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Since the inception of the National Institute for Health Research (NIHR) in 2006, the landscape for the delivery of clinical research within the National Health Service (NHS) has been transformed. Clinical radiology has benefitted from funding opportunities for primary imaging research as well as improvements to the supporting research infrastructure to provide imaging for many clinical trials; however, in an increasingly challenging NHS environment, the NIHR and clinical radiology have to evolve an effective working partnership to ensure imaging research is sustainable and will make an impact. A number of initiatives have arisen from discussions between the NIHR, the Royal College of Radiologists (RCR), and stakeholders that will be discussed in this article. It is hoped that these initiatives will be embraced by the imaging community and create a more dynamic sustainable imaging workforce, driving and supporting research and innovation towards future sustainability.

SINCE Kouwenhoven and his associates1 at Johns Hopkins first described closed-chest cardiac massage for the treatment of circulatory arrest, reports from other large centers have confirmed its efficacy.2 3 4 5 Combined with adequate oxygenation of the lungs, it maintains effective circulation until electrocardiographic diagnosis has been made and definitive treatment instituted. Zoll and his co-workers6 , 7 have developed an effective method of treating ventricular fibrillation with electric countershock. In a 100-bed community hospital we studied 5 patients with coronary-artery disease in whom circulatory arrest due to ventricular fibrillation developed and who were treated with closed-chest cardiac massage and electric defibrillation. In presenting our . . .