Research & Enterprise Services (RES) nno5 Full Ethical Approval Form As part of its assurance and compliance processes the University ensures that all appropriate projects, including student research and consultancy projects, undergo appropriate ethical review before commencement. This form is used to elicit more detail where a project has been identified as high risk and must be considered for approval by one of the University ethical approval committees. Additional guidance can be found on the University ethics toolkit. This form is to be used where preliminary ethical assessment has indicated that full ethical review is required. You will be asked to transcribe the high risk flags from your preliminary application and then be prompted to provide additional information. If you have not completed a preliminary ethics assessment then you should do so through the MyProjects Proposals system (for externally funded projects) or use the Preliminary Assessment form (for unfunded projects). Once completed a copy must be emailed to the relevant committee along with any supporting documentation. No research should begin until approval has been granted. Section 1: Applicant Details This section must be completed in all instances. Applicant Name Contact Email Academic Unit Applicant Type □Staff □Undergraduate □Postgraduate Taught □Postgraduate Research Section 2: Project Details This section must be completed in all instances. Project Title MyProjects Reference Already has ethical approval Project Funder(s) Other organisations involved MyProjects Ref (where known) Proposed Start / End Date (dd/mm/yyyy) Category High risk flags – from Preliminary form Supervisor name & email (Student Research projects only) Who is responsible for the overall management of the research? □Yes □ No Start Date End Date __/__/____ __/__/____ □ Staff Research □ Postgraduate Research □ Course □ Animals □ Environment □ International (non EEA) □ NHS □ Data □ Humans Non-Clinical Document1, Approved: 03/09/2014 Page 1 Research & Enterprise Services (RES) nno5 Name & post. Who designed the research? Name & post. Who is conducting the research? Name & post. Is this a re-approval of an existing project? Has Peer Review taken place □Yes □ No Ref: □Yes By:___________________________ □ No Section 3: Project Outline & Proposed Research methods This section must be completed in all instances. Project outline & aims In everyday language, briefly explain the aims of this research including the anticipated benefits and risks. In cases where the use of technical or discipline specific terms is unavoidable, please explain their meaning clearly. Please use no more than 500 words. Proposed research methods (Experimental design) In everyday language, please provide an outline of the research methods in a clear step by step chronological order. Noting any pertinent information such as whether the research involves overseas partners and how you will handle the research data. Please use no more than 500 words. Section 4: Animals Complete this section only if the project was flagged ‘animals’ at the preliminary stage Home Office (HO) License Will the work be covered by an existing Home Office license? If so, what is the reference? If the work is not covered by a Home Office license, do you intend to apply for one? Have you discussed you project with the Director of the Comparative Biology Centre or the Home Office? IF your project uses wild caught animals, have you obtained the appropriate permissions □Yes Ref: □Yes □ No □Yes □ No □Yes □ No □ No Why is it necessary to use animals in this project? Please use no more than 500 words. Document1, Approved: 03/09/2014 Page 2 Research & Enterprise Services (RES) nno5 What are the kinds of animals to be used and how many of each? Please use no more than 300 words. What will happen during and after the project? Please use no more than 500 words Who will be carrying out the project? Briefly describe the relevant experience / expertise of the persons involved? Please use no more than 500 words Where will the animal be housed or located? If animals are being observed in the wild or in establishments such as zoos has permission been obtained from the appropriate authority? For any work outside the UK do the standards of animal care and accommodation comply with UK codes of practice? If not explain how they differ. Please use no more than 500 words. What checks are to be made on the animals, how frequently and by whom? What actions will be taken if there are any adverse effects on the animals? Please use no more than 500 words Section 5: Human participants in a Non-Clinical Setting Complete this section only if the project was flagged ‘Human Participants in a Non-Clinical Setting’ at preliminary review Participant Details Does this research specifically target participants recruited who are: Select all that apply □ Adults (over the age of 18 years and competent to give consent) □ Children/legal minors (anyone under the age of 18 years) □ People from non-English speaking backgrounds □ Persons incapable of giving informed consent □ Prisoner or parolee □ Recruited through a gatekeeper □ Welfare recipients Document1, Approved: 03/09/2014 Page 3 Research & Enterprise Services (RES) nno5 How many participants do you plan to recruit? From what source and by what means do you plan to recruit your participants? Please use no more than 250 words. Participant Information YES NO Will you inform participants that their participation is voluntary? Will you inform participants that they may withdraw from the research at any time and for any reason? Will you inform participants that their data will be treated with full confidentiality and that, if published, it will not be identifiable as theirs? Will you provide an information sheet that will include the contact details of the researcher / research team? Will you obtain written consent for participation? Will you debrief participants at the end of their participation (i.e., give them an explanation of the study and its aims and hypotheses)? Will you provide participants with written debriefing too? Yes No NA If using a questionnaire, will you give participants the option of omitting questions that they do not want to answer? If an experiment, will you describe the main experimental procedures to participants in advance, so that they are informed about what to expect? If the research is observational, will you ask participants for their consent to being observed? Participant consent Please describe the arrangements you are making to inform potential participants, before providing consent, of what is involved in participating in your study and the use of any identifiable data, and whether you have any reasons for withholding particular information. Due consideration must be given to the possibility that the provision of financial or other incentives may impair participants’ ability to consent voluntarily. Please use no more than 300 words. Document1, Approved: 03/09/2014 Page 4 Research & Enterprise Services (RES) nno5 Participants should be able to provide written consent. Please describe the arrangements you are making for participants to provide their full consent before data collection begins. If you think gaining consent in this way is inappropriate for your project, please explain how consent will be obtained and recorded. Please use no more than 300 words. A copy of your consent form must be provided with your submitted application Participant debriefing It is a researcher’s obligation to ensure that all participants are fully informed of the aims and methodology of the project, that they feel respected and appreciated after they leave the study, and that they do not experience significant levels of stress, discomfort, or unease in relation to the research project. Please describe whether, when, and how participants will be debriefed. Please use no more than 300 words. A copy of your debriefing sheet must be provided with your submitted application Potential risk to participants and risk management procedures Identify, as far as possible, all potential risks (small and large) to participants (e.g. physical, psychological, etc.) that may be associated with the proposed research. Please explain any risk management procedures that will be put in place and attach any risk assessments or other supporting documents. Please answer as fully as possible. Please use no more than 300 words. Section 6: Data This section must be completed in all instances Please describe how data will be accessed, how participants' confidentiality will be protected and any other considerations. Information must be provided on the full data lifecycle, from collection to archive. Alternatively please send a copy of your data management plan to the ethics committee. Please note that you plan to do this in the box below. If you do not have a data management plan, funderspecific plans are available from the Digital Curation Centre. See https://dmponline.dcc.ac.uk/ Document1, Approved: 03/09/2014 Page 5 Research & Enterprise Services (RES) nno5 Section 7: Environment Complete this section only if the project was flagged ‘environment’ at preliminary review. Please provide the locations in which your research will take place, together with the anticipated risks (destruction of habitat or artefacts/emissions, etc.), potential damage and mitigating measures planned. Please use no more than 700 words. Section 8: International (non EEA) Complete this section only if the project was flagged ‘International (non EEA)’ at preliminary review. Overseas: For any research conducted outside the EEA the researcher is responsible for ensuring that local ethical considerations are complied with and that the relevant permissions are sought. Please state the location(s) where your research will take place. Have the appropriate local ethical considerations been complied with and relevant permissions sought? □Yes (awarded) - Please note in ‘Permissions’ □Yes (pending) - Please note in ‘Permissions’ □ No □ No - not required Section 9: Permissions This section must be completed in all instances Please use the table below to record details of licenses or permissions required and / or applied for e.g. LEA, governing body, etc. Ensure you include the reference, status and the date it was granted (if applicable). Permission / License Award Body Reference Date of Status e.g. Granted Number Permission / Pending Section 10: Risk Considerations & Insurance This section must be completed in all instances Newcastle University must have in place appropriate insurance cover for its legal liabilities for research studies. Dependent upon the nature of the research and how it is governed cover will either come under Clinical Trials Insurance or Public Liability Insurance. Please refer to the supplementary guidance “When does the Insurance Office need to be notified of a research proposal?” for clarification. Document1, Approved: 03/09/2014 Page 6 Research & Enterprise Services (RES) nno5 What are the potential risks to researchers themselves? This may include: personal safety issues, such as those related to lone or out of normal hours working or to visiting participants in their homes; travel arrangements, including overseas travel; and working in unfamiliar environments. Please explain any risk management procedures that will be put in place and attach any risk assessments or other supporting documents. Please use no more than 300 words. Please attach a risk assessment or any other appropriate documents as required. Section 11: Supporting documentation This section must be completed in all instances Please supply copies of any applicable and documents in support of your answers. Ensure that attached files have appropriate file names. Document Attached Participant consent form Participant information sheet Participant debriefing document Questionnaire(s) Outline protocol Project risk assessment Travel risk assessment Original ethical assessment (re-approval only) Data management plan Peer review evidence (Internal / non funded) Local permissions / licenses (non EEA) Other ethical review forms Others (please list): None Document1, Approved: 03/09/2014 Page 7 Research & Enterprise Services (RES) nno5 Section 11: Declaration This section must be completed in all instances I certify that: the information contained within this application is accurate. the research will be undertaken in line with all appropriate, University, legal and local standards and regulations. I have attempted to identify the risks that may arise in conducting this research and acknowledge my obligation to (and rights of) any participants. no work will begin until all appropriate permissions are in place. Name of Principal Investigator: Signed: Date: Please forward a copy of your completed application together with any relevant attachments to the appropriate ethics committee. Animal Welfare Ethics Review Board: Paul.Dearden@ncl.ac.uk Faculty of Humanities & Social Sciences: Wendy.Davison@ncl.ac.uk Faculty of Medical Sciences Ethics Committee: fmsethics@newcastle.ac.uk Faculty of Science, Agriculture & Engineering Ethics Committee: SAGE.Ethics@newcastle.ac.uk Any general ethics queries can be directed to: res.policy@ncl.ac.uk Document1, Approved: 03/09/2014 Page 8