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Go Directly To Jail

Adrian HayesPHRN Researcher

PHRN Conference 2006

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Background

AimTo outline the procedure of approvals

for prison health researchTo highlight replication, ‘grey areas’,

and gaps

Intended to be useful to researchers and prison/health staff

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Our Experience

Difficulties with the approval system

Which bodies to apply toChanging systems/committeesMultiple forms asking for similar

informationOverlap of ethical approvalWho has the ‘final say’

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Agencies

CORECNHS RECsNHS TrustsPCTsCaldicott

GuardiansPIAGDH R&D

Prison Research Contacts

Prison GovernorsArea

Psychologists PQAB Planning

Group University Ethics

Committees

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Outcomes

RepetitionNHS REC, HMPS & NHS Governance look

at methodologyNHS REC & HMPS look at ethicsHMPS and NHS Governance look at

resources

Grey AreasWhat is ‘Approval in Principle’?Which Trusts should be approached?

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Solutions

Group convenedChair: Dr Mary Piper, Prison HealthRepresenting

HMPSCORECRECsDHNOMSPHRN

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Key Questions

Does project have health outcomes?

Is project Research or Audit or Service Evaluation?

Does project fulfil NOMS criteria?

Is project Research or Audit/Service

Evaluation

Receive Funding

Governor’s Approval

Begin

Does project have health outcomes

HMPS ApprovalUniversity ApprovalNo

Yes

Does project fulfil NOMS criteria

No

HMPS ApprovalNOMS Approval

University Approval

Audit / Service Evaluation

Research

Yes

Does project fulfil NOMS criteria

NHS REC Approval

Governance Approval

HMPS ApprovalNOMS Approval

University Approval

NHS REC Approval

Governance Approval

HMPS ApprovalUniversity Approval

No

Yes

Governance Approval

HMPS ApprovalUniversity Approval

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The Future

Changing SystemsGovernance arrangementsCOREC’s IT system

Specific Research IssuesClinical TrialsIndemnityConsent/Assent

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The Future

PHRN WorkshopsJanuary 2007North and South

Contact: Adrian HayesAdrian.Hayes@merseycare.nhs.uk

0151 471 2628www.phrn.nhs.uk/jail/