Question to the Department of Health and Social Care:

To ask His Majesty's Government whether they have considered introducing reporting, and accountability, for the delivery of clinical trials at (1) regional NHS level, and (2) integrated care board level.

The Government publishes United Kingdom-wide data on clinical research delivery performance through the Department’s UK Clinical Research Delivery (UKCRD) Key Performance Indicator Report. This monthly report brings together data from the National Institute for Health and Care Research (NIHR) and the Medicines and Healthcare products Regulatory Agency to monitor system-wide progress in the delivery of globally competitive clinical research across the UK. Alongside this reporting, the Department also publishes National Health Service trust level data on the study set-up performance of sites in England.

The Health and Care Act 2022 sets legal duties for integrated care boards (ICBs) in relation to research, and these duties include requirements to include research in ICB joint forward plans and reports. The Department and NHS England are currently developing plans for the future structure and functions of ICBs and regions and this includes consideration of where governance for research will sit. In May, NHS England wrote a letter to NHS providers requiring board-level reporting of research activity and income, with scrutiny of the UKCRD programme’s site-level performance metrics for study set-up. A copy of this correspondence is attached. NHS England will publish revised guidance on financial management for research later in 2025.