Clinical research involves patients, their tissue or cells or their data. It is subject to regulation and good practice, to ensure that the rights, safety and dignity of participants is protected.
In the past decade, there has been an increase in the number of legal and best practice directives that govern how researchers work, and there is now a strong desire to streamline the initiatives, so that they do not create barriers to good quality research, but do provide the protections patients deserve.
The MRC, NIHR and HRA support toolkits to help researchers and funders:
- Provides practical help to guide a researchers to design and carry out clinical trials of medicines, including links to all approvals that are required
- Helps researchers who are carrying out research using patient data or tissues
- Experimental medicine is research undertaken in humans to understand how diseases develop, or demonstrate proof-of-concept information. It is often done before clinical trials, and although it may involve NHS patients.
NIHR Research Design Service (RDS)
- The RDS helps researchers to develop and design high quality clinical research applications.
- NHS organisations need to give permissions that research can take place with their patients. CSP standardises and streamlines the process of gaining NHS permissions.
Universities UK' Innovation Explorer
- an online map of health-related research infrastructure showing geographical connectivity, or find organisations with a particular thematic interest. So far, users can see Academic Health Science Networks (AHSN), Local Enterprise Partnerships (LEP); Clinical Commissioning Groups (CCG's) and Local Education and Training Boards (LETBs) will be added soon.
- The HRA have developed 2 tools to help researchers work out if their project is research, and if it needs NHS REC approval.
- The HRA was set up in 2011 to create a unified approval process for clinical research, and to promote proportionate standards for compliance and inspection. It manages the National Research Ethics Service, and is piloting a single application package for both ethics and NHS permissions.
- HEFA regulates the use of gametes and embryos in fertility treatment and research. Approvals for research are managed via IRAS.
Human Tissue Authority (HTA)
- HTA regulates organisations that remove, store and use tissue for research, medical treatment, post-mortem examination, teaching and display in public. Approvals for research are managed via IRAS.
- MHRA regulates medicines, medical devices, medicinal products containing gene therapies, cell therapies or tissue engineered products and blood products used in healthcare. It also investigates harmful incidents and regularly inspects organisations that host or sponsor clinical trial.
- NRES is in charge of ethical review of all research involving NHS patients, their tissue or data. Researchers apply for ethical review via the Integrated Research Application System (IRAS)
NIHR Clinical Research Network (NIHR CRN)
- The NIHR CRN provides the infrastructure that allows high-quality clinical research to take place in the NHS. The network structure is being modified and from April 2014 will be made up of twelve NIHR CRN themes that will work via six national thematic research delivery divisions and 15 local research networks.