
Data backups
Guaranteed Up ,me
Planned down ,me
Fast Performance
Scheduled changes and releases
NHS reform
Future proofing
Version 2.0
Commercial delivery
Central Portfolio Management System (CPMS)
What stage is it in? Procurement activity continues on target to identify and select a preferred supplier for the CPMS development. The programme team continue to refine the requirements specification at pace to meet the delivery timelines.
CPMS will provide the NIHR CRN with a national information system to: a. Capture high quality study information b. Capture data on participant recruitment anywhere and everywhere in the
health research environment c. Enable sophisticated reporting to support performance management and
delivery of the Networks
Programme Planning
Requirements gathering and Procurement
Initiation
Procurement – Contract
Award Design
and Build Train and Deploy
Programme Close
We are here
NIHR Clinical Research Network
More than simply performance management and metrics… • Open Data Platform • Coordinated System for NHS Permissions(CSP) • Feasibility Tool • Reference Data Gateway • Interim Industry Tracker (IIT) • Industry Costing Template • UK Clinical Trials Gateway • Industry Support Systems (SIP)
Open Data Platform
Feasibility Tool
Portfolio/IIT Data HES data Results
Reference Data Gateway Gateway Project Pilot – Context Diagram
NIHRClient System
NIHRClient System
NIHRClient System
CfHOrganisation Data Service
(ODS)
Reference DataGateway
ReferenceDatabase
NHS Organisation Change plans
Updates to NHS Organisation Structure
Administrative updatesto NHS-NIHRrelationships
Ad hoc queriesand responses
Requests for new entries
4.2
4.5
4.4
4.1
4.3
Reference Data Gateway includes communications
and interfaces to all parties
CRNCC Information Management Team (IM)
ServiceRequests
Reference DataGateway Service
ServiceRequests
ServiceRequests
UK Clinical Trials Gateway
Suppor,ng the implementa,on of LPMS for the good of research informa,on… A Na,onal Perspec,ve
Richard Corbridge, CIO
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