An introduction to Knowledge Mobilisation at Keele IAU

You are so welcome to our internal seminar on knowledge mobilization. We recognize that we're absolutely amongst friends and family here, and you're very, very welcome. We truly appreciate your time and expertise as well. Today, we're going to discuss knowledge mobilization and how to improve the uptake of your research. Some of you may have heard a little snippet of this yesterday at the MSK Research Showcase, so this presentation will delve into more detail. Please bear with me if you were at that meeting yesterday. Next slide, please, Joe.

So, what are we going to talk about today? In the next hour, we'll introduce you to the Impact Accelerator Unit. We'll specifically focus on knowledge mobilization. I'll introduce you to the team, many of whom you already know. We'll highlight what we do and share some of the projects we've been involved in and their impacts. We'll also discuss how to contact us because we want to ensure that the relationship between ourselves as the Impact Accelerator Unit and new researchers is effective. We'll showcase examples where things have worked well and share resources. Let's proceed with the session. Thanks, Joe.

The Impact Accelerator Unit here at Keel primarily consists of four themes: patient and public engagement, knowledge mobilization, research, REF, and impact. You can see who leads each of those strands. Nikki leads patient and public involvement, Zoe leads knowledge mobilization research, and Andrew leads REF and impact. For this session, we'll primarily focus on knowledge mobilization and won't touch on the other elements too much.

Now, let's meet our team. Tina, a consultant physio in Wolverhampton and knowledge mobilization practitioner here at the IOU, will say hi. Thanks, Tina.

Nikki, who manages the Impact Accelerator Unit, will greet everyone. Hi, Nikki.

Laura, a knowledge broker in the Impact Accelerator Unit, will introduce herself. Hi, Laura.

Linda, a member of the Late Involvement in Knowledge Mobilization Group and with experience on an NIHR funding committee, will say hello. Thanks, Linda.

Jane, a PCI and RUG member, as well as a member of the Link at Ke University, will greet you all. Hi, Jane.

Adrian sends his best wishes to everybody but can't join us today as he's not at work. So, that's the team, many of whom you already know. Now, you know who we all are. Next slide, please.

So what do we mean by knowledge mobilization? I think this can be quite confusing because terms are used interchangeably in the literature. But if we look at the diagram in the middle, knowledge mobilization is actively taking knowledge or research to where it's needed. It's about taking knowledge to where it's going to be most used, in the right format, to the right people, at the right time. It requires us to engage multiple groups of stakeholders to understand both the process and context. You get the sense it's very much a two-way relationship; it's not a linear process at all. It's about understanding context to allow us to take that information, knowledge, or research to where it's going to be used to its best effect. Next slide, please, Joe.

Now, let's talk about our approaches to knowledge mobilization. What do we use in the Impact Accelerator Unit, and what are we most familiar with? What do you see us using to help transition knowledge or research into where it's needed most? Next slide, please, Joe.

In general, we use these seven different methods. It's fair to say that they're often blended, so one might not sit in isolation. For example, we might use a community practice, but co-production would be involved as part of that. They're often blended and not seen in isolation. Hopefully, as we go through examples, you'll see that. This is underpinned by theory, all underpinned by the best theory around these methods. Next slide, please.

Let's delve into these methods in a bit more detail. Over the next few minutes, we'll introduce each one and provide examples. Different people will talk about each of these. First, let's talk about Clinical Champions and Fellows. Some people on the slide there you'll recognize. Clinical Champions bring a deep understanding of the NHS context in which they work. They know how things work, who the influencers are, the barriers, the facilitators, and how to get things done within the NHS context. They recognize the day-to-day challenges and different priorities compared to the academic setting. They're well-networked, both within and outside the NHS, and have a good understanding of the latest guidance and policies influencing the NHS context. They're often influencers who know key decision-makers and how to promote key messages. If we move on to the next slide, I'll give you an example of how Clinical Champions can have a big impact.

As a consultant physiotherapist within the integrated care system in our musculoskeletal stewardship and transformation group, I saw the opportunity to bid for funding for a digital innovation to help people with low back pain. This helped link the Start Back approach, a stratified approach to people with low back pain, with an app for people with low back pain. Because I was aware of the key players in this space, we were able to pull a bid together to support the rollout of this app in both first-contact practitioner physiotherapists and in primary care. Next slide, please.

Looking at the impact, it brought in funding to help us and indeed get evidence supporting self-management for our local population. It improved the uptake of the Start Back research, which is Keel's research. The PPI involvement has created a culture shift, exposing some of the integrated care system to PPI membership having an equal partnership in the development of this project. It gave us the opportunity to develop international partnerships, take part in NICE technological reviews, and raised the profile of Keel's research in our integrated care systems, leading to other links around data use. It's given us extended networks and leadership opportunities in a very different space. It's a great example of how this can impact both Keel's research and promote population health. Next slide, please.

Now, I'll hand it over to Tina. Hi, everyone. Thanks. We think this definition really sums up what a community of practice is: it's a group of people who share a concern or set of problems or a passion about a particular topic. They deepen their knowledge and expertise in that area by interacting together on an ongoing basis. Next slide, please, Joe.

An example of a community of practice is our Critically Appraised Topic Groups or Evidence into Practice Groups, locally known as CAT groups. These were started back in 2003 by Professor K. Stevenson, who brought together a group of allied health professionals, clinicians, academics, researchers, as well as a much-valued librarian, all passionate about getting musculoskeletal research into clinical practice. Since then, the groups have met quarterly, raising important clinical questions, searching for the best available research evidence, and critically appraising and summarizing that evidence into a short document, or CAT, which busy clinicians can easily access. We have a full list of those CATs on the Evidence into Practice Group's website, which you can access through the provided link. You'll also see that more recently, we've included a patient-led CAT. Next slide, please.

So, the impact of that: over 200 clinicians have engaged in our CAT groups, with over 250 clinical questions being answered, addressing problems within the NHS services. They've also led to three randomized control trials, which have been funded, where the CAT question actually identified there was a lack of evidence. It's received a British Society of Rheumatology National Best Practice Award. It's allowed rapid changes in clinical care pathways to avoid waiting lists for patients. It's generated income for the unit with CAT-in-a-Day programs and externally supported training for other CAT groups across the UK. We even have a visitor, Carol McCrum, from Australia. By bringing the group together as Kay outlined, it allows the researchers to understand the context and situations that busy staff are working under. It also allows NHS clinicians to understand the complexities of the research. It increases everyone's critical appraisal skills and ultimately provides evidence-based practice. It's led to publications, commissioning papers, and how-to manuals. This picture is of Kay and me with a group of potential CAT leaders in UHB in Birmingham just this week. Next slide, please.

Hi, everyone. I'm just going to talk to you about B Free, which was a research project that I was involved in on the animation side of things. It's a support hive for mind and movement, a repository of organizations, charities, and community groups that help provide helpful information for patients, volunteers, and clinicians to support the management of long-term back pain, neck pain, and mental health conditions. It encourages positive mental and physical well-being. It's an excellent example of community in practice with the coming together of physical and mental health practitioners, physiotherapists, patients, public representatives, knowledge mobilizers, KS link group, charities such as MIND, and the fabulous More Than Just Design team who put all our ideas together to create the animation to show the link between long-term pain and mental health. Everyone worked together in equal partnership, interacting to learn from each other to produce a successful resource that was easy to understand and accessible to all users. PPIE gave guidance to the research and development of B Free through the eyes of the patient/public members. We were often led the way with the ideas on the language and the narrative that was used, and the use of relatable images and information and the visual appearance of the animation, such as the pop bank features on the slide here, giving a nod to Stoke-on-Trent. We were also involved in joint decision-making throughout the whole project, from application to the launch of the website. Then, PPI members and link group members shared details of B Free with their networks, and it was fabulous to play an active role in something that's actually going to help people on a daily basis. It's a great example of not only community practice but also PPIE in knowledge mobilization. Next slide, please.

The impact of B Free gave us the opportunity for sharing expertise and learning with patients, clinicians, and volunteers to truly co-produce and gave a great opportunity for further funding for more research and more information in this area. This is a quote from a clinician who says they had a 19-year-old who'd been struggling with pain for some years and was recently diagnosed with fibromyalgia and autism. They had previously been very disengaged with strategies for improving their function and pain control. As part of their treatment strategy, I shared and discussed multiple different support programs for pain management. They much preferred and engaged with B Free and reported finding it more holistic in its approach, rather than just focusing on sleep, activity, medication, and relaxation. They found the pacing strategy very useful, particularly the lived examples. Thank you. Next slide.

Can we check that the sound's working on that, Joe, please? I was going to say I can't hear anything. Sorry, Dave, are you with us? Are you happy to talk over the slides? Is that all right? It looks like the audio is not working. If I can share my screen, Kay, is that okay? Yeah, I've stopped sharing. Dave, you can share now. Brilliant, just bear with me one second. Here we go. Can you all see that? Yeah, that's perfect. Thanks, Dave. I'm Dave, and I'm one of the directors here at More Than Just Design, a designer marketing agency based in Stafford. As an industry partner, we've been privileged to work with the university for about a decade now, and in recent years, we've supported a number of researchers on the strategic development and creative approach when looking visually to communicate their research to a specific audience for maximum impact. Our focus is to ask the right questions to the right people and to get the right answers, ensuring we communicate effectively in a way that the desired audience understands and can digest. Design is a powerful tool when used in a way that is specific to the audience, and it's imperative that the appropriate work is carried out in the first instance to build the foundations prior to any design being created. Working with various research teams has been a pleasure, as the willingness to explore new ways of working or working through specific techniques to gather audience information has been fully embraced. One of the projects already highlighted that we were able to support on is B Free, and I think for our team, it was a milestone project as it really embodies many aspects of a truly fulfilling project and way of working. It also highlighted internally how the design process that we adopted a number of years ago still really sits well with co-creation and knowledge mobilization. Initially brought in as a supplier for creative services, our approach has always been to fully embrace and dig deep to get under the skin of a project in hand. We always want to ensure the work we do is robust and effective in its reach and impact. So, working closely with the core team and community of practice, we were able to bolster our method of working, which allows for a focused approach around the end user. Using a human-centered design approach really supports co-creation, which, when working with diverse teams and groups of people and experience, allows for information to be captured, documented, and it also allows us to gain understanding and foresight of audiences, which we can then use to guide and feed into tailored resources. I think that merging commercial and industry knowledge into these types of projects adds a different dimension and aids the effectiveness of the end resources, as they are guided by the end user. We learn who they are and what will appeal to them, as we will have gained an understanding of them at an earlier stage in the process. The impact on our company has been massive, with the support over the last couple of years through Keel's Business Bridge program. We've been exploring how we can support researchers further to communicate their findings in effective ways. This has also resulted in us bringing in a dedicated member into the team here to support new inquiries and explore where we can support this area further. This has allowed us the opportunity to work on a resource specifically designed to support researchers with creative techniques to aid knowledge mobilization, which we're hoping will be ready to release soon. So, I thought I'd leave you with some things to consider if you're looking at engaging with some creative support. Number one, choose your industry partner well, as bringing them into your core team will enhance the project experience and impact. Number two, it's never too early to engage with creative support. We've supported teams at bid stage right through to implementation and dissemination. Number three, know your audience. Allowing your creative industry partner to dig deeper and ask the right questions to get the right answers will ensure the visual communication, whatever that transpires to be, will speak directly to the audience in a way that they understand. And number four, bring the creative team into the community of practice sessions, as this gives valuable insights into specific audiences. So, thanks for allowing us to be part of today's webinar, and please don't hesitate to get in touch if you want to discuss any of this further. Thanks very much. Thanks, Dave. If we can bring the main presentation up again now.

Joe, thank you. Over to Laura. Thanks, Joe. Um, yeah, so another approach that we have is our PPIE in implementation knowledge mobilization, so our link group. So, as we've heard, knowledge mobilization is all about understanding the different contexts of our stakeholders. And so, one of our key stakeholders are patients and the public because it's really patients and the public who are the experts in their own experiences. But I think when it comes to implementing research evidence into practice, the challenge is that researchers, healthcare professionals, members of the public, they don't always speak the same language, and sometimes it's very different. So, public involvement in knowledge mobilization and implementation of research can really help us to understand that patient and public context. So, perhaps their experiences of NHS care, how an evidence-based innovation could work best for them, for example, what kind of patient information would be useful and in what format, and when that should be given. And we know that research findings are not simply copied and pasted from research into practice, so we really need to understand these different contexts to adapt what we're doing to make it work. And so, at Keel, our PPI group for knowledge mobilization and implementation group is the link group, so I'll want to just pass over to Linda, who is one of our link group members, to explain a little bit more to you about what the group is all about. Okay, it's quite difficult to explain what the link group is because it's so wide-ranging. I think the major thing is, as it said on the slide, is that we're a number of individuals who bring our own experience into the group, and that might be linked directly to our experience as patients or our work experience or our experience in other areas of patient involvement, and that's true of the professional people in the group as well. We act as a voice for patient/public members and carers. We bring together our networks. We're all linked to other groups, so we bring in knowledge from there. But one of the things I particularly enjoy is when researchers come with their first ideas for research and we're able to input from the earliest stage rather than commenting later. The link group has been involved with the funding, design, and delivery of implementation projects, for example, osteoarthritis self-management. I'm particularly interested in providing good evidence-based information for public and patients because if you've not got that, how can you be involved in your own care? And public and patients can be good advocates for personal care and helping manage your own conditions. We co-produce and promote open and accessible evidence-based patient information and plain language summaries. And it's all very well producing or co-producing information, but if that doesn't get out there to the public and patients and to clinicians, it's not worth it. It's just something else to sit on the shelf. So, one of the examples that I've got, the osteoarthritis handbook, we had a pilot project at RGP surgery where a physio from Keel was going in one day a week as part of the patient participation group. We set up a display for patients so they knew what was happening rather than thinking, well, why haven't I been referred to the hospital? And that was very popular. So, I then took it to our U3A (University of the Third Age), and the physio came and spoke to a group of people about managing their own osteoarthritis. The room was rammed; everybody loved it, and we found every copy of the osteoarthritis handbook that we could because everybody wanted it. So, that was getting knowledge out to where people are not expecting them to go and find it. Next slide, please. Thanks, Linda. Um, and so we just quickly included this slide to show how the link group fits in with a community of practice and how they're very much equal partners. So, very much equal to clinical teams, to researchers, and to knowledge brokers and knowledge mobilizers because they really do bring those links and connections and networks that we can't access otherwise and help us to build those relationships with patient and public communities. Next slide, please. So, the impact of the link group then is that they can really facilitate those lasting relationships between Keel and their own patient, public, and community networks like I just said. Um, they've supported PPIE not just locally but also on an international level. The guidebook that Linda talked about, as many of you know, has gone into Europe as far afield as New Zealand and Africa now. They have co-produced these engaging, accessible, evidence-based resources. For example, the back pain leaflet co-created with the link group members was highly commended in the British Medical Association Patient Information Awards. Um, I think because of its patient input, and I think we're leading the way in practice in this area. We recently delivered the first NIHR webinar in PPI in knowledge mobilization, which was really exciting, and we've just popped www.keele.health on there to have a look at some of these evidence-based resources if you'd like. Next slide, please. 

Okay, this is me again. Um, co-production means a lot of different things to a lot of different people. It seems to be one of those words that researchers feel they've got to include in research proposals now. The problem is that co-production, like knowledge mobilization, can mean different things to different people, and this slide shows the ladder of co-production. I think it's important to know where you are on the ladder and to know how you can maybe improve your co-production strategies. Um, this talks about developing a service, but co-production can be anything within your research project. It could be designing the project, it could be designing your dissemination strategy, designing your implementation plan. At the earliest level of co-production, you might just be telling people this is what we're going to do, and that sometimes still happens. A lot of what happens under the name of co-production is in the consultation stage. It might be they're saying, "We're going to design our dissemination plan; then we'll take it to our PPIE group and get their comments on it," and that's all very well, but it's very difficult if you're a member of a PPIE group to look at a plan and say, "That's rubbish." Um, you feel you've got to comment on what's there. When you get to the true co-production, which many of the information at Keel is truly co-produced, everybody is there as an equal partner, and you start with almost a blank sheet and come up with the design, and then the information materials. Public and patients are able to put in what is important to them. Clinicians are able to say what's important to them. It needs skill on behalf of all people, so might involve some training. You've got to be careful about equality, diversity, and inclusion. If you're working on a research proposal that is that a particular group of people will be affected by, they need to be included in the co-production, and you also need to be careful of power balance. If you've got a group working on co-production and ten of them are clinicians and researchers and two of them are public and patients, how do you ensure that the public and patient voice is truly heard? So, there is a lot; it's not easy. I'm not saying it's easy. There is lots to think about, and everybody, including the public and patients and the researchers and the clinicians, will get better with practice. Next slide, please.

And it's back to me because I'm going to talk about these two examples of co-production, um, two animations, um, which were created by clinicians and patient/public members together with the IU. Um, the first one is the NHS decision support tools. Um, there was some money from the IC which allowed us all to co-produce an animation to tell people what the NHS decision support tools were and how the tool could facilitate conversation between the patient and the healthcare professional when they were attending appointments. Um, the patient and public were involved in creating scripts for the animation, um, and two of our PPIE members provided the voices for the couple who were discussing the tool together. Um, then everyone reviewed it, everyone was allowed to comment until the final version was accepted by everyone, and then, uh, and then launched. And the second one is, uh, is on the back of PEP, which is, um, based on Keale University Research. Again, patient to public members with lived experience of osteoarthritis, as with the Le that Linda talked about, um, were involved to create this so that the language was right so that people suffering with osteoarthritis, um, who want that support and want that help and information could easily understand it. Um, once it was created, the link group gave advice to researchers on where best to channel it for dissemination so that the public could access it easily. And both great examples of co-production, which were truly equal. Thank you. So, the impact of co-production, um, resources become more accessible and actually relevant to the different audiences, which gives greater impact. So, for example, there were 1.5 thousand views on YouTube, osteoarthritis you knew there are things we can do becomes relevant to more audiences. For example, World Arthritis Day, the ITN program, and very importantly, it builds lasting relationships. When you've worked with a group of people, uh, working on a joint task, working on something that you're all passionate about, then those relationships stay and embed and build the future relationship. And it builds trust. Again, if you've been in a room with somebody, with people who you feel are listening to you, are welcoming your ideas, then you begin to trust them, and as that trust spills, you can go on to more risky ventures than you might do to start with. Next slide, okay, so our fifth approach is all about knowledge brokering. So, um, a knowledge broker or a knowledge mobilizer is basically the person doing the knowledge mobilization, so they act as a sort of human component of knowledge mobilization to build those two-way relationships, um, and to really understand the stakeholders' goals and cultures and challenges and their drivers, so their specific contexts, um, and they can do this through many different ways, through capacity building, so things like training, mentoring, facilitating, um, also by bringing together stakeholder groups, um, to share knowledge, and through also appraising, finding, um, and then adapting different types of knowledge to go on and share. Next slide, please. So, one quick example of knowledge brokering is the Moving Forward project where we brought together another community of practice to, um, identify and prioritize research studies which were published in this NIHR physiotherapy-themed review, which is pictured here on the left. Um, we wanted to see what we wanted to implement into local clinical pathways. Um, this theme review contained around 60 studies, and it was full of useful information, but our patient and public members, in particular, fed back that they would like to see a simplified version so that they could access this knowledge too. So, we then went about co-producing with them, um, and the Chartered Society of Physiotherapy and researchers, and that's what you can see on the right. Um, and this version was much shorter, um, contained summarized, um, sort of bottom lines of the studies, what's the most important to patients and the public, um, it had lots of images as well and lots of useful signposting. Um, and in the end, clinicians said that they actually prefer to use that version too. Um, so next slide, please. And that brings us to another example of knowledge brokering where a team of people at the CAT group were involved with a CAT question around the management of tennis elbow or lateral elbow pain. And when looking at the evidence, they found that there was a dearth of information around education for patients. The CAT was summarized in the usual CAT format in the written format you can see there with the red cat on. Um, Kirsty led the network of people around developing an education leaflet or a patient information leaflet. You can see Kirsty there in the middle sharing the results of the CAT via a video log, so a vlog around that CAT, and then the patients, the link group Laura, it was involved in creating the patient information leaflet which is now being cascaded out and used for patients and clinicians to use across the UK. Next slide, please.

Unmute Tina. Tina, sorry. It created new networks around tendonopathy management so we were able to reach out to expert researchers in the field. There was an understanding around the NHS context, the research context. We were able to share that knowledge in different formats so the video log, the information leaflets, and we were also able to test creative facilitation techniques to get to what the information should really be on that information leaflet. Next slide, please. Okay, so I'll pick up training and education. So, this is another of our methods of sharing Ke's knowledge and resources and research and can be really impactful for your research. So, Start Back is, as many of you will be aware of, Start Back, and so we have an opportunity for training both online and face-to-face training for clinicians who want to embed Start Back approach into their clinical practice. We have a CAT in a day, so where we run through the process of finding clinical questions or dilemmas, looking for best evidence, and then developing a clinical bottom line alongside some critical appraisal skills. We have our annual best practice day where we invite researchers to share their latest research in our morning session. So, people like Mel and Jonathan have been regular presenters at that particular session. Then we present clinical cases and we discuss the impact of what they're hearing in those sessions as well. We have the annual summer school which is really focused around developing skills in knowledge mobilization and you'll see a lot of these training and education resources are housed on K Health so that includes the authorial self-management and some of their mental health and chronic pain training so do please take a look. Next slide, please. Some examples of our training, our best practice day this time is the infographic on the right there. We had a great attendance, really very positive feedback, so a really nice opportunity for researchers to share their results to local clinicians and some information on the left about Pharmacy training that you'll find on the website. Next slide, please. This is an advert for the knowledge mobilization summer school so again this attracts internationally recognized knowledge mobilization researchers so Gabby and Le so you know we have such a reputation that we're able to draw in these International speakers and we'll be hosting this again this year so if you're interested and the details are on there and we can put some more information in the chat for you if you'd like it a very reasonable price at early bird 399 so please get in early to avoid disappointment. Next slide, please. So, the impact of this when we look at the amount of training that's happening for practice nurses and physios and pharmacists you know big numbers over 600 practice nurses and over 500 clinicians trained in STB back over 50 people attended the IIO summer school and on a regular basis of P a day and best practice day if we added all that up over the years we've had hundreds and hundreds of people attending those so there a real opportunity here to kind of connect with local clinical experts um as well so for our Start Back training we've now got two fantastic clinicians Steven Henderson and Katie Jackson delivering that for us so a real opportunity to bring local expertise into this knowledge mobilization Forum as well and of course we're showcasing all the IU expertise and K's research in all of these opportunities to both National and international audiences next slide please so I'm going to hand over to Nikki now for the this next section thanks K so the final bit of today's session is with me and that's just to look at what the IOU currently offers and how to contact us and I love the little animation on the right around opportunity is like a dunked biscuit if you wait too long you'll lose it and that really is you know a request if you think that we can help you or support you or enhance the work you're doing then please do get in touch with us Joe next slide please so how to contact us well currently as you you'll know for anybody who um contacts the unit for PPIE requests there is there's a set request process and and a form for that but for anything else um it's been a little bit hit and miss so um quite often people will will email K or myself or quite often chrisha gets informal emails around contacting and would we be interested in collaborating on work and what we would like to do is is to get a formal process so that you know how to contact the IOU and you know what you can contact us for so this is where we'd like a little bit of um participation from yourselves um this afternoon we are thinking that a short Ms teams um form would be a reasonable way for you to contact the IOU for our expertise but we want to hear from you is that just another form is there a different way that you would um prefer to contact us for and what if it is a form what would you like to see on the form um and what I'll do is I'll come back to this question and I'll just show you what's on offer from the I first and then we can come back and hear your feedback so Joe could you just go to the next slide thank you so this is what we currently offer and when we actually put it on paper we were quite Amazed by um the span of of offers and work that that we can do and support you with and it does tend to go into two sort of um streams of of work really so one is um sitting under what we would call the I think tank and that's where we bring together expertise within the IOU from different team members to support on the following so we can offer advice and support whether that's oneoff or consultancy over time um through a project or around a Grant application we've got skills to support in knowledge mobilization as you've heard through brokering um through expertise in how to use social media effectively um we also of course have PPIE um through our link group and knowledge nalization which you've heard all about for race equality I'm not sure if everybody is aware but we've had had um Natalie with us as our race equality Ambassador for well over 18 months now and she is on the call today um and Natalie can provide help support um consultancy on thinking prefunding so um pregrant work really about how you can look to include race equality Community engagement diversity into your applications we also provide support and advice on impact and evaluation of impact through to policies Innovation and advice on funding for implementation and that really we've put that in that first box because it's never too early to think about that um what quite often happens is at the end of a research um study the uh research team might then contact the I to look at how we can Implement effectively and we're starting to encourage people to involve us right at the beginning right at the very uh when you're starting to plan what the actual research question is we can start to provide advice then around implementation and knowledge mobilization and then on the right hand side you can see the the work and the office that we have which T generally tends to be when work has been funded um and our knowledge mobilization Action Group which um involves the team members that have spoken to you today from the IOU and they look after a range of different programs and projects that are funded and through that we can help with linking and connecting particularly to stakeholders whether that's NHS stakeholder social care local Authority we can also help with training and Leadership skills knowledge brokering and the use of knowledge brokering within your projects um we can also help with Horizon scanning as well and particularly around opportunity spotting so quite a few of the IOU members are actually Q community members within the health foundation and it's areas like this where you may not realize that there's pots of money sitting particularly for implementation work that we can access and help you with um evidence-based service transformation is also an area of ours with our expertise of K Anda as clinicians within the unit and Adrian from his GP perspective and then impact and and Adrian and Andrew are are leads for impact within the I but can really help you look at how you can get Maximum Impact through your work which will help with ref and of course the link group helps in this stream of work as well so Joe if we can just go back to the previous slide we just welcome really any comments in the chat or if you'd like to put your hands up we'd love to hear your comments really on on how we can um help you to engage with us more effectively how would it be best for you to contact us and if we're going down the line of having a request form would it be helpful for the language on the form to start with do you need help pre- or post-funding stage or do you now after today's session know a little bit more in terms of expertise and you being able to identify whether it's PPIE support you need knowledge mobilization and research support knowledge mobilization or impact and ref so would it be useful for us to have those four pillars identified on a form for you to choose from and that's so that we can then get you to the right person within the team for some help so I'll open it up k can I can you see any hands I think vander's hand went straight up so I think vander's got a comment for us or a question thanks Vander Vandy you might be on mute just double check so we can't hear you apologies I was um first of all thank you all so much for such a um a really interesting uh presentation very very enjoyable and very informative thank you um okay I as many of of PE of the people in the room will know um I'm a Frontline adviser for the research support service we used to be called the research design service until last October and um in terms of the the the the whole process of contacting and and the the IU about various elements and strands of activity that you can offer expertise and support in um one of the things that I'm thinking is because of the work that we do in the research support service which is all about supporting um funding applications to peer reviewed funding streams which doesn't just focus on how you design a project um it focuses right from that very first point of defining your research question and thinking about PPI and all things related one of the obvious mechanisms to my mind is that the RSS can very um distinctly you know sort of signpost to the expertise that's available in the IU we already have a very nice symbiotic way of working together because I've been as a Frontline adviser I've been working closely with the IOU for some time and this is already happening informally but I'm wondering if there is um some scope to actually kind of cement that signposting process because because everything that you can offer um we invariably need to raise with our clients to the RSS so for me it's a just a natural link there thanks Vanda that's so so helpful and I think probably what we need to do is make sure that we've just got our our process are as linked and as um connected as possible so thank you so much we we will bring that to you for your comment as well thank you.

Um, I think we've got William. Hi William, any comments? Any thoughts?

Yeah, I think I'd echo what Wonder was saying there as well. I mean, from a—I'm now at Peel, but also as RNI Director at Shos and Tford, when people come to me, I signpost them to the RSS service. But then, as we've just heard, invariably, there are other IU moving parts that need to be acted on as well. And actually, from engagement with others in the system, having one port of call so people can take their idea and then have that triaged, I think is really important. People get quite confused outside of KE as to how to navigate where they get advice from. So, I know you're two distinct but symbiotic organizations, but I think if you want to have users having easier access to you, try and work a little closer together in terms of having one front door and then maybe a couple of corridors.

Thanks, William. That's really helpful. So, what I'm hearing from both of you there is clarity, really. Clarity of process. So, that's really helpful. Thank you. I'm going to come back to Nikki. Is there anything else you want to add before we finish and take some questions?

Other than, obviously, if you have any thoughts after today's seminar, then please contact either myself or K, or Joe who sent you the invite out, and we will collate that and take it forward, so that we've got a process that works for everybody. That would be great. Thanks, Nikki.

Okay, so if you want to put any comments or thoughts in the chat, we'll pick that up. But, Joe, if we want to move the slides on and we'll finish up and then take some questions. You can go to the next one. Jo?

Next one? Okay. So, in summary, to bring this all together, I hope today has given you a sense of knowledge mobilization, some of those techniques that we use, and some of the impact results of that work. And on reflection, when we've all come together, we recognize that knowledge mobilization requires us as a team to build those relationships across a whole group of stakeholders but to draw on many sources of expertise, both our patient partners, researchers, industry partners, and think creatively about how we engage and get that message to the right people in the right format. I think you've heard some examples of that today. We're also very keen to seek funding for our activity, so we are being much more proactive in seeking funding to do additional pieces of work that perhaps would come from the non-traditional research pots, so, for example, the Health Foundation, from integrated care systems and NHS pockets of funds. We recognize that we have to cross many boundaries, and there is a real skill set in being able to do that. But we are really keen to share our learning and share the resources, and hopefully, you'll find some of those on our K-Health website. So, please do take a look. But we are really cognizant and we recognize that there are many different drivers for each of the different contexts that we work within, and having an understanding of those really helps us drive change and try to help your research be as impactful as possible.

So, our last slide, I think, before we take some questions, if that's okay, is we just mapped out our knowledge mobilization action group, who we've got links with both internationally, nationally, regionally, and locally. And you might not be able to read the detail until you get the slides, but just the fact that when you look at that, there's a huge network of links that we've got here across our national and international spectrum, and that will cover health research, non-healthcare settings, volunteer sector, so it's massive. This is a massive group of expertise that we've got to draw on to assist this knowledge mobilization process.

I'm going to thank our speakers and thanks for their energy and contribution for drawing this together and just take down the slides now, Joe, if we can, and just open up the last few minutes to some questions. Our contact details are all there, which we'll perhaps copy and put in the chat for you as well. So, any thoughts, any comments, please just pop your hands up. That would be really helpful to hear from folks. I think when we presented it yesterday, Danielle had a great question about ethics and the ethical considerations of community practices. Danielle, do you want to kind of ask that question? I think I've got that remembered correctly.

Yes, I think when I look at research proposals, very often there is PPIE, then there's a community of practice, and the question often is, where does all stakeholder involvement end in terms of just advising on the research? Where does it become research participation? And especially when it becomes co-production, and you want to write it up in detail and maybe analyze the results of meetings, you enter into them becoming research participants and it needs ethics. So, I think people writing applications need to be aware of where do I need ethics? Where is it research participation rather than advice? And how does that impact on my timelines for my project?

Thanks for that reflection, Danielle. And in our moving forwards work, we sought ethical approval for Laura S to do the examination and research on what was happening. So that's the bit that required ethics. It wasn't actually the community practice itself. These were clinicians and patients, but the actual researching of that, we then got ethics for. Vanda, not to come in.

Sorry, waking up. I hope people can hear me. Just a very quick comment, Danielle. I think your question is so important. And within the RSS, this is something that we address on a regular basis where does PPIE move into research participation. And I think this is something that is growing, this particular point is growing because of the flavor of the research studies that we're seeing more and more coming through on our books within the RSS, a lot of community-based projects and so on where there is a lot of PPIE-type of activity. And then, we might be talking about approaches such as co-production or whatever. And then it raises the question, when do people become research participants? And also, I think that becomes very important later on when you're thinking about publication because I know that some journals will be looking very carefully around what ethical arrangements might have been made or put in place where required. So, just a comment, really important. Thank you.

Thanks, Vanda. Thanks, Danielle. So, thank you so much for your participation, everybody. Thanks for accepting the invitation. I'm going to draw us to a close. We're at 2 o'clock. So, we will share the recording with you if you want to listen back or if you haven't had a chance to listen. And we're happy to take some email comments later. So, I'm sure then all our contributors to the session today.