Download - Dr. Graham Love, CEO, Health Research Board
Clinical Research SummitDr Graham LoveChief ExecutiveHealth Research Board
Radisson Blu, Athlone, 14 Oct 2015
Healthy people through excellent research and applied knowledge
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Conclusions……..Research active Trusts had lower risk-adjusted mortality for acute admissions, which persisted after adjustment for staffing and other structural factors.
Sample R&D Intensities
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• Healthcare is a KNOWLEDGE industry!• Expectations & costs are rising out of sync with resources. This is not sustainable.• We need a much smarter use of our resources, people, processes & technology to
meet healthcare needs/expectations.• Our healthcare system needs a much greater self-learning capacity: an ability to
research & develop people/processes/technology both in Ireland and to absorb them from abroad.
• That capacity is not strong in our healthcare system at present.€13,000,000,000€150,000,0001.1%
£109,000,000,000£2,400,000,0002.20%
$53,000,000,000$2,800,000,0005.28%
Total spendR&D spendR&D as % of total
However, recently we have made important progress
A ~€100million jigsaw that is now clicking together…..
The Groups & the CRFs/infrastructure are aligning...
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Dublin North East
Dublin Midlands
Ireland East
South/South West
Saolta
(Mid-West)
(Children’s)
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1 U
nder
pinn
ing
2 A
etio
logy
3 P
reve
ntio
n
4 D
etec
tion
and
Dia
gnos
is
5 T
reat
men
t Dev
elop
men
t
6 T
reat
men
t Eva
luat
ion
7 D
isea
se M
anag
emen
t
8 H
ealth
Ser
vice
s
-15%
-10%
-5%
0%
5%
10%
15%
Per
cent
age
Profile of HRB spend 2010-2014 (~€200m)
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0% 5% 10% 15% 20% 25%
0.04%
0.14%
0.90%0.93%
1.21%
1.68%
1.96%
2.21%2.32%
2.48%
3.28%
3.83%4.28%
4.45%
5.11%
5.77%
7.41%9.72%
19.41%
22.86%
Percentage of spending attributed to all health categories: 2010-2014 (~€200m)
Percentage
Heal
th C
ateg
ory
So what next? A previewl2016-2020: ~€235 million plan (~50% already committed)
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Enabler BBuild a strong enabling enviornmentBuild a strong enabling environment for health research in Ireland.
Enabler ASupport exceptional researchers and leadersSupport the exceptional researchers, talent and leadership we need toundertake high-quality research and generate evidence.
Focus 1Address major
health challenges
Support innovative,
investigator- led and internationally
competitive research to address
major health challenges in
society.
Focus 2Support
healthcare interventions
Support the
design, conduct and evaluation of
healthcare intervention
studies in order to improve health outcomes and health service
delivery.
Focus 3Address the
research needs of the Irish
health system
Support partnership-driven
research, information and
evidence that meet the needs of the Irish health and
social care system.
Underpinning Support Organisational performance
Achieve & sustain organisational excellence, foster transparency and accountability, and demonstrate impact.
DRAFT – not final!!
What specific actions can we take to improve our system now?Hospital (Group) CEOs• Speed up Hospital
approvals for studies/trials
• ‘Encourage’ research in member hospitals to go via CRF
• Mainstream research into your upcoming Group Strategies
Pharma• Drive feasibility
studies for multi-site trials into the infrastructure, via HRB CRCI
• (based on credibility of above) secure full multi-site studies to Ireland
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