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Pre-funding feasibility assessments

Emily Pickering and Kirsty Hunter

27/04/2023

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Restart, Managed Recovery, Reset

  • Reasons for studies not being delivered include
    • Study was never feasible to deliver
    • Environment has changed and the study is no longer feasible to deliver

  • Current services
    • Commercial
      • Early feedback service - 6% across 3/12 period
    • Non-commercial
      • Early contact and engagement service - negligible for deliverability assistance

  • Eligibility criteria may include feasibility - funder responsibility
    • DHSC project

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NIHR EME and HTA*

  • Agree:
    • A form of pre-funding feasibility assessment is needed
    • Applicants understand deliverability will be externally peer-reviewed
    • NIHR CRN researchers are a valuable resource for this review
    • Reviews should take place at stage 2

  • Understand:
    • Challenging studies drive innovation
    • Cannot set-up a separate process
    • Significant number of applications

*With thanks to Danny McAuley and Andrew Farmer

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Advisory and Design Group membership

  • CC: Medical Directorate cluster offices
  • CC: Business Development and Marketing Directorate feasibility and start-up teams
  • CC: Research Delivery Directorate non-commercial initiatives and research leads
  • CC: Business Intelligence team
  • NETSCC Research programmes team
  • NETSCC Applications and funding team
  • LCRNs: East of England, Greater Manchester, Kent, Surrey and Sussex, North Thames, Thames Valley and South Midlands, West Midlands, West of England
  • All DAs
  • Multiple specialties

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Principles

  • Confidentiality
  • Conflicts of interest
  • Anonymity
  • Multiple reviewers
  • Reducing bureaucracy
  • Timeliness
  • Scalability - HTA/EME ~150 applications/year
  • The NIHR funding panel makes the final decision

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Design summary

Process

  • All studies complete SoECAT

  • Complete study set-up and delivery tool (SSUDT) at the same time

  • Nominate Specialty reviewer

  • Specialty reviewer contacted via usual NIHR processes (REALMS)
    • Reviews only the SSUDT
    • Two external clinical reviewers also review SSUDT

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The Question

Is it feasible to deliver the proposed research in the current environment of the NHS and social care?

Please provide comments to support your score and explain your decision. If applicable, please also include comments as to how the study could be amended to increase its likelihood of being delivered.

Scoring scale:

6 = Excellent: The proposed research will be feasible to deliver

5 = Good: The proposed research will be feasible to deliver with minor changes

4 = Good Potential: There is much merit in the proposal but it would only be feasible to

deliver after substantial changes

3 = Some Merits: There are significant weaknesses in the proposed delivery this study,

but these could in principle be addressed

2 = Poor: This is a weak application, unlikely to be feasible to deliver

1 = Extremely Poor: This is an unsupportable application, unable to be delivered

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Timeline

January 2023 Convene Task and Finish Group

February/March 2023 Design process

April 2023 Test aspects of the process

Draft final process for pilot

May 2023 Sign-off on process from HTA, EME and CRN

Soft Pilot: Stage 2: May 26th for July submission

Commissioned calls so more controllable for pilot

i) 22/150 Intravesical treatments for recurrent urinary tract infection (rUTI) in women

ii) 22/157 Interventions to reduce hospital-based medication administration errors

Comms: CRN Ops, Leaders, Local Specialty Leads, bulletins

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Any questions?

Please contact Emily Pickering, Cross Specialty Senior Project Lead

e.pickering@nihr.ac.uk