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New way to run clinical trials within General Practice reaches 1,000 NHS patients recruited

Doctor checking patient data on a laptop

Research theme

Thrombo-inflammation

People involved

Professor Dipak Kotecha

Thrombo-inflammation Theme Lead

DaRe2THINK, an innovative approach to deliver remote clinical trials within NHS Primary Care, has reached a major milestone of more than 1,000 patients recruited.

The trial platform is now active in over 400 NHS sites, supporting General Practitioners and their teams to recruit patients for clinical research that can advance public health.

A collaboration between the University of Birmingham, NHS providers and the Clinical Practice Research Datalink, DaRe2THINK has successfully implemented a new way to run large-scale trials and to support research in NHS Primary Care. The trial is funded by the National Institute for Health and Care Research (NIHR) and supported by the NIHR Research Delivery Network across England.

“We are really proud to be supporting our fantastic colleagues in NHS General Practices across England, giving NHS staff and patients a much easier opportunity to get involved in health research.”

Professor Dipak Kotecha, lead for DaRe2THINK

Dipak Kotecha, Professor of Cardiology at the University of Birmingham, NHS Consultant at the Queen Elizabeth Hospital, theme lead of the Thrombo-Inflammation research theme in the NIHR Birmingham Biomedical Research Centre and lead for DaRe2THINK, said:

“Running NHS research in our local communities has a huge potential to improve the health and wellbeing of citizens and society. We are really proud to be supporting our fantastic colleagues in NHS General Practices across England, giving NHS staff and patients a much easier opportunity to get involved in health research.”

1.3 million patients

Designed to open up the benefits of research for NHS staff and patients, DaRe2THINK is able to securely screen routine health records for over 13 million NHS patients.

The focus of DaRe2THINK is to demonstrate if strokes, blood clots and vascular dementia can be prevented in patients with a common heart rhythm disorder called atrial fibrillation.

Recent innovations of this efficient, data-enabled approach have led to a ‘number needed to invite’ of 5.3 – this means that only five patients need to be invited by their Primary Care team for one patient to be randomised, far surpassing other recent developments in clinical trials.

Supported by a Patient & Public Engagement team, DaRe2THINK has been designed to transform the way trials can be conducted within the NHS. This will open up participation to a wider range of citizens and contribute to the UK’s life science strategy to improve health, wellbeing and economic growth.

Dame Julie Moore DBE, Chair of Health Data Research UK, said: “DaRe2THINK is a new way of undertaking research to improve public health by working with GPs. Through screening of comprehensive health records of patients in the NHS, DaRe2THINK is able to identify patients to recruit to trials to improve their health, and the wider health of the nation.”