Do you definitely need approvals?
If you are sure your project is research and not a clinical audit or service evaluation then read on. If not then check the table within the Differentiating audit, service evaluation and research pdf document and speak to the R&D Department as if you are planning a service evaluation or clinical audit then you won't need ethical review or R&D approval!
Get the type of project right
The type of project you want to do will determine much of the application process, so take some time getting the definition right (example; is it a device trial or not?).
Tip: Not all research projects are classified as you might assume, Don not waste your time, if you're not sure ask for advice on how to classify your research project. For example - a study involving a CE marked device doesn't necessarily mean it is a device study, it could be a clinical investigation. Conclusion - check with the R&D Department - email research@rnoh.nhs.uk.
The Process for all research at the RNOH
All research projects at the RNOH follow the general process outlined in the flow chart below, so please read it carefully.
Submit a Project Evaluation Panel 1 (PEP1) form
This outlines your internal & non-commercial idea to the RNOH to determine if the RNOH is happy to take on sponsor responsibilities (only one page!). Download Project Evaluation Panel 1 (PEP1) form or request & and submit at research@rnoh.nhs.uk
Set up an IRAS account
Integrated Research Application System (IRAS) is the single place to submit Ethics ethics and regulatory applications in the UK. Set up your account at www.myresearchproject.org.uk Have a look round but make an appointment with the R&D Department for assistance, because procedures change all the time....
R&D appointment
It's vital you come and see us before proceeding with research or applications. Book an appointment by emailing research@rnoh.nhs.uk. We'll explain processes relevant to your project; any expedited routes that may be open to you and help you understand IRAS. This will save you a lot of time!
Funding: If you need funding this can take time to find. The R&D department Department will help you. All projects should have funding in place.
Project Evaluation Panel every two weeks
Your PEP1 form will be used in informal R&D discussions chaired by the Director of R&D Professor Marsh. The RNOH must determine if they are able to take on sponsor responsibilities. Feasibility is assessed and constructive input is given on ethics and design issues. These are held every other Tuesday in the R&D Department from 17.00pm. Investigators are invited to attend and are likely to find it useful to do so.
Prepare IRAS Applications (inc. REC & R&D applications)
Done on IRAS, applications take time to prepare, and you'll need to have your forms authorised (usually electronically) AFTER any final amendments, by the Chief Investigator, the Principal Investigator and the Sponsor (Iva Hauptmannova, R&D Manager, on behalf of the RNOH).
- Write your protocol 1st (templates available by email at research@rnoh.nhs.uk)
- Complete IRAS forms, if you have completed the forms prior to PEP1 feedback these may require some editing (The top 3 are the mandatory forms).
- IRAS Ethics form
- IRAS SSI form (Site site specific information)
- IRAS R&D form
- + any regulatory body forms necessary, for example an MHRA (the Medicines and Healthcare Regulatory Agency) form in a device or investigational medicinal product trial. For additional details on how to set up clinical trials see the Clinical Trials Toolkit.
- Prepare additional documents - we have templates for the top two - email research@rnoh.nhs.uk.
- Patient information sheet
- Patient consent formCVs of investigators and staff
- Any other documents requested by IRAS
External regulatory approval
If you need regulatory approval from the MHRA (the Medicines and Healthcare Regulatory Agency) such as with a device, stem cell or drug trial, further steps are required, for example, such as acquiring a EudraCT number. Following submission decisions return in a maximum of 35 days but on average in 21 days. Trials using low-risk devices that are for in-house use only and are not developing the device for commercial purposes may be exempt from needing MHRA approval and are not defined as device trials.
Submit applications
Ethics applications need to be printed out and sent to the Research Ethics Committee. You will get the address when booking your appointment for ethical review (see box below). The protocol will need to be printed six times.
The SSI (Site specific information) and R&D forms are submitted electronically- however, there are two routes - you need to find out from R&D whether route one (via CSP) or route two (not via CSP) is suitable for your project.
Ethical review
Independent ethics committees review all research*. Book a slot with a research ethics committee (REC) centrally via 020 8846 7289 (there is usually a two week wait on average)
- Await favourable opinion or other response (up to two weeks after the review)
- (If additional information/amendment is required wait one to two - weeks following your additional submission for a further response)
*If your project contains no material ethical issues (meaning research is using data anonymous to the researcher, existing tissue samples with consent already taken, questionnaire research not including sensitive areas etc.) then it may suitable for 'Proportionate Review', an ethics review process that takes 14 days maximum. To find out if your project qualifies view the 'No Material Ethical Issues Tool'.
Internal hospital decision
A PEP2 meeting is held every other Tuesday to check that all ethical, regulatory, funding and indemnity arrangements are satisfactory and in place. This R&D approval is to say that the RNOH is satisfied for the research to take place onsite.
Are you eligible for the fast track?
If your project contains no material ethical issues (meaning research is using data anonymous to the researcher, existing tissue samples with consent already taken, questionnaire research not including sensitive areas etc.) then it may suitable for 'Proportionate Review', an ethics review process that takes 14 days maximum. To find out if your project qualifies view the 'No Material Ethical Issues Tool'.
Additional requirements
Clinical Trials
Clinical Trials for new drugs or devices (being developed commercially and not for in-house use) also need to meet the UK Medicines for Human Use (Clinical Trials) Regulations 2004. There is a Clinical Trials Toolkit available from the Department of Health to help you understand the FULL and more detailed process for clinical trials set up. The 2004 regulations can also be found there. These applications are complicated and you should come to the R&D Department for advice as soon as possible.
Data and tissues
If you are planning research using personal information or human tissue samples in healthcare research in the UK then take a look at the Data and Tissues Toolkit.
| Download | Size |
|---|---|
| No Material Ethical Issues Tool | 63.57 KB |
| Project Evaluation Panel 1 (PEP1) form | 46 KB |
| Differentiating audit, service evaluation and research | 142.86 KB |
