IRAS Ref: Enter IRAS Ref No Page 1 of 11 UK Study-Wide Governance Report The following Governance Report is intended to aid the streamlined and consistent governance review of research study applications for NHS R&D Permission1 within the UK. The study-wide (global) governance review of a research study application is generic to the study and is undertaken once through a UK permissions coordinating function on behalf of all organisations being asked to host the research study. It is the intention of this Governance Report to assemble the evidence to aid the host NHS organisation in making their decision whether to grant NHS R&D Permission or not. Although the study-wide (global) governance review is conducted through a UK permissions coordinating function on behalf of the host organisations, as legal entity it still remains the host NHS organisation’s decision to grant NHS R&D Permission or not. Described in the following pages of this report are the details of: the governance criteria considered as per the UK Study-Wide Governance Criteria for R&D Review; the authorisations and approvals; and the associated documents of the research study. 1 In the UK, NHS R&D Permission is granted by the NHS Trusts of England, the Health and Social Care Trusts of Northern Ireland, the Health Boards of Scotland, and the Health Boards and NHS Trusts of Wales. Version 1 August 2014 IRAS Ref: Enter IRAS Ref No Page 2 of 11 Study details: The study-wide (global) governance review has been completed for the research study below: IRAS Reference: Study Title: Study Type: Chief Investigator: Sponsor: Funder: Lead NHS R&D office location: Lead Nation: Review completed by: Correspondence email address: Date: REC reference (if available): UKCRN Portfolio study (if applicable): Version 1 August 2014 Enter the complete IRAS Ref No from the NHS R&D Form used to complete the governance review. The study governance review should be completed using the NHS R&D Form authorised/ signed by both the Chief Investigator and Sponsor. Enter the short title of the study from the NHS R&D Form project filter. Enter the study category selected in Qu.2 of the NHS R&D Form project filter. Enter the Chief Investigator name. Enter the Sponsor organisation name from Qu. A64 of the NHS R&D Form. Enter the Funding organisation name from Qu. A65 of the NHS R&D Form. Enter the location of the Lead NHS R&D office from Qu. 3a of the NHS R&D Form. The location of the Lead NHS R&D office determines which UK nation’s permission coordinating function is responsible for undertaking the study-wide (global) governance review. Enter the lead nation responsible for completing the study-wide (global) governance review. Enter the details of the organisation completing the study-wide (global) governance review for the permission coordinating function. NB: In some UK nations a lead organisation is nominated to carry out the review for the permissions coordinating function. Enter the correspondence email address of the organisation completing the study-wide (global) governance review for the permission coordinating function. Enter the date the governance report is completed. If known enter the REC Ref No for the research study. If unknown enter “Unknown”. If known, enter if the research study is a UKCRN Portfolio study (i.e. “Yes” or “No”). If unknown enter “Unknown”. IRAS Ref: Enter IRAS Ref No Page 3 of 11 List of reviewed documents Please find below a list of documents reviewed during the study-wide governance review. Document Enter the document type as it appears on the NHS/HSC R&D submission checklist Subtitle Enter any document sub-title, or additional information that aids document identification Version Enter the document version and/ or date NB: Only list those current documents used to complete the study-wide (global) governance review upon receipt of all regulatory and ethical authorisations/ approvals, as applicable. Version 1 August 2014 IRAS Ref: Enter IRAS Ref No Page 4 of 11 Governance review Please find below the governance criteria considered during the review of this research study and the comments associated with these criteria. 1 Application Package Enter2 ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the review these should be identified together any actions undertaken to resolve the identified issues. 1.1 IRAS project filter completed correctly Outcome: If the outcome of the review is positive then minimal text is required about the evidence to support this. 2 Risk to participants Enter2 ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the 2.1 Participant information/ consent documents and consent process 2 Outcome: For the review outcome of the criteria enter one of the following three options: ‘Completed – Proceed’: This term should be used when the study-wide (global) governance reviewer is content that the check has been completed satisfactorily and there are no further issues to be resolved. ‘Completed – Advisory’: This term is used when the study-wide (global) governance reviewer is content that the check have been completed satisfactorily but there is information that they wish to highlight to a hosting NHS organisation for consideration in reaching their decision to grant permission. For example: o A model agreement is to be used in the study but the template received as part of the review has been heavily modified. o There is potentially an excessive requirement for NHS resources. o There are national differences that will need to be considered as a result of differences in national law. ‘Not applicable’: This term is used to indicate the check is not relevant to the research study being reviewed. Version 1 August 2014 IRAS Ref: Enter IRAS Ref No Page 5 of 11 review these should be identified together any actions undertaken to resolve the identified issues. If the outcome of the review is positive then minimal text is required about the evidence to support this. 3 Risk to study Enter2 ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the review these should be identified together any actions undertaken to resolve the identified issues. 3.1 Protocol assessment Outcome: If the outcome of the review is positive then minimal text is required about the evidence to support this. 4 Risk to organisation Enter2 ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the review these should be identified together any actions undertaken to resolve the identified issues. 4.1 Allocation of responsibilities and rights are agreed and documented Outcome: If the outcome of the review is positive then minimal text is required about the evidence to support this. Enter2 ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the review these should be identified together any actions undertaken to resolve the identified issues. 4.2 Insurance/ indemnity arrangements assessed Version 1 August 2014 Outcome: IRAS Ref: Enter IRAS Ref No Page 6 of 11 If the outcome of the review is positive then minimal text is required about the evidence to support this. Enter2 ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the review these should be identified together any actions undertaken to resolve the identified issues. 4.3 Financial arrangements assessed Outcome: If the outcome of the review is positive then minimal text is required about the evidence to support this. 5 Legal compliance Enter2 ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the review these should be identified together any actions undertaken to resolve the identified issues. 5.1 Compliance with the Data Protection Act and data security issues assessed Outcome: If the outcome of the review is positive then minimal text is required about the evidence to support this. 5.2 CTIMPs – Arrangements for compliance with the Clinical Trial Regulations assessed Enter2 ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the review these should be identified together any actions undertaken to resolve the identified issues. Outcome: If the outcome of the review is positive then minimal text is required about the evidence to support this. 5.3 Compliance with any applicable laws or regulations Version 1 August 2014 Outcome: Enter2 ‘Completed – Proceed’ IRAS Ref: Enter IRAS Ref No Page 7 of 11 ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the review these should be identified together any actions undertaken to resolve the identified issues. If the outcome of the review is positive then minimal text is required about the evidence to support this. 6 Approvals and authorisations Enter2 ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the review these should be identified together any actions undertaken to resolve the identified issues. 6.1 NHS Research Ethics Committee favourable opinion received for applicable studies Outcome: If the outcome of the review is positive then minimal text is required about the evidence to support this. 6.2 CTIMPs – Clinical Trials Authorisation (CTA) letter received Enter2 ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the review these should be identified together any actions undertaken to resolve the identified issues. Outcome: If the outcome of the review is positive then minimal text is required about the evidence to support this. 6.3 Devices – MHRA Notices of no objection received Enter2 ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the review these should be identified together any actions undertaken to resolve the identified issues. Version 1 August 2014 Outcome: IRAS Ref: Enter IRAS Ref No Page 8 of 11 If the outcome of the review is positive then minimal text is required about the evidence to support this. Enter2 ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the study-wide (global) governance criteria under review, for example where issues have been identified during the completion of the review these should be identified together any actions undertaken to resolve the identified issues. 6.4 Other regulatory approvals and authorisations received Outcome: If the outcome of the review is positive then minimal text is required about the evidence to support this. Version 1 August 2014 IRAS Ref: Enter IRAS Ref No Page 9 of 11 Additional information Please find below additional information relating to this research study that has not been covered within the governance review of this research study. Additional information Enter any additional information/ comments relating to the research study that should be highlighted to the hosting NHS organisation that have not been covered within the study-wide (global) governance review of the research study. Version 1 August 2014 IRAS Ref: Enter IRAS Ref No Page 10 of 11 National differences This section of the Governance Report is to be used by the permissions coordinating functions of the participating nations to address any national differences applicable to the governance review of the research study NB: In some UK nations a lead organisation is nominated to carry out the review for the permissions coordinating function. In this section the nominated lead organisation is reviewing the research study for the national differences applicable to their nation only. 2 Risk to participants Enter ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the following aspects of the study-wide (global) governance criteria under review that affect your nation. ‘Consent of young people and children (non-CTIMP)’ 2.1 Participant information/ consent documents and consent process 4 Outcome: Risk to organisation Enter ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the following aspects of the study-wide (global) governance criteria under review that affect your nation. ‘Model agreements’ 4.1 Allocation of responsibilities and rights are agreed and documented Outcome: Enter ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the following aspects of the study-wide (global) governance criteria under review that affect your nation. ‘Single costing – Scotland’ 4.3 Financial arrangements assessed 5 Outcome: Legal compliance 5.1 Compliance with the Data Protection Act and data security issues Version 1 August 2014 Outcome: Enter ‘Completed – Proceed’ IRAS Ref: Enter IRAS Ref No Page 11 of 11 ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the following aspects of the study-wide (global) governance criteria under review that affect your nation. ‘Data without consent’ assessed Enter ‘Completed – Proceed’ ‘Completed – Advisory’ ‘Not applicable’ Enter any comments relating to the following aspects of the study-wide (global) governance criteria under review that affect your nation. ‘Adults unable to consent for themselves (non-CTIMP)’ ‘Human Tissue’ ‘Language’ 5.3 Compliance with any applicable laws or regulations Version 1 August 2014 Outcome: