Amplifying the impact of a NIHR clinical trial, knowledge translation and service development of one stop diagnostic ultrasound clinic

Purpose

1.Primary purpose is To disseminate the amplifying impact of participating in a single national NIHR portfolio study in improving patient care pathway and service improvements

2. Secondary purposes is: To share the importance of research grants and its return on investment To share the amplifying impact of NIHR portfolio stud

£182,390
saved through service improvement over 6 years.

Approach

A first-time collaborative NIHR T&O clinical trial was set up in a secondary care university hospital between therapies, research & development and trauma and orthopedic department. This was initiated with the help of funding support of £3500 for 0.1 WTE for 6 months from clinical research network.This was topped up by the Trust R&D for following next 2 years with £7600 (2016- 17).This brought an opportunity for multidisciplinary team work. Patients had the opportunity to share their experience and its impact on their quality of life. Departmental and regional teaching was organised for discussion and standardisation of the protocol. The lead physiotherapist received fellowship to visit overseas units & completed NIHR internship. One of the biggest challenge for patient recruitment was the communications between the teams as it was hierarchical, and this was addressed with the feedbacks. Another barrier for patient recruitment was long waiting list. A business proposal for the development of one stop diagnostic ultrasound was made by the lead physiotherapist.The one stop diagnostic ultrasound clinic was cost effective as compare to existing one stop MRI clinic. Projected savings of 20% were made in business case based on a single consultants MRI statistics which was saving of £36,000 in 2 years and £218, 868 in 6 years. However published studies have reported savings of £422 273 per annum(Levy et al. 2007) . The business case was approved by the Trust followed by successful bid of £26,000 from hospital charities to purchase a portable diagnostic ultrasound machine. Transferable skills were used for collaborative successful fundraising of £40,000 for purchase of two portable ultrasound machine in another NHS Trust to develop point of contact ultrasound clinics.

Outcomes

Results: Regional level - Sharing patient's feedback at regional event. Regional education and service improvement events were organised to develop specialist interest group. National/International - Lead physiotherapist had the opportunity to present the trial protocol at national and international events during the fellowship.

Conclusion(s): In Spite of drive to develop clinical research career development pathway in NHS, often the resources are limited, there is lack of training, lack of autonomy on research equipments and hierarchical model exists in multidisciplinary research.

Cost and savings

Investment & Return 2015 - 2018 -Research investment on lead physiotherapist in NHS - £11,000. Income generation by the lead physiotherapist to the Trust through portfolio study, CRN, NIHR internship and charities funding - £38,000. Organisation level - Raising Trust's research profile by participating in research and through publication. Collaborative work in multidisciplinary teams in the organisation. Direct funding to NHS through charities £66,000, through NIHR grants £7800 and indirect benefit of £182,390 through service improvement over 6 years.

Implications

Clinical research and collaborative working helps to improve services, patient care pathways, knowledge translation and career development.

Top three learning points

No further information. 

Funding acknowledgements

Nil