I attended the R&D meeting of one of our local NHS Trusts a few months ago where the main agenda item was the organization of the Trust’s annual research conference. During the meeting, two of the members started a fascinating discussion about the research process, which stayed with me long after the meeting had finished.
They were talking about the very beginning of the research process – about that spark of inspiration that can start an entire programme of research and from where such a spark can come. Interestingly, rather than talking about a fascinating theory or a novel approach, the fantastic force of inspiration they were discussing was that of simple frustration. The sources of this frustration encompassed a wide range of issues – from frustrations with clinical practice, patient progress and lack thereof, right through to frustrations with service organisation and delivery.
I found this a fascinating idea and it is one that is mirrored by the provision of research funding by the National Institute for Health Research (NIHR). The NIHR is largely a funder of NHS-based research – the funds are held by NHS Trusts rather than HEIs, the principle investigators are usually NHS clinicians, and the research topics prioritised are those which will bring about direct benefit to patients. This focus makes the NIHR unique amongst the variety of other funders of research that exist, including the research councils and numerous charities. The NIHR is all about research for, and from, the NHS. Research topics are prioritised by various panels precisely to ensure that the topics believed to be of greatest import to patients and NHS staff are those that receive funding.
When discussing funding applications with researchers, my colleagues and I often talk about the ‘story’ behind the research. This story is a vital one to tell when making an application for funding. It straddles various parts of the application form – the background and rationale sections, the PPI sections, the outcomes sections. Identifying the source of your spark of inspiration is an important part of telling this story. And, often, this spark is one of frustration with how things currently stand and the desire to change things for the better.
I wrote a blog post a while ago about turning the frustrations associated with poor feedback following funding application rejection into fuel to redesign and reapply. It seems only fitting to now attend to the other end of the spectrum and say that the frustrations felt about any issues of clinical practice can equally be used to inspire research questions. And, as with any research question, your local RDS can help refine and direct these frustrations into a research question appropriate for NIHR funding.
Don’t let frustrations get you down; use them to fuel your research questions and apply for funding to identify solutions. By so doing, you may uncover solutions that will improve care for patients as well as easing the frustrations of staff.
ETA: As Nikki points out below, the NIHR does fund non-NHS research – the Public Health Research programme being a prime example of this.