NHMRC plans future but ignores the past

Linkedin Post 68 (first 66 posts were stolen) – Why is Australia’s peak health and medical research authority, the National Health and Medical Research Council (NHMRC) planning big time for its future, but ignoring its past in its Structural Review of NHMRC Research Grants Program, which just closed for submissions on 25 August 2016?

My punchline in my lodged submission is :

The NHMRC review committee should first conduct

a HEALTH BENEFITS OUTCOME REVIEW

of how grants of nearly $9 billion

 have actually benefited

the health of Australians since 2000.

This is my full submission to the NHMRC Grants Program review lodged 25 August 2016.

(In addition, I am making a separate related submission to the NHMRC for the establishment of a targeted minimum 5% p.a. to be applied to natural therapy research grants, mirroring a similar targeted grant for indigenous health).

“My submission is designed to protect the longevity of the NHMRC’s Grant Program in its entirety, by recommending an initial HEALTH BENEFITS OUTCOME REVIEW to account for how the near $9 billion of grants has actually benefited the health of Australians since 2000 in accordance with your annual report at page 118 – Note 1.

.Accordingly, I will not be discussing any individual alternative models currently put forward for consultation, due to a fundamental gap in the source information provided.

 From my experience as a venture capitalist specialising in translating the cream of Australian scientists’ work, primarily in the fields of biotechnology and IT, I consider a fundamental step has been bypassed in the formulation of Alternative models 1 to 3.

 I attended personally five of the NHMRC forums and spoke extensively to various members of the Committee and key staff after these excellent consultations. My discussions clearly established there has been no adequate analysis of the outcome of 15 years of grant funding approaching $9 billion to date.

 In particular, the main allocation method has been by peer review panels focusing upon track record as the key driver. Track record has been generally interpreted as the breadth of academic journal citation, and was fondly denoted even by the NHMRC CEO as a bit of an old boys club.

 As a venture capitalist, I have had vast practical experience, including pioneering the $5 billion dollar Pooled Development Fund program in the 90s and operating under the Management and Investment Company Scheme from the 80’s.

 I submit any new taxpayer dollars should be channeled into research models that best achieved the single outcome that drives the NHMRC – see Note 1 of your Annual Report 2014-15 which clearly states on page 118 ( why is it buried there?)

 “The NHMRC is structured to meet one outcome – That Australia’s health system benefits from high quality health and medical research conducted at the highest ethical standard, well-developed research capabilities and sound evidence-based advice that informs health policy and practice.”

 So I would like to recommend to the NHMRC review committee you first conduct a HEALTH BENEFITS OUTCOME REVIEW to account for how the $9 billion of grants has actually benefited the health of Australians since 2000.

 This audit style examination should consider a cross section of say 10% of the grants randomly chosen with an analysis of KPI’s such as grant amount received; grant dollars spent; third party dollars leveraged in partnership or commercial collaboration; stage of translation; time to translate commercially; intellectual property capitalised; jobs creation; economic growth and related indicators; impact upon the health budget; impact on health outcomes for Australians; citation of science in peak journals such as Cochrane; whether discarded by Cochrane due to flawed methodology or bias or conflict of interest; and which “science research model” alternative was adopted under each particular grant.

 Once this audit style information becomes available, the Committee would then be armed with appropriate data to decide which of Models 1 to 3 would best maximize these key KPI’s from the last 15 years NHMRC grants’ experience.

 The NHMRC CEO, Professor Kelso, made it clear at the public forums of her key aims to ENCOURAGE CREATIVITY, INNOVATION and FLEXIBILITY.

 Please take the time to be creative and flexible with your approach to the current consultation and carefully consider my submission as a precursor to locking in a plan for the next 15 years.

My experience with the Pooled Development Fund program, which commenced in 1992, but closed for new investment in 2006, was that NO OUTCOME STUDY was completed to show how the $5 billion raised by 128 individually, managed investment companies targeting medium and small size Australian companies, actually contributed to our economy. I consider this typical approach of so many Government incentive programs using taxpayers’ money to be a disappointing one as I think there is frequently a catalytic impact rarely discovered.

 So for the sake of all Australians, please complete first a HEALTH BENEFITS OUTCOME REVIEW to satisfy your reason for existence:

 “The NHMRC is structured to meet one outcome – That Australia’s health system benefits…”.

========================================================

Unfortunately the NHMRC’s current evaluation prime tool called  Measuring up 2013, does not address how Australia’s health system benefits, but focuses upon the peer group citation frequency, a debatable correlation with Australia’s health. It states:

“Measuring up 2013 is the latest in a series of bibliometric studies, first published in 1996, of the outputs of NHMRC research funding. For the first time, this analysis focused on comparing the impact of NHMRC-supported research with that of other Australian health and medical research.

The findings in the report show continuing strong performance by Australian health and medical research overall and by NHMRC-supported research in particular. For example: 

  • 20,960 NHMRC-supported publications accounted for about 31% of all Australian health and medical research output in 2005– 2009, up from 26% in 2002–2006.
  • The number of health and medical research publications that have NHMRC support was 68% higher in 2005–2009 than in 2002-2006, whereas the total Australian health and medical research publications increased by 44% during the same period. Australia now contributes 3.1% of the world’s biomedical research.
  • NHMRC-supported publications received 60% more citations than the world average. The average citation rate for Australian health and medical research publications was 17% above the world average.
  • In all fields and sub-fields, NHMRC-supported publications had a relative citation impact above that of other Australian health and medical research publications that were not supported by NHMRC funding
  • More than 2.5% of NHMRC funded publications are in the top 1% most cited papers world wide.
  • Australia had 1,214 papers in the top 1% most cited papers in the world, and almost half of those had NHMRC support.
  • Nearly 40% of NHMRC-supported publications involved international collaborations, from over 110 countries.

Bibliometric analysis involves many variables and should not be used to draw conclusions selectively or in isolation from other measures. Some caveats to keep in mind:

  • There are differences in methodology between this report and the previous 2009 report, mainly the change to a different classification system for fields of research and the addition of three new NHMRC grants schemes.
  • As there are wide variations in citation practices between fields of research, citations are quoted relative to the norm in the field.”

 

 Do you have any comments about how our taxpayers funds can be better allocated to benefit our health?

Graeme Little né Peter Pope

glittle@fightpharmacorruption.com

www.fightpharmacorruption.com

Facebook under Peter Little: https://www.facebook.com/graeme.little.9849/about

+61 (0) 402 904749

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Imagine two special mums turbocharging your life (part 2)

LI 67 – This is my first post since “forces” unknown last night stole the 66 Linkedin Posts I have written since May 2015.

Coupled with strange “goings-on” with my Facebook account in recent weeks, I am learning the hard way that being the founder of http://www.fightpharmacorruption.com.au is like being a rabbit at night with an army of shooters with spotlights. Good luck you might say. Well rabbits know a lot about holes to dive into to survive.

But, you get to the point in life at 60 when you fear nothing, particularly as I reflect today at my mum June’s second “funeral” celebration after her official funeral on 2 June 2016. This time I was at Lovell House in Caulfield, a Melbourne suburb, the amazingly caring nursing home in which my mum spent around 30 months coping with her dementia meltdown. A special memorial service was held to celebrate the sad end to eleven lives of nursing home patients who had passed on this year, from a total of around 40 resident patients.

A moving service entitled “A time of Reflection and Hope” was conducted with grieving relatives and many of the current residents in various conditions, many sadly close to their finale too. For four or five of those who passed on, no one was present to say goodbye. Wow.

I have long held the dream to establish a health retreat after my dinted faculties post a messy and devastatingly unexpected divorce in 2004, led to life changing health regimes learnt at many of Australia’s famous health retreats.

Visits started in late 2004 including the two Golden Doors, Camp Eden (now Eden), Gwinganna, and the most amazing of all, Living Valley Springs, when I was accompanied by my then teenage son Andrew, now 28, who later went on to win a State Boxing Championship at 21.

I have had two false starts launching a health retreat – one with a joint venture proposal from Golden Door in 2007 at my former majestic stud farm at Shoreham on the Mornington Peninsula, then known as The Pines Stud. The 2008 global financial crisis, finished that dream off after the lengthy divorce battle weakened my financial position.

The second false start flowed from my purchase of a special 50 acre farm on French Island in 2009, “Beauciel”, the private retreat of Australia’s iconic family, the Minogues, where Kylie and Dannii spent infrequent visits during their hectic schedule. The Minogue ownership since 2005 included the special period when Kylie was recovering from her well publicised battle with breast cancer. I often sat on the couches the family left behind wondering what Kylie was thinking back then, and whether she would ever get to sing again. Her comeback concert DVD chilled me to the bone as I watched it on my own so many times, visualising the day Kylie would join me in my fight for natural health respect.

A year prior to my French Island purchase, I recall a special time on my near month long walk in China in 2008, when I sponsored that dream of Australia’s other “Grease” fame darling, Olivia Newton-John, in her Great Walk to Beijing, to raise funds for the Austin Hospital’s proposed cancer centre to be named after Olivia. I recall the day I walked for some period alone with Dannii Minogue in the desolate Gobi Desert, when Dannii shared her feelings about her sister’s brave challenge, but also the tragic loss of her best girlfriend to cancer.

The mind numbing desert walk that day finished with just three of us trudging through the sand road to a never ending finish line – myself, Andrew Gaze, Australia’s celebrated basketballer and another great Australian, fireman Scott Morrison, who last month lost his long 15 year battle with cancer, after experiencing his first bout of chemo incredibly on the same day, 9/11/2001, as the Twin Towers were brought down in that terror attack of all time. Thanks for the batton change Scottie on that final leg – one of your mottos I will carry for ever – Fear of Nothing – surely a fireman’s lot in life.

I always knew I was destined to open my French Island Retreat, with the support of the Minogue sisters. But alas, my constant visualisations failed to be realised, as strange quirks of fate have drawn me into first using my unique life, network and business experiences to do my small part in the goal to Fight Pharma Corruption, rampant I say in Australia.

One day my dream will be realised to create a rural health retreat close to the city surrounds, but I now want to expand the concept to embrace the teenagers battling for their minds and a purpose, and the elderly, in the twilight of their life. The joys of nature are such a support for fragile minds as I experienced so personally with my love of medicinal herb growing. I looked around today at the dementia home inmates and thought how cruel to effectively lock up our old in city “prisons” as their countdown to future realms takes its course. The nurses are amazing – a job well beyond me – but surely we can create something more appropriate to see out our days.

If you managed to read to here, I am deeply indebted and my mum would be proud.

So because I am saddened my post written on the day of my mum’s funeral on 2 June 2016 has been stolen last night, I am repeating it below. Maybe you can read it another time, and think of your mum, and how you think we should work together to create happier end games for those who have reared us with so much love and caring.

My mum deserved better but I did not know at the time how to help her – I did manage to wean her off anti-psychotic death drug Risperdal, subsequently banned by our TGA in August 2015 for my mother’s condition. So hopefully at least on that Big Pharma drug front, I helped my mum survive her final year in a more mobile, and less comatised state.

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My post written on 2 June 2016 (but removed from Linkedin on 22 August 2016 by forces unknown)

“Peace with my Mum” or

“Imagine two special mums turbocharging you for life”

Stairway to Heaven

Imagine two special mums turbocharging you for life.

My first mother I never met, Kathlyn Hilary Pope, born 23 December 1930 and died 26 December 1980, aged 50 years.

My real mum with the mercurial job of caring for me for over sixty years, passed away peacefully on Thursday, 26 May 2016, after 11 days palliative care at Lovell House in Alma Road, Caulfield in Victoria, a very special high care nursing home owned by the Anglican Church.

Lovell could well be short for LOVE ALL – for that is what those beautiful nurses do no matter how antagonistic the “guests” become, as agitation is a common symptom in nursing homes these days. I know I would be for sure.

My mother’s name was Irene June Little, born on 16 May 1926. They say you never really accept your mum has gone. I kinda feel she is very much with me now, and who knows, maybe we will find scientific evidence to substantiate what I very strongly feel.

So how is your maths?

That makes my mum’s lifespan 90 extraordinary years, taking in the Great Depression, of course the Second World War, then TV, then Man walking on the moon, and then well – the bulk of us know the rest of the main stories.

Luckily we got to celebrate the big milestone two days before her true birthday, with a small family gathering at mum’s nursing home with my 95 year old dad Ian, my sister Ruth, and my youngest son Andrew (27). Eldest son Christopher (29), lives and works in Copenhagen.

Christopher just flew in last night in time for the funeral today. Sadly he lost a 24 year old cousin to suicide only a few months back so sadly this trip will rekindle that horror movie of life, played out in gripping tragedy for family after family these days. They haven’t invented the drug for the suicide disease – I guess you know what I’d really like to say but today is Mum’s day and I will hold my disruptive tongue for other mental health conditions.

We have a funny family just like yours, and for reasons which I am too choked up to find answers this week, I was not asked by the family to speak about my mother at the funeral service today.

Close friends know that “making THE speech” has been my family duty at all milestone family events in the past, so this will be the first time in family history that I was denied the privilege. Fear of how I speak from the heart can be validly confronting to those who would like to be politically correct, whether family, friends or foe, and I guess particularly so on such an occasion of tribute to my mum.

Maybe I was meant by my mum to instead go public about how I feel about her, perhaps on social media, a medium which my mum never got to experience. Mum never shirked emotions with me and we often would have competitions in “door slamming” and “decibel voice training” when I was young – usually kissing and making up pretty quickly – mind you the kissing stopped for a while going through that teenager phase, such a long distant memory now. Don’t think I got too many elsewhere for that matter – a bit of a late bloomer, and incredibly shy, a trait I obviously overcame as my confidence in myself grew.

And of course, being such a special caring and empathetic mum, she was highly supportive of my attempts not long after my first divorce at 35 years of age to find out about my first mother too. My mum was always ready to talk to me about my adoption, which effectively happened on day 5 of my life back on 2 September, 1955. That makes me a “TV baby I reckon” with Australian TV starting up back then on 19 September, 1956, just after I turned one.

Hopefully one day I might be on TV again – perhaps Millionaire Hot Seat and win some money to get back on my feet again – my son Christopher won $20,000 two years ago. I am sure my mum would have been beaming when I went on that school kid quiz show called “It’s Academic” with Danny Webb the host – my two fellow school mates and I back then were in Year 7. Strangely one became a Queens Counsel, and the other is now a Victorian Supreme Court Judge.

Not easy talking about your mum but sadly on the actual day of her 90th birthday, 15 May 2016, Mum’s doctor decided it was time to start on that dreaded phase – palliative care where all medicines are eliminated, food restricted, and you can guess the rest.

Mum suffered that well known end of life disease called dementia, potentially the biggest killer of them all, and in particular, vascular dementia, involving frequent mini strokes.

All of our family have had very special experiences trying to cope with this slow meltdown over six or seven years of mum’s capacity to arrange her thoughts, recall events, or even do the simple things we take for granted like reading or eating. Curiously Mum’s childhood passion for numbers, and work experience in banking (her father was a bank manager), allowed her to still do my tests of additions of simple integers deep into the closing phase of her debilitating and sad ending in many ways.

Our minds are curious things, and mine is right up there as all my close friends and family would well know, and mum and I would often exchange ideas about how our thoughts worked, or didn’t work, or occasionally overwork, in my case. I think I did understand a lot about her failing of the mind.

Lucky for us with Mum, she always seemed to recognise us, and her close friends – I was always preparing myself for that recognition to fade away, but we were all spared that horror movie.

Visiting mum was difficult in the 11 days of palliative care, as I trundled in each afternoon, wondering if today was the day. What a fighter, she wanted to hang on – she must have had her thoughts which we can only ever surmise.

With mum being largely motionless and unable to say words after about seven days in palliative care, I just became resigned to the thought that was the end of my physical connection with Mum.

But then on Day 8 when she had been moved to lay on her side, rather than face up – she moved her hand and placed it on my cheek, and held it there for what seemed at least ten minutes.

Not only could I strongly feel her touch, but she was able to make a facial expression, and actually smile at me, gazing deep through my eyes as if to EYEPRINT me for life, maybe thinking:

“Graeme you are truly chosen.

Follow your passion.

You are called to stand up

Be proud

and always respect your mums”

The life of an adopted son is one of being chosen.

I sense that feeling of being chosen keeps repeating in my various life passions.

How lucky I am. In this day and age, that right to be chosen has disappeared in most western countries, as “unwanted” children are aborted legally – sadly one in four pregnancies in Australia. I certainly understand a mother’s right to freedom with her body, but I kind of feel for the foetus that never got to have a mum like I did, and an extraordinary life I have lived, with a future shaping up to be possibly my most fulfilling.

Freedom of Choice is such an exceptionally complex issue. Easy to say. Another time and place.

So I prepare to head to my mum’s funeral.

Today is that one day of the year – the day you dread. The day you have to bury your mother, and prepare for the afterlife of possibilities and speculations, which has intrigued mankind since the garden of Eden.

Whilst I no longer bat openly for any religion, I do sense an extraordinary spiritual presence at special times, and often unexpectedly.

I sense we are all connected.

I know my connection with my mum will never die.

To my brave mum – my pink ballerina we made together at the end will be near me, not that I will need any reminders.

xox

little-mum

Graeme Live August 9 2016

Two parts tonight —
FIRST
A My tribute to my Great Walk to Beijing walking mate – Scott “Fireman” “Rat” Morrison – the most amazing tribute today at his funeral service which packed out Heidelberg Town Hall

Q. Why I fight Big Pharma ?

A. One of many answers is because they
“CALL US CONSUMERS ”
B. Their CEO’s get paid mainly based upon the share price?
C. The share price is driven by profits and growth prospects?
D. Therefore YOUR HEALTH is not A KEY PERFORMANCE INDICATOR
E. But YOUR CONSUMPTION OF DRUG COCKTAILS is THEIR ULTIMATE DRIVER

Graeme Live August 7 2016 at 9.10pm

Clue 1 – 2 hours of testimony by Dr Offit ( “I could safely be injected with 10,000 vaccines” fame) and colleagues – Expert Testimony on Naturopathy and the Licensure of “Naturopathic Doctors”.- see http://www.scienceinmedicine.org/page71/page71.html

Clue 2- Link between the Institute of Science in Medicine in the United States and Dr John Cunningham’s Australian sect, the Friends of Science in Medicine.

Clue 3 – Is there a Link with the CEO of the Australian National Health and Medical Research Council, Professor Anne Kelso.

Clue 4 – Who is “jcbigears”, the superman of social media, possibly I say a mild mannered surgeon by day, and a social media gorilla by night?

Clue 5 – What inside genetic information does “jcbigears” have to indicate the parentage of the eight children of the President of The Australian Vaccination-skeptics Network Inc. (AVN)’s Tasha David. Tasha’s first six children were vaccine damaged; whilst the seventh and eighth were not vaccinated and healthy.

Sue Ieraci: You are entitled to your own opinion, but you are not entitled to your own facts

Sue Ieraci ia also one of 7 Executive Members of Big Pharma’s lobby group, the Friends of “cherry-picking” Science in Medicine, whose sole aim is to destroy the teaching, practice and funding of natural medicines and therapies.

Association

While the FSM was launched on the 20 December 2011, its association was registered with New South Wales (NSW) Department of Fair Trading on 13 February 2012.

FSM Executive

Our executive includes:
President and first Principal – Emeritus Prof John Dwyer;
Vice-President – Emeritus Prof Alastair MacLennan;
Vice-President – Prof Rob Morrison;
Treasurer – Prof Marcello Costa;
Secretary, Chief Executive Officer and web administrator – Loretta Marron;
Ordinary Member – Dr Sue Ieraci; and
Ordinary Member – Dr Ken Harvey

Septic Skeptics

by Pedro Tierney

Just when I thought that the paid trolls working with the hate group, Stop the AVN, couldn’t possibly get any more ignorant, along comes Sue Ieraci.

member_69528962 This is Skeptic Dr Sue Ieraci

For those of you who are not aware of her, Sue Ieraci works in the Emergency Medicine Department at Bankstown Hospital in NSW.  She has written many opinion pieces for the Medical Journal of Australia and lists her specialties as:

Problem-solving, teaching and training, cognitive skills within health, change negotiation, clinical culture, liaison between government and clinicians, communication between clinicians and health system planners and architects.

Sounds pretty impressive, right?

sue-ieraci-medium How can a busy Emergency Doctor respond to social media comments within a moments notice any time of the day or night ?

Why then, is Sue able to respond to tweets and other social media comments within moments of them being posted at nearly…

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