nhs sunderland clinical commissioning group - north east of … · 2019-10-09 · nhs official ....

North East of England and North Cumbria Clinical Commissioning Groups Research and Evidence Annual Report 2018/19

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Executive Summary In 2018/2019 the NECS Research and Evidence Team have:

25

41,865

12 56

5,717 accruals

Supported Assured Issued

Evaluations Research studies

Letters of Access

Participants recruited via providers in the North East & North Cumbria

Participants recruited through CCGs in the North East and North Cumbria, Hambleton, Richmondshire and Whitby CCG (HRW) and Scarborough & Ryedale CCG

1,633* signposted Participants signposted and recruited in secondary care via Participant Identification Centre (PIC) studies in the North East and North Cumbria *Data not available for HRW / S&R

Participants recruited via providers in Yorkshire and Humber

91,880

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Introduction This report supports the Clinical Commissioning Groups (CCGs) statutory duties in relation to research and evidence. This shares the activity for 2018/19 as well as the plans and priorities for 2019/20

1. To support and promote research. 2. To use evidence from research to support commissioning decisions. 3. To ensure the treatment costs in research are resourced.

This is supplied annually to each CCG from the Research and Evidence team in NHS North of England Commissioning Support (NECS). This team comprises of:

• Dr Shona Haining Head of Research and Evidence • Helen Riding Research Manager • Joanne Smith Research & Evaluation Co-ordinator • Helen Martin Research & Evaluation Co-ordinator • Jill Riding Research Project Support Officer

As part of the research & evidence service we are keen to deliver what the CCGs need, provide as professional and satisfactory service as possible and add value to your organisations. Any feedback and comments are welcome. Please email Shona Haining, Head of Research & Evidence at NECS - [email protected] This report provides information and assurance on: 1. Support and Promote Research (p.4)

• Strategic developments (p.4-6) • Research Strategy (p.6) • Developing and Commissioning Research and Evaluations (p.7) • Research and Evaluation projects supported in 2018/19 (p.9-23) • Research Capability Funding (RCF) (p.24) • Local Clinical Research Network North East and North Cumbria Activity ) (p.25) • Recruitment activity in NHS providers of services commissioned (p.31-33)

2. Use of evidence from research for commissioning decision making (p.34-35) • Review of Information Sharing Events for 2018/2019 (p.36-38)

Plans and priorities for 2019/20 (p.39-42) 1. Support and Promote Research (p.39-41) 2. To use of evidence from research for commissioning decision making (p.42) 3. To ensure the treatment costs in research are resourced (p.42) Appendix 1: Recruitment to all research studies in each CCG - data (p.44-67) All data refers to 1 April 2018 to 31st March 2019 and is collated from various sources.

mailto:[email protected]

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1. Support and Promote Research - Strategic developments for 2018/19

NHS England and NHS Improvement funding and resource 2019/20: supporting ‘The NHS Long Term Plan’ Every year, the Government is required by statute to publish a mandate which sets the Government’s objectives for NHS England. This is accompanied by financial directions to which NHS England must adhere. The mandate therefore sets the direction for the NHS, and helps ensure the NHS is accountable to Parliament and the public. The Department of Health and Social Care publishes a remit letter for NHS Improvement, which sets out its key objectives for that financial year. The NHS Long Term Plan emphasises the importance of research. NHS England will work to increase the number of people registering to participate in health research to 1 million by 2023/24, and Primary Care Networks will be able to help with this goal. Research participation within general practice has many additional benefits: quality improvement, professional development, and generating income, amongst others. Working with the Royal College of General Practitioners, the National Institute of Health Research and the Clinical Practice Research Datalink, NHS England will use the opportunity created by Primary Care Networks to increase general practice research participation levels. During 2019, NHS England will develop a way of helping networks to do this, embedding approaches such as the RCGP Research Ready quality assurance model. NHS England welcome also the National Institute of Health Research’s intention to prioritise an expansion in academic research capacity into primary care. The Research and Evidence team will work across NECS and CCGs as these plans emerge to support and advice as required. Please email Shona Haining, Head of Research & Evidence at NECS - [email protected] if your CCG wishes to explore further.


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NECS and NIHR announce strategy to boost primary care research within the North East and North Cumbria NHS North of England Commissioning Support Unit (NECS), and National Institute for Health Research Clinical Research Network North East and North Cumbria (NIHR CRN NENC), together produced a new strategy to help improve the quantity and breadth of primary care research in the region. The strategy can be accessed by clicking here: https://drive.google.com/file/d/1FB4D9eSxxSSd4nSY_bKiKt-jF2jy0-vt/view Approved by the CRN NENC executive and all of the Clinical Commissioning groups (CCGs) across the region, the purpose of the strategy is to “inspire the growth, delivery and adoption of primary care research”. Its aims include to make research become core business, contribute to quality and skills of staff, improve patient outcomes and wealth, plus to support a vision of excellence of the local system and so aiding recruitment and retention of the primary care workforce. The strategy outlines a number of areas and initiatives which will - as part of the NIHR CRN NENC’s aim - “make the North East & North Cumbria the best place to take part in research”. Aimed at all professionals working within General Practices and Clinical Commissioning Groups (CCGs), and taking into consideration the priorities of the emerging Integrated Care System (ICS) and primary care, the strategy encourages a culture and method of developing research that comes from everyday practice and enhances the means by which decision makers can use the evidence emerging from research to improve patient care. Given GP's have access to every patient, opposed to those which only attend hospital, the potential for primary care research delivery is considerable and it is clear to see why it should be harnessed and focussed in the correct approach. Shona Haining, Head of Research & Evidence at NECS, explains “the strategy, developed with consultation of all stakeholders, brings in all stakeholders whom can contribute to all aspects of primary care research.

https://drive.google.com/file/d/1FB4D9eSxxSSd4nSY_bKiKt-jF2jy0-vt/view

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It’s crucial that we develop and deliver primary care research which is relevant and tailored to the North East and North Cumbria population. “We’re trying to raise our game and build research capacity in association with Health Education England North East (HEE NE) and excellent academia, helping to address the priorities.” The strategy is implemented by a number of working groups and with a range of stakeholders. Dr Tim Butler, Assistant Medical Director and Deputy Responsible Officer NHS England (Cumbria and The North East), chairs a quarterly oversight group to support and ensure delivery of the research strategy with members including Primary care academia, LCRN, HEE, CCGs and NECS. CCG Research Strategy

The Research and Evidence team are collaborating with CCGs to support and assist with devising CCG strategy regarding research and evidence as required. This is a service that is available to all CCGs. Please email [email protected] if you want to follow this up.


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Developing and Commissioning Research and Evaluations

A number of research and evaluation projects are running and in development with support from research interested CCGs and primary care staff. Some are small scale linked to service development whilst others are feasibility to inform a larger scale research bid. The team has active links with all North East universities which can support and advise on potential research as necessary. The Research Governance activity also provides assurance to all research and known evaluations. Summary of non-portfolio research and evaluation projects supported by the NECS R&E team 2018/19

16/17 17/18 18/19 Total research studies supported 16 21 12 Total evaluations supported 12 14 25

Health Research Authority approval (HRA) HRA Approval is the process for the NHS in England that brings together the assessment of governance and legal compliance, undertaken by dedicated HRA staff, with the independent Research Ethics Committee (REC) opinion provided through the UK Health Departments’ Research Ethics Service. This has been in place since 1 April 2016.

17/18 18/19 Total number of HRA approval studies 14 12

Q1 3 8 Q2 3 0 Q3 5 1

Q4 3 3 (2 studies consulted on but HRA subsequently not required)

Number where formal confirmation of capacity and capability required

6 4

Average confirmation time (working days) 8.9

15* *this has increased due to some complications raised by the R&E team to the HRA and the time taken to be resolved by the HRA.

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Research passports / Letters of Access issued in 2018/19 The research passport scheme is a national scheme which provides a framework for employers to provide assurance to other organisations where a researcher will be working, that the employer has undertaken the appropriate employment checks (e.g. confirmation of identity, criminal record, occupational health checks, etc.). It is designed to prevent delays caused by every organisation in which a researcher may be working repeating all of these employment checks. A Letter of Access (LOA) is the terms and conditions under which a person that holds an NHS employment contract, or whose activities will not impact patient care, may conduct research activities that impact on patient care in an NHS organisation. There is a standard template and nationally agreed process for obtaining an Honorary Research Contract in the NHS.

Total Number of LOAs issued April 2018-March 19 56 Average time taken to check, process and return Letter (April 2018-March 2019) 3.96 days

We have applied NECS Continuous Improvement methods to the Letter of Access issuing process and it is notable that we have significantly improved the time it takes to issue the letters. We take this approach with all governance processes in order to make research easier and faster to deliver in the North East.

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Evaluation Projects 2018/19 Title CCG Description Progress to date

GP Retention Intensive Support Sites (GPRISS) Evaluation

All CCGs In addition to the final evaluation report, the NECS R&E team are identifying local interventions with the greatest impact and national potential, develop case studies and other materials for use on collaboration platforms and disseminate learning to ensure that other CCGs adopt the best of GPRISS.

NECS R&E team are collaborating with NEL Healthcare Consulting on the delivery of this project. Analysis is currently ongoing.

Evaluation of a Health Optimisation Policy

Harrogate and Rural District CCG

The aim of the evaluation is to understand and evidence the impacts from this policy. The pathway applies if the patient has a BMI of 30 or above and/or they are an active smoker. They are offered a period of health optimisation for 6 months before referral for non-urgent, routine elective surgery.

NECS R&E team are leading the evaluation of this policy and data collection is ongoing.

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Urgent Care Centre Learning and Impact Study

All CCGs This ‘learning and impact’ study from the NHS England vanguard programme. The study describes some of the models which have been adopted in urgent care centres and walk-in centres across England and looks to understand the impact of such centres on the health system and staff experience.

NECS R&E team have led the delivery of this project and the report is due to be shared.

Evaluation Support for the Northumberland Vanguard to Northumberland CCG – CATCH Evaluation

Northumberland CCG (North locality)

Evaluation of the CATCH team which is to Identify, target and manage complex patients more effectively in the community via an enhanced MDT approach, to reduce pressure on acute services and release capacity in primary care.

The R&E team have been commissioned to co-ordinate, lead and deliver the evaluation. Initial interviews have been conducted progressing as planned.

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High Intensity Users (HIU) in County Durham (DDES / N Durham)

Durham Dales, Easington and Sedgefield (DDES) CCG and North Durham CCG

DDES and North Durham CCGs have agreed to commission a pilot service across County Durham. The High Intensity User (HIU) service (developed by NHS Blackpool CCG) offers a robust way of reducing frequent user activity to A&E, hospital admissions, 999, NHS 111 and GP contacts and freeing up front line resources to focus on more clients and reduce costs.

NECS are leading the evaluation for the pilot High Intensity User (HIU) service in DDES and North Durham CCGs. Agreement has been provided to extend the pilot for a further 12 months.

Better Outcomes Scheme (BOS)

South Tyneside CCG

The BOS focusses on the four clinical challenge areas for South Tyneside: CVD, Cancer, End of life and Respiratory conditions. The emphasis of the scheme is to improve outcomes for patients in the four clinical areas.

This project is now complete and the report has been shared with South Tyneside CCG.

Lifestyle groups for Type 2 Diabetes Mellitus with Non-alcoholic Fatty Liver Disease

Newcastle Gateshead CGG

A gastroenterologist/hepatologist at the QE is proposing a lifestyle modification model alongside a group education session and

NECS have provided support and advice to this project and it is currently in very early stages.

Near Patient Testing

All CCGs Researchers at the University of Sunderland are interested in the use of Near Patient Testing in primary care.

The NECS R&E team have met with researchers from the University of Sunderland to discuss this project. If you have an interest in this or wish to share any work ongoing in this area please contact: [email protected].

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Linking falls assessment and prevention (as a component of frailty) with care and support planning (CSP).

Newcastle Gateshead CCG

To test the introduction of falls assessment and prevention to care and support planning (CSP) prior to including this in local incentive scheme, as a first step to developing CSP for people living with frailty.

The protocol has recently been finalised and agreed and this is due to commence in 2019/20.

GPs and Spiritual Health

DDES and South Tees CCG

Dr Orla Whitehead is a GP working in DDES and is completing a Masters at Newcastle University.

NECS have advised and supported this project and HRA approval has been recommended.

Gateshead Federation Evaluation


The R&E team have provided advice and support to this project.

A number of practices in Gateshead undertaking a project to measure the effectiveness of interventions.

Evaluation of the Sunderland Connected Care Homes programme

Sunderland CCG All Together Better Sunderland is an NHS England funded initiative to provide tailored, better coordinated care for patients in the community.

Shona Haining is linked into the project lead by the Academic Health Science Network (AHSN).

Primary Care Research


This Masters project aims to look how secondary care can work more closely and effectively with primary care to offer more research opportunities to patients within the community.


Falls Study Newcastle Gateshead CGG (Gateshead practices only)

To establish how the pathways and processes associated with falls interventions are working across health and social care

The R&E team have been made aware of this project led by Gateshead Council.

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providers, to inform our understanding of falls prevention opportunities and inform systems change discussions.

Adult ADHD online service

North Cumbria CCG Possible service evaluation required.

The R&E team have been made aware of this project by North Cumbria CCG and have been linked to the provider.

Advice and Guidance: current use and perspectives


Review of the Advice and Guidance as a mechanism for referral support in Newcastle Gateshead CCG.


The problems affecting General Practice in the UK

North Cumbria CCG A new consultation service that enables GPs and Health care assistants (HCA) to provide telemedicine care in a designated clinic environment.

The R&E team have been asked to provide advice and support to this project.

Evaluation for myCOPD app


The CCG are looking to pilot the app at a small number of practices in the CCG.


Organising general practice for care homes: A multi-method study (GP Care home section of study which is not portfolio adopted or required Health Research Authority (HRA) approval - Surveymonkey survey)

All CCGs Researchers from Newcastle University are currently looking at the different ways GPs organise their services for care homes and the impact this has on care homes, residents and practices themselves.

The survey was circulated to all CCGs.

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Qualitative study looking at obesity management in routine general practice

All CCGs This project aims to identify GPs with a personal or professional interest in nutrition, exercise and obesity management and explore how they have integrated obesity management into their routine practice.

This study will be advertised via social media platforms such as Twitter and Facebook with participants being required to volunteer themselves.

An exploration of the impact of pain education on GP practice staff: a mixed methods study

South Tees CCG The aim of the research project is to quantify GP practice staffs’ knowledge of chronic pain, before and after a pain education session.

This study is a Masters project and is only recruiting at Linthorpe Surgery.

Real World Evaluation of Insulia, Diabetes Management Companion


This evaluation will assess the utility and resource and use of Insulia for NG CCG.

On behalf of Newcastle Gateshead Clinical Commissioning Groups (NG CCG), funded by Academic Health Science Network – North East and North Cumbria (AHSN NE&NC), the Research & Evidence team in North of England Commissioning Support (NECS) will deliver a pilot Real Word Evaluation in three Gateshead surgeries and in the Gateshead Diabetes Centre.

Nursing Associates Evaluation

Northumberland CCG

This project will aim to investigate the role of Nursing Associates in primary care.

This project is currently in the planning stages and the NECS R&E team are supporting this.

Shared decision making: Versus Arthritis

Northumberland CCG

The charity Versus Arthritis has been working with CCGs. The aims of the service are to assist patients to complete the Shared Decision Making process in regards to surgical hip and/or knee interventions.

We have offered to help advise on and support this project.

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Sharing Information Regarding Safeguarding (SIRS) process

North Tyneside CCG

This project is looking at how safeguarding information is shared between midwives and GP practices where the partner is registered with a different GP practice.

We have provided advice and support to this project.

If any CCGs have other evaluations currently in development or underway please contact [email protected] to ensure the Research and Evidence team can support and share as appropriate.


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Research Capability Funded Projects for 2018/19

Title CCG Description Progress to date

Perceived barriers to Shared Medical Appointments in Primary Care

All CCGs This project aims to explore why the implementation of SMAs has been slow, which in turn can inform what needs to be addressed in order for there to be wider adoption of this approach.

A number of steering group meetings have taken place and initial scoping work and ethics approvals are ongoing.

Exploring primary care's role in supporting mental health pathways and care for young people in transition to adult services

All CCGs The research objectives are to explore primary care’s role and perspective on factors shaping successful transition out of children and young people’s mental health services and the organisational and policy barriers and facilitators for implementing mental health pathways.

This follows the outcomes of the programme grant led by Professor Allan Colver from Newcastle University.

Economic evaluation of Newcastle Gateshead Enhanced Health in Care Homes

Newcastle and Gateshead CCG

The aim of this project is to undertake a comparative health economic evaluation of a new model of care in Newcastle Gateshead.

This will be an extension of work already completed to date whereby an evaluation of EHCH was conducted in Gateshead alone from April 2013 – December 2017.

An evaluation of the mental health service provision available to refugees & people seeking asylum in the South Tees area: Taking a needs-led approach to inform primary care

South Tees CCG This study seeks to make more specific links between needs and provision in order to enable services to improve outcomes.

The project is progressing and the R&E team are linking into South Tees CCG to support.

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A Comparison of two different self-management programmes for patients with back pain. A double blind randomised controlled trial – dissemination plan

Recruited in CDDFT A comparison of two different self-management programmes for patients with back pain: A double-blind randomised controlled trial. This study is a PhD and not recruiting in primary care but recruiting in CDDFT.

This project has been granted RCF funding for costs for papers and dissemination.

GP PREPWELL toolkit study

South Tees and North Durham CCGs

The aim of the evaluation is to evaluate the change in primary care clinician awareness, attitudes and clinical practice surrounding Pre-habilitation associated with completion of the PREP toolkit.

This project has been granted RCF funding to progress.

Research at Scale – Gateshead and Newcastle

Newcastle and Gateshead CCG

Gateshead GP Federation have been working to promote research at scale across Gateshead and Newcastle and this project is to extend the work already completed.

The CCG has quarterly meetings to monitor the progress of the work being undertaken for this building capacity project.

Research Capability Funded Projects: Newcastle University Primary Care enhancing care home health (Rachel Stoker)

All CCGs This will enhance the evidence base of Care Homes and support an event to share knowledge.

Funding granted in December 2019. The event is scheduled for June 2019.

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Primary care, alcohol and older people (Beth Bareham)

All CCGs Work will involve disseminating work from her PhD on older people’s alcohol use and how this applies in primary care.

Funding granted in December 2018.

A method comparison study to support application for funding of 2020 data collection of a unique longitudinal cross-sectional study of adolescent dietary intake (Suzanne Spence)

Public Health The study aims to compare data from two dietary data collection methods in pupil’s aged 11-12y. Intake24, an online 24-h dietary recall tool (test method) and a 3d prospective food diary


Qualitative research completion 85+ (Helen Hanson)

All CCGs This is to support an additional analysis of the 85+ study.


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Non-Portfolio Research projects 2018/19 Title Description Progress to date General practice staff perceptions of internet-based pharmacy and centralised dispensing (All CCGs)

This study will use focus groups and an online survey to assess the experiences and views of GPs and other practice staff on the influence and potential impact of centralised dispensing and internet-based pharmacy services on general practice in the UK.

This study recruited 8 GPs from the North East and Cumbria and a total of 96 participants from other areas of England. The findings are being disseminated to conferences and a paper is being submitted.

Planning and delivery of health and care services – NIHR Fellowship (All CCGs)

The researcher plans to interview 40 professionals in England as part of a research study. Some of these will be NHS employees (e.g. commissioners working in CCGs and NHS England, Each person will be interviewed once, for approx. one hour, either face to face or over the phone.

The R&E team provided governance support to the study team.

Understanding early attrition in IAPT services (North Cumbria CCG)

This is a PhD study from the University of York. The study team are inviting people with recent experiences of IAPT referrals to tell us about their experiences. They are especially interested in what happens when people require support but do not attend early IAPT appointments.

NECS have provided governance support to this project.

(From 17/18 for info) Co-designing dementia care to improve value. Action research project involving patients, carers, providers and commissioners of health and social care in Durham (North Durham and DDES CCGs)

The primary objective of the research is exploring the design of optimal care packages for patients with dementia and to identify the barriers and facilitators to implementing quality improvements in dementia care. Funded by the Health Foundation.

A map of local services is being completed that will develop organically over the remainder of the project (until mid-2020).

A comparison of two different self-management programmes for patients with back pain: A double-blind randomised controlled trial (recruiting in CDDFT)

A comparison of two different self-management programmes for patients with back pain: A double-blind randomised controlled trial. This study is a PhD and not recruiting in primary care but recruiting in CDDFT.

NECS have provided governance support to this project (also on RCF project list).

Characterising The overall aim of the project is This project is ongoing.

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treatment pathways and decision-making in sleep-disordered breathing in childhood: a pilot study Protocol (Newcastle Gateshead CCG)

to inform the design of our researcher led NIHR bid for a pragmatic surgical RCT (Adenotonsillectomy versus deferred surgery) in Paediatric Sleep Disordered Breathing (PSDB) across the severity spectrum. The study team are hoping to interview a small amount of GPs within the Newcastle-Gateshead CCG area.

Investigate the attitudes and perceptions of professionals to oral anticoagulation (Sunderland CCG)

This Masters project is exploring the attitudes and perceptions of professionals to oral anticoagulation, specifically the choice between warfarin and DOACs.

This study is now complete and findings have been shared.

The potential role of community pharmacies in diabetes prevention (DDES CCG)

The aim of the project is to investigate the potential role of community pharmacies in diabetes prevention and it involves GPs, nurses and community pharmacists filling in an electronic survey.

This study is now recruiting in DDES CCG.

Oral cancer screening in the community pharmacy; an exploratory qualitative interview study into the attitudes and perceptions of community pharmacists in the North East of England (All CCGs)

This study is sponsored by the University of Sunderland and involves qualitative interviews with community pharmacy staff in the region.

This study has been granted Health Research Authority approval.

Women with a learning disability and their attitudes and opinions of the cervical and breast national cancer screening programmes (South Tees CCG)

The current study will involve speaking to women with a learning disability, family carers, and paid care workers about their attitudes towards cervical and breast cancer screening.

This is a PHD from the university of Teesside and we have provided support and advice to the researchers. This study has been granted Health Research Authority approval.

Oral health promotion by pharmacists in general practice. An explorative study into the feasibility of oral health

The aim of the study is to explore the knowledge and current practice of primacy care pharmacists, general medical practitioners and administrative staff regarding the role of the pharmacist in oral health.

This study has been granted Health Research Authority approval.

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promotion and interventions by pharmacists working in general practice. A qualitative study in the North East of England All CCGS) Active participation in parallel surgeries in undergraduate general practice placements: how are students and patients contributions facilitated during workplace-based learning debrief interactions A pilot study (CCGs TBC)

This is a video study of the GP/patient/student interaction during teaching sessions in General Practice.

Pre-Health Research Authority & Research Ethics Committee approvals.

Feasibility Study for an online PREP for primary care practitioners (South Tees and North Durham CCGs)

The aim of the evaluation is to evaluate the change in primary care clinician awareness, attitudes and clinical practice surrounding pre-habilitation associated with completion of the PREP toolkit.

This project was granted Health Research Authority approval in February 2019 (also on RCF project list)

(From 17/18 for info) Frailty in the new GMS contract what does it mean to Primary Care Providers? (All CCGs)

The new General Medical Services (GMS) contract requires primary care practices to identify and code all their moderately and severely frail patients and to provide appropriate care. This study explores primary care providers views about frailty, whether providers find this to be a useful way of looking at their patients, and how they take frailty into account in decision-making and care management for individual patients, and how the new contract requirements are impacting on the work of primary care practices.

The R&E team provided governance support to this project and also assisted in promotion to CCGs. The researcher is looking at options to disseminate the study.

An Ethnographic Study of Social Prescribing in General Practice (Newcastle Gateshead CCG)

In this study we are trying to improve our understanding of social prescribing. Ways to Wellness is an established social prescribing initiative in the West of Newcastle Upon Tyne. Staff from Ways to Wellness help to link patients to services outside of the health system that they think would help improve their overall health and wellbeing.

This NECS R&E team provided advice to the study team.

(From 17/18 for info) The aim of the SILVER research The Research and Evidence team are

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SILVER: Smart Interventions for Local Vulnerable Residents (Newcastle Gateshead CCG, North Tyneside, South Tyneside and Northumberland CCGs)

programme is to explore the barriers and facilitators to linking health data to the current Troubled Families data sets. Funded by Connected Health Cities and brings together leads from five regional local authorities, information governance officers, academics and researchers, IT specialists, local families and key workers, to explore how health and social care data can be shared, with the aim of improving care for vulnerable families meeting criteria for the Troubled Families Programme (TFP).

supporting and advising this project from both a governance perspective and also promotion to CCGs.

(From 17/18 for info) Palliative Care Plan Project: Great North Care Record North Tyneside CCG

This project is based around an IT solution that enables a citizen held care plan for people at end of life.

This study has recently been granted Health Research Authority approval and is recruiting for the qualitative element of the study.

(From 17/18 for info) An Evaluation of the Referral Processes used by GPs in Northumberland

This project is to explore the experience of GPs, hospital doctors and commissioners who use referral management systems and those who do not use a referral management systems, and patients who have been referred, or patients with an alternative disposition, in Northumberland.

This project is in partnership with the University of Sunderland. The final report has now been completed.

(From 17/18 for info) Data-driven integrated commissioning for prevention: A study of Clinical Commissioning Groups’ use of risk prediction in decision-making

Senior staff will be interviewed to understand how information, including risk prediction, risk stratification and population segmentation, is used to make decisions as well as any barriers to the use of such information. The content of these interviews will be analysed for recurring themes.

The R&E team are providing governance support to this project.

(From 17/18 for info) BRC-funded study investigating the effect of ageing on inflammatory responses (All CCGs)

The study team from Newcastle University are aiming to recruit groups of younger healthy volunteers and groups of healthy volunteers aged >65 to receive an immune stimulus and assess differences in the responses. They hope to recruit 26 volunteers in total, 13 volunteers aged 18-30 and 13 aged over 65. They are hoping to recruit healthy older volunteers through research-active GP practices.

Please contact the R&E team if you are interested in recruiting to this project.

The Route to and Experience of a

This study is aiming to discuss healthcare professionals’

NECS helped promote this study to local CCGs

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Diagnosis of Head and Neck Cancer through Qualitative Interviews (All CCGs)

experience of diagnosing patients with head and neck cancer.

Standardising care plan documentation in elderly care homes in England: A Delphi Study (All CCGs)

The aim of the study is to produce a standardised care plan document for use in elderly care homes in England.

Following discussion with the researcher and the HRA it was agreed that HRA approval was not required.

Delivery of pain neurophysiology education (PhD) (South Tees CCG)

The aim of the research project is to quantify GP practice staffs’; 1. knowledge of chronic pain, 2. their attitudes towards people with chronic pain, and 3. their management of a hypothetical patient with chronic pain, before and after a pain education session.

Following discussion with the researcher and the HRA it was agreed that HRA approval was not required.

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Research Capability Funding (RCF)

Research Capability Funding (RCF) is allocated to research-active NHS organisations to help research-active NHS organisations to act flexibly and strategically to maintain research capacity and capability. This is awarded when at least 500 research participants are recruited during the reporting period of 1st October – 30th September. Newcastle Gateshead, North Durham, North Cumbria CCGs were awarded RCF funding in 2018/19. Newcastle Gateshead, North Durham, DDES and South Tees CCGs have been awarded RCF for 2019/20. Due to NECS collaborative work with academia, Prof Dame Louise Robinson, School For Primary Care Research and Professor Ashley Adamson, School for Public Health Research both had their senior investigator RCF aligned to NECS. Hence with the pooled CCG RCF a larger amount was available to be transparently and competitively bid for and awarded based on research strengths, capacity building and priorities. The funded projects are detailed on pages 16-18 The RCF funding is predicated on October to September accrual activity. We will therefore also update the CCGs per quarter on this time period of activity. In addition we will share with the LCRN team that promotes delivery of research resulting in this activity to ensure a shared understanding and joined up planned approach. Current accrual activity per CCG to contribute to potential RCF funding

100 31 18

349 249

139

1175

129 227

4 25 6

174

0

200

400

600

800

1000

1200

1400

RCF qualifying number of participants recruited per CCG - October 2018-March 2019

FY18/19 totals

*1 Durham Dales, Easington and Sedgefield CCG *2 Hambleton, Richmondshire and Whitby CCG *3 Hartlepool and Stockton-on-Tees CCG *4 Newcastle Gateshead CCG *5 Scarborough and Ryedale CCG

500 Accruals - RCF current qualifying

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Local Clinical Research Network (LCRN) North East and North Cumbria (NENC) Activity From April 1st 2016 all NIHR portfolio projects delivery and governance is undertaken by NIHR Clinical Research Network North East & North Cumbria staff aligned to primary care. The team have kindly and will continually provide all network related data. If you have any queries regarding this information please contact Hilary Allan - Research Delivery Manager NIHR CRN NENC - [email protected]. Please see Appendix 1 for CCG research activity data. CCGs are represented on the LCRN NENC partnership group by Dr Jonathan Smith, North Durham CCG, representing the Northern CCG Forum and Dr Tim Butler representing NHS England. The LCRN invited applications for practice engagement leads for 2019/20

PLEASE NOTE: Other CCG staff may also be undertaking lead research roles under local arrangements which are funded locally.

Name

Role Clinical Research Network role

GP Practice/ Federation

Area

Ross Anderson

GP Engagement Lead Mary Port Health Services

Cumbria

Sue Jennings

PM Engagement Lead Practice Manager at Teams Medical Practice

Newcastle Gateshead

Stephen Doherty

GP Engagement Lead Well Close Medical Group, Berwick upon Tweed

Northumberland

Gareth Forbes

GP Informatics Lead - NENC

Leadgate Surgery, Consett

North Durham (CRN role NENC wide)

Ahmet Fuat GP Engagement Lead Carmel Practice Darlington

Farzan Kamali

GP Federation Clinical Lead – Hadrian Primary Care Alliance (HPCA)

Branch End Surgery / HPCA

Northumberland

Sebastian Moss

GP Federation Clinical Lead - Lindisfarne

Belford Medical Practice/ Lindisfarne

Northumberland

Justine Norman

GP Federation Clinical Lead – Tyne Health

49 Marine Avenue, Whitley Bay/ Tyne Health

North Tyneside

Eugene Tang

GP Engagement Lead Seaton Park Medical Group

Northumberland

Saira Malik GP Engagement Lead Executive GP, Sunderland CCG

Sunderland


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All practices across all CCG’s have the opportunity to be involved in research on a number of levels:

• Signposting potential participants to research projects either opportunistically at a consultation or via a database search and mail out. This is acting as a “Participant Identification Centre” (PIC)”.

• Recruit and deliver the study intervention in the practice either by the Practice Nurse, GP or Research Nurse. This is the practice acting as a “recruiting site”.

This supports The NHS Constitution which pledges to “offer patients the opportunity to be involved in research where applicable”.

31 4 6 8 4

222

114 93

33 62 50

17 18 31

1

199

5

78

33 2

19 3

23

100 94

13

310

31 25 4

0

50

100

150

200

250

300

350

CCG PIC Activity 2018/19: Number of Patients signposted to research projects by Practice

NHS Durham Dales,

Easington &

Sedgefield

NHS Newcastle Gateshead CCG

NHS North

Cumbria CCG

NHS North

Durham CCG

NHS North Tyneside CCG

NHS Northumberland CCG

NHS South

Tees CCG

NHS Sunderland CCG

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4

220

110

0 4 11 0

96

0

35

480

112

35

347

564

56

0 4 0

100

200

300

400

500

600

CCG PIC Activity Data - comparing 2017/8 and 2018/9 per CCG: Number of Patients signposted to research projects by Practice

FY 2017/8

FY 2018/9

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226 348

134

551

854

355

1800

262

418

5

261 128

375

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Number of Participants recruited - per CCG - 2018/9

FY 18/9


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100

512

273 228

1111

470

841

394

911

10

360

188 103

226

348

134

551

854

355

1800

262

418

5

261 128

375

0

200

400

600

800

1000

1200

1400

1600

1800

2000

Total Recruitment per CCG Comparing FY2017/18 and FY2018/19

FY 17/18

FY18/19


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The following graph shows recruitment for 2017/18 per CCG area weighted by 100,000 population for the North East and Cumbria.

212.5 126.7

87.5

190.3 171.4

111.5

722.6

128.1 131.0

4.5

94.3 85.6

135.3

0.0

100.0

200.0

300.0

400.0

500.0

600.0

700.0

800.0

Recruitment for 2018/19 per CCG weighted by 100,000 population

Weighted Number Recruited

Weighted Average 169.3

*1 Durham Dales,Easington and Sedgefield CCG *2 Hambleton, Richmondshire and Whitby CCG *3 Hartlepool and Stockton-on-Tees CCG *4 Newcastle Gateshead CCG *5 Scarborough and Ryedale CCG

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Recruitment activity in NHS providers of services commissioned The following information is provided to you as commissioners of providers fulfilling the NHS standard contract which now includes important conditions for NHS providers regarding research:

• The Provider must put arrangements in place to facilitate recruitment of Service Users and Staff as appropriate into Approved Research Studies.

• The Parties must abide by and promote awareness of the NHS Constitution, including the rights and pledges set out in it. The Provider must ensure that all Sub-Contractors and all staff abide by the NHS Constitution including the pledge to inform service users about any research which may be relevant to their treatment.

This is information provided by the Local Clinical Research Network Open Data Platform – see table on next page. What is included: The table includes the number of commercial and non-commercial NIHR Portfolio patients recruited in the CRN: North East and North Cumbria 1 April 2018 – 21 May 2019 Total: The total number of recruits for each Specialty recruiting in the CRN: North East and North Cumbria in each of the providers of services. Data is correct as of 21st May 2019. Key to abbreviations: North East and North Cumbria

Key to abbreviations: Yorkshire and Humber

CDD: County Durham and Darlington NHS Foundation Trust CHS: City Hospitals Sunderland NHS Foundation Trust CP: Cumbria Partnership NHS Foundation Trust GH: Gateshead Health NHS Foundation Trust NCUH: North Cumbria University Hospitals NHS Trust NEAS: North East Ambulance Service NHS Foundation Trust PCL: Primary Care Location NHC: Northumbria Healthcare NHS Foundation Trust TH: North Tees and Hartlepool NHS Foundation Trust NTW: Northumberland, Tyne and Wear NHS Foundation Trust NUTH: The Newcastle upon Tyne Hospitals NHS Foundation Trust ST: South Tyneside NHS Foundation Trust STH: South Tees Hospitals NHS Foundation Trust TEWV: Tees, Esk and Wear Valleys NHS Foundation Trust

Airedale NHS FT Barnsley Hospital NHS FT BDCT: Bradford District Care Trust BTH Bradford Teaching Hospital CHFT: Calderdale and Huddersfield FT CCGs DBTH: Doncaster and Bassetlaw Teaching Hospitals NHS FT HDFT: Harrogate and District NHS Foundation Trust HEY: Hull and East Yorkshire Hospitals NHS Trust Humber Teaching NHS FT LYP: Leeds and York Partnership FT LCH: Leeds Community Healthcare LTH: Leeds Teaching Hospitals NHS Trust MYH: Mid Yorkshire Hospitals NHS Trust Non-NHS Activity in Yorkshire and Humber NLAG: Northern Lincolnshire and Goole NHS FT RDsSH: Rotherham Doncaster and South Humber NHS FT SCh: Sheffield Children's NHS FT SHSC: Sheffield Health & Social Care STH: Sheffield Teaching Hospital SWYPT: South West Yorkshire Partnership NHS FT The Rotherham NHS FT YTH: York Teaching Hospital YAS: Yorkshire Ambulance Service

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Managing Specialty CDD CHS CP GH NCUH NEAS NHC NTH NTW NUTH PCL ST STH TEWV Non-NHS

Ageing 0 0 0 0 0 0 21 0 0 56 111 0 0 0 0

Anaesthesia, Perioperative Medicine and Pain Management 217 445 0 230 187 0 223 202 0 401 0 0 588 0 0

Cancer 165 439 0 108 129 0 90 182 0 748 0 156 370 0 0

Cardiovascular Disease 41 20 0 3 8 0 138 154 0 257 64 17 233 0 19

Children 38 60 9 1 12 0 1 50 47 1315 0 0 98 0 0

Critical Care 225 21 0 132 246 0 230 167 0 1758 0 11 504 0 0 Dementias and Neurodegeneration 4 22 61 62 0 0 1878 6 707 2010 2 0 84 288 2

Dermatology 102 0 0 0 11 0 0 18 0 196 6 0 25 0 0

Diabetes 16 9 113 2 0 0 1 1 0 96 0 0 12 0 10

Ear, Nose and Throat 11 2 0 0 15 0 0 0 0 67 0 0 2 0 0

Gastroenterology 709 178 41 129 41 0 296 873 0 780 201 580 216 0 0

Genetics 1 13 0 6 0 0 0 9 0 1691 1 0 16 0 0

Haematology 3 24 0 0 0 0 5 0 0 77 0 0 0 0 0

Health Services Research 207 341 4 65 55 7 164 82 38 119 14 28 453 58 6

Hepatology 3 3 0 4 0 0 0 16 0 318 0 1 6 0 0

Infection 61 16 104 0 1 0 28 1 0 557 79 31 40 0 51

Injuries and Emergencies 16 25 0 17 9 109 93 34 0 112 0 0 370 0 0

Mental Health 0 0 263 2 0 0 19 0 1971 57 717 44 0 557 10 Metabolic and Endocrine Disorders 6 1 0 43 0 0 0 0 0 58 0 0 0 0 0

Musculoskeletal Disorders 33 31 0 186 3 0 213 18 0 1038 15 0 55 0 0

Neurological Disorders 2 2 49 0 0 0 0 0 20 189 0 0 8 0 0

Ophthalmology 0 300 0 0 3 0 0 0 0 50 0 0 20 0 0

Oral and Dental Health 0 0 0 0 0 0 0 0 0 33 939 0 0 0 1

Primary Care 23 0 3 0 1 0 13 12 1 5 2733 6 1 1 122

Public Health 0 0 0 0 0 0 40 0 390 0 511 0 0 5 0

Renal Disorders 8 93 0 0 28 0 0 41 0 460 0 0 133 0 0 Reproductive Health and Childbirth 108 351 0 204 2 0 4 106 0 1037 53 49 170 0 20

Respiratory Disorders 1 0 0 1 0 0 176 35 0 196 104 83 23 0 0

Stroke 53 14 0 4 0 38 50 10 0 82 0 7 30 0 0

Surgery 15 78 0 42 71 0 188 35 0 120 28 5 262 0 0 Total 2068 2488 647 1241 822 154 3871 2052 3174 13883 5578 1018 3719 909 241

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2. Use evidence from research for commissioning decision making CCGs have a duty to use evidence from research to inform commissioning decision making. The NECS R&E team have undertaken a variety of activities to support this including

• Throughout the year a range of new research findings from research undertaken nationally and in the North East in primary care are shared

• Links to accessing evidence and suggested sources are communicated to CCGs including social media sources

• This information is shared with NECS staff supporting the commissioners decision making process

• Access to journals via on line access is available from the Research and Evidence team using Open Athens passwords. This provides free access to online academic journals

• NECS have trained some staff on accessing and critiquing evidence from research to upskill and refresh hence ensuring appropriate evidence is considered

• Evidence leads are now identified and embedded into NECS across teams and hubs to ensure it becomes everyone’s business within their commissioning support role

The NIHR has funded six particular studies in the past five years on the use of evidence by commissioners. Some of this research may also be relevant to service managers in hospital trusts and other care providers and systems. This highlight includes studies into the behaviour of individual managers and the way in which commissioning organisations make sense of and use research information when making decisions. The findings provide some practical pointers for researchers to make their work more accessible and relevant to commissioners and managers. Core findings and questions arising from the research

• Managers of all backgrounds find it hard to apply and make sense of evidence in their everyday work.

• Studies show that managers tend to make less use of formal research. They value examples and experience of others, as well as local information and intelligence.

• Top managers rely on a small conversational circle and trusted colleagues to identify and interpret evidence.

• Evidence does not speak for itself. Organisations need skills, not just technical around critical appraisal capacity, but also to engage experts and frame research for different audiences.

• One study evaluating a service providing evidence briefings for commissioners found poor uptake and use of research for decisions.

• Having skilled individuals, like public health staff, on the spot to contextualise and interpret evidence helps managers use evidence when making decisions about systems and services.

• Timing is key - having good enough evidence at the right time trumps perfect research which arrives too late for decision makers to use.

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Questions for staff and commissioning organisations • Do we pause when making strategic decisions to see if and how evidence could be used? • How can we best bring research together with other evidence (such as health needs or

population data) to make decisions? • Who could help us inside or outside the organisation to make sense of research for

particular important problems? • Can staff access training or expertise about understanding and using evidence? What

library or information services can we use? • Do we share our learning, including unexpected results of service changes, with others?

https://www.dc.nihr.ac.uk/highlights/health-commissioners-research-evidence/ Shona Haining has also written a linked blog published nationally on the challenges and some of the work in the North East and Cumbria including how we are beginning to work with librarians and Public Health across the system to collate and use the evidence needed Please find out more from the NECS website http://www.necsu.nhs.uk/ Or for original blog post https://www.dc.nihr.ac.uk/blog/the-journey-to-evidence-informed-commissioning-decisions/8218 New ways in which the team will “Share and Spread” our message The team are delighted to share the link to our NECS webpage – dedicated to evidence resources. The link below will take you to the page, which offers the facility to filter the many reports and papers related to health and social care research and evaluation projects in the North East and North Cumbria. https://www.necsu.nhs.uk/research-evidence/ It offers access to:

• Research Library: database of local and national research and evidence reports and links; • Current Projects: details of on-going research and evaluation being undertaken in the

region; • Bulletins: our regular round-up of all things research and evidence; • Events: Details of upcoming events and historic presentations; • Finding Evidence: where to find robust, reliable evidence and how to use it most

effectively; • Get Involved: Ideas box, training offer and taking part in research and evaluation projects • Contact Us: an introduction to the team and how to get in touch – includes our twitter feed.

Michelle McGuigan, NECS’ Organisational Development and Corporate Services Director said: “NECS are committed to supporting best practice Research and Evidence within the service. The NECS R&E team is a small but skilled and experienced team which works across NC&NE to promote and implement R&E. The team have also been involved in successful R&E activity and projects elsewhere in England. They are committed keeping everyone updated on current activities whilst sharing case studies and best practice in R&E. Thanks to the team for their continued hard work and thought leadership in this area.”

https://www.dc.nihr.ac.uk/highlights/health-commissioners-research-evidence/

http://www.necsu.nhs.uk/

https://www.dc.nihr.ac.uk/blog/the-journey-to-evidence-informed-commissioning-decisions/8218

https://www.necsu.nhs.uk/research-evidence/

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Research and Evidence Team – Review of Information Sharing Events for 2018/2019

• Research and Evaluation Development Group – September 2018 This informal group meets twice a year to discuss possible research and evaluation projects, new models of care, current evidence and ways to get involved in research. These meetings are open to any primary care staff interested in getting involved in research, or who have an active research role and wish to develop projects in primary care or with CCGs. The meetings enable networking and the sharing of ideas with discussion groups and identification of ways forward. The first meeting was on 13th September 2018 in central Newcastle, and was well attended. Attendees included practice staff, GPs, university researchers, and NECS Research and Evidence team members. Discussions covered the new Primary Care Research Strategy, experience as an Academic GP, project ideas around care homes and group consultations, research opportunities for nurses, midwives and Allied Health professionals, the Research Design service and funding options.

• Care home research: Current state and future priorities: 18th June 2019 - King’s Hall, Armstrong Building, Newcastle University

A full day event co-ordinated by AHSN, NECS R&E Team and Newcastle University - reviewing current research in Care Homes and an opportunity to share experiences to inform future direction. With Key speakers:

• Professor Karen Spilsbury, Professor of Nursing Research, University of Leeds; • Mr Peter Hodkinson, Managing Director, Westward Care; • Mr Jim Ainslie, VOICE: Patient and Public Involvement; • Ms Alison Redhead, Manager, Minster Grange care home, York; and • Professor Claire Goodman, Professor of Health Services Research, University of Herts

https://www.necsu.nhs.uk/research-evidence/events/ this flyer offers more information about the speakers, the venue and bursaries which are available to support attendance. Please note, light lunch included but no on-site parking available. To register interest in attending and receive further information, please mail [email protected]

• Research and Evidence team present at Research and Development Annual Forum The R&E team presented the NHS Research and Development Forum conference in Brighton in May 2019. Helen Riding undertook a presentation entitled ‘Embedding Research Strategy in a Clinical Commissioning Group’. This session aimed to outline multiple approaches used in developing and embedding research strategy in CCGs, focusing on the work undertaken by the R&E team with Newcastle Gateshead CCG. The session focused on how this best practice example could inform and apply to other CCGs. The Research and Development Annual Forum will be heading to the North East in 2020 and is to be at the Sage Gateshead 10-12th May 2020.

https://www.necsu.nhs.uk/research-evidence/events/

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• Society for Academic Primary Care: North Conference 29 –30 November 2019, Kendal

SAPC aim to provide a clear voice, and a strong presence, for Academic Primary Care in the complex and ever-changing environment. This regional conference had presentations reflecting the wide range of interests and development areas. Presenters varied from medical students to Professors, with ample networking opportunities throughout to discuss topics. Educational highlights included learning about new developments in the North East and North Cumbria, such as the new medical school opening at the University of Sunderland, which will welcome their first cohort of students in September 2019, and projects which examined the role of placements in general practice from the perspective of medical students and GP tutors. Research presented from the region included the work of Rob Barker, an Academic GP, who has lead on the use of the National Early Warning Score in care homes, highlighting the need for context-specific training due to a mismatch between perceived and the actual complexity of the procedures particularly considering the constraints of care home staff. Members of the team from Newcastle University presented findings from the Newcastle 85+ study, which has recently conducted qualitative interviews with people now aged 96-97, regarding their experiences of living and accessing services, finding more independence than perhaps one would envisage for this age group. Other topics included issues regarding dementia in ethnic minorities from the University of Leicester (interestingly in some cultures there is no word for dementia), University College London presented on continence options following stroke highlighting the low use of behavioural interventions, and work is being carried out at Sheffield University working with Hull and York Medical Schools looking at the use of Advanced Clinical Practitioners in the GP practice setting. Attending the conference enabled us to hear the findings of recent studies and also find out who is carrying out research in different areas - invaluable information for our team which acts as a point of contact for primary care staff who wish to work with academics to develop research ideas. Next year’s conference will be held at the University of Central Lancashire. This is an ideal environment for those enthusiastic to get involved in research, or for those already involved in research to present their work, and we would encourage all to attend. See https://sapc.ac.uk/ to keep up to date on the work of the Society and to find out about forthcoming events. For more information on any of the events please email [email protected]

• Child Health Research Across Organisational Boundaries R&E Team member, Helen Martin attended the second conference organised by the GNCRC (Great North Children’s Research Community) on 8th March 2019. Keynote speakers introduced the theme of integrated working across agencies to include health, social care and the research community with examples of how this can lead to significant improvements in services and benefits to patients. Amongst these key speakers were;

• Jacqui Old, Director for Children’s Services at North Tyneside Council, who explained how they use a three stage change process refocusing to ensure children and families are always at the centre, with the focus on the strengths within the family as opposed to the deficits, and staff continual improvement and quality.

• The tendency of professionals to look for what is missing or needed by patients and families was also highlighted by Dr Kaz Stuart, Associate Professor for Child, Adolescent and Family Studies in Cumbria. This approach can result in discounting the positives and focus on the problems, which can further disempower people and increase their vulnerability.

• Professor Stuart Logan, Paediatrician and Director at the South West Peninsula’s Collaboration for Leadership in Applied Health Research and Care (CLAHRC) highlighted the need to engage with those who will utilise research findings and reduce the typical time lag getting research findings into practice.

https://sapc.ac.uk/


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The benefits this can bring were accentuated by the inspiring presentations by the North East’s Young Person’s Advisory Group (YPAG). This group set up in 2015 meets monthly to review up to four research and improvement projects. Young people, aged between 14–18 from the North of England, listen to a five minute presentation from each researcher and then feedback or develop a particular aspect of their project. Contact [email protected] if undertaking research projects which may benefit from the involvement of this group, This bi-annual conference offers an opportunity to learn about a wide range of cutting edge work, and information which can be translated across to the primary care setting, such as behaviour change, and awareness of available services and studies. For more information, to become a member of this Research Community or find out about the next conference, please contact Julie Anderson, Research and Innovations Manager by email [email protected]

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Plans and priorities for 2019/20 These plans are guided by local and national priorities and mandates as well as Research & Evidence team skills and knowledge to support. These will be reported on with regards updates and challenges in the quarterly reports. 1. Support and Promote Research Deliver the recommendations from the North East and North Cumbria Primary Care research strategy 2019-20 deliverables: NECS Activity Support the process of the excess treatment funding with Newcastle Gateshead CCG acting as lead CCG for all North East and North Cumbria CCGs.

Regular communication with CCGs’ decision makers and Directors of Finance with regards costs and activities, interpreting reports and data as relevant. Liaise with LCRN to smooth the transition from October 2018 and communicate CCG needs and concerns, learning from the challenges. Cascade concerns to the national DH and NHSE groups Shona Haining attends. Advise on ongoing top slicing amounts from CCGs for future years.

Promote and support participation by NHS organisations and patients in research funded both by commercial and non-commercial organisations, demonstrating progress through publication of the NHS England research plan and monitoring its deliverables.

The Local Clinical Research Network (LCRN) provides the support to delivery of research in the North East and North Cumbria, hosted by The Newcastle Hospitals NHS Foundation Trust. Dr Jonathan Smith, North Durham CCG on behalf of the CCG forum, Dr Tim Butler on behalf of NHS England and Dr Justine Norman on behalf of GP providers represent CCGs and primary care on the Partnership groups: all supported by R&E team. NECS provide update on GP practices research activity on quarterly reports for CCGs to note and action to support as necessary.

Improve NHS Commissioner input into identifying research needs in the NHS.

The R&E team work with key stakeholders across all Universities in the region to feed in CCG priorities. Use pending regional research grants and Academic Health Science Network led priorities of research document to provide CCGs and primary care with opportunities to inform and shape the development of research in the region. Shona Haining is a member of the School for Primary Care Research at Newcastle University (for the North East) and supports local research bids to ensure the correct CCG/primary care representation is included.

Share the outcomes for research & evaluation.

New NECS website contains an up to date new evidence library. Bi-monthly bulletins from NECS are published. Sharing events – themed on key areas of new evidence, Care homes, and Research Capability Funded projects.

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2018-19 deliverables: NECS Activity Primary care research strategy recommendations:

1. Primary care researchers and decision makers annually share and discuss service and research priorities to align and plan future research.

2. Medical Schools, School for primary care research and Health Education England to build in to the educational experience of medical students and GP trainees the opportunity to be exposed to primary care research development and LCRN delivery to enhance local chief investigators and primary care research leads.

3. Portfolio careers for GPs, with an option to develop and deliver primary care research is available.

4. A regular fora is set up as a safe and supportive environment to retain primary care staff with research expertise and further degrees and nurture those developing these skills and research ideas.

5. Research Capability Funding aligned to primary care is pooled to make collective and transparent use to grow primary care research and capacity aligned to the service priorities and supporting increased North East & North Cumbria hosting and chief investigator growth.

6. Primary care leads across North East and North Cumbria expand their role from leading delivery of research to be associated with local CCGs and priorities to support development as well as adoption of research and innovations from academics and Academic Health Science Networks.

7. LCRN ensure primary care representation is included in executive and financial decision making and

The strategy is implemented by a number of working groups and with a range of stakeholders. Dr Tim Butler, Assistant Medical Director and Deputy Responsible Officer NHS England (Cumbria and The North East), chairs a quarterly oversight group to support and ensure delivery of the research strategy with members including Primary care academia, LCRN, HEE ,CCGs and NECS R&E.

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accountability 8. The totality of the input

primary care contributes to research in North East and North Cumbria is visible, recognised and resourced from LCRN funding.

9. Pragmatic use of present GP

IT systems, RAIDR and national collective information enablers to simplify research for practices, data sharing agreements and delivery of research at scale and to provide data to inform gaps in evidence and research data.

10. Out puts of research are

regularly and easily accessible for decision makers whom are trained to access, critique and use evidence from research.

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2. To use evidence from research to support commissioning decisions

The R&E team work with relevant CCG and NECS staff involved in all aspects of the commissioning cycle to ensure that evidence from research is easily obtained, can be scrutinised and applied appropriately to the service redesigns being considered. This may include skills and knowledge training as well as expert input from the R&E team as relevant. CCG quarterly reports include new evidence for CCGs from local or national research. In addition websites/links where new evidence could be available is regularly shared. In addition R&E team promote the importance of evaluation of new services providing advice and frameworks to consider the most appropriate evaluations. Evaluations themselves will have to be undertaken from the project /CCG resources, but the R&E team can advise on how best to deliver this and link with key evaluators as necessary. This has happened for a range of evaluations over many CCGs throughout 18/19.

Plans

• Themed sharing events on emerging evidence from North East & Cumbria are being

planned including Care homes 18th June 2019 which includes working with the broad range of stakeholders attending prioritising the future research and evaluation questions from their perspectives

• Bulletin to be circulated bi-monthly on updated research and evaluation projects and outcomes and regular updates on website and new twitter account - https://www.necsu.nhs.uk/research-evidence/ Twitter: @NECSRETeam

• Training on accessing and using evidence from research as well as evaluation tools and skills are available from R&E team on request

3. Excess Treatment Costs The new process from NHS England was mobilised in 2018/19 and is continuing with challenges and issues being recognised and solutions sought. The key messages are:

• 5.2p per capita per CCG per year will be assigned to fund ETCs, with agreement from the NHS Clinical Commissioners finance group to increase to 6p for 19/20

• A total ETC threshold per Trust per year based on Trust income is set at 0.01% of income or £10 000 which must be utilised before any ETCs are reimbursed A nominal minimum payment of £100 but no threshold for ETC for primary care so all are funded directly to practices

• The ETC process will be managed by the pooled ETC from CCGs for each regions to ensure consistent approach across England and their role in developing the costs of research in line with DH guidelines

• Newcastle Gateshead CCG is acting as lead CCG for NE&NC :all CCGs have agreed this delegation and a MOU with the CRN has been signed and Shona Haining continues to lead on their behalf

• Bi- annual reports on where ETC money has been spent will be shared with the Joint committee for CCGs and in R&E reports

• Shona Haining represents CCGs at regular Department of Health and NHS England meetings on this subject and has advised on many processes, decisions, including whom leads commissioners and where these ETCs need to be assigned

.

https://www.necsu.nhs.uk/research-evidence/

https://twitter.com/NECSRETeam

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Authors: Shona Haining Helen Riding Research & Evidence Team NECS May 24 2019

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Local Clinical Research Network North East and North Cumbria Activity 2018/19

Appendix 1: Recruitment to all Research Studies in each CCG The following table shows recruitment to all NIHR studies, including commercial studies across the CCGs in the North East and North Cumbria. Recruitment activity records each participant recruited to a study as an accrual. This information is based on figures provided by the Open Data Platform (ODP) at 1st May 2019.

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Darlington CCG

Study Name CCG Practice Participants

Global Congestive Heart Failure (G‐CHF) NHS Darlington CCG Carmel Medical Practice 50

Oral health and sarcopenia in older people. NHS Darlington CCG Blacketts Medical Practice 31

Adult dental health 2017 NHS Darlington CCG S Leigh 30

Adult dental health 2017 NHS Darlington CCG 12 Southend Avenue 23

Adult dental health 2017 NHS Darlington CCG Regus 18

Adult dental health 2017 NHS Darlington CCG Firthmoor Community Centre 16

Adult dental health 2017 NHS Darlington CCG Dental Surgery 14 Adult dental health 2017 NHS Darlington CCG Dental Surgery 11 Extending the QALY NHS Darlington CCG Felix House Surgery 8 BBV_TestPrompt: testing a CDS system for prompted BBV testing NHS Darlington CCG Carmel Medical

Practice 6

EMIT-AF/VTE NHS Darlington CCG Carmel Medical Practice 5

ContactME–IBS NHS Darlington CCG Carmel Medical Practice 3

ContactME–IBS NHS Darlington CCG Cockerton Pharmacy 3

Access to medicines study NHS Darlington CCG Whinfield Medical Practice 1

Access to medicines study NHS Darlington CCG Orchard Court Surgery 1

Enterosgel in the treatment of Irritable Bowel Syndrome with Diarrhoea NHS Darlington CCG Carmel Medical

Practice 1

The Nuclear Community Charity Fund Chromosomal study NHS Darlington CCG Moorlands Surgery 1

ETNA-DUS NHS Darlington CCG Carmel Medical Practice 1

Improving healthcare for probationers: mapping the landscape NHS Darlington CCG Darlington Borough

Council (Unitary) 1

The United Kingdom Aneurysm Growth Study NHS Darlington CCG Blacketts Medical

Practice 1

The United Kingdom Aneurysm Growth Study NHS Darlington CCG Felix House Surgery 1

Total 226

Durham Dales, Easington and Sedgefield CCG


Barrett’s oESophagus Trial 3 (BEST3) NHS Durham Dales, Easington and Sedgefield CCG

Skerne Medical Group 140

Barrett’s oESophagus Trial 3 (BEST3) NHS Durham Dales, Easington and Sedgefield CCG

St Andrew's Medical Practice 100

Adult dental health 2017 NHS Durham Dales, Easington and 23-27 Main Street 20

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Sedgefield CCG

Adult dental health 2017 NHS Durham Dales, Easington and Sedgefield CCG

Dental Surgery 15


Dental Surgery 13

ContactME–IBS NHS Durham Dales, Easington and Sedgefield CCG

Jubilee Medical Group 6

Meeting the LEgal Needs of Adults with life limiting illness (LENA)

NHS Durham Dales, Easington and Sedgefield CCG

Blackhall and Peterlee Practice 5

I-WOTCH V1.0 NHS Durham Dales, Easington and Sedgefield CCG

Bishops Close Medical Practice 5

Community pHarmaciEs Mood Intervention STudy (CHEMIST)


Intrahealth Pharmacy Limited 5

BBV_TestPrompt: testing a CDS system for prompted BBV testing




The Weardale Practice 4


William Brown Centre 3



Chilton Chemists Ltd 3

Lifestyle Health and Wellbeing Survey NHS Durham Dales, Easington and Sedgefield CCG


PRIM 4852 NHS Durham Dales, Easington and Sedgefield CCG



Castle Dene Dental Surgery 2



Murton Medical Centre 2



Whitworth Your Family Pharmacy 2

Access study NHS Durham Dales, Easington and Sedgefield CCG


ACT-FLARE study NHS Durham Dales, Easington and Sedgefield CCG


1

Radicalisation and General Practice NHS Durham Dales, Easington and Sedgefield CCG


Radicalisation and General Practice NHS Durham Dales, Easington and Sedgefield CCG

Southdene Medical Centre 1



NHS Official

of 67


Hallgarth Surgery 1


Auckland Medical Group 1


Barnard Castle Surgery 1




Deneside Medical Centre 1


West Cornforth Medical Centre 1



Whitworth Chemists Limited 1

The United Kingdom Aneurysm Growth Study


North House Surgery 1

Total 348

Hambleton, Richmondshire and Whitby CCG


Access to medicines study NHS Hambleton, Richmondshire and Whitby CCG

EGTON SURGERY 1

Radicalisation and General Practice NHS HRW CCG GLEBE HOUSE SURGERY 2

Access to medicines study NHS HRW CCG HAREWOOD MEDICAL PRACTICE

1

Radicalisation and General Practice NHS HRW CCG MAYFORD HOUSE SURGERY 8

CLASP-Internal Pilot and Randomised Controlled Trial NHS HRW CCG MAYFORD HOUSE

SURGERY 4

RSV and vaccination in pregnancy NHS HRW CCG MAYFORD HOUSE SURGERY 2

Access study NHS HRW CCG MAYFORD HOUSE SURGERY 1

CHIPPS WP6 NHS HRW CCG MOWBRAY HOUSE SURGERY 23

Access to medicines study NHS HRW CCG MOWBRAY HOUSE SURGERY 7

Radicalisation and General Practice NHS HRW CCG MOWBRAY HOUSE SURGERY 6

RSV and vaccination in pregnancy NHS HRW CCG MOWBRAY HOUSE SURGERY 6

Evaluating attitudes to reminders in primary care patient records NHS HRW CCG MOWBRAY

HOUSE SURGERY 2

The United Kingdom Aneurysm Growth Study NHS HRW CCG MOWBRAY

HOUSE SURGERY 1

NHS Official

of 67

Access to medicines study NHS HRW CCG REETH MEDICAL CENTRE 1

Evaluating attitudes to reminders in primary care patient records NHS HRW CCG REETH MEDICAL

CENTRE 1

Access study NHS HRW CCG REETH MEDICAL CENTRE 1

Radicalisation and General Practice NHS HRW CCG SCORTON MEDICAL CENTRE 1

DERM 5560 NHS HRW CCG STOKESLEY SURGERY 5

Access to medicines study NHS HRW CCG STOKESLEY SURGERY 5

EMIT-AF/VTE NHS HRW CCG STOKESLEY SURGERY 4

Radicalisation and General Practice NHS HRW CCG STOKESLEY SURGERY 4

RSV and vaccination in pregnancy NHS HRW CCG STOKESLEY SURGERY 3

ARTIC PC NHS HRW CCG STOKESLEY SURGERY 2

Evaluating attitudes to reminders in primary care patient records NHS HRW CCG STOKESLEY

SURGERY 1

Radicalisation and General Practice NHS HRW CCG THE DANBY PRACTICE 1

Weight Watchers Randomised Controlled Trial NHS HRW CCG WHITBY GROUP

PRACTICE 21

EMIT-AF/VTE NHS HRW CCG WHITBY GROUP PRACTICE 10

Access to medicines study NHS HRW CCG WHITBY GROUP PRACTICE 5

DERM 5560 NHS HRW CCG WHITBY GROUP PRACTICE 2

Radicalisation and General Practice NHS HRW CCG WHITBY GROUP PRACTICE 1

Evaluating attitudes to reminders in primary care patient records NHS HRW CCG WHITBY GROUP

PRACTICE 1

Access study NHS HRW CCG WHITBY GROUP PRACTICE 1

Total 134

Hartlepool and Stockton-on-Tees CCG


Barrett’s oESophagus Trial 3 (BEST3) NHS Hartlepool and Stockton-On-Tees CCG

Yarm Medical Practice 142

Barrett’s oESophagus Trial 3 (BEST3) NHS Hartlepool and Stockton-On-Tees CCG

Woodlands Family Medical Centre 141

Adult dental health 2017 NHS Hartlepool and Stockton-On-Tees CCG

386 Norton Road 30


Roseworth Dental Centre 29

Oral health and sarcopenia in older people. NHS Hartlepool and Bankhouse Surgery 25

NHS Official

of 67

Stockton-On-Tees CCG


Grace Dental Care 25


Thornaby Dental Centre 23


Queensway Dental Clinic 21


Leven Vale Dental Practice 17


The Dental Practice 15


Hardwick Dental Practice 14

Extending the QALY NHS Hartlepool and Stockton-On-Tees CCG



NHS Hartlepool and Stockton-On-Tees CCG


I-WOTCH V1.0 NHS Hartlepool and Stockton-On-Tees CCG

Tennant Street Medical Practice 8







Havelock Grange Practice 5


Hart Medical Practice 3

ContactME–IBS NHS Hartlepool and Stockton-On-Tees CCG


The Nuclear Community Charity Fund Chromosomal study


Marsh House Medical Practice 2

The psychosocial impact of diabetes & severe mental illness: DAWN-SMI




Marsh House Medical Practice 2


Mckenzie House Surgery 2



Whitworth Chemists 2

DIAMONDS QUEST NHS Hartlepool and Stockton-On-Tees

Woodlands Family Medical Centre 1

NHS Official

of 67

CCG

Access to medicines study NHS Hartlepool and Stockton-On-Tees CCG




Havelock Grange Practice 1

Improving healthcare for probationers: mapping the landscape


Hartlepool Borough Council 1



Stockton-On-Tees Borough Council 1

Radicalisation and General Practice NHS Hartlepool and Stockton-On-Tees CCG



Kingsway Medical Centre 1



Tennant Street Medical Practice 1



Mckenzie House Surgery 1

Total 551



IPS Mental Health & Employment Support Evaluation v2.0


NHS Newcastle Gateshead CCG 563

Understanding Social Prescribing From a Primary Care Perspective V1


Neas Newcastle Gateshead CCG 22

Adult dental health 2017 NHS Newcastle Gateshead CCG

443 Lobley Hill Road 16

ContactME–IBS NHS Newcastle Gateshead CCG

Birtley Medical Group 15

INTREPID: INvestigation of TRELEGY Effectiveness: Usual PractIce


Teams Medical Practice 12

The Feasibility and Practicality of dementia risk reduction


Thornfield Medical Group 9

Lifestyle Health and Wellbeing Survey NHS Newcastle Gateshead CCG Newburn Surgery 9



Walker Medical Group 8



Saville Medical Group 7



Prospect Medical Centre 7


Brunswick Dental Practice 7

ACT-FLARE study NHS Newcastle Gateshead CCG



137 The Dental Practice 6

Lifestyle Health and Wellbeing Survey NHS Newcastle The Grove Medical 6

NHS Official

of 67

Gateshead CCG Group

DIAMONDS QUEST NHS Newcastle Gateshead CCG


Primary Care Dentists’ management of permanent dentition dental trauma


137 The Dental Practice 5



Holmside Medical Group 5

Adult dental health 2017 NHS Newcastle Gateshead CCG Dental Surgery 5


Fell Cottage Surgery 5

ContactME–IBS NHS Newcastle Gateshead CCG Newburn Surgery 5


Ponteland Road Health Centre 5

The Adult Autism Spectrum Cohort - UK NHS Newcastle Gateshead CCG

Crawcrook Medical Centre 5



Reid Family Dental Practice 4


NHS Newcastle Gateshead CCG 90 Osborne Road 4



Denton Park Medical Group 4



The Surgery-Osborne Road 4



Parkway Medical Group 4

Adult dental health 2017 NHS Newcastle Gateshead CCG 3 St Marys Place 4


NHS Newcastle Gateshead CCG 129 Osborne Road 3



Westgate Dental Practice 3



Acorn Dental Surgery 3



Crawcrook Dental Practice 3



Newburn Dental Surgery 3


NHS Newcastle Gateshead CCG 1-3 Whickham View 3

Feasibility study:EULOv01 NHS Newcastle Gateshead CCG




West Road Medical Centre 3


NHS Newcastle Gateshead CCG Holly Medical Group 3



Betts Avenue Medical Group 3



Gosforth Memorial Med.Ctr 3


Bewick Road Surgery 3




Bewick Road Surgery 3



BBV_TestPrompt: testing a CDS system for NHS Newcastle Newburn Surgery 2

NHS Official

of 67

prompted BBV testing Gateshead CCG Primary Care Dentists’ management of permanent dentition dental trauma

NHS Newcastle Gateshead CCG 323 Durham Road 2



Biddlestone Health Group 2



Heaton Road Surgery 2



Throckley Primary Care Centre 2



Fenham Hall Surgery 2



Denton Turret Medical Centre 2

Access to medicines study NHS Newcastle Gateshead CCG Newburn Surgery 2


Broadway Medical Centre 2


Your Local Boots Pharmacy 2

SEED WS4 NHS Newcastle Gateshead CCG



St. Albans Medical Group 2


The Bridges Medical Practice 2


Broadway Medical Centre 1



K S Bamrah and Associates 1


NHS Newcastle Gateshead CCG Dental Surgery 1


NHS Newcastle Gateshead CCG 98-100 Close 1

Feasibility study:EULOv01 NHS Newcastle Gateshead CCG

West Road Medical Centre 1


NHS Newcastle Gateshead CCG Brunton Park 1



Grainger & Scotswood Medical Practices

1


NHS Newcastle Gateshead CCG Newburn Surgery 1



St.Anthony's Health Centre 1

Access to medicines study NHS Newcastle Gateshead CCG

Oxford Tce & Rawling Rd Medical Group

1


Reid Family Dental Practice 1

Evaluating the NHS Diabetes Prevention Programme (NHS DPP)


NHS Newcastle Gateshead CCG HQ

1


Bensham Family Practice 1


Second Street Surgery 1


Pelaw Medical Practice 1

ContactME–IBS NHS Newcastle Gateshead CCG Meadows Pharmacy 1

NHS Official

of 67




Radicalisation and General Practice NHS Newcastle Gateshead CCG

Westerhope Medical Group 1


Bensham Family Practice 1


Oxford Tce & Rawling Rd Medical Group

1


Fell Cottage Surgery 1


Central Gateshead Medical Group 1


Blaydon GP Led Practice 1



Fell Tower Medical Centre 1



Birtley Medical Group 1



Metro Interchange Surgery 1




Total 854

North Cumbria CCG


Screening of target genes for polymorphic variation

NHS North Cumbria CCG Carlisle Healthcare 38

Adult dental health 2017 NHS North Cumbria CCG Dental Surgery 35

Oral health and sarcopenia in older people. NHS North Cumbria CCG Carlisle Healthcare 31

Adult dental health 2017 NHS North Cumbria CCG Broadside House 23

Adult dental health 2017 NHS North Cumbria CCG

S.J. Smith & Associates 21


NHS North Cumbria CCG

Temple Sowerby Medical Practice 18



Aspatria Medical Group 17

The First Consultation for Low Mood in General Practice (Revised)


Brampton Medical Practice 13

Rare and Undiagnosed Diseases Study (RUDY)



Bisoprolol in COPD study (BICS) NHS North Cumbria CCG

Castlegate and Derwent Surgery 10

PRIM 5039 NHS North Cumbria CCG

Maryport Health Services 10

Extending the QALY NHS North Cumbria CCG Carlisle Healthcare 9

Adult dental health 2017 NHS North Cumbria CCG Dental Surgery 8

ContactME–IBS NHS North Cumbria CCG

Wigton Group Medical Practice 8

NHS Official

of 67



Lifestyle Health and Wellbeing Survey NHS North Cumbria CCG Eden Medical Group 6


NHS North Cumbria CCG Eden Medical Group 6




Adult dental health 2017 NHS North Cumbria CCG

St Helens Dental Practice 5

EMIT-AF/VTE NHS North Cumbria CCG

Maryport Health Service 5

Adult dental health 2017 NHS North Cumbria CCG The Dental Surgery 4

Rare and Undiagnosed Diseases Study (RUDY)



ContactME–IBS NHS North Cumbria CCG Carlisle Healthcare 4

AF-GEN-UK: UK extension of Long-term Registry of Atrial Fibrillation


PREVUE NHS North Cumbria CCG


PREVUE NHS North Cumbria CCG


Lifestyle Health and Wellbeing Survey NHS North Cumbria CCG

Fellview Healthcare Ltd 3



Glenridding Health Centre 3

ACT-FLARE study NHS North Cumbria CCG

NHS North Cumbria CCG 2

Namaste NHS North Cumbria CCG

Riverside Court Care Home 2

ContactME–IBS NHS North Cumbria CCG


Enterosgel in the treatment of Irritable Bowel Syndrome with Diarrhoea






NAXOS NHS North Cumbria CCG


Lifestyle Health and Wellbeing Survey NHS North Cumbria CCG


The Adult Autism Spectrum Cohort - UK NHS North Cumbria CCG Eden Medical Group 2

The Adult Autism Spectrum Cohort - UK NHS North Cumbria CCG


APRICOT study NHS North Cumbria CCG


Access study NHS North Cumbria CCG



Fellview Healthcare Ltd 1






Glenridding Health Centre 1




NHS Official

of 67






Longtown Medical Centre 1



NHS North Cumbria CCG 1



Cumbria County Council 1




COllectioN Devices to reduce Urine ConTamination (CONDUCT)



Lifestyle Health and Wellbeing Survey NHS North Cumbria CCG Court Thorn Surgery 1

The Adult Autism Spectrum Cohort - UK NHS North Cumbria CCG


ARRISA-UK NHS North Cumbria CCG




Fusehill Medical Practice 1












Queen Street Medical Practice 1

Molecular Genetics of Adverse Drug Reactions (MOLGEN)


Total 355

North Durham CCG


The Connected Patient Project NHS North Durham CCG Leadgate Surgery 1123

Barrett’s oESophagus Trial 3 (BEST3) NHS North Durham CCG

Pelton & Fellrose Medical Group 185


Queens Road Surgery 137


Great Lumley Surgery 133

Adjuvanted Seasonal Influenza Vaccine for Older Adults in England

NHS North Durham CCG The Haven Surgery 27

ContactME–IBS NHS North Durham CCG

Claypath & University Medical Group

24

Adult dental health 2017 NHS North Durham CCG Dental Surgery 21

Adult dental health 2017 NHS North Durham CCG Alpha Dental Group 10

Extending the QALY NHS North Durham CCG Leadgate Surgery 9

ContactME–IBS NHS North Durham CCG John Low Ltd 9

I-WOTCH V1.0 NHS North Durham Consett Medical 9

NHS Official

of 67

CCG Centre

I-WOTCH V1.0 NHS North Durham CCG Drs Lambert & Ng 9


Coxhoe Medical Practice 8

I-WOTCH V1.0 NHS North Durham CCG


Adult dental health 2017 NHS North Durham CCG Dental Surgery 7

ContactME–IBS NHS North Durham CCG Whitfield M Ltd 7




Sacriston Medical Centre 6

I-WOTCH V1.0 NHS North Durham CCG Leadgate Surgery 6


Annfield Plain Surgery 6


Middle Chare Medical Group 5

CARE-Study NHS North Durham CCG The Haven Surgery 5





3


West Rainton Surgery 3


Coxhoe Medical Practice 3

ContactME–IBS NHS North Durham CCG Leadgate Surgery 2


Bowburn Pharmacy Ltd 2


NHS North Durham CCG




Oakfields Health Centre 2

Access to medicines study NHS North Durham CCG

St Cuthberts Hospice 1

Understanding variation in referral decisions in primary care (V 1.0)

NHS North Durham CCG The Haven Surgery 1



NHS North Durham CCG 1



Durham County Council 1


NHS North Durham CCG Bridge End Surgery 1




1



Stanley Medical Group 1

Radicalisation and General Practice NHS North Durham CCG

Sacriston Medical Centre 1

Radicalisation and General Practice NHS North Durham CCG


Radicalisation and General Practice NHS North Durham Pelton & Fellrose 1

NHS Official

of 67

CCG Medical Group


Tanfield View Medical Group 1


Cheveley Park Medical Ctr 1


Lanchester Medical Centre 1

I-WOTCH V1.0 NHS North Durham CCG The Haven Surgery 1


NHS North Durham CCG John Low Ltd 1

PACT NHS North Durham CCG




Belmont & Sherburn Medical Group 1






Cheveley Park Medical Ctr 1

Total 1800

North Tyneside CCG


Lifestyle Health and Wellbeing Survey NHS North Tyneside CCG

Priory Medical Group 33

ContactME–IBS NHS North Tyneside CCG


Adult dental health 2017 NHS North Tyneside CCG 33-39 Verne Road 20

CARE-Study NHS North Tyneside CCG

49 Marine Avenue Surgery 12

MIlkMAN: pilot study; version 1 NHS North Tyneside CCG


MIlkMAN: pilot study; version 1 NHS North Tyneside CCG

Spring Terrace Health Centre 7




Dysphagia Screening in Nursing Homes Study:1


NHS North Tyneside CCG 7

I-WOTCH V1.0 NHS North Tyneside CCG

Portugal Place Health Ctr 7


Forest Hall Health Centre 7













Primary Care Dentists’ management of NHS North Tyneside Oasis Dental Care 6

NHS Official

of 67

permanent dentition dental trauma CCG Ltd Primary Care Dentists’ management of permanent dentition dental trauma

NHS North Tyneside CCG Dental Surgery 5

PRIMUS NHS North Tyneside CCG

Swarland Avenue Surgery 5


Park Road Medical Pract 5

ContactME–IBS NHS North Tyneside CCG Fairmans Pharmacy 5


Swarland Avenue Surgery 5



The Dental Practice 24 4


NHS North Tyneside CCG 33-39 Verne Road 4



PRIMUS NHS North Tyneside CCG West Farm Surgery 3












NHS North Tyneside CCG Dental Surgery 2


Wellspring Medical Pract. 2

Impact of nausea in pregnancy using technology (INPUT) study


Whitley Bay Health Centre 2


Bewicke Medical Centre 2


The Village Green Surgery 2




Park Parade Practice 2



ARRISA-UK NHS North Tyneside CCG West Farm Surgery 2

Personalisation in care home (PICH) NHS North Tyneside CCG Stephenson Court 1

ACT-FLARE study NHS North Tyneside CCG


Feasibility study:EULOv01 NHS North Tyneside CCG

Marine Avenue Medical Ctr 1


Redburn Park Medical Centre 1



Garden Park Surgery 1



Redburn Park Medical Centre 1

ContactME–IBS NHS North Tyneside CCG Lane End Surgery 1

ContactME–IBS NHS North Tyneside Redburn Park 1

NHS Official

of 67

CCG Medical Centre

ContactME–IBS NHS North Tyneside CCG Fairmans Pharmacy 1









Earsdon Park Medical Practice 1


NHS North Tyneside CCG Bridge Medical 1












North Tyneside Council 1



ARRISA-UK NHS North Tyneside CCG

Battle Hill Health Centre 1



Woodlands Park Health Ctr 1



Battle Hill Health Centre 1

Total 262

Nothumberland CCG




Coquet Medical Group 45

Adult dental health 2017 NHS Northumberland CCG

Butterworth Dentist Ltd 30

INTREPID: INvestigation of TRELEGY Effectiveness: Usual PractIce


Corbridge Health Centre 22


Rivenhall Dental Practice 16


Haltwhistle Dental Health 11

I-WOTCH V1.0 NHS Northumberland CCG

The Bondgate Surgery 11

PRIMUS NHS Northumberland CCG

Cheviot Medical Group 10


Louise Hunter Associates 10

Extending the QALY NHS Northumberland CCG

Railway Medical Group 9




Guidepost Medical Group 9


Well Close Medical Group 9

Extending the QALY NHS Northumberland Village Medical 9

NHS Official

of 67

CCG Group


Humshaugh & Wark Med Grp 9



Lifestyle Health and Wellbeing Survey NHS Northumberland CCG

Ponteland Medical Group 7



Belford Medical Practice 6






Village Medical Group 6


NHS Northumberland CCG Branch End Surgery 6

Bisoprolol in COPD study (BICS) NHS Northumberland CCG




Development of oral health initiatives to improve glycaemic control v1

NHS Northumberland CCG Branch End Surgery 6


NHS Northumberland CCG Netherfield House 5



Alison Brett Dental Care 5



ContactME–IBS NHS Northumberland CCG Bellingham Practice 5



CARE-Study NHS Northumberland CCG




Rivenhall Dental Practice 4



PRIMUS NHS Northumberland CCG Branch End Surgery 4

Adult dental health 2017 NHS Northumberland CCG 10 Linnet Court 4

SEED WS4 NHS Northumberland CCG




Cramlington Dental Centre 3



Darras Hall Dental Practice 3



Princes Street Dental Practice 3


The Glendale Surgery 3

ContactME–IBS NHS Northumberland CCG

Haltwhistle Medical Group 3






White Medical Group 3

The Adult Autism Spectrum Cohort - UK NHS Northumberland Railway Medical 3

NHS Official

of 67

CCG Group

CARE-Study NHS Northumberland CCG


DIAMONDS QUEST NHS Northumberland CCG




Newgate Dental Group 2



James Rp Jones & Associates 2


NHS Northumberland CCG 10 Linnet Court 2

ACT-FLARE study NHS Northumberland CCG


2

Feasibility study:EULOv01 NHS Northumberland CCG



White Medical Group 2


Princes Street Dental Practice 2





Coquet Medical Group 2



ARRISA-UK NHS Northumberland CCG Bellingham Practice 2

ARRISA-UK NHS Northumberland CCG Branch End Surgery 2

DIAMONDS QUEST NHS Northumberland CCG

The Sele Medical Practice 1

DIAMONDS QUEST NHS Northumberland CCG Branch End Surgery 1

Access study NHS Northumberland CCG







Prudhoe Dental Practice 1



Battle Hill Dental Surgery 1



Hencotes Dental Practice 1



Abbey Dental Practice 1


NHS Northumberland CCG Dental Surgery 1


NHS Northumberland CCG Aqua Dental Care 1


NHS Northumberland CCG 25 Oldgate 1


NHS Northumberland CCG 32 Princes Street 1







NHS Official

of 67











NHS Northumberland CCG Netherfield House 1


Marine Medical Group 1






Cheviot Medical Group 1




Haydon Bridge & Allendale Medical Pract

1

ContactME–IBS NHS Northumberland CCG Branch End Surgery 1






Humshaugh & Wark Med Grp 1




Radicalisation and General Practice NHS Northumberland CCG






I-WOTCH V1.0 NHS Northumberland CCG Widdrington Surgery 1

I-WOTCH V1.0 NHS Northumberland CCG Netherfield House 1


Union Brae & Norham Prac 1

I-WOTCH V1.0 NHS Northumberland CCG Felton Surgery 1

Lifestyle Health and Wellbeing Survey NHS Northumberland CCG Bellingham Practice 1

Development of oral health initiatives to improve glycaemic control v1


Union Brae & Norham Prac 1

PACT NHS Northumberland CCG


The Adult Autism Spectrum Cohort - UK NHS Northumberland CCG Branch End Surgery 1

ARRISA-UK NHS Northumberland CCG

Ponteland Medical Group 1


Infirmary Drive Medical Group 1





Forum Family Practice 1

The United Kingdom Aneurysm Growth NHS Northumberland Branch End Surgery 1

NHS Official

of 67

Study CCG 418

Scarborough and Ryedale CCG

Study name CCG Practice Participants

Access to medicines study NHS Scarborough and Ryedale CCG

BROOK SQUARE SURGERY 1


NHS Scarborough and Ryedale CCG

CASTLE HEALTH CENTRE 1

DERM 5560 NHS Scarborough and Ryedale CCG

DERWENT PRACTICE 3

Total 5

South Tees CCG


Adult dental health 2017 NHS South Tees CCG Unit 2 37 Adult dental health 2017 NHS South Tees CCG Dental Surgery 36

Adult dental health 2017 NHS South Tees CCG Ist & 2nd Floor 13-17 32

Adult dental health 2017 NHS South Tees CCG Martonside Dental Group 26

Adult dental health 2017 NHS South Tees CCG Dental Surgery 22

Adult dental health 2017 NHS South Tees CCG Genix Healthcare Ltd 20

Adult dental health 2017 NHS South Tees CCG Burnside and Carter 18

Adult dental health 2017 NHS South Tees CCG North Ormesby Dental Practice 16

Adult dental health 2017 NHS South Tees CCG Dental Surgery 10 BBV_TestPrompt: testing a CDS system for prompted BBV testing NHS South Tees CCG The Garth 8

I-WOTCH V1.0 NHS South Tees CCG Springwood Surgery 5

I-WOTCH V1.0 NHS South Tees CCG Parkway Medical Centre 4

Community pHarmaciEs Mood Intervention STudy (CHEMIST) NHS South Tees CCG Eston Pharmacy 4

DIAMONDS QUEST NHS South Tees CCG The Garth 3

I-WOTCH V1.0 NHS South Tees CCG The Discovery Practice 3

I-WOTCH V1.0 NHS South Tees CCG The Linthorpe Surgery 2

I-WOTCH V1.0 NHS South Tees CCG Borough Road & Nunthorpe Medical Group

2

I-WOTCH V1.0 NHS South Tees CCG The Garth 2 Community pHarmaciEs Mood Intervention STudy (CHEMIST) NHS South Tees CCG Your Family

Pharmacy 2

Improving healthcare for probationers: mapping the landscape NHS South Tees CCG NHS South Tees

CCG 1

Improving healthcare for probationers: mapping the landscape NHS South Tees CCG Middlesbrough

Council 1

Improving healthcare for probationers: NHS South Tees CCG Redcar & Cleveland 1

NHS Official

of 67

mapping the landscape Borough Council I-WOTCH V1.0 NHS South Tees CCG Hillside Practice 1

I-WOTCH V1.0 NHS South Tees CCG Coulby Medical Practice 1

Community pHarmaciEs Mood Intervention STudy (CHEMIST) NHS South Tees CCG Thorntree Surgery 1

Community pHarmaciEs Mood Intervention STudy (CHEMIST) NHS South Tees CCG Whitworth Chemists 1

The United Kingdom Aneurysm Growth Study NHS South Tees CCG The Linthorpe

Surgery 1

The United Kingdom Aneurysm Growth Study NHS South Tees CCG Huntcliff Surgery 1

Total 261

South Tyneside CCG


Barrett’s oESophagus Trial 3 (BEST3) NHS South Tyneside CCG

Imeary Street Practice 114


NHS South Tyneside CCG 4 Park Road 3


NHS South Tyneside CCG

147 Prince Edward Road 2



Marsden Road Health Centre 1

ACT-FLARE study NHS South Tyneside CCG

NHS South Tyneside CCG 1

ContactME–IBS NHS South Tyneside CCG

Flagg Court Pharmacy Limited 1



NHS South Tyneside CCG 1



South Tyneside Metropolitan Borough Council

1

CHESS Main Randomised Controlled Trial NHS South Tyneside CCG

Talbot Medical Centre 1

Radicalisation and General Practice NHS South Tyneside CCG

Victoria Medical Centre 1

Lifestyle Health and Wellbeing Survey NHS South Tyneside CCG

Talbot Medical Centre 1

ARRISA-UK NHS South Tyneside CCG

Victoria Medical Centre 1

Total 128

Sunderland CCG


PROACT NHS Sunderland CCG NHS Sunderland CCG 305

TIMELY Phase 1 Prototyping Study NHS Sunderland CCG NHS Sunderland CCG 30

Primary Care Dentists’ management of permanent dentition dental trauma NHS Sunderland CCG The Dental Centre 4

NHS Official

of 67

Community pHarmaciEs Mood Intervention STudy (CHEMIST) NHS Sunderland CCG Hetton Group

Practice 4

Primary Care Dentists’ management of permanent dentition dental trauma NHS Sunderland CCG Dental Surgery 3

Primary Care Dentists’ management of permanent dentition dental trauma NHS Sunderland CCG Westmount Dental

Surgery 3

Primary Care Dentists’ management of permanent dentition dental trauma NHS Sunderland CCG 26/27 Laura Street 3

Community pHarmaciEs Mood Intervention STudy (CHEMIST) NHS Sunderland CCG Rowlands Pharmacy 3

Primary Care Dentists’ management of permanent dentition dental trauma NHS Sunderland CCG Garvey and Hicks

Dental Surgeons 2

ACT-FLARE study NHS Sunderland CCG NHS Sunderland CCG 2

Community pHarmaciEs Mood Intervention STudy (CHEMIST) NHS Sunderland CCG Whitfield R Ltd 2

Primary Care Dentists’ management of permanent dentition dental trauma NHS Sunderland CCG Fencehouses Dental

Practice 1

Primary Care Dentists’ management of permanent dentition dental trauma NHS Sunderland CCG Frederick Family

Dental Practice 1

Primary Care Dentists’ management of permanent dentition dental trauma NHS Sunderland CCG Olivers Dental

Surgery 1

The CHIldren with COugh Randomised Controlled Trial (The CHICO RCT) NHS Sunderland CCG Hetton Group

Practice 1

The CHIldren with COugh Randomised Controlled Trial (The CHICO RCT) NHS Sunderland CCG

Sunderland GP Alliance Medical Practice

1

The CHIldren with COugh Randomised Controlled Trial (The CHICO RCT) NHS Sunderland CCG Monkwearmouth

Health Centre 1

The CHIldren with COugh Randomised Controlled Trial (The CHICO RCT) NHS Sunderland CCG Dr Weatherhead &

Associates 1

The CHIldren with COugh Randomised Controlled Trial (The CHICO RCT) NHS Sunderland CCG Rickleton Medical

Centre 1

ContactME–IBS NHS Sunderland CCG The Old Forge Surgery 1

Improving healthcare for probationers: mapping the landscape NHS Sunderland CCG NHS Sunderland

CCG 1

Improving healthcare for probationers: mapping the landscape NHS Sunderland CCG Sunderland City

Council 1

The United Kingdom Aneurysm Growth Study NHS Sunderland CCG Galleries Medical

Practice 1

The United Kingdom Aneurysm Growth Study NHS Sunderland CCG Grangewood

Surgery 1

The United Kingdom Aneurysm Growth Study NHS Sunderland CCG New Silksworth

Medical Practice 1

Total 375

CCG PIC Activity 2018/19: Number of Patients signposted to research projects by Practice and CCG

Study Name CCG Practice Number of Mailouts

Relieve-IBS Study


Bishopgate Medical Centre 31

NHS Official

of 67

Relieve-IBS Study NHS DDES CCG Willington Medical Group 4

Diamonds Quest Study NHS Newcastle Gateshead CCG

Broadway Medical Group 6

NAXOS Study NHS NG CCG Crawcrook Medical Practice 8

NAXOS Study NHS NG CCG Grange Road Medical Practice 4

LACE Study NHS NG CCG Newburn Surgery 222

LACE Study NHS NG CCG Park Road Medical Practice 114

LACE Study NHS NG CCG Teams Medical Practice 93

NAXOS Study NHS NG CCG

Throckley Primary Care Centre 33

BICS Study NHS North Cumbria CCG


Relieve-IBS Study NHS North Cumbria CCG

Maryport Health Centre 50

NAXOS Study NHS North Durham CCG

Leadgate Practice 17

NAXOS Study NHS North Durham CCG

Pelton and Fellrose Surgery 18

NAXOS Study NHS North Tyneside CCG


BLISS Study NHS North Tyneside CCG


MASS Lifecourse NHS North Tyneside CCG

Lane End Surgery 199

Relieve-IBS Study NHS North Tyneside CCG

Redburn Park Health Centre 5

NAXOS Study NHS North Tyneside CCG


Relieve-IBS Study NHS North Tyneside CCG

Wellspring Medical Practice 33

Relieve-IBS Study



Diamonds Quest Study


Branch End Medical Centre 19

Relieve-IBS Study


Glendale Medical Centre 3




LACE Study NHS Northumberland Netherfield House 100

NHS Official

of 67

CCG

LACE Study






LQD Study



Diamonds Quest Study NHS South Tees CCG

The Garth Surgery 31

Diamonds Quest Study NHS South Tees CCG

Woodlands Medical Centre 25

NAXOS Study NHS Sunderland CCG

Concord Medical Practice 4

Total 1663

nhs sunderland clinical commissioning group - north east of … · 2019-10-09 · nhs official ....

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