Abstract

Regulatory processes governing healthcare research have been very controversial within the academic and health sectors. We assume that it is generally accepted that there need to be institutional structures and systems to ensure researchers pursue ethical research in healthcare and that the chosen site can feasibly support the project in question. Having said that the efficiency and proportionality of ethics and research governance processes have frequently been called into question. This paper will examine some of the attempts made by the National Institute for Health Research (NIHR) to streamline ethics approval as well as research and development processes. It will consider the extent to which the changes made by the NIHR have been successful, and then briefly consider the future direction of governance within healthcare research