- DEMENTIA RESEARCHER - https://www.dementiaresearcher.nihr.ac.uk -

Enabling NHS staff to contribute to research

Back on the 11th December RAND Europe published a new report entitled “Enabling NHS staff to contribute to research: reflecting on current practice and informing future opportunities”. The Healthcare Improvement Studies Institute sought evidence of why and how NHS staff contribute to healthcare research, as well as their associated engagement challenges and potential enabling mechanisms.

Although evidence on the impact of engaging NHS staff in research is relatively scarce, potential benefits include an impact on the quality and relevance of research studies, on attracting research funding for important healthcare issues, and the opportunity to influence clinical practice.


Staff across the NHS have important expertise to contribute to healthcare research. However, they also face competing demands on their time, not least delivering patient care. Any efforts to mobilise wide-scale NHS workforce engagement need to understand what motivates staff to engage with research; to consider staff constraints; and to establish practical and rewarding mechanisms for harnessing their expertise, commitment to high-quality and safe patient care, and interest in contributing to evidence-based practice through research.


RAND Europe was commissioned by The Healthcare Improvement Studies Institute (THIS Institute) to review the evidence base on engaging NHS staff in healthcare research. The evidence from this review will help inform the institute’s strategy for engaging staff across the NHS with its research activities. The report will also be useful for other organisations and initiatives seeking to engage NHS staff in research.


Based on a rapid evidence assessment and interviews with experts, this report examines why and how NHS staff contribute to research, associated engagement challenges and potential enabling mechanisms. This review is primarily concerned with active NHS staff engagement in healthcare research, for example in helping shape research questions or in implementing study designs, rather than considering NHS staff as study participants.


Challenges and enablers of effective NHS staff involvement with research

Driver of effective involvement Challenges Enabling mechanisms
Governance, management and infrastructure
  • Lack of sufficient funding for research and/or a lack of awareness about how to access it.
  • A weak or opaque governance and management infrastructure (e.g. an unclear, inadequate or unwieldy bureaucracy for research and development (R&D) approvals can inhibit research applications).
  • A failure to recognise research contributions in job plans, appraisal systems and career pathways.
  • Lack of clear leadership and definition of roles for NHS staff within research projects.
  • Absence of information-sharing about research opportunities.
  • Formal roles such as the appointment of research champions in provider organisations.
  • Clear guidelines and procedures for developing and implementing research to assist NHS staff.
  • Well-designed time-management systems that recognise research activities of NHS staff.
  • Financial recognition through pay progression.
  • Mechanisms for awareness-raising about opportunities for involvement in research and how NHS staff can engage.
  • Accessible funding for research.
  • An enabling research infrastructure (equipment, facilities, information infrastructure).
  • Organisational practices which free up time and headspace to engage with research.
Individual and organisational capacity to be involved in research
  • Lack of knowledge and skills needed to do research.
  • Lack of access to relevant training.
  • Lack of dedicated time to be involved in research.
  • Integration of research within clinical practice through the promotion of evidence-based practice and engagement with research in clinical decision making.
  • Access to training for NHS staff to develop their research skills and confidence.
  • Mentoring and informal teaching.
  • Collaboration with other organisations and individuals with an active interest in research.
Culture, attitudes, values and behaviours
  • Insufficient support by leadership and associated lack of strategic planning for R&D at organisational level.
  • Divergent views among NHS stakeholders about what topics are important to research.
  • A perception that research is a specialist activity and outside the domains of some health professions.
  • A perceived inability to influence practice through research.
  • A perception among health professionals that it can be difficult to work with research teams in academia.
  • Concern that time demands on NHS staff to deliver research tasks can be underestimated by research teams.
  • Organisational leadership and culture which values and promotes research activity.
  • Recognition and awards for involvement in research.
  • Effective mechanisms for the dissemination of research findings.
  • A compelling narrative about the research.
  • A culture of feedback on the impact of staff contributions to research and wider impacts.
  • Exposure to research training in early career stages.


The report offers the following recommendations to inform strategies for engaging NHS staff in research:

Download the full report [1]