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EDITOR
Tomlinson challenges those who seek to abandon the research
assessment exercise to propose a credible alternative for the
accountable allocation of public money.1 Goldbeck-Wood quotes a patients' spokesman, Clive Wilkinson, as saying, "The public understands that research is essential; but it needs to be on their terms
not on the basis of what is comfortable to
academics."2
The research assessment exercise's criteria are those by which scientists customarily judge their peers; as Tomlinson observes, they take little account of the impact of medical research on the quality of practice. The alternative to the exercise is to place health related research and development at the heart of NHS change management.
Applied medical research is not "science."3 Its
"change promoting paradigm" is directed toward the needs of
resource managers (including clinicians). Thus research and development
should be commissioned to meet the particular needs of managers and aid real life decision