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Vol 277 No 7431 p724
16 December 2006

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UK health research set to be reformed following Cooksey review

A central body for co-ordinating health research in the UK is proposed in Sir David Cooksey's review of UK health research, published last week. The Government has accepted the Cooksey report in full.

Sir David recommends that there should still be two bodies responsible for publicly funded health research: the Medical Research Council, which will retain its current institutional structure but streamline its work, and the National Institute for Health Research, which will become a real, rather than a virtual institute by 2009.

The work of these two bodies will be overseen by a new body — the Office for Strategic Coordination of Health Research (OSCHR) — which will be charged with setting both the Government’s health research strategy and the budget required to deliver this, communicating the UK’s health priorities to the pharmaceutical and bioscience sectors, monitoring delivery of the strategy and encouraging a stronger partnership between government, health industries and charities.

To address gaps in the translation of basic ideas and research into development of new products and approaches, and integrating these into clinical practice, Sir David recommends the creation of a joint MRC/NIHR translational medicine funding board. To bring drugs to market faster, the review proposes that the National Institute for Health and Clinical Excellence is involved earlier in the drug development process to accelerate assessment of clinical and cost-effectiveness and that there are clearer processes for ensuring NICE research recommendations are followed up systematically. The review also suggests that the National Programme for IT should be used to ensure more rapid assessment of emerging side effects and efficacy, and to identify appropriate patients for clinical trials.

Speaking at the NICE annual conference in Birmingham last week, Colin Blakemore, chief executive of the MRC, said that, reading between the lines, there is a hope that it might be possible to move to a genuine National Institutes of Health type structure in the future (full integration of the MRC and the NIHR).

Biomedical research centres Eleven centres across England that have an international reputation for translational research have been chosen to become centres of excellence and will share over £450m of funding over the next five years, the Secretary of State for Health announced last week. Their focus will be in areas such as cancer, heart disease, asthma, HIV, mental illness and blindness. As specified in the Cooksey report, nationally excellent centres in translational research will be supported to develop successful proposals in order to strengthen their international reputations.

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