Request for Trial Support
The NIHR Clinical Research Network: Greater Manchester has a core delivery team of research nurses, research practitioners and senior clinical trials administrators to provide temporary assistance with NIHR portfolio studies across the region. To ensure that their time is used most efficiently and fairly, please fill in the following details if you would like their help.  

This form should be completed by the study research delivery team after consultation with their local R&D team.

Please bear in mind that making a request doesn’t guarantee support will be available, but we will do our best to accommodate the most urgent needs.

If support is allocated you will be asked to complete a feedback form at the mid point and end point of the placement. This feedback may be used to review whether the placement can be extended if appropriate.
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Email *
Research Team
Address *
Local contact name *
Local contact job title *
Local contact email address (if different to above email)
Local contact telephone number *
Study details (name and CPMS number). Please note studies must be on the NIHR portfolio to receive support. *
Are any of the studies commercial? Please be aware we may need to recover costs for time spent supporting commercial studies, this will be discussed with you prior to agreeing a placement. *
Name of senior nurse or manager in local R&D that this support request has been discussed with (if not the person making this request)
Reason for request *
Summary of situation ( to include details of why the support is needed and how the current situation is planned to be resolved) *
What specific tasks will you require from staff e.g. rating scales, clinical duties, data collection *
Which staff role/roles would you like support from? *
Required
Is a Letter of Access or Honorary Contract required *
Is this request for support from the Direct Delivery Team (primary care, social care or non-NHS setting?) *
Preferred start date for support? *
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Days per week requested *
Length of placement request (this should be for a short period of 6-8 weeks initially) *
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