Learnings from the establishment and delivery of the UK Collaborative Paediatric Palliative Care Research Network

Background There are increasing numbers of children living with conditions that may threaten or shorten their lives. While child mortality has decreased in recent decades, it is estimated 4500 infants, children and young people (0–19 years) die in the United Kingdom every year. Despite a growing inc...

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Main Authors: George Peat, Emily Harrop, Anna-Karenia Anderson, Debbie Box, Fliss Murtagh, Richard Harding, Lucy Ziegler, Catherine Hewitt, Ian Wong, Joanna Elverson, Nicola Harris, Lorna K Fraser
Format: Article
Language:English
Published: NIHR Journals Library 2025-02-01
Series:Health Technology Assessment
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Online Access:https://doi.org/10.3310/VRFT5679
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Summary:Background There are increasing numbers of children living with conditions that may threaten or shorten their lives. While child mortality has decreased in recent decades, it is estimated 4500 infants, children and young people (0–19 years) die in the United Kingdom every year. Despite a growing increase in clinical provision, there is a clear paucity in research evidence underpinning paediatric palliative care. To support research delivery, a United Kingdom-wide network composed of paediatric palliative care-sector organisations and academics with expertise in the area was developed. The network had a clear vision of establishing partnerships between academia and services delivering paediatric palliative care that would support increased research capacity and delivery in the sector. Objective(s) The overarching aim of the network was to deliver national high-quality research studies, education and materials, and build research capacity. Specific objectives included working closely with seven paediatric palliative care sites to develop guidance on the appropriate methods for undertaking research, the delivery of information and educational resources including a webinar series, offering of mentor opportunities, and the development of a minimum of two bids to National Institute for Health and Care Research related funding pathways. Design A collaborative design underpinned the network. Network activity included continued partner engagement through online meetings and newsletters, scoping activity to identify research priorities, establishment of research themes, and active engagement and support from national organisations. Patient and public involvement was core to all network activity. Setting Network engagement largely took place online. The network has a web page hosted on the website of the organisation Together for Short Lives. Partners Seven paediatric palliative care sites in England and Scotland (six hospices and one National Health Service hospital site) formed the network with input from several academic partners. Results The network achieved several outputs related to objectives including the submission of two National Institute for Health and Care Research applications for funding, the delivery of five educational webinars, the establishment of an online research toolkit and the development of a research nurse group. Conclusions Prior to the establishment of the network, there was no national mechanism for co-ordination for research in paediatric palliative care. In bringing together seven partner organisations and clinical and research expertise, the network has supported the foundations upon which to deliver high-quality research in the sector. Future work Future work is required to support the sustainability of the network including obtaining necessary funding. Key learning from the network can be transferred and replicated across other contexts, including internationally. Grant applications and research themes developed as a result of the network will continue to develop and mature. Funding This article presents independent research funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme as award number NIHR135304. Plain language summary There are more children and young people now living with conditions that may threaten or shorten their lives. Care for these children and young people can be improved by research. However, there is a lack of high-quality research. To support the delivery of research, a network of seven organisations including children’s hospices was developed, supported by university academics. The aim of the network was to bring individuals and organisations together to work towards improving research into palliative and end-of-life care for children and young people. To meet the aim of the network, individuals and organisations worked to develop and build resources and educational materials. These materials aimed to help hospices and National Health Service organisations to engage in research. They also identified and discussed the key areas where research was most needed. Looking at these areas, the network then identified research priorities which they turned into applications for research funding. Being part of the network has helped hospice organisations learn from one another in terms of how to undertake research. In summary, the network has helped make research more accessible for organisations involved in the care of children and young people living with conditions that may threaten or shorten their lives.
ISSN:2046-4924