NIHR Clinical Research Network East Midlands Research Delivery & Performance Report Nottinghamshire Clinical Commissioning Groups Quarter /18

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1 NIHR Clinical Research Network East Midlands Research Delivery & Performance Report Nottinghamshire Clinical Commissioning Groups. Report Date: 5 February 2018 (Data cut 29 January 2018) Report data range: 1 April 2017 to 29 January 2018 Recruitment: 1,134 Unique Studies 26 Report Contents Section 1 Section 2 Section 3 Section 4 Section 5 Section 1: Report Introduction and Purpose NIHR CRN National Overview CRN: East Midlands Overview Provider Trusts Primary Care Organisations Report Introduction and Purpose Welcome to the NIHR Clinical Research Network: East Midlands (CRN East Midlands) research delivery and performance report created for Clinical Commissioning Groups (s). This information is intended to support s with their duty to promote research on matters relevant to the health service as outlined in the Health and Social Care Act (2012). We acknowledge that this information may provide only an element of the local research picture within a geographical area as this report focuses on research studies that are included on the NIHR CRN Portfolio and does not cover research activity that occurs within other research infrastructure such as the East Midlands Academic Health Science Network, Biomedical Research Centres, Clinical Research Facilities or NIHR CLAHRC East Midlands. CRN: East Midlands Research Delivery & Performance Report Page 1 of 23

2 Section 2: NIHR CRN National Overview High Level Objectives (HLO) The Clinical Research Network measures its effectiveness against a set of high level objectives set by the Department of Health. In broad terms, these objectives include: 1. Increasing the number of participants recruited into studies on NIHR CRN Portfolio. 2. Increasing the proportion of NIHR CRN Portfolio studies that deliver in line with the study's planned delivery time and patient recruitment targets. 3. Increasing the number of life-sciences studies on NIHR CRN Portfolio 4. Reducing the time it takes for a study to set up and start participant recruitment. 5. Reducing the length of time it takes to recruit the first participant onto NIHR CRN Portfolio studies. 6. Increase the percentage of Trusts and General Medical Practices that are involved in delivering NIHR CRN Portfolio studies. 7. Increase the number of participants recruiting into Dementias and Neurodegenerative (DeNDRoN) studies on the NIHR CRN Portfolio. CRN: East Midlands Research Delivery & Performance Report Page 2 of 23

3 Section 3: CRN East Midlands Overview The CRN East Midlands supports clinical research in partner organisations across Derbyshire, Nottinghamshire, Lincolnshire, Leicestershire, Rutland and Northamptonshire. CRN East Midlands is currently the 4 th highest recruiting Clinical Research Network in England, with 41,699 participants recruited into 798 NIHR CRN Portfolio studies, as shown in figure 1. CRN: East Midlands has a High Level Objective (HLO) to recruit 46,000 participants to NIHR CRN Portfolio studies in 2017/18. Current recruitment is 90.7% of the year end recruitment goal. NIHR Recruitment into NIHR Research Networks Yorkshire and Humber West Midlands North Thames East Midlands South London North West Coast Thames Valley and South Midlands North West London Wessex North East and North Cumbria Greater Manchester Eastern Kent, Surrey and Sussex South West Peninsula 58,769 52,098 50,094 41,699 38,605 33,542 32,990 32,392 31,886 31,534 30,746 30,453 26,346 23, ,000 40,000 60,000 80,000 Figure 1 CRN: East Midlands Research Delivery & Performance Report Page 3 of 23

4 Figure 2 shows the percentage of recruitment activity within primary care organisations and Trusts (Exclusive of recruitment at Independent Healthcare Service Provider sites) Percentage Recruitment in the East Midlands Primary Care Organisations 24% Trust 76% Figure 2 Please refer to the monthly CRN: East Midlands Summary report for more information on local network performance. CRN: East Midlands Research Delivery & Performance Report Page 4 of 23

5 Recruitment Section 4: Provider Trusts (Nottinghamshire) The CRN East Midlands provides NIHR CRN Portfolio reports for local trusts. These reports include details of open studies, participant recruitment, recruitment to time and target, involvement in commercial research and recruitment by clinical specialty area. There are 16 Trusts in the East Midlands, all in receipt of CRN funding to aid the delivery of NIHR Portfolio research. The total participant recruitment numbers for the three Trusts within Nottinghamshire are shown in Figure 3. Recruitment to Portfolio studies by Nottinghamshire Trusts NOTTINGHAM UNIVERSITY HOSPITALS TRUST 1224 SHERWOOD FOREST HOSPITALS FOUNDATION TRUST 5173 NOTTINGHAMSHIRE HEALTHCARE FOUNDATION TRUST Figure 3 Figure 4 shows the total number of recruiting studies per Trust No. of Portfolio Studies Recruiting in Nottinghamshire Trust 373 NOTTINGHAM UNIVERSITY HOSPITALS TRUST 76 SHERWOOD FOREST HOSPITALS FOUNDATION TRUST 40 NOTTINGHAMSHIRE HEALTHCARE FOUNDATION TRUST Figure 4 CRN: East Midlands Research Delivery & Performance Report Page 5 of 23

6 There are 30 research specialty areas in the NIHR CRN with Trusts expected to contribute to a balanced portfolio of studies. Figure 5 shows recruitment by CRN specialty area for the Nottinghamshire Trusts. Recruitment into Nottinghamshire Trusts by Main Speciality Public health Surgery Stroke Respiratory disorders Reproductive health and childbirth Renal disorders Primary care Ophthalmology Neurological disorders Musculoskeletal disorders Metabolic and endocrine disorders Mental health Injuries and emergencies Infectious diseases and microbiology Hepatology Health services and delivery research Haematology Genetics Gastroenterology Ear, nose and throat Diabetes Dermatology Dementias and neurodegeneration Critical care Children Cardiovascular disease Cancer Anaesthesia, perioperative medicine Ageing NOTTINGHAM UNIVERSITY HOSPITALS TRUST SHERWOOD FOREST HOSPITALS FOUNDATION TRUST NOTTINGHAMSHIRE HEALTHCARE FOUNDATION TRUST Figure 5 If you would like more information on provider Trust research activity, then please contact CRN East Midlands or the provider Trust R&D department for a copy of their report. CRN: East Midlands Research Delivery & Performance Report Page 6 of 23

7 Recruitment Section 5: Primary Care Organisations (East Midlands) 5.1 Primary Care High Level Objective (HLO) The CRN: East Midlands has an HLO measuring the proportion of General Medical Practices recruiting each year into NIHR CRN Portfolio studies. HLO England Target East Midlands Target Progress Comments 6C 40% 58% 41.2% 240 General Medical Practices recruiting into Portfolio studies (out of 582) This does not include Care Homes and IHSP sites 5.2 Overview of East Midlands Primary Care Provider Recruitment 2017/18 Quarter 3 recruitment into CRN Portfolio studies across the East Midlands, is 7,021 participants where Primary Care is the managing speciality and an additional 2,418 participants from other managing specialties in the group, totalling 9,439 Figure 6 shows the comparison breakdown of recruitment by s at county level. 6,000 5,000 East Midlands Primary Care Recruitment to Portfolio Studies by County 5,199 4,000 3,000 2,000 1, ,326 1,399 1,134 - Derbyshire Leicestershire(LLR) Lincolnshire Northamptonshire Nottinghamshire Figure 6 CRN: East Midlands Research Delivery & Performance Report Page 7 of 23

8 Studies No of Sites There are 273 Primary Care sites that have recruited patients throughout the East Midlands as shown in figure 7. There are 63 studies recruiting across 15 research specialty areas and the breakdown of this is shown in figure East Midlands Primary Care Sites Recruiting to Portfolio Studies by County Derbyshire Leicestershire (LLR) Lincolnshire Northamptonshire Nottinghamshire Figure East Midlands Primary Care Sites with Total no. of Portfolio Studies by Main Specialty Area Figure 8 CRN: East Midlands Research Delivery & Performance Report Page 8 of 23

9 Figure 9 illustrates the total Primary Care sites by that have recruited to NIHR CRN Portfolio studies in 2017/18. Number of Primary Care sites contributing to East Midlands Primary Care Portfolio Recruitment by LEICESTER CITY 41 WEST LEICESTERSHIRE 34 EAST LEICESTERSHIRE AND 29 NENE 24 SOUTHERN DERBYSHIRE NOTTINGHAM CITY NOTTINGHAM WEST NOTTINGHAM NORTH AND EAST NORTH DERBYSHIRE LINCOLNSHIRE WEST 12 LINCOLNSHIRE EAST 9 SOUTH LINCOLNSHIRE SOUTH WEST LINCOLNSHIRE RUSHCLIFFE MANSFIELD AND ASHFIELD 6 NEWARK AND SHERWOOD 5 HARDWICK 4 CORBY EREWASH No. of Sites Figure 9 CRN: East Midlands Research Delivery & Performance Report Page 9 of 23

10 Section 6: Primary Care Organisations (Nottinghamshire) 6.1 Overview of Nottinghamshire s In (1 April 2017 to 29 January 2018), Primary Care sites in Nottinghamshire have recruited 1,134 participants into CRN Portfolio studies, with the highest number of participants recruited in Nottingham City with 686 Figure 10 shows overall participant recruitment by Nottinghamshire s for 2017/18. Participant Recruitment into Portfolio Studies by MANSFIELD AND ASHFIELD 113 NOTTINGHAM CITY 94 NOTTINGHAM NORTH AND EAST NOTTINGHAM WEST RUSHCLIFFE 686 NEWARK AND SHERWOOD Figure 10 CRN: East Midlands Research Delivery & Performance Report Page 10 of 23

11 Figure 11 shows the number of recruiting studies per for 2017/18 Number of Non Unique Recruiting Portfolio Studies by MANSFIELD AND ASHFIELD NOTTINGHAM CITY NOTTINGHAM NORTH AND EAST 5 NOTTINGHAM WEST 21 RUSHCLIFFE 5 NEWARK and SHERWOOD Figure 11 CRN: East Midlands Research Delivery & Performance Report Page 11 of 23

12 Appendix 1: CRN Portfolio Studies Led by Division, Recruiting in Nottinghamshire s Study Main Specialty Study ID Study Acronym Short Title MANSFIELD AND ASHFIELD NOTTING HAM CITY NOTTING HAM NORTH AND EAST NOTTING HAM WEST RUSHCL IFFE NEWARK AND SHERWOOD Ageing Falls in Care Homes (FinCH) The Proactive Health Care in Care Homes (PEACH) Study Ageing Total Cancer CALYPSO 6 6 Cancer Total 6 6 Dermatology DERM Dermatology Total Diabetes sociodemographic groups Diabetes Total Health services and delivery research Early evaluation of the Integrated Care and Support Pioneers Managing Medicines 2 2 Understanding variation in referral decisions in primary care (V 1.0) GP Federations a qualitative investigation 9 9 Health services and delivery research Total Helping Urgent Care Users Cope with Mental health Distress about Physical Complaints Mental health Total Primary care Helicobacter Eradication Aspirin Trial (HEAT) PRIM Delivering primary health care to homeless people PRIM CFASII Dementia Diagnosis Study (CADDY) ARRISA-UK CRN: East Midlands Research Delivery & Performance Report Page 12 of 23 Recrui tment Grand Total

13 A study of common and rare genetic variants associated with thinness Knowledge Sharing in Eczema PRIM Mood and Influenza Vaccine Response: A Feasibility Trial Fluenz Tetra Enhanced Safety Surveillance Seqirus EPSS Primary care Total Surgery The United Kingdom Aneurysm Growth Study Surgery Total Public health Stay One Step Ahead Implementation Study Public health Total Recruitment Grand Total CRN: East Midlands Research Delivery & Performance Report Page 13 of 23

14 Appendix 2: CRN Portfolio Studies Led by Devolved Nations, Recruiting to Nottinghamshire s in Study Main Specialty Study ID Study Acronym Short Title NOTTINGHAM CITY NOTTINGHAM WEST RUSHCLIFFE NEWARK AND SHERWOOD Primary care FAST - Febuxostat versus Allopurinol Streamlined Trial ALL-HEART 1 1 Primary care Total Recruitment Grand Total Recruitment Grand Total CRN: East Midlands Research Delivery & Performance Report Page 14 of 23

15 Appendix 3: CRN Portfolio Recruitment by Site by Nottinghamshire RSI Site 17/18 Non RSI Recruitment Site Name Study Acronym Short Title MANSFIELD AND ASHFIELD NOTTING HAM CITY NOTTIN GHAM NORTH AND EAST NOTTIN GHAM WEST RUSHCLIF FE NEWAR K AND SHERW OOD Nottingham City 7 7 Early evaluation of the Integrated Care and Support Pioneers 1 1 CALYPSO 6 6 Church Walk Surgery 1 1 The United Kingdom Aneurysm Growth Study 1 1 East Bridgford Med Centre 1 1 Helping Urgent Care Users Cope with Distress about Physical Complaints 1 1 Radcliffe-On-Trent. Health Centre 1 1 Recruitment Grand Total The United Kingdom Aneurysm Growth Study 1 1 Sherwood Medical Partnership 3 3 sociodemographic groups 3 3 Nottingham Citycare Delivering primary health care to homeless people 4 4 Falls in Care Homes (FinCH) Managing Medicines 2 2 Stay One Step Ahead Implementation Study CRN: East Midlands Research Delivery & Performance Report Page 15 of 23

16 Nems Platform One Practice 1 1 Helping Urgent Care Users Cope with Distress about Physical Complaints 1 1 Rushcliffe 1 1 Early evaluation of the Integrated Care and Support Pioneers 1 1 Highcroft Surgery 1 1 The United Kingdom Aneurysm Growth Study 1 1 Albemarle Hall 4 4 Study 4 4 Camellia House 3 3 Study 3 3 Elm Tree House 2 2 Study 2 2 Gedling Village Care Home 7 7 Study 7 7 Jubilee Court Care Home 7 7 Study 7 7 Stoke House 8 8 Study 8 8 Victoria Cottage 3 3 Study 3 3 Westwolds Care Centre 3 3 Study 3 3 CRN: East Midlands Research Delivery & Performance Report Page 16 of 23

17 Beeston Lodge Nursing Home 9 9 Study 9 9 Bramwell Care Home 1 1 Study 1 1 Giltbrook Carehomes 2 2 Study 2 2 Silverwood Care Home Study The Herons 6 6 Study 6 6 The Moorlands Nursing Home 3 3 Study 3 3 Five Gables 2 2 Study 2 2 Charnwood Care Home 9 9 Study 9 9 Eastwood House Residential Care Home 2 2 Study 2 2 Rylands 2 2 Study 2 2 The Rookery 4 4 Study 4 4 CRN: East Midlands Research Delivery & Performance Report Page 17 of 23

18 Level 2 Braywood Gardens Care Home Study Sherwood House 5 5 Study 5 5 Alexandra House Nursing Home 8 8 Study 8 8 Meadow Lodge 3 3 Study 3 3 Landermeads Nursing Home Study Stapleford Care Centre SMS 2 2 CFASII Dementia Diagnosis Study (CADDY) 2 2 Kirkby Health Centre 1 1 The United Kingdom Aneurysm Growth Study 1 1 Rise Park Surgery 1 1 The United Kingdom Aneurysm Growth Study 1 1 The Om Surgery 1 1 The United Kingdom Aneurysm Growth Study 1 1 Giltbrook Surgery 1 1 The United Kingdom Aneurysm Growth Study 1 1 Collingham Medical Centre sociodemographic groups A study of common and rare genetic variants associated with thinness. 7 7 CRN: East Midlands Research Delivery & Performance Report Page 18 of 23

19 Hucknall Road Medical Centre 5 5 A study of common and rare genetic variants associated with thinness. 4 4 GP Federations a qualitative investigation 1 1 Keyworth Medical Practice 5 5 FAST - Febuxostat versus Allopurinol Streamlined Trial. 2 2 sociodemographic groups 2 2 A study of common and rare genetic variants associated with thinness. 1 1 Leen View Surgery sociodemographic groups 7 7 Mood and Influenza Vaccine Response: A Feasibility Trial The Valley Surgery FAST - Febuxostat versus Allopurinol Streamlined Trial Brierley Park Medical Centre 6 6 ARRISA-UK 3 3 sociodemographic groups 3 3 Elmswood Surgery sociodemographic groups A study of common and rare genetic variants associated with thinness. 4 4 Family Medical Centre (Sood) PRIM Knowledge Sharing in Eczema GP Federations a qualitative investigation 1 1 CRN: East Midlands Research Delivery & Performance Report Page 19 of 23

20 Level 1 Radford Medical Practice (Kaur) 7 7 DERM East Leake Medical Group FAST - Febuxostat versus Allopurinol Streamlined Trial Forest Medical sociodemographic groups Torkard Hill Medical Ctre 5 5 The United Kingdom Aneurysm Growth Study 1 1 Understanding variation in referral decisions in primary care (V 1.0) 1 1 Fluenz Tetra Enhanced Safety Surveillance Fairfields Practice The United Kingdom Aneurysm Growth Study 1 1 sociodemographic groups Sunrise Medical Practice (Ghattaora) 8 8 ARRISA-UK 3 3 sociodemographic groups 1 1 A study of common and rare genetic variants associated with thinness. 4 4 Aspley Medical Centre 1 1 GP Federations a qualitative investigation 1 1 CRN: East Midlands Research Delivery & Performance Report Page 20 of 23

21 Derby Road Health Centre 4 4 FAST - Febuxostat versus Allopurinol Streamlined Trial. 3 3 GP Federations a qualitative investigation 1 1 Hill View Surgery sociodemographic groups Orchard Medical Practice 3 3 A study of common and rare genetic variants associated with thinness. 3 3 The Oaks Medical Centre FAST - Febuxostat versus Allopurinol Streamlined Trial sociodemographic groups Castle Healthcare Practice 4 4 A study of common and rare genetic variants associated with thinness. 4 4 Lombard Medical Centre sociodemographic groups A study of common and rare genetic variants associated with thinness. 3 3 Rivergreen Medical Centre sociodemographic groups CRN: East Midlands Research Delivery & Performance Report Page 21 of 23

22 Parkside Medical Centre ARRISA-UK 3 3 Mood and Influenza Vaccine Response: A Feasibility Trial GP Federations a qualitative investigation 5 5 Churchside Medical Practice sociodemographic groups St Georges Med Practice 6 6 Helicobacter Eradication Aspirin Trial (HEAT) 5 5 The United Kingdom Aneurysm Growth Study 1 1 Riverlyn Medical Centre ALL-HEART 1 1 sociodemographic groups Daybrook Medical Practice 9 9 sociodemographic groups 9 9 Bilsthorpe Surgery FAST - Febuxostat versus Allopurinol Streamlined Trial. 7 7 sociodemographic groups CRN: East Midlands Research Delivery & Performance Report Page 22 of 23

23 Leadership The Univ of Nottingham Health Serv Helping Urgent Care Users Cope with Distress about Physical Complaints 1 1 PRIM PRIM PRIM DERM Seqirus EPSS Recruitment Grand Total Footnote 2,737 participants were recruited by East Midlands IHSP Sites of these 2,143 were recruited into the Derby Packed Lunch Trial CRN: East Midlands Research Delivery & Performance Report Page 23 of 23