Culyer reforms will create new opportunities for research

EDITOR—The role of director of research and development in a teaching hospital is a challenging one, particularly during the introduction of the Culyer reforms. It does not include discouraging clinical staff who are industrious in their service work, enjoy teaching, and are active in research from continuing to develop evidence that can lead to improved clinical practice.1 Trusts that wanted to obtain money from the levy fund that was established to support research and development had to satisfy the NHS Executive that they would, firstly, implement …