CLAHRCs in practice: combined knowledge transfer and exchange strategies, cultural change, and experimentation

Bryony Soper; Ohid Yaqub; Saba Hinrichs; Sonja Marjanovich; Samuel Drabble; Stephen Hanney; Ellen Nolte

doi:10.1177/1355819613499903

journal article Oct 01, 2013

CLAHRCs in practice: combined knowledge transfer and exchange strategies, cultural change, and experimentation

Bryony Soper Ohid Yaqub Saba Hinrichs Sonja Marjanovich Samuel Drabble Stephen Hanney Ellen Nolte

Journal of Health Services Research & Policy Vol. 18 No. 3_suppl pp. 53-64 · SAGE Publications

View at Publisher Save 10.1177/1355819613499903

Abstract

Objectives The nine NIHR CLAHRCs are collaborations between universities and local NHS organizations that seek to improve patient outcomes through the conduct and application of applied health research. The theoretical and practical context within which the CLAHRCs were set up was characterized by a considerable degree of uncertainty, and the CLAHRCs were established as a natural experiment. Methods We adopted a formative and emergent evaluation approach. Drawing on in-depth, multi-method case studies of two CLAHRCs we explored how they pursued their remit by supporting efforts to increase the relevance and use of health research, and building relationships. Results Both CLAHRCs: strengthened local networks and relationships; built capacity in their local academic and NHS communities to undertake and use research that meets the needs of the service; developed research and implementation methodologies; and added to understanding of the complex relation between research and implementation. There was evidence of impact of CLAHRC projects on health and social care services. Informed by the literature on implementing collaborative research initiatives, knowledge transfer and exchange and cultural change, some key lessons can be drawn. Conclusion The CLAHRCs pursued a strategy that can be categorized as one of flexible comprehensiveness; i.e. their programmes have been flexible and responsive and they have used a range of approaches that seek to match the diverse aspects of the complex issues they face. Key features include their work on combining a range of knowledge transfer and exchange strategies, their efforts to promote cultural change, and the freedom to experiment, learn and adapt. Although the CLAHRCs do not, by themselves, have the remit or resources to bring about wholesale service improvement in health care, they do have features that would allow them to play a key role in some of the wider initiatives that encourage innovation.

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Details

Published: Oct 01, 2013
Vol/Issue: 18(3_suppl)
Pages: 53-64
License: View

Authors

B

Bryony Soper

Associate Professor, Health Economics Research Group, Brunel University, UK

O

Ohid Yaqub

Research Fellow, SPRU, University of Sussex, UK

S

Saba Hinrichs

Analyst, Health and Healthcare Policy, RAND Europe, UK

S

Sonja Marjanovich

Senior Analyst, Innovation and Technology Policy, RAND Europe, UK

S

Samuel Drabble

Analyst, Health and Healthcare Policy, RAND Europe, UK

S

Stephen Hanney

Professorial Research Fellow, Health Economics Research Group, Brunel University, UK

E

Ellen Nolte

Director, Health and Healthcare Policy, RAND Europe, UK

Cite This Article

Bryony Soper, Ohid Yaqub, Saba Hinrichs, et al. (2013). CLAHRCs in practice: combined knowledge transfer and exchange strategies, cultural change, and experimentation. Journal of Health Services Research & Policy, 18(3_suppl), 53-64. https://doi.org/10.1177/1355819613499903

CLAHRCs in practice: combined knowledge transfer and exchange strategies, cultural change, and experimentation

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