STARTING A RESEARCH PROJECT Most research carried out at the Clinical School using human participants falls under the Dept of Health’s “Research Governance Framework for Health and Social Care” This requires a sponsor for the study, peer review, insurance and ethics approval before the study can start. All studies using NHS patients, their tissue and data requires NRES (National Research Ethics Service) ethics approval. Recent changes to legislation, however, mean that research just involving NHS staff (for surveys, questionnaires etc), or NHS facilities with healthy volunteers, no longer require NRES ethics approval. Such studies should now go to one of the University ethics committees HOWEVER some research requires NRES ethics approval whether or not the NHS is involved. Examples of such research are set out below a) your study involves human tissue and you do not have a licensed facility for storage OR consent b) your participants are unable to give consent or c) your study is a CTIMP (Clinical Trial of an Investigational Medicinal Product) in which case NRES approval is required d) your research involves the clinical investigation of a non-CE marked medical device e) your research involves social care For full guidance on whether or not your research requires NRES ethics approval please see weblink. http://www.nres.nhs.uk/applications/approval-requirements/ethical-review-requirements/ and click on “Does my Project Require Review by a Research Ethics Committee” If it does not fall under the NRES categories for review then it should be reviewed by an internal University Ethics Committee Information to help you get started - ethics approval and sponsorship Clinical School Research Governance Officer Carolyn Read 01223 769291 Cad50@medschl.cam.ac.uk CAMBRIDGE RESEARCH OFFICE BASED IN THE CLINICAL SCHOOL BUILDING Assistant Director Senior Contracts Manager Contracts Manager Jo Martindale Denise Pinto Beth Collins 01223 765145 01223 765191 01223 764192 Jo.martindale@admin.cam.ac.uk Denise.pinto@admin.cam.ac.uk Beth.collins@admin.cam.ac.uk CUH (Addenbrooke’s) R&D OFFICE R&D Senior Manager R&D Manager R&D Officer R&D Officer Honorary Research Contracts r&d@enquiries.nhs.uk Stephen Kelleher Louise Stockley Tracey Assari Helen Street Debbie Richards 01223 217418 01223 348491 01223 348455 01223 349321 01223 274660 stephen.kelleher@addenbrookes.nhs.uk louise.stockley@addenbrookes.nhs.uk Tracey.assari@addenbrookes.nhs.uk Helen.street@addenbrookes.nhs.uk Deborah.richards@addenbrookes.nhs.uk Nirvana Croft 01223 348492 Nirvana.croft@cpft.nhs.uk R&D@cpft.nhs.uk Cambridgeshire and Peterborough FT R&D OFFICE R&D Officer Enquiries and Research Passports CLINICAL TRIALS OFFICE Director cctu@addenbrookes.nhs.uk Ian Wilkinson http://www.cuh.org.uk/cms/research-anddevelopment/clinical-trials/cambridge-clinical-trialsunit-cctu General information RESEARCH PASSPORTS PhD students University Employees Sarah Pickard Sarah Hickling 01223 338387 01223 769257 sarah.pickard@admin.cam.ac.uk slc46@medschl.cam.ac.uk INSURANCE Insurance Manager Insurance Assistant Bernadette Mclellan Ross Elliott 01223 339659 01223 332216 bernadette.mclellan@admin.cam.ac.uk ross.elliott@admin.cam.ac.uk WHERE DO I START? WHO SHOULD I CONTACT? Clinical Trials falling under the EU Clinical Trials Directive You should have already contacted the Clinical Trials Office before completing your grant application. If you have not yet contacted them do so now. They will then guide you through the processes required to start a trial. Please note that if you wish the University to be involved in sponsorship of these types of trials you must work with the Cambridge Clinical Trials Unit or equivalent elsewhere if this is not suitable Research involving Addenbrooke’s patients, data or tissue All studies involving Addenbrooke’s Hospital – their patients, data, or tissue will be jointly sponsored by Addenbrooke’s and the University. 1. Your first point of contact is Addenbrooke’s R&D department and they will set out the requirements required before you can start the trial 2. You should also contact the University insurance office as you will need insurance to cover the design of the protocol. This is necessary even if you hold an honorary NHS contract 3. Send to the research governance officer, within the Clinical School, a copy of the protocol so they are aware that the study will be taking place 4. When filling in the IRAS (NRES application) form the point of contact will be the R&D officer in the R&D office and they will sign the sponsor declaration page on the application form . Research involving CPFT patients CPFT R&D pages are a good source of advice for studies involving their patients http://www.cpft.nhs.uk/professionals/information-for-researchers.htm Most studies involving CPFT patients will be jointly sponsored by CPFT and the University. (Under new arrangements some studies where CPFT is just a Participant Identification Centre the University may solely sponsor) 1. In all cases where CPFT patients are involved in research your first point of contact is CPFT R&D office, which is situated within the Addenbrooke’s R&D office 2. You should also contact the University insurance office as you will need insurance to cover the design of the protocol. This is necessary even if you hold an honorary NHS contract 3. Send to the research governance officer, within the Clinical School, a copy of the protocol so they are aware that the study will be taking place 4. When filling in the IRAS application form the point of contact will be one of the CPFT R&D officers. They will also sign the sponsor declaration page on the application form For information about, and clarification of, portfolio studies please see weblink below http://www.crncc.nihr.ac.uk/about_us/processes/portfolio Research involving other NHS Trusts Please contact the research governance officer at the Clinical School. It is the University’s policy to jointly sponsor research involving another trust wherever possible. If no agreement is currently in place with the relevant trust the University research office will try and put one in place You will also need to contact the University insurance office for insurance to cover the design of the protocol. This is necessary even if you hold an honorary NHS contract Please also check whether you need a research passport and NHS honorary research contract http://www.admin.cam.ac.uk/offices/hr/policy/passports/ Research with healthy volunteers using NHS facilities In such cases the first point of contact should be the R&D office of the Trust. You will need ethical approval but it may not necessarily be NRES approval. Under new guidance from NRES you may be able to use the internal University committees. Please speak to the University research governance officer for more information. Please note that R&D approval is always required when using NHS facilities You should contact the University insurance office for insurance to cover the design of the protocol. This is necessary even if you hold an honorary NHS contract Research involving more than one facility If as well as using NHS facilities you are using University facilities to conduct your research you may need to submit a Non-NHS SSI form to the NRES ethics committee. This will need to be signed off by the Assistant Director in the University research office. Please contact the research governance officer for further information Research involving GP surgeries When using GP surgeries in research you must get R&D approval from the relevant PCT before starting your research. You must also ensure that GPs have appropriate insurance in place to carry out research. The Research Office can provide you with the necessary GP letter Research with healthy volunteers using University facilities Such studies will be solely sponsored by the University and the research governance officer should be contacted to arrange sponsorship Ethics approval will still be required but in most cases researchers can apply to the University Human Psychology Ethics Committee or the University Human Biology Committee. However if you are using human tissue samples (this can include saliva, urine, blood etc) and they are being stored somewhere which does NOT have a human tissue licence or you do not have consent for use you will need to get NRES ethics approval NOT University approval. This also applies for studies where your participants are unable to consent for themselves or if you are carrying out a CTIMP or medical device study or the study involves social care For further information please see http://www.nres.nhs.uk/applications/approval-requirements/ethical-review-requirements/ If you are carrying out studies that involve any administration of drugs, even if these are on healthy volunteers on University premises, the Clinical School requires that NRES ethics approval be obtained, NOT internal ethics approval. Any such projects also need to be undertaken in the Wellcome Trust Clinical Research Facility or other appropriate clinical research facility (eg WBIC or the Vascular Research Unit). NRES has agreed to review such projects even though they may fall outside its’ normal remit. Please contact the research governance officer for further advice/information. In all cases insurance to cover the design of the protocol will still be required from the University insurance office and you should inform them of your research. No research study is covered by University insurance unless the insurance office has been specifically informed about it and provided a letter confirming cover for the study so do not assume that insurance is automatically in place. To apply for university insurance please contact Ross Elliot Ross.elliott@admin.cam.ac.uk He will provide you with the relevant forms which should be filled in and returned to him with a copy of the participant information sheet Using the Herchel Smith Building for research If you wish to use the Herchel Smith Building for research purposes you should contact Karen Enright - Ke242@medschl.cam.ac.uk Or Sarah Ayerst - Sa719@medschl.cam.ac.uk Research involving multiple sites/trusts As well as the procedures mentioned earlier in the document you should also contact the senior contracts lawyer at the University as agreements will need to be drawn up between the various parties. Denise.pinto@admin.cam.ac.uk Research involving tissue samples moving to and from the University involving another legal entity For this type of research it may be necessary to put a material transfer agreement in place. You should speak to Karen Ruffles in the research office re any material transfer in or out of the University Karen.ruffles@admin.cam.ac.uk Research involving overseas site Overseas research can take some considerable time to sort out and there may be insurance costs. You should seek advice from the research governance officer at the earliest possible point in your study discussions Cad50@medschl.cam.ac.uk USEFUL INFORMATION Department of Health’s Research Governance Framework for Health and Social Care http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH _4108962 Applying for NRES research ethics approval http://www.hra.nhs.uk/research-community/ This new site has plenty of guidance under the resources area and several decisions making toolkits Accessing the IRAS application form https://www.myresearchproject.org.uk/ Applying for internal University research ethic approval Cambridge Human Biology Ethics Committee: http://www.bio.cam.ac.uk/sbs/hbrec/ Cambridge Psychology Research Ethics Committee: http://www.bio.cam.ac.uk/sbs/psyres/ Cambridge Clinical Trials Unit Website http://www.cuh.org.uk/cms/research-and-development/clinical-trials/cambridge-clinicaltrials-unit-cctu Addenbrooke’s R&D Website http://www.cuh.org.uk/research/research_index.html R&D approval Where research involves an NHS Trust/PCT in ANY form then the researcher will need permission from the Trust/PCT to carry out the research. Guidance & Application Process for obtaining Insurance for Clinical Research Studies http://www.admin.cam.ac.uk/offices/insurance/clinical/ Independent Peer review What counts as independent peer review? The “Research Governance Framework for Health and Social Care” says that every proposal for health and social care research must be subjected to review by experts in the relevant fields able to offer independent advice on its quality. The supervisor can only act as a reviewer if the project is for a Masters project or below. PhD projects require independent review. Research Passports A Research Passport is the mechanism for non-NHS staff to obtain an Honorary Research Contract or Letter of Access when they propose to carry out research in the NHS. This replaces the previous Honorary Research contract process. It has to be completed by your substantive employer. Your department administrator should be able to help you. For further information see website below. http://www.admin.cam.ac.uk/offices/hr/policy/passports/