North Wales Research, Innovation and Improvement Hub Activity Survey

North Wales Research, Innovation and Improvement Activity Survey
Are you involved in any Research, Innovation or Improvement projects and/or identifying new products or ways of working that will improve health and social care services or service user experiences? If so, we want to hear from you!

A Research, Innovation and Improvement (RI&I) Hub is being set up in North Wales by the Regional Partnership Board (RPB) to coordinate RI&I activity across health and social care throughout the region. Our first priority is to understand what activity is on-going and identify any areas of good practice that we can help upscale and spread.

This research project has received a favourable opinion from Swansea University Sub-Ethics Committee (project reference 2020-0051).
Name

First NameLast Name
Organisation
Job title
Primary Area of activity
For example Mental Health, Primary Care etc.
Date

MonthDayYear

Research Consent Form
Name of Researcher: Hayley Fletcher-Miles

Please initial each statement that applies:*

	Initial:
I confirm that I have read and understood the information sheet provided for this study and have had the opportunity to consider the information, ask questions and have had these answered satisfactorily.
I understand that my responses will be kept strictly confidential. I give permission for members of the research team to have access to my anonymised responses. I understand that my name will not be linked with the research materials, and I will not be identified in any reports or teaching material that result from the research.
I understand that, under the General Data Protection Regulation, I can at any time ask for access to the information I provide, and I can also request the destruction of that information if I wish.
I understand that my participation is voluntary and that I am free to withdraw at any time, without giving any reason. In addition, should I wish not to answer any particular question or questions, I am free to decline.
I agree that I might subsequently be contacted to take part in an interview or focus group to discuss my views on Health and Social Care Research, Innovation, and Improvement related activities. I understand that my responses will be audio recorded and notes will betaken. I understand that the interview will be transcribed and anonymised to provide an accurate record of the conversation.
I agree to take part in the below study.

Signature*

	Date	Full Name
Participant name (by typing your name in the box, you are consenting to participate in this research study).
Name of person taking consent: Hayley Fletcher-Miles

Q.1) Has your organisation/team been involved in any Research, Innovation or Improvement/change projects (which can include amongst others; identifying new products/services; or new ways of working) that will improve Health and Social Care services or service user experiences?

YesNo

Q.2) If yes (Q.1), please provide more detail below. We are also interested in any Research, Innovation or Improvement/change activity that was undertaken as a response to COVID-19.

	Project Title and Description	Project Dates	Project Partners	What were/will be the outcomes?
Project 1
Project 2
Project 3
Project 4
Project 5
Project 6

Q.3) If you are not undertaking any such activities, are there any particular reasons for not doing so?

Q.4) What do you perceive as the major barriers/enablers to pursing Health and Social Care related Research, Innovation or Improvement activities in Wales? (for example, a lack of knowledge or resources as a barrier to undertaking such activities).

	Barriers	Enablers
1.
2.
3.

Q.5 Would you like to be involved in any Research, Innovation and Improvement activities in the future that focus on improving health and social care services?

YesPossiblyNo

	Yes (Tick)
Identify good practice across NW so that promising RI&I activity can be up-scaled and spread
Improve communication mechanisms across primary, secondary and social care boundaries to drive prevention, wellbeing through strong regional and local networks
Provide an online tool to share learning
Be a ‘one stop shop’ for all RI&I activity across health and social care in Wales
Provide a consistent contact point for organisation to engage with national innovation and industry engagement initiatives / networks
Identify, assess and share the extent of adoption of findings and recommendations from national organisations
Import good practice from other regions / countries
Export good practice to other regions across Wales
Other (Please provide further ideas in the space provided below):

Q.9) In each of the grids below, please describe your five strongest connections/ relationships with stakeholders in the described areas. When completing the grids below, please identify who the connection is with, what the nature of the connection is (for example research, programme delivery, partnership working) and rate the strength of the relationship using the following criteria:

1 = Initial Contact Virtually,

2 = Follow Up Contact Virtually,

3 = Initial Meeting in Person,

4 = Worked on a Project Together,

5 = Worked on Multiple Projects Together.

Healthcare

	Connection Name:	Nature of Relationship (Why ?):	Relationship Strength:
Connection 1
Connection 2
Connection 3
Connection 4
Connection 5

Social Care

	Connection Name:	Nature of Relationship (Why ?):	Relationship Strength:
Connection 1
Connection 2
Connection 3
Connection 4
Connection 5

Academia (Universities or Colleges)

	Connection Name:	Nature of Relationship (Why ?):	Relationship Strength:
Connection 1
Connection 2
Connection 3
Connection 4
Connection 5

Third Sector (i.e. Voluntary Organisations)

	Connection Name:	Nature of Relationship (Why ?):	Relationship Strength:
Connection 1
Connection 2
Connection 3
Connection 4
Connection 5

Industry (i.e. Private Sector Companies)

	Connection Name:	Nature of Relationship (Why ?):	Relationship Strength:
Connection 1
Connection 2
Connection 3
Connection 4
Connection 5

Q.10) If you have any further comments that you would like to share, please use the space provided below to include these.
Should be Empty:

North Wales Research, Innovation and Improvement Activity Survey

Research Consent Form