Reviewer Assessment Form: research proposals Job Reference: xx/xx/xx Important information – Please read Your completed responses are considered confidential by the NIHR Evaluation, Trials and Studies Coordinating centre (NETSCC), and therefore exempt under the provisions of the Freedom of Information Act (section 41). Your response to section 1 will be passed to applicants to consider, and respond to, prior to the meeting of the funding board. Your responses to section 2 will remain confidential. Receipt of this document from NETSCC, and your subsequent completed return, form a ‘mutual confidentiality agreement’ covering your completed responses. This information will not be released without prior consent unless required by law. Project lead applicant name: Institution: Project reference: Project title: Research programme: Name of reviewer: Reviewer role title: Reviewer main areas of knowledge, skills and expertise: The NIHR Evaluation, Trials and Studies Coordinating Centre (NETSCC) is based at the University of Southampton. Alpha House, University of Southampton Science Park, Southampton SO16 7NS tel: +44(0)23 8059 5586 fax: +44(0)23 8059 5639 email: info@netscc.ac.uk web: www.nets.nihr.ac.uk Section 1: Your review of the proposed research Comments entered on this form will be seen by the applicant Please respond to the following questions. The text boxes provided will expand to accommodate your comments. The guidance for reviewers document provides detailed information that will assist you in responding to the questions below – please ensure you read the guidance provided prior to completing your review. 1.1 Importance, acceptability and potential impact of the proposed research? Please refer to the guidance document when responding to this question. 1.2 Proposed research methods, recruitment and scientific quality? Please refer to the guidance document when responding to this question. 1.3 Research Team, resources, value for money and research management? Please refer to the guidance document when responding to this question. 1.4 Ethics and governance? Please refer to the guidance document when responding to this question. 1.5 Patient and public involvement? Please refer to the guidance document when responding to this question. 1.6 Research outputs? Please refer to the guidance document when responding to this question. 2 1.7 Summary a. What are the key strengths of this proposal? b. What are the key weaknesses of this proposal? Strengths: Weaknesses: 1.8 Do you have any questions for the applicants that you would like the opportunity for the applicants to respond to prior to the proposal being considered by the funding board? If so, please provide details below. These questions will be passed to applicants anonymously. 1.9 Do you have any specific comments, that you would like the opportunity for the applicants to respond to prior to the proposal being considered by the funding board? If so, please provide details below. These comments will be passed to applicants anonymously. 3 Section 2: Comments (not to be seen by the applicant) Comments entered on this form will not be seen by the applicant Responses to section 2 are considered confidential from the applicant and exempt under the provisions of the Freedom of Information Act (section 41). This information will not be released without prior consent unless required by law. 2.1 Please use this section to raise any other comments you would like to make in confidence. 2.2 Please provide a summary score that reflects your overall assessment of the proposed research. 6 Description of application Excellent 5 Good Proposed research can be funded with minor changes 4 Good potential There is much merit in this proposal, but it could only be funded after resubmission, perhaps with additional external support 3 Some merits There are significant weaknesses in this application, but these could in principle be addressed 2 Poor Weak application 1 Extremely poor Unsupportable application Score Justification SCORE Proposed research can be funded as it stands 4 Section 3: Competing Interests 3.1 Potential competing interests Are you aware of any potential competing interests that you may have? If so, please provide details: 5