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LYBRA aims to improve healthcare in Bradford and Leeds by fostering collaboration in research and service development. This partnership includes multiple NHS organizations and academic institutions, working towards enhancing healthcare delivery and research while addressing health inequalities. Through strategic investments, patient involvement, and strong governance, LYBRA seeks to create positive changes in healthcare outcomes.
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LYBRA: The Challenge • 2.5 million people • Life expectancy 4.5 years lower than UK average; ↑infant mortality; ↑drug abuse, smoking and binge drinking. • NHS • Workforce 55,000 medical, clinical and & managerial staff • Spend circa £3.5 billion per year • LYBRA partnership: • Bradford & Airedale tPCT • Bradford Teaching Hospitals NHSFT • Leeds Partnerships NHSFT • Leeds PCT • Leeds Teaching Hospitals NHST • University of Leeds • University of York York Leeds Bradford
Why a LYBRA CLAHRC? • We do things well • We do them together • We are an ambitious partnership • Unparalleled opportunity
Bradford NHS Bradford Institute for Health Research 3 NIHR programmes: quality & safety, stroke, childhood obesity Leeds NHS £700k pa in HSR & trial income Translational research e.g. Leeds Musculoskeletal BMRU University of Leeds Institute of Health Sciences £21m HSR grants from SDO, HTA & national research councils University of York £36m HSR grants 2003-07 (£1m per WTE academic) Dept Health Sciences, CRD & Centre Health Economics We do things well
A Partnership With Ambition Core principles: • High calibre HSR (& key performance indicators) • Commissioning informed by research • Distributed research settings • Strong public engagement • Tackling health inequalities • Research capacity building within the NHS
LYBRA: An Unparalleled Opportunity Service Development & Delivery Research-Led commissioning Top Class HSR
LYBRA: step changes • structures: new partnerships, themes supported by LYBRA partners • ways of working: R&D embedded in frontline activities
Patient Involvement Truly committed • Evidence: • involvement in existing R&D programmes • involvement in NHS and social services partners, e.g. Foundation Trust governors and members • Using existing NHS structures • Participation working group
Risks and Responses • An NHS re-organization that changes the nature of the LYBRA partnership • Strong, adaptable governance arrangements • Creating novel networks • Commitment of all LYBRA partners: LYBRA is a strategic investment • Sustaining the networks in each theme • Bottom-up thematic network development
Monitoring and Evaluation • Output measures: embedded partnerships • Outcome measures: key measures within each theme • Cross-cutting TRIP-LAB theme
LYBRA Governance • LYBRA Board: NHS Commissioner led • Organisational commitment: Memorandum of Understanding • Financial management • Strong theme management • Wider engagement • user/public • commissioners
Where do we end up? • Here will be the “big ending” for Simon once raw materials from Justin are in…