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  1. Health Sciences
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  3. Centre for Healthcare Innovation Research
About City

Centre for Healthcare Innovation Research

Welcome to The Centre for Healthcare Innovation Research (CHIR)

About us

The Centre for Healthcare Innovation Research (CHIR) is a truly interdisciplinary Centre which brings together researchers from different disciplines across Cass Business School and the School of Health Sciences at City, University of London. The Centre’s principal objective is to create public value by developing a deeper understanding of the complex challenges of embedding innovation into practice, thereby helping to improve the organisation and delivery of healthcare services.

While most research has focused on the development of healthcare innovations, and on their clinical or technical features, less attention has been paid to the barriers to spreading and implementing such innovations. Our research focuses on how to best spread and sustain effective and beneficial innovations so that their benefits are widely distributed within health systems.

We aim to understand what it takes to successfully scale and spread innovation in health care. This will serve the needs of policy-makers who seek to improve the efficiency and effectiveness of healthcare services, and the demands of practitioner and patient groups who aim to advance the quality of patient care by ensuring the availability of the best possible services and treatments.

Download the Centre for Healthcare Innovation Research (CHIR) - A new interdisciplinary way of looking at innovation flyer.

For more information or any queries, please contact Professor Harry Scarbrough.

Our purpose

The Centre for Healthcare Innovation Research (CHIR) aims to mobilise expertise and people from a range of academic and professional disciplines to address the challenge of embedding innovation in healthcare systems. It builds on the internationally-leading research of faculty in Cass Business School  and the School of Health Sciences to provide a ground-breaking, interdisciplinary approach to this challenge. This allows us to better address the complex interplay between the dynamics of the innovation process and the different organisational and institutional contexts in which it unfolds.

Healthcare innovations can take a variety of forms, ranging from new medical treatments or diagnostic devices through to novel professional practices and changes in the delivery of care and the design of patient pathways. Extensive research demonstrates that in the healthcare sector the benefits  of many such innovations are not fully realised, and that innovations of proven value often fail to spread - resulting in less efficient healthcare services and lower quality of care. Our research activities therefore focus on understanding and overcoming the barriers that exist within different healthcare  settings to the effective diffusion and utilisation of innovations.

We aim to create an evidence-base on what it takes to successfully scale and spread innovation in health care. This will create powerful insights for healthcare leaders, professionals and policy-makers on how to best spread and sustain truly effective and beneficial innovations.

To  inform our research and to connect it to the challenges facing healthcare organisations, the Centre seeks to convene a wider community of stakeholders, including professional groups, service users and policy-makers.

Stakeholder Organisations supporting the development of CHIR

  • Harvard University T.H. Chan School of Public Health, Boston USA
  • Faculty of Medical Leadership and Management (FMLM)
  • Royal College of Veterinary Surgeons (RCVS)
  • University College London Partners (UCLP)
  • Flinders University College of Medicine and Public Health, Adelaide Australia
  • Public Health England
  • Centre of Health Economics Research (COHERE) University of Southern Denmark
  • Brighton and Sussex University Hospitals NHS Trust
  • Brighton-Lusaka Health Link;  Brighton-Zambia Anaesthesia Partnership
  • NxR Biotechnologies, Basel Switzerland
  • Prime Minister’s Independent Mental Health and Employers Review in the UK led by Lord Stevenson
  • SystemC Connected Care, Maidstone, Kent
  • Digital Health London Accelerator (DHLA)
  • Service User and carer Group Advising on Research (SUGAR)
  • European Interbalkan Medical Centre, Thessaloniki / Athens Greece
  • NHS Primary Care Tulasi Medical Centre
  • Barking and Dagenham NHS Clinical Commissioning Group (CCG)

Research

Healthcare innovations can take a variety of forms, ranging from new medical treatments or diagnostic devices through to novel professional practices and changes in the delivery of care and the design of patient pathways. Extensive research demonstrates that in the healthcare sector the benefits of  many such innovations are not fully realised, and that innovations of proven value often fail to spread - resulting in less efficient healthcare services and lower quality of care. Our research projects therefore focus on the social, professional and organisational barriers to the effective diffusion  and utilisation of innovations.

Our people

CHIR is led by its Co-Directors Prof Harry Scarbrough (Cass) and Dr Yiannis Kyratsis (SHS). New to the core team are Dr Alexandra Ziemann (Senior Research Fellow) and Dr Yaru Chen (Research Fellow). CHIR’s membership draws on a high level of relevant expertise from staff in both schools:

Dr Amanda Goodall

Senior Lecturer

Faculty of Management

Cass Business School

Dr Navid Izady

Senior Lecturer in Operations Research

Faculty of Management

Cass Business School

Prof Neil Maiden

Professor of Digital Creativity

Faculty of Management

Cass Business School

Dr Amit Nigam

Reader in Management

Faculty of Management

Cass Business School

Prof Mohan Sodhi

Professor of Operations and Supply Chain Management

Faculty of Management

Cass Business School

Prof Cliff Oswick

Professor of Organisation Theory

Faculty of Management

Cass Business School

Dr. Aneesh Banerjee

Lecturer

Faculty of Management

Cass Business School

Prof Amanda Burls

Public Health Physician

School of Health Sciences

City, University of London

Prof Jill Francis

Professor of Health Services Research

School of Health Sciences

City, University of London

Prof Christine McCourt

Professor of Maternal and Child Health

School of Health Sciences

City, University of London

Dr Shashi Hirani

Senior Lecturer

School of Health Sciences

City, University of London

Dr Divya Parmar

Senior Lecturer in Public Health

School of Health Sciences

City, University of London

Dr Kyriaki Giorgakoudi

Research Fellow in Economic Evaluation

School of Health Sciences

City, University of London

Prof Julienne Meyer

Professor of Nursing: Care for Older People

School of Health Sciences

City, University of London

Dr Charitini Stavropoulou

Senior Lecturer in Health Management

School of Health Sciences

City, University of London

Prof Alan Simpson

Professor

School of Health Sciences

City, University of London

Resources

Recent publications

Scarbrough

Nicolini, D., Scarbrough, H and Gracheva, J. (2016). Communities of practice and situated learning in healthcare. In Ferlie, E., Montgomery, K. and Pedersen, A. (eds) The Oxford Handbook of Health Care Management, Oxford: Oxford University Press

D’Andreta, D. and Scarbrough, H. (2016). Knowledge mobilization and network ambidexterity in a mandated healthcare network: a CLAHRC case study in: J. Swan, S. Newell, S. and D. Nicolini (eds) Mobilizing Knowledge in Healthcare. Oxford University Press

D’Andreta, D., M. Marabelli, S. Newell, H. Scarbrough and J. Swan (2016). Dominant cognitive frames and the innovative power of social networks. Organization Studies 37(3): 293-321.

Scarbrough, H., Robertson, M & Swan J. (2015). Diffusion in the face of failure: The evolution of a management innovation. British Journal of Management, 26, 365–387

Evans, S. and Scarbrough, H. (2014). Supporting knowledge translation through collaborative translational research initiatives: ‘Bridging’ versus ‘blurring’ boundary-spanning approaches in the UK CLAHRC initiative. Social Science and Medicine. 106, 119-127

D’Andreta,  D., Scarbrough, H. and Evans S. (2013). The enactment of knowledge translation: A study of the CLAHRC initiative within the English National Health Service. Journal of Health Services Research and Policy. 18, Supp. 3, October, pp. 40-53

Clarke, A., Taylor-Philips, S., Gkeredakis, E., Mills , P.,  Nicolini , D., Powell, J., Roginski, C., Scarbrough, H., Swan, J., Grove, A. (2013). Evidence-based commissioning in the English NHS: Who uses which sources of evidence? British Medical Journal Open

Gkeredakis et al. (2011). Mind the gap: Understanding utilisation of evidence and policy in healthcare  management and practice. Journal of Health Organization and Management. 25 (3): 298-314.

Courses

CHIR is developing new professional and executive development courses which build on the extensive networks City has established by educating professionals in nursing, midwifery, optometry, radiography, language and communication, business and management, and now also medical leadership. These new offerings combine novel elements with modules drawn from the existing programmes taught by the two schools; the recently launched Masters in Medical Leadership (Cass) and the highly regarded MSc in Health Management (SHS). If you are interested in benefitting from or sponsoring one of these new courses, please contact Professor Harry Scarbrough.