Full details are provided on the NHS England website and a summary is given below.
England has a vibrant research and development ecosystem, with well-developed research infrastructure and research expertise within our health and care workforce. The value of research in transforming health and care is significant; additionally, staff satisfaction, recruitment and retention is higher among staff who are involved in research.
The inception of integrated care systems (ICSs) provides the opportunity for systems to embed research within health and care for the benefit of our population. Supporting this opportunity, a clear research thread runs through ICS strategies and plans, from joint strategic needs assessments and joint health and wellbeing strategies, integrated care strategies, joint forwards plans, integrated care board (ICB) annual reports and the assessment by NHS England of the discharge of duties by ICBs.
The Health and Care Act 2022 (the 2022 Act) sets new legal duties on ICBs around the facilitation and promotion of research in matters relevant to the health service, and the use in the health service of evidence obtained from research. NHS England will assess ICBs for their discharge of these duties.
The ICS design framework sets the expectation that in arranging provision of health services, ICBs will facilitate their partners in the health and care system to work together, combining expertise and resources to foster and deploy research and innovations. This guidance supports ICBs in fulfilling their research duties.
ICS’s are encouraged to develop a research strategy that aligns to or could be included in their integrated care strategy. This strategy will enable the unification of research across ICS partners, and be consistently embedded to:
- identify and address local research priorities and needs, and work collaboratively to address national research priorities
- improve the quality of health and care and outcomes for all through the evidence generated by research
- increase the quality, quantity and breadth of research undertaken locally
- extend and expand research in settings such as primary care, community care, mental health services, public health and social care
- drive the use of research evidence for quality improvement and evidence-based practice
- influence the national research agenda to better meet local priorities and needs
- improve co-ordination and standardisation within and between localities for the set up and delivery of research
- harness the patient and economic benefits of commercial contract research co-ordinate and develop the research workforce across all settings.
The CQC is currently developing its approach for ICS-level assessments, and its new assessment framework will be introduced towards the end of 2023. CQC inspection of NHS providers continue, with research assessed as part of the review of the trust-level Well-led framework. Providers are asked:
- are divisional staff aware of research undertaken in and through the trust, how it contributes to improvement and the service level needed across departments to support it?
- how do senior leaders support internal investigators initiating and managing clinical studies?
- does the vision and strategy incorporate plans for supporting clinical research activity as a key contributor to best patient care?
- does the trust have clear internal reporting systems for its research range, volume, activity, safety and performance?
- how are service users and carers given the opportunity to participate in or become actively involved in clinical research studies in the trust?