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We bring patients, carers and clinicians together to prioritise research questions for the benefit of health research funders.
About the JLA
We believe that patients, carers and clinicians should work together to agree which treatment uncertainties deserve attention and funding.
About PSPs
“This PSP has been a truly collaborative effort and ...
How do I set up a PSP?
When setting up your own Priority Setting Partnership (PSP), it is important that you read through the JLA Guidebook to understand the steps involved.
Templates and useful documents
A list of documents and templates useful when creating a PSP.
Using the JLA logo
Instructions for using the JLA logo on documents.
JLA Advisers
James Lind Alliance (JLA) Advisers are independent consultants who ...
The James Lind Alliance (JLA) was established in 2004 ...
What people say
As well as getting more research funded in a health area, PSPs have other benefits
Health with Multiple Conditions in Old Age
Top 10s
The Top 10 priorities for future research identified by each PSP, a collaboration between clinicians and patients to identify research priorities.
JLA Guidebook
The JLA Guidebook will help you through the priority setting process. Containing everything you need to understand a PSP, or run your own.
1. JLA methods and principles
The JLA Guidebook is aimed at people that are interested in the JLA’s priority setting process: namely, patients and their carers, clinicians
The James Lind Alliance
The James Lind Alliance (JLA) is a non-profit making initiative which was established in 2004. It brings patients, carers and clinicians together in Priority Setting Partnerships (PSPs) to identify and prioritise the unanswered questions about the effects of treatments that they agree are most important.
Contact us
Contact us The James Lind Alliance National Institute for ...
Acknowledgements of individuals involved in the writing of the JLA Guidebook.
Why involve patients and clinicians?
People have suffered and died unnecessarily because uncertainties about ...
Why the JLA method?
Learn more about the principles of the JLA.
What are the principles of the JLA?
The JLA priority setting method is flexible and responsive ...
Traditionally the health research agenda has been largely determined ...
What are treatment uncertainties?
The JLA definition of a treatment uncertainty is that: no ...
JLA Advisers
What's the role of a JLA Adviser? They support and guide the PSP, neutrally, ensuring that the process is followed in a fair, transparent way
What is a Priority Setting Partnership?
The aim of Priority Setting Partnerships (PSPs) is to ...
Who's who in the Priority Setting Partnership
The structure and role of people in a Priority Setting Partnership.
2. How to establish a PSP
Includes the JLA's definition of treatment uncertainty and links to articles about treatment uncertainty
Roles & responsibilities
Being a PSP leader - what's involved?
The PSP Steering Group
What does a PSP Steering Group do? Includes a template Steering Group Terms of Reference document for PSPs to adapt
The Data Manager or Information Specialist
What does a PSP Information Specialist do? What skills does the Information Specialist need?
The Project Coordinator
What does a PSP Project Coordinator do? How much work is it?
What are the costs involved in running a PSP?
How much does it cost to run a PSP? What might you need to spend money on?
How long does it take to run a PSP?
Information on the time taken to run a PSP, with an example timetable
3. Setting up a PSP
How to start setting up a PSP Steering Group of key people who collectively can represent all or the majority of issues. Includes links to documents needed.
Agreeing scope and protocol
Ideas for when thinking about the scope of a PSP. Implications of decisions made. With links to examples of protocols from previous PSPs.
Identifying and managing partners/stakeholders
When setting up a PSP it is essential to identify partners and the patients, carers and clinicians affected by the health topic being considered.
Initial awareness or scoping meeting
It's optional, but some PSPs hold an initial awareness or launch meeting to raise the profile of the PSP among patient and clinician groups
Managing the PSP
Things to agree on within the PSP, to help everyone to work in a consultative and inclusive way.
Appreciating values and perspectives
Encouraging equal valuation of views from all PSP participants
Ideas for communications around PSPs, including using the JLA brand
Working with patients and carers
Tips for inclusive communication and involvement
Working with clinicians
Ideas for involving clinicians in the PSP
4. Gathering uncertainties
Where should PSPs gather their uncertainties from? How many should they aim for? Including examples of how this has been done
How many responses is enough?
There is no recommended maximum or minimum number of ...
Survey design
Developing a PSP questionnaire, with examples
Survey duration
The duration of a PSP survey should allow enough time to generate enough responses to cover as many themes as possible.
Consent and ethics
Using personal data and information about ethics approval
Searching existing literature for uncertainties
Documented sources of information need to be searched for evidence of uncertainty during the prioritisation exercise.
5. Data processing & verifying uncertainties
The detailed steps involved in the data management for a Priority Setting Partnership with examples of numbers of survey respondents
Stage 1. Download the survey data
Advice on organising PSP data, with a link to a template for this
Stage 2. Remove out-of-scope submissions
Advice on what to do with out-of-scope survey submissions
Stage 3. Categorise eligible submissions
Once out-of-scope submissions have been identified and removed, PSPs may allocate the remaining submissions into categories, also known as a taxonomy.
Stage 4. Form indicative questions
Submissions for the PSP may need to be rewritten or rephrased to clarify the precise uncertainty and to make it easier to check against the evidence base.
Rephrasing and combining the submissions
It is important to note that the questions written ...
Finalising the long list of indicative questions
This process can be time consuming and labour intensive.  ...
Stage 5. Verify the uncertainties
Each uncertainty submitted, including indicative uncertainties of combined submissions as described above, needs to be verified as a true uncertainty.
Identifying research recommendations
The searched systematic reviews and guidelines may contain research ...
Ongoing trials and studies
Some PSPs have considered the presence of ongoing trials ...
Preparing uncertainties for prioritisation and publication on the JLA website
To manage the data throughout the PSP process, it ...
6. Interim priority setting
Ideas about how to present an interim priority setting survey
The number of questions to include
Generally, from experience, a maximum of around 70 questions ...
Who should complete it?
Those asked to complete the interim prioritisation survey may ...
Approaches used
The main three methods used by a PSP to ask for interim priorities
Examples of interim priority setting
The Mesothelioma PSP listed 52 questions in the interim survey ranking them i order of importance.
Collating and scoring interim priorities
Completed interim prioritisation results should be grouped into categories and separate scores kept to ensure a fair weighting of the constituent groups.
7. Final priority setting
What are the principles of final priority setting in a JLA PSP?
Final priority setting method
Why the JLA supports an adapted Nominal Group Technique for PSPs choosing their top 10 priorities.
Preparing for the workshop
A summary of steps required in organising the meeting for the final workshop and the materials needed
Workshop process on the day
What happens in a standard JLA final priority setting meeting?
Workshop best practice
The ground rules involved in a JLA PSP final workshop
Feedback from the final workshop participants
Evaluating the workshop helps JLA PSPs understand how the process has worked for them and to address any individual concerns.
8. Dissemination and publishing of the Top 10
It is important for PSPs to publicise and disseminate the results of their priority setting exercise to reach potential funders and researchers.
9. Taking priorities to research funders
How to disseminate priorities to researchers and research funders. What extra work is needed?
Finding appropriate research funders
Funders of research with the appropriate interests in addressing treatment uncertainties can be found in both the public and the charitable sector.
Communicating with appropriate researchers
Ideas for searching for researchers or their networks
An example of working with the NIHR HTA Programme
PSPs have benefitted from discussing potentially fundable research priorities with the NIHR’s Health Technology Assessment (HTA) Programme via the JLA.
10. Follow up
After the final workshop, you can provide feedback to the JLA in a short survey. Your long term involvement in evaluating the impact of a PSP is important.
11. Toolbox of key PSP documents
Link to documents which provide more useful information and examples of work done by previous PSPs.
News and Publications
The latest news from our PSPs, collaborations between patients, carers and clinicians to prioritise health research questions.
James Lind Alliance newsletters
JLA articles and publications
Articles published by the James Lind Alliance
PSP articles and publications
Articles published by the James Lind Alliance about Priority Setting Partnerships
PSP final reports
This section provides links to final reports that have ...
Contact us
Contact details for the James Lind Alliance.
Cookie policy
Information on the cookie policies of the James Lind Alliance.
The structure of the James Lind Alliance website
All materials written for this website by the JLA ...
Making a difference
How JLA PSPs are making a difference to research
Funded Research
A summary of research that has been funded as a direct results of a James Lind Alliance Priority Setting Partnership
Working with the priorities
Many people do more work with PSP priorities to explore them even further
Reporting on results and impact
What have JLA PSPs done to track the response to their research priorities?
Have your say
These are surveys currently available from James Lind Alliance Priority Setting Partnerships for patients, carers and health professionals to take part in