UK clinical
research update

May 2025 edition

Published May 27, 2025

Highlights

This monthly update summarises recent news, announcements, guidance, and updates on progress made to propel the aims of the UK Clinical Research Delivery programme of work. This update provides examples of how organisations individually and collaboratively are achieving the collective goal of making the UK a world leader in clinical trials.

The following updates are from the dedicated partners who support the the development of a faster, more efficient and more innovative clinical research delivery system

Study Set-Up Plan Update

This portion of the UK Clinical Research Update is dedicated to the UKCRD Study Set-Up Plan. In April 2025, the Department of Health and Social Care (DHSC) on behalf of the four UK nations, published a policy statement announcing the new Study Set-Up Plan, to rapidly address the delays affecting clinical research through digitalisation and reducing unnecessary bureaucracy. 

As a part of this work, commercial agreements for participating NHS and Health and Social Care (HSC) organisations have now been updated by the Four Nations Contracts Leads following feedback from commercial sponsors, Clinical Research Organisations (CROs) and NHS Trusts. This is a crucial first step in delivering phase 2 of the Study Set-Up Plan.

HRA has made some changes to these agreements to make it easier to reflect National Contract Value Review (NCVR) negotiated and non-NCVR negotiated financial arrangements. 

You can learn more about the Study Set-Up Plan by viewing the ‘Streamlining and reform of study set-up’ webinar. Following the original airing of this webinar in April, there has been a huge amount of engagement. UKCRD delivery partners involved with the Study Set-Up Plan thanks everyone for their thoughtful questions and contributions. The team is currently reviewing hundreds of questions and will be developing a comprehensive Q&A which will be shared in the next UK Clinical Research Update and at ukcrd.org

UK Clinical Research Delivery Performance Indicators Report

The UK Clinical Research Delivery Performance Indicators Reportan evolution of the Research Status Report, incorporates a collection of system-wide UK metrics that monitor progress towards developing a faster, more efficient and more innovative clinical research delivery system. 

The indicators were developed in collaboration with the NHS, industry and medical research charities. Using data collected by the NIHR and the Medicines and Healthcare products Regulatory Agency (MHRA), the monthly report is produced by the Department of Health and Social Care (DHSC) on behalf of the UK clinical research system. The report provides transparent updates on progress towards our goals over time.

The following is a snapshot of the full UK Clinical Research Delivery Performance Indicators Report. Click here to read the full report.

UK Performance IndicatorTargetTimeline for deliveryTrendBaseline²April 2025
1All³Proportion of studies receiving combined regulatory review achieved within 60 days99%Maintain target🟡100%98%
2C⁴Proportion of studies open to recruitment within 60 days of HRA approval letter or equivalent process used by the Devolved Administrations90%November 2024🔴39%11%⁵
3CProportion of studies recruiting first participant within 30 days of sites opening to recruitment90%November 2024🔴25%29%⁵
4CProportion of NHS trusts in England that accept the NCVR process for late-phase studies100%December 2023🟢79%100%
5AllProportion of open studies on track, delivering to time and target80%June 2023🟢80%84%⁶
6AllRecruitment to studies is maintained compared to the pre-pandemic baseline (61,000)⁷ ⁸70,000 or more per month⁹Ongoing🟢70,00092,821⁹
7CRecruitment to all commercial studies to be monitored in support of the ambition to double and double again from the pre-pandemic baseline of 3,200⁷ ⁸Reported per month⁹Ongoing🟢3,2007,016⁹

2 Some measures are new and therefore the baseline was established in different months.
3 All indicates a measure that applies to all studies.
4 ‘C’ indicates that it applies to commercial contract studies only.
5 There is a latency or lag between activity and data being recorded in the central system. This means that the data for these indicators for most recent months is often incomplete and low. The data are updated retrospectively, taking six months or more for the datasets to be fully consolidated.
6 Based on recruitment in England and England target.
7 Average per month in England only from 2015 to 2020.
8 Data on trial phase to be provided subsequent to implementation of digital infrastructure.
9 Rolling average across the previous 12 months.

News and Announcements

The following updates are from the dedicated partners who support the the development of a faster, more efficient and more innovative clinical research delivery system. 

If you would like to submit an update to this monthly publication, please email UKCRDprogramme@dhsc.gov.uk