Please note: from October 2024 the CRN/LCRNs will be referred to as Regional Research Delivery Networks (RRDNs)
The Primary Care Strategy Programme was initiated due to the recognition that there was inadequate focus in the CRN as a whole on research capacity development in the Primary care setting, despite its potential in bringing research to where most patients and public receive health and care services. A paper was written proposing a CRN embedded strategy for Primary care which was approved by the CRN Executive Board on 8th September 2020.
The strategy focuses on where the most impact on patient and public opportunity and benefit from research can be made at any given point in time given the resources available, and is separated into four overarching themes with key objectives within them. Scope and vision has been carefully considered to ensure a balance between ambition and innovation, whilst also appreciating pressures within the NIHR CRN.
Following completion of the strategy, the Primary Care Programme Board was established to oversee the Programme, and ensure that the strategy is delivered steadily and cohesively through a manageable range of projects.
These projects reported into the Primary Care Programme Board through four different subgroups. The subgroups aligned with the strategy themes, as follows:
Delivery and Equity of Access to Research (Lead: Phil Evans)
Digital (Leads: Lisa Gibbons and Toby Helliwell)
Strategic Incentivisation and Engagement (Lead: Morag Burton)
Workforce (Lead: John Castledine)
Projects that sit under the Digital Subgroup were primarily focused on the continuous improvement of the CRN PRIDES service offering, as well digital transformation and data protection in primary care research delivery.
GP IT systems are the backbone of primary care technology. These systems help General Practitioners (GPs) and Primary Care Teams record millions of interactions with patients every week (primary care data). Primary care IT is provided by many different software providers but the majority of GPs in England work with two systems; EMIS Web and SystmOne. In order to do research in primary care each practice is required to use their IT system to search primary care data to identify and recruit patients into studies. This is a complex and time consuming process when this activity is done on a practice by practice basis and can increase regional variations research opportunities for patients. PRIDES helps study teams and GPs maximise these digital systems for research and reduce burden on Primary Care Teams. Find out more about Digital Primary Care. The PRIDES team works with the devolved nations in order to share HI & digital developments to support research across the UK.
Why are Health Informatics so important and how does PRIDES differs from Big Data?
Health Informatics support high quality coding in the electronic health record, which in turn improves the quality of information recorded in Big Data sets; it is concerned with data quality, embedding searchable codes and supporting patient identification. PRIDES HIs support Big Data but crucially they interface directly with the patient at the point of direct care enabling ‘real world’ research. This allows direct identification and invitation to take part (and in most circumstances no prior consent to contact is needed).
PRIDES Health Informatics are designed to sit at the clinician/patient interface and can directly link to this relationship. They provide the direct opportunity to both opportunistically recruit by prompts and reminders, but also to select appropriate patients from the whole practice population. They allow enriching of the GP data set with research codes to improve the quality of Big Data and research data and metrics can be embedded.
Templates can be created to enhance data capture into the record which can later be extracted for Big Data which can support follow up and improved data quality of Big Data.
Read one of our Expert Blogs below to learn about the challenges and opportunities for delivering research in Primary Care settings.
PRIDES supports Patient Identification Centre (PIC) activity to identify patients in GP systems to invite to both academic & commercial research opportunities.
Watch this video presentation from Mark Evans, one of our PRIDES experts to find out more about the data and digital infrastructure available for research, and it's successes and challenges.
Please note: from October 2024 the CRN/LCRNs will be referred to as Regional Research Delivery Networks