Category / BU research

NIHR Learn – Resources to support you through the Covid-19 pandemic

The NIHR Learn platform now contains a number of resources to offer guidance and support to help researchers during the pandemic.

There are resources in the following areas:

  • Understanding the science of Covid-19
  • Leading in uncertain times
  • Conveying Difficult Information to patients and relatives
  • Personal resilience
  • Wellbeing
  • Remote working
  • Online Webinars and Events

To access these you will need to create an account on the system* – if you run into any issues with creating an account  phone the helpdesk on 0207 333 5894 or email them.

Once you are on the system, click on ‘Bite-sized Learning’ from the options and then select ‘Resources to support you through the Covid-19 pandemic’.

*If you have used the system to access Good Clinical Practice training or dates you will already have an account.

HRA announcement – Amendment Tool and Guidance now available

Please see below for a recent update from the Health Research Authority with regard to a new amendment tool and the online submission of amendments.

If you have any queries please email Suzy Wignall in Research Development & Support.


Online submission of amendments and a new amendment tool will go live across the UK on Tuesday 2 June 2020.

These new processes for handling amendments are part of our ongoing Research Systems programme to improve services for applicants.

  • The amendment tool is designed to simplify the amendment process for applicants and
  • The ability to submit amendments online means that applicants can track the submission history of amendments.

From 2 June, all applicants making an amendment to project-based research will need to complete the amendment tool and submit their amendment online. The tool replaces the Notification of Substantial Amendment (NoSA) and Non-Substantial Amendment forms. Amendments to Research Tissue Banks and Research Databases will also be submitted online from this date.

To help with these changes, we have now published:

For queries on how to complete the tool, questions on the results from the tool, once complete or how to submit your amendment online, please contact amendments@hra.nhs.uk

Amendment Tool

The new amendment tool should be used for all project-based research including amendments being made under the COVID-19 fast-track process, from 2 June. (Research Tissue Banks and Research Databases will continue to use the IRAS generated substantial amendment forms.)

The tool categorises the amendment and provides tailored guidance on how to submit. It will identify any review bodies the amendment needs to be sent to, based on the changes that are being made to the study. It also provides detailed information about the amendment to participating sites.

The Notice of Substantial Amendment/annex 2 form can be generated by completing the tool. This version of the form can then be submitted to the REC and the MHRA (as required) when making a substantial amendment to a trial.

The amendment tool is based in Excel, but in the longer term we plan to fully integrate the tool functionality into IRAS.

The introduction of the amendment tool may require changes to Sponsor’s quality system (e.g. SOPs, guidance documents and templates etc.). Organisations should do this in accordance with the new process in good time. Given the additional demands placed across the healthcare research systems at this time, the MHRA has confirmed that it will adopt a pragmatic approach during inspection.

Submitting amendments online

Once you have completed the amendment tool, you should follow the submission guidance provided in the submission guidance tab of the tool. If the amendment needs to be submitted, then the amendment tool, together with all the supporting documents, should be uploaded into a new part of IRAS and submitted using the online system.

For amendments to Research Tissue Banks and Research Databases the IRAS substantial amendment form should be submitted online in place of the amendment tool.

Applicants will need to set up a new login and password for the new part of IRAS. We are sharing a login process with NIHR systems for the new parts of IRAS that provide online booking, the Combined Ways of Working (CWoW) pilot, and this new amendment system. If you already have a login for any NIHR system or one of these new parts of IRAS you can use the same details. If you do not already have a login for those systems, you will need to set up a new login and password as guided by the system.

Once you have logged in, applications will need to input the IRAS ID for the study as well as some other information regarding the study and amendment, some of which will need to be copied directly from the tool itself. Applicants can upload documents including a pdf of the tool itself. The system will issue an email to confirm the amendment has been submitted.

How the C-19 lockdown has affected the work-life balance of BU academics (Part 2)

Our blog Part 1 (posted on Friday May 15th) provided a very crude overview of the preliminary results from the survey we have launched to collate data on the impact of C-19 lockdown on the work-life balance of academics. This Part 2 focuses on differences between groups of respondents and identifying whether particular groups have been more negatively affected. We are yet to do any statistical tests on these data, so please consider differences between groups with care.

We have received 170 responses to date, 70 we could identify as being from BU staff (63 from female colleagues). If you have not yet contributed to this survey, you can still to do so here: https://bournemouth.onlinesurveys.ac.uk/impact-of-lockdown-on-academics, and please do share with your networks, as the survey is open to all academics. If you want us to be able to identify that you are BU staff, you will need to mention BU in one of the open questions. This research is a cross-faculty collaboration conducted by Sara Ashencaen Crabtree (FHSS), Ann Hemingway (FHSS) and myself (FST).

Work-life balance during lockdown got worse for the majority of respondents (59%) and improved for 37%. The most common reason for worsening or improving work-life balance were ‘workload increased’ (31%) and ‘I could do what was needed and be at home/with family’ (24%), respectively (Figure 1a). Although there are differences across gender (Figure 1b), any differences between male and female respondents should not be considered representative of the wider community due to the small number of male respondents.

Figure 1. Changes in work-life balance of respondents during Covid-19 lockdown and the selected reasons for identifying positive or negative change (a) and reported changes per gender of respondents (b). Blue shades indicate work-life balance improved and red shades indicate it worsened.

A higher proportion of academics under the age of 40 (82%) indicated that their work-life balance has worsened during lockdown when compared with other age groups (Figure 2a). Most of these academics reported that work-life balance worsened because they couldn’t work much. For academics in their 50s or older, the key reason for worsening of work-life balance was the increase in workload.

Figure 2. Changes in work-life balance of respondents during Covid-19 lockdown per age group (a); presence of children in the household (b) – the group ‘with children’ includes children ages 0-12 and teenagers; and household size (c).

Balancing work and childcare and/or homeschooling  was mentioned as a negative effect on work-life balance during lockdown by 18% and 7% respectively. However, this does not seem to be the main cause affecting respondents under the age of 40, when responses between groups with and without children are compared. In fact, 87% of respondents in their 40s live in a household with children 12 years old or younger and yet the proportion of this age group reporting worsened work-life balance was lower (55%) than the proportion of respondents with no children (60%). However, respondents who live in a household with younger children seem to be more negatively affected.

All respondents (N=8) who live with children under the age of 5 years have reported that their work-life balance have worsened (Figure 2b), the majority indicated an increase in workload as the main reason. However, no major differences were found when comparing groups of respondents who live with children (all ages under 19 included) and households without children. Interestingly, a lower proportion of respondents who live with children aged 5-12 years report worse work-life balance (50%) than respondents who do not have children in their household (60%) (Figure 2b). Further, work-life balance has improved for a higher proportion of respondents who live in a household of three people (45%) than in other household sizes (<40%) (Figure 2c).

In all faculties, a higher number of respondents reported work-life balance getting worse than improving, except FST (Figure 3a), where work-life balance has improved for 50% of respondents and worsened for 36%. Professors were the only group with more respondents indicating work-life balance improved (50%) than worsened (25%); in contrast, all associate professors reported worsened work-life balance (Figure 3b), but the small sample in both groups may not be representative.

Figure 3. Changes in work-life balance of respondents during Covid-19 lockdown per faculty (a) and position (b).

Switching to online teaching and not being able to meet with colleagues in person, socialise and engage with preferred leisure activity were the factors affecting negatively more than 50% of respondents (Figure 4).When lockdown restrictions are lifted, two of these factors (socialise and engage with preferred leisure activity) will have less effect on academics work-life balance, but more could be done to support colleagues negatively affected by the switch to online teaching and missing the contact with colleagues while working remotely.

More respondents have indicated a positive than negative impact from changes in the number of meetings and switching to online meetings emails (Figure 4). Fewer and more effective meetings were reported as the positive impacts. However, for some respondents, there are too many online meetings and they are getting tired of (avoidable) prolonged screen time (an effect that has been called Zoom fatigue). Therefore, guidance on how best to use, organise and participate in online meetings and how to manage and reduce screen time/tiredness may be useful.

Figure 4. The impact of selected factors on the work-life balance of respondents during lockdown.

A considerably higher proportion of respondents under 40 years of age report negative effect from switching to online teaching (75%), change in the number of emails (58%) and changes in the number of meetings (50%) in relation to other age groups (Figure 5). This age group also shows lower proportion of staff indicating positive effect from these three factors.

Figure 5. Reported impact per age group from (a) switching to online teaching; (b) changes in number of emails; and (c) changes in number of meetings.

FMC is the only faculty with more than 50% of respondents reporting negative effect from switching to online teaching (58%), change in the number of emails (58%) and changes in the number of meetings (67%). FST and FM are the faculties with 50% of respondents reporting positive impact from changes in the number of meetings.  FHSS has the largest proportion of respondents indicating negative effect from switching to online teaching (62%) and strong negative effect due to changes in the number of emails (54%). Increased number of emails from students has been reported, particularly by FHSS staff who support students who were asked to work for the NHS.

Figure 6. Reported impact per faculty from (a) switching to online teaching; (b) changes in number of emails; and (c) changes in number of meetings.

Figure 7 shows word clouds based on responses to the open questions asking for the two most important factors leading to negative and positive impacts on their work-life balance during lockdown. Increased demand for student support was the most cited negative factor (by 27% of respondents), followed by missing contact with colleagues and inadequate equipment (e.g. IT, desk, chair) and balancing childcare (19%). Less commuting or travel for work was the most cited factor affecting work-life balance positively (46% of respondents), followed by time with family (25%) and enjoying working from home (15%).

Figure 7. Word cloud showing how respondents expressed the negative (a) and positive (b) factors affecting their work-life balance during C-19 lockdown.

In responses to open questions, it is apparent that many negative aspects of the lockdown relate to aspects that are likely to subside when restrictions are lifted (e.g. reopening of schools, meeting with family and friends, enjoying leisure activities). Other negative aspects relate to the fast pace in which academic staff had to switch to online activities, sometimes without adequate workspace, equipment and/or training, leading to overwork. On the other hand, respondents report many substantial advantages of working from home, many wishing that this can continue (at least for part of the time) in the longer term. This is a summary of the advantages respondents have identified:

  • No travelling = more control over time + less exhaustion + less expense + better for the environment + spending more time with family
  • Healthier – nutritionally better, more physical rest, more exercise
  • Staying safe – better protected at home, avoiding traffic hazards
  • Gaining extra hours to work
  • Slower pace = more time to concentrate; a breathing space
  • Greater autonomy to manage time and priorities
  • Greater flexibility = ingenuity and novelty, new ways of teaching and supporting students remotely
  • Less stress and physical/mental wear-&-tear
  • Stripping back work dross – basic priorities reveals a lot of bureaucracy that can be avoided

 Who are the respondents?


Exposure to Covid-19

  • 7% of respondents (5 out of 68) had severe symptoms of Covid-19 or tested positive or live with someone who did. All are female respondents in their 20s, 30s and 50s. Two of these households had someone at higher risk for severe illness from COVID-19.
  • 22% of respondents (15 out of 68) had close family members, friends or colleagues who had severe symptoms of Covid-19 or tested positive. All are female respondents in their 30s, 40s and 50s (the majority, 9 respondents).
  • 41% of respondents (28 out of 68) live in a household where there is at least one person at higher risk for severe illness from COVID-19.

PGR Virtual Poster Showcase | Helen Slater

This weeks highlight in the PGR Virtual Poster Showcase:

Helen Slater, PhD student in the Faculty of Science & Technology with this poster from her live exhibition entitled:

‘LEAP voices in the jungle: remote monitoring of forest biodiversity.’

Click the poster below to enlarge.

A major challenge in wildlife conservation is the difficulty of collecting and maintaining robust records of abundance and distribution. Sumatra contains a diverse array of unique animal sounds, since many forest animals use acoustic signals for long range communication; these signals can tell us a great deal about wildlife populations and behaviour. A forest soundscape was recorded in secondary forest in Sumatra, Indonesia, as a tool for rapid biodiversity assessment and to begin building a database of vocal signals for long term monitoring of apes and elephants. A network of custom-built acoustic recorders were deployed, covering both protected secondary forest and smallholder plantations at the forest edge. These data are valuable for biodiversity and population monitoring, as well as hugely effective tools for conservation education. In addition to wildlife research, materials collected from this project are being incorporated into an interactive exhibition to engage young children with nature and conservation.


If this research has inspired you and you’d like to explore applying for a research degree please visit the postgraduate research web pages or contact our dedicated admissions team.

New online booking service for IRAS – goes live Tuesday 19th May

Please see below for an update from the Health Research Authority with regard to the new system for booking in applications.

Any queries please get in touch with Suzy Wignall, Clinical Governance Advisor.


A new online booking service will be rolled out for IRAS studies on Tuesday 19 May – replacing the current Central Booking Service (CBS) telephone line. This is part of our ongoing Research Systems programme of work to improve our services for applicants.

Applicants submitting research projects through IRAS will no longer need to call the Central Booking Service to book a Research Ethics Committee, or to enable IRAS Form submission. Instead applicants will access the new online booking service via IRAS to book their application for review. The service is quick and easy to use and, unlike the current Central Booking Service, will be available 24 hours a day, seven days a week, making it easier for research applicants. If you need help and support with the new system you can call 0207 104 8008 between 8.30am and 4.30pm Monday to Friday.

In order to make use of this new functionality, applicants will be directed to a new part of IRAS which hosts the online booking service. A separate login will be required, but support will be provided. You will need to set up a new login and password for this area unless you already have a login for a NIHR system or as part of the Combined Ways of Working pilot (CWoW) pilot. In this case you can use your existing log in details.

Applicants will need to answer a series of questions online before being able to book a slot. This directs the applicant to the appropriate REC. The questions will be familiar to anyone who has used the CBS. Once you have completed your online REC booking, you will still need to electronically submit your application in IRAS using the normal process.

Applicants making contact about fast-track COVID-19 studies, should continue to follow our current guidance or email fast.track@hra.nhs.uk, DO NOT use the online booking service. 

The work to build the online booking service began before the current COVID-19 pandemic. It is being rolled out now so that the system can support research applicants with non-COVID-19 studies.

Training and guidance will be available via the IRAS website. You can also watch a short video to see how to use the online booking service.

 

New BU publication on birth centres in Nepal

Congratulations to Dr. Preeti Mahato in the Centre for Midwifery, Maternal & Perintal Helath (CMMPH) on the acceptance of the  paper ‘ Evaluation of a health promotion intervention associated with birthing centres in rural Nepal’.   This paper is part of Dr. Mahato’s PhD work and will appear soon in the international journal PLOS ONE.   The journal is Open Access so anyone across the world may copy, distribute, or reuse these articles, as long as the author and original source are properly cited.

The research in this thesis used a longitudinal study design where pre-intervention survey was conducted by Green Tara Nepal a local non-governmental organisation (NGO) in year 2012.  The health promotion intervention was conducted by the same NGO in the period 2014 to 2016 and the post-intervention survey was conducted by Dr Mahato in the year 2017.

The intervention was financially supported by a London-based Buddhist charity called Green Tara Trust.   The results of the pre- and post-intervention surveys were compared to identify statistically significant changes that might have occurred due to the intervention and also to determine the factors affecting place of birth.   This study is co-authored by Professors Edwin van Teijlingen and Vanora Hundley and Dr Catherine Angell from CMMPH and FHSS Visiting Professor Padam Simkhada (based at the University of Huddersfield).

 

 

A tool to identify the risk of malnutrition in older people

Research validating a tool to identify the risk of malnutrition, in older people, is among the top 10% most downloaded papers in 2018-19, published in Journal of Human Nutrition and Dietetics!

The research was led by Prof Jane Murphy, working in collaboration with the Wessex Academic Health Science Network and The Patients Association.

Identifying older people at risk of malnutrition and treatment in the community: prevalence and concurrent validation of the Patients Association Nutrition Checklist with ‘MUST’

Malnutrition is already a huge issue in the UK and current national policy for the Covid-19 crisis means that social isolation and loneliness in older people will significantly impact on food intake and in turn increase the risk of malnutrition. However in the Covid-19 pandemic, the use of the validated Patients Association Nutrition Checklist has increased given its simplicity,  ease of use and can be carried out remotely so that people can access appropriate help and support where needed.

For more details see:

https://wessexahsn.org.uk/projects/325/nutrition-in-older-people

https://www.malnutritiontaskforce.org.uk/resources-and-tools/self-screening-pack

PGR Virtual Poster Showcase | Lara Christ

Fourth in this PGR Virtual Poster Showcase: 

Lara Christ, visiting PhD student in the Faculty of Management with this poster entitled:

‘Nonprofit brand orientation in emerging countries: Antecedents, barriers and outcomes’

Click the poster below to enlarge.

Considering the importance of the nonprofit organizations in emerging countries, the research aims to develop the elements that constitute the nonprofit brand orientation in emerging countries and identify the antecedents, barriers and outcomes of nonprofit brand orientation.  In this way, the recent literature about the concept was analysed and a theoretical model is going to be proposed. The research is going to be realized in four steps: generation of indicators from an exploratory research, grouping of the indicators in factors, confirmation of the factors and test of the proposed model. We expect to produce a measurement scale of nonprofit brand orientation, antecedents, barriers and outcomes in emerging countries. In addition to the theoretical relevance of a new scale of a concept that has not been approached yet in the marketing literature, the project can contribute to the management of social organizations bringing benefits to society as a whole.


If this research has inspired you and you’d like to explore applying for a research degree please visit the postgraduate research web pages or contact our dedicated admissions team.

NERC Workshop: Identifying Challenges for a Sustainable Digital Society

Deadline for Expressions of Interest: 14 May 2020 at 16:00

The EPSRC Digital Economy Theme welcomes Expressions of Interest for a one-day virtual workshop to explore how research can tackle the challenges in establishing a Sustainable Digital Society.

It is intended that the outputs of the workshop will be used to scope a Digital Economy Theme call to be funded by EPSRC for up to £5m.

The virtual workshop will be held on Thursday 11 June 2020.

For more information, see the NERC website.

British Academy: Special COVID 19 Call

As you are aware the British Academy launched their Special Research Grants: COVID-19 call. The deadline for applications is 5pm (UK time) on Wednesday 27 May 2020 and outcomes will be notified by 30 June 2020.

Due to the expected high demand, we ask that if you are interested in applying to this call then please send your intention to bid form to your Funding Development Officer by 11thMay 2020, after this date no new applications will be accepted.

The British Academy has provided guidance on the Special Research Grants – BA scheme notes for applicants and BA FAQs . They have asked that all applicants read the documentation carefully before starting their application.

Timeline

The call closes at 5pm on Wednesday 27th May 2020.

 

Date Action
11th May 2020 Intention to bid forms to be submitted to your faculty funding development officer
20th May 2020 Your final application must be submitted on FlexiGrant  by this date at the latest
21st – 27th May 2020 Institutional checks to take place by RDS.
27th May 2020 Submission

Any queries please contact Alexandra Pekalski 

 

PGR Virtual Poster Showcase | Francesca Dean

Entering week 3 of the PGR Virtual Poster Showcase

Francesca Dean PhD student in the Faculty of Health & Social Sciences with this poster entitled:

‘Exploring the experiences of sport psychologists working within elite youth football in England.’

Click the poster below to enlarge.

Successful performance in sport requires the execution of advanced psychological skills in both training and competition. Although the importance of sport psychology is now widely acknowledged, there is a need for greater clarity regarding (a) what is actually delivered under the banner of sport psychology, and (b) the needs of those receiving psychological support. One sport which is increasingly focusing on the role of psychological development is football—this is occurring via the English Premier League’s Elite Player Performance Plan. As the first stage of a PhD programme, this study aims to examine the current knowledge and provision of sport psychology services delivered to youth performers within professional football academies in England. Semi-structured interviews will be conducted with six sport psychology practitioners working within professional academies in order to gain insight into their understanding of their role, their perception of (sport) psychology, and their experience of delivering psychology services at the academy level.


If this research has inspired you and you’d like to explore applying for a research degree please visit the postgraduate research web pages or contact our dedicated admissions team.

New BU breastfeeding research paper

Congratulations to Dr. Alison Taylor  in the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) the publication two days ago of her paper ‘Commercialisation and commodification of breastfeeding: video diaries by first-time mothers’ in the International Breastfeeding Journal [1].   Alison is Deputy Head of Department Midwifery and Health Sciences as well as Infant Feeding Lead.   This paper is the third paper from her excellent PhD study It’s a relief to talk…”: Mothers’ experiences of breastfeeding recorded in video diaries.  The first and second paper we published in 2019 also with Alison supervisors Professors Jo Alexander, Kath Ryan and Edwin van Teijlingen [2-3].  This third paper focuses on how many of aspects of our lives became increasingly commercialised. Although breastfeeding is perhaps a late comer to this process in recent years, it too has seen significant commercialisation facilitated by social media and our obsession with celebrity culture. This paper explores how the commercialisation and commodification of breastfeeding impacts mothers’ experiences of breastfeeding.

This qualitative research is based on five new mothers in the United Kingdom recorded their real-time breastfeeding experiences in video diaries. The purposive sample of five participants recorded 294 video entries lasting 43 h and 51 min, thus providing abundance of rich data. using a multi-modal method of analysis, incorporating both visual and audio data, a thematic approach was applied.  The study found that women preparing for breastfeeding are exposed to increasing commercialisation. When things do not go to plan, women are even more exposed to commercial solutions. Under the influence of online marketing strategies the need for paraphernalia grew.  Women’s dependence on such items became important aspects of their parenting and breastfeeding experiences.  Alison and her co-authors conclude that the audio-visual data demonstrated the extent to which “essential” paraphernalia was used.  The paper offers new insights into how advertising influenced mothers’ need for specialist equipment and services. Observing mothers in their video diaries, provided valuable insights into their parenting styles and how this affected their breastfeeding experience.

References:

  1. Taylor, A.M., van Teijlingen, E., Alexander, J., Ryan, K. (2020) Commercialisation and commodification of breastfeeding: video diaries by first-time mothers, International Breastfeeding Journal 15:33   https://doi.org/10.1186/s13006-020-00264-1
  2. Taylor A, van Teijlingen, E.,Ryan K, Alexander J (2019) ‘Scrutinised, judged & sabotaged’: A qualitative video diary study of first-time breastfeeding mothers, Midwifery 75: 16-23.
  3. Taylor, A.M., van Teijlingen, E., Alexander, J., Ryan, K. (2019) The therapeutic role of video diaries: A qualitative study involving breastfeeding mothers, Women & Birth 32(3):276-83. https://www.sciencedirect.com/science/article/pii/S1871519218300064

BU academics at Virtual International Day of the Midwife

Five FHSS academics have presentations and/or posters at this year’s Virtual International Day of the Midwife (IVDM) conference.  Dr. Luisa Cescutti-Butler  (Senior Midwifery Lecturer in  the Centre for Midwifery, Maternal & Perinatal Health (CMMPH) and Dr. Humaira  Hussain have an online presentation ‘on the topic of Making discoveries through research: midwifery student’s perceptions of their role when caring for pregnant women who misuse substances: neonatal simulators as creative pedagogy’.

BU Midwifery Lecturer Denyse King also in CMMPH has been interviewed by the VIDM her poster on her PhD research around Virtual Reality Learning Environments (VRLE), which can be offered as a computer-generated virtual simulation of a clinical workspace.

Whilst Dr. Luisa Cescutti-Butler,  Dr. Jacqui Hewitt-Taylor and Prof. Ann Hemingway have a poster  ‘Powerless responsibility: A feminist study of women’s experiences of caring for their late preterm babies’ based on Luisa’s PhD research.  Last, but not least, FHSS Visiting Faculty and holder of a BU Honorary  Doctorate Sheena Byrom is key note speaker at the week’s IVDM conference!

Congratulations!

Prof. Edwin van Teijlingen

CMMPH

Free Project Management Training

A new set of free videos is now available on the Fistral website, helping to ‘demystify’ project management.

There are 12 videos currently available, with more to come on other topics linked to Time Management, Agile, 3rd sector projects and more… So if you want to know the best way to plan a project, create a Work Breakdown Structure, the easy way to make a Gantt Chart, understand network diagrams, how to identify and schedule tasks, or how to allocate resources to a project – see Fistral’s free PM videos.

For their full range of video and online resources see:  https://www.fistraltraining.com/fistral-online-resources/

Free online course! – Improving Healthcare Through Clinical Research

Interested in clinical research and what’s involved? Are you contemplating a career in healthcare or the life sciences, or, do you want to find out more about the role of clinical research in improving healthcare?

If you’ve answered yes to any of the above questions, then why not sign up to FutureLearn’s Improving Healthcare Through Clinical Research course?

The course has been developed by the University of Leeds and is be available now, via this link.

It is completely free and all online, lasting 4 weeks.

This course has been certified by the CPD Certification Service as conforming to continuing professional development principles. By completing the course you will have achieved 16 hours of CPD time.

Remember – support is on offer at BU if you are thinking of introducing your research ideas into the NHS – email the Research Ethics mailbox, and take a look at the Clinical Governance blog.