An organisational analysis of North West London Collaboration for Leadership in Applied Health Research and Care (CLAHRC)


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An organisational analysis of North West London Collaboration for Leadership in Applied Health Research and Care (CLAHRC).

In 2007 nine ‘Collaborations for Leadership in Applied Health Research and Care’ (CLAHRC) were established, each with funding from the National Institute for Health Research matched by local NHS resources. The imperative was the desire of government to speed up the time it takes to translate innovations into better patient care. This has often proved hard in the NHS, leading to local variations in the take-up of promising innovations.

The North West London CLAHRC has established a systematic approach for the rapid adoption of clinically effective interventions, and is developing local research capacity and capability. The project team (Dimitri Spyridonidis, Jane Hendy, Theti Chrysanthaki and Elena Pizzo) has been examining this CLAHRC since its inception, especially its emergence as an organisational form, its impact on accelerating research into better care and the sustainability of these innovations. We have been conducted detailed qualitative research on the core team and its role in developing and managing the processes for supporting and sustaining innovation, and the individual projects teams responsible for implementation. We are also exploring the wider impact of these initiatives, including the potential economic costs and benefits.

A key issue appears not to be lack of evidence for the benefits of potential innovations, but trust in those who are disseminating the best practice. The new phenomenon of ‘hybrid clinical managers’, chiefly attached to traditional clinical interests but also more open to persuasion couched in terms of cost-effectiveness, financial incentives and wider national interest, is helping to address this problem. We are also interested in the CLAHRC has been able to develop a coherent and enduring organisational identity, and what part this plays in sustaining innovation at the local level.