UK clinical
research update
September 2026 edition
Published October 7, 2026
This monthly update summarises recent news, announcements, guidance, and updates on progress made to propel the aims of the UK Clinical Research Delivery (UKCRD) programme of work. It provides examples of how organisations individually and collaboratively are achieving the collective goal of making the UK a world leader in clinical trials.
Table of Contents
Highlights
100% of Commercial Studies Set up in February 2026 Meet National Target
The latest UKCRD KPI data shows that 100% of commercial interventional studies in the February 2026 cohort achieved full study set-up within the national benchmark.
Cohort Size: 8 out of 8 studies
Benchmark: National 150-day target
National Commission into the Regulation of AI in Healthcare: Recommendations for a future regulatory framework
New recommendations from the National Commission into the Regulation of AI in Healthcare set out how regulation should evolve as AI becomes increasingly used across healthcare. The ambition is a framework that is Safe, Fast and Trusted, protecting patients while enabling responsible innovation.
- Read the report on GOV.UK
- Read the press release
- Read HRA response
New Report Details Scale of UK Life Sciences Sector
The Office for Life Sciences (OLS) has published the latest Bioscience and Health Technology Sector Statistics, detailing a £125.8 billion industry employing over 306,000 people across the UK. With nearly a fifth (19%) of companies focused primarily on Research and Development, the data demonstrates the scale of the domestic R&D pipeline and highlights why streamlined, predictable clinical trial delivery is so vital to supporting sector growth and maintaining the UK’s global competitiveness. Read the report
UK Clinical Research Delivery Performance Indicators Report
Read the latest monthly UKCRD key performance indicators (KPIs) report which brings together data from the NIHR and the Medicines and Healthcare products Regulatory Agency (MHRA) to monitor the delivery of globally competitive clinical research across the UK. It is produced by DHSC on behalf of the UK research delivery system each month. The report provides transparent updates on progress towards our goals over time.
Recognition of High-performing NHS Trusts in Clinical Trial Delivery
The UKCRD programme highlights NHS trusts with strong commercial interventional study-set up performance. This is defined as having delivered at least 95% of studies on target over the previous 6 months or, for Trusts that completed 10 or more studies in the past 12 months, having delivered at least 9 of the last 10 studies on target.
NHS trusts achieving a Global or European First are also highlighted, reflecting rapid and responsive trial set up.
We will continue to review and may iterate the criteria used to highlight Trusts each month, to ensure strong study set-up performance across different kinds of Trusts is being recognised.
Trusts completing set-up for 95% of commercial interventional trials within 90 days (following approval or site selection; studies on NIHR RDN portfolio)
| Trust, Location | % studies set up within 90 days of approval or site selection | Number of studies set up within 90 days / Total studies |
|---|---|---|
| University Hospitals Sussex NHS Foundation Trust | 100% | 3/3 |
| Hull University Teaching Hospitals NHS Trust | 100% | 5/5 |
Trusts completing set up for ≥90% of their 10 most recent commercial interventional trials within 90 days (following approval or site selection; studies on NIHR RDN portfolio; for Trusts completing 10 or more in the past 12 months)
| Trust, Location | % studies set up within 90 days of approval or site selection | Number of studies set up within 90 days / Total studies |
|---|---|---|
| Guy's and St Thomas' NHS Foundation Trust | 90% | 9/10 |
| The Royal Marsden NHS Foundation Trust | 90% | 9/10 |
| University Hospitals Sussex NHS Foundation Trust | 90% | 9/10 |
Trusts achieving a Global or European First in March – August 2026 (Studies on the NIHR RDN portfolio)
| First Recruitment Type | Date Achieved (FPFV) | Therapeutic Area | Recruiting Organisation, Location |
|---|---|---|---|
| Global | 24/08/2026 | Diabetes, Metabolic and Endocrine | Hull Royal Infirmary, Hull University Teaching Hospitals NHS Trust |
| European | 06/08/2026 | Diabetes, Metabolic and Endocrine | Leicester General Hospital, University Hospitals of Leicester NHS Trust |
| European | 05/08/2026 | Cancer (haematology) | Hammersmith Hospital, Imperial College Healthcare NHS Trust |
| European | 05/08/2026 | Infection (paediatric) | St Mary's Hospital (HQ), Imperial College Healthcare NHS Trust |
| *European | 31/07/2026 | Haematology | Central Middlesex Hospital, London North West University Healthcare NHS Trust |
| *European | 30/07/2026 | Respiratory | Castle Hill Hospital, Hull University Teaching Hospitals NHS Trust |
| European | 28/07/2026 | Cancer (colorectal) | The Royal Marsden Hospital (Surrey), The Royal Marsden NHS Foundation Trust |
| *European | *15/07/2026 | Musculoskeletal and Orthopaedics | Western General Hospital, Lothian Health Board, Scotland |
| European | 14/07/2026 | Cancer (colorectal) | The Royal Marsden Hospital (Surrey), The Royal Marsden NHS Foundation Trust |
| European | 08/07/2026 | Cancer (upper gastroi-intestinal) | Churchill Hospital, Oxford University Hospitals NHS Foundation Trust |
| European | 07/07/2026 | Cancer (gynaecological) | The Royal Marsden Hospital (Surrey), The Royal Marsden NHS Foundation Trust |
| Global | 06/07/2026 | Diabetes, Metabolic and Endocrine | Layton Medical Centre |
| Global | 29/06/2026 | Diabetes, Metabolic and Endocrine | Leicester General Hospital, University Hospitals of Leicester NHS Trust |
| Global | 23/06/2026 | Haematology | The Royal London Hospital, Barts Health NHS Trust |
| European | 23/06/2026 | Respiratory | Bradford Royal Infirmary, Bradford Teaching Hospitals NHS Foundation Trust |
| European | 23/06/2026 | Cancer (haematology) | Royal Marsden Hospital (Surrey), The Royal Marsden NHS Foundation Trust |
| European | 22/06/2026 | Gastroenterology and Hepatology | King's College Hospital (Denmark Hill), King's College Hospital NHS Foundation Trust |
| European | 15/06/2026 | Diabetes, Metabolic and Endocrine | Leicester General Hospital, University Hospitals of Leicester NHS Trust |
| European | 10/06/2026 | Respiratory | Perth Royal Infirmary, Tayside Health Board |
| European | 10/06/2026 | Respiratory | Norfolk & Norwich University Hospital, Norfolk and Norwich University Hospitals NHS Foundation Trust |
| European | 08/06/2026 | Infection (paediatric) | University College Hospital, University College London Hospitals NHS Foundation Trust |
| *European | 08/06/2026 | Dementia and Neurodegeneration | University College Hospital, University College London Hospitals NHS Foundation Trust |
| Global | 02/06/2026 | Gastroenterology and Hepatology | University College Hospital, University College London Hospitals NHS Foundation Trust |
| Global | 02/06/2026 | Reproductive Health and Childbirth | Bradford Royal Infirmary, Bradford Teaching Hospitals NHS Foundation Trust |
| Global | 28/05/2026 | Diabetes, Metabolic & Endocrine | Bristol Royal Infirmary, University Hospitals Bristol and Weston NHS Foundation Trust |
| Global | 27/05/2026 | Cancer (haematological oncology) | King's College Hospital (Denmark Hill), King's College Hospital NHS Foundation Trust |
| European | 19/05/2026 | Children (Gastroenterology and Hepatology) | Sheffield Children's Hospital, Sheffield Children's NHS Foundation Trust |
| European | 12/05/2026 | Cancer (lung) | Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust |
| Global | 08/05/2026 | Cardiovascular | Basildon Hospital, Mid and South Essex NHS Foundation Trust |
| European | 07/05/2026 | Haematology (children) | Hammersmith Hospital, Imperial College Healthcare NHS Trust |
| European | 06/05/2026 | Musculoskeletal & Orthopaedics | Peterborough City Hospital, North West Anglia NHS Foundation Trust |
| European | 05/05/2026 | Cancer (prostate) | Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust |
| Global | 04/05/2026 | Cancer (gynaecological, head and neck, lung) | The Christie, The Christie NHS Foundation Trust |
| European | 29/04/2026 | Opthalmology | Central Middlesex Hospital, London North West University Healthcare NHS Trust |
| European | 27/04/2026 | Cancer (prostate) | Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust |
| Global | 24/04/2026 | Cancer (haematological oncology) | Hammersmith Hospital, Imperial College Healthcare NHS Trust |
| European | 22/04/2026 | Gastroenterology and Hepatology | Clinical Research Facility, University Hospitals Bristol And Weston NHS Foundation Trust |
| European | 21/04/2026 | Diabetes, Metabolic and Endocrine | Staploe Medical Centre, Ely, Cambridgeshire |
| Global | 21/04/2026 | Diabetes, Metabolic & Endocrine | Staploe Medical Centre, Ely, Cambridgeshire |
| European | 16/04/2026 | Cancer (bladder) | The Christie, The Christie NHS Foundation Trust |
| European | 16/04/2026 | Cardiovascular | St Bartholomew's Hospital, Barts Health NHS Trust |
| Global | 10/04/2026 | Musculoskeletal & Orthopaedics | The Royal Victoria Infirmary, The Newcastle-Upon-Tyne Hospitals NHS Foundation Trust |
| European | 08/04/2026 | Dermatology | Chelsea and Westminster Hospital, Chelsea and Westminster Hospital NHS Foundation Trust |
| European | 07/04/2026 | Surgery (orthopaedic) | Hinchingbrooke Hospital, North West Anglia NHS Foundation Trust |
| European | 02/04/2026 | Cancer (renal) | The Royal Marsden Hospital (London), The Royal Marsden NHS Foundation Trust |
| European | 31/03/2026 | Gastroenterology and Hepatology | Woodstock Bower Group Practice |
| European | 31/03/2026 | Gastroenterology and Hepatology | Woodstock Bower Group Practice |
| European | 31/03/2026 | Mental Health | Woodstock Bower Group Practice, Rotherham, South Yorkshire |
| Global | 30/03/2026 | Renal | Southmead Hospital, North Bristol NHS Trust |
| European | 26/03/2026 | Musculoskeletal & Orthopaedics | The Royal Victoria Infirmary, The Newcastle-Upon-Tyne Hospitals NHS Foundation Trust |
| European | 06/03/2026 | Cancer (head & neck) | The Royal Marsden Hospital (Surrey), The Royal Marsden NHS Foundation Trust |
| European | 05/03/2026 | Dermatology | Salford Royal Hospital, Northern Care Alliance NHS Foundation Trust |
| European | 05/03/2026 | Cancer (haematological oncology) | Gloucestershire Royal Hospital, Gloucestershire Hospitals NHS Foundation Trust |
| European | 04/03/2026 | Cancer (breast) | Royal Sussex County Hospital, University Hospitals Sussex NHS Foundation Trust |
| European | 03/03/2026 | Cancer (prostate) | The Royal Marsden Hospital (Surrey), The Royal Marsden NHS Foundation Trust |
* denotes retrospectively reported Global and European Firsts
33 Global Firsts and 72 European Firsts were achieved in England in 2025/26, and one Global and four European Firsts in the Devolved Administrations. A full list of previous Firsts and further detail on the parameters can be found here: Global and European Firsts.
Trust-level set-up performance data are published monthly here: UKCRD.org.
From September 2026, we will publish monthly Trust level recruitment data on UKCRD.org. This report presents data on recruitment activity for commercial interventional trials at each NHS trust over the preceding six months.
Study set up acceleration activities:
Please email a brief overview of any current or upcoming projects that accelerate clinical trial set-up times to ukcrdprogramme@dhsc.gov.uk so we can coordinate activities and map opportunities.
News and Announcements
The following updates are from our dedicated partners across the sector.
- HRA Commercial and non-commercial model agreements have been updated, the revised model agreements apply UK-wide and came into effect on 7 September. HRA also published new guidance on using health information to let patients know about research options. The guidance sets out standards for research sign-up registers, including transparency, governance, patient and public involvement, and security arrangements. HRA shared a new blog on finding and contacting patients for research and how to navigate challenges while maintaining confidentiality, transparency and public trust.
- MHRA has partnered with Manchester University NHS Foundation Trust (MFT) to create the “Manchester Sandbox” which will test promising new technologies and build evidence to accelerate the safe adoption of technologies, including AI, in the NHS. Read more about the Sandbox.
- As part of its stepwise implementation programme to deliver the first wave of MHRA regulatory assessment decisions within 14 calendar days, the MHRA has made some changes to the eligibility to expand it beyond just healthy volunteer trials. Review the eligibility criteria to find out what is now included. On 28 September the assessment time for validated, eligible trials reduced to 18 days. Capacity is limited so advance booking is strongly advised. Eligible trials can be booked up to three months in advance. To pre-book your slot, email Phase1StepwiseBooking@mhra.gov.uk.
- MHRA has published a blog highlighting that commercial clinical trial participation in Scotland has increased by 21 per cent year-on-year. Supported by four new Commercial Research Delivery Centres (CRDCs) funded under the national VPAG Investment Programme, Scottish sites utilised a hub-and-spoke model, including GP-based Practice Embedded Research Units (PERUs), to secure five European firsts and one global first for patient recruitment. Read the blog.
- The UK government has committed £49,000 matched by the Scottish Government to a life sciences partnership with the US. The Scotland-Massachusetts Bio-Bridge will create a link between companies in Scotland with the academic, pharmaceutical and development expertise in Massachusetts.
- Health and Social Care Research and Development (HSC R&D) Northern Ireland shared an article on a research funder perspective of the UK Standards for Public Involvement. HSC R&D were involved in the original development of the standards, and recently led on a newly published article in collaboration with colleagues across the UK – “Applying the UK Standards for Public Involvement: Reflections and lessons from case studies across the UK”.
- The UK Dementia Trials Network (UKDTN) is continuing to expand its portfolio of clinical trials, strengthening opportunities for people across the UK to participate in dementia studies. Read the full story.
- The CRDC UK Network has developed an interactive map of the CRDC UK Network on their new website which helps sponsors identify the right expertise, capabilities and study opportunities across the UK.
- The ATTC network has published a new report on delivering the National Advanced Therapies Vision for the UK. The report assesses progress made since publication of the original National Cell and Gene Therapy Vision for the UK, highlighting what has been achieved and where action is still needed to maintain the UK’s global leadership. Read the full report.
- NHSE: Read a new blog from the Head of Data-Driven Clinical Trials at NHS England discussing why linking data effectively is crucial for analysing clinical trial outcomes.
- Funding Opportunity: ERA4Health partnership: DHSC and the NIHR have pre-announced a new joint transnational funding opportunity under the ERA4Health partnership (Horizon Europe). The IICS4all 2027 call will fund non-commercial Phase III multi-country studies focused on comparative-effectiveness and off-patent drug repurposing across cardiovascular, autoimmune, metabolic, and respiratory diseases.Proposals must ensure inclusive participant recruitment across sex, gender, and age factors. The call opens on 27 October 2026, with an applicant webinar on 10 November 2026. Find out more.
Recent success stories
- UK Delivers 75% of Global Recruitment for Moderna Avian Flu Trial
The UK has demonstrated its capacity to deliver commercial trials at scale, securing 75 per cent of global recruitment for Moderna’s Phase 3 avian flu vaccine study (Odyssey 301). Supported by the UK Vaccine Innovation Pathway and Commercial Research Delivery Centres, NHS sites reached a median set-up timeline of 76.5 days, recruiting 3,000 participants in 59 days. Read the full story. - Welsh hospital first in UK to recruit into international inflammatory bowel disease trials
Patients at Bronglais Hospital in Aberystwyth have become the first in the UK to be recruited into two international commercial clinical trials investigating potential new treatments for Crohn’s disease and ulcerative colitis. Supported by Health and Care Research Wales investment in research capability and infrastructure, the achievement highlights the important role Welsh NHS organisations play in delivering global research and improving access to clinical trials for patients, including those in rural communities. Read the full story. - Be Part of Research Delivers Rapid Recruitment for Commercial Mental Health Study
A decentralised recruitment strategy using the national Be Part of Research digital registry has delivered rapid participant enrolment for Akrivia Health’s GlobalMinds neuroscience study. Targeted outreach to pre-screened volunteers generated 505 enrolments in four months, achieving a 2 per cent conversion rate without repeated follow-ups. The success demonstrates how national digital research infrastructure provides commercial sponsors with predictable, reliable participant recruitment across large-scale trials. Read the full story. - Oxford Health becomes leading UK recruiter to ENIGMA schizophrenia trial
Congratulations to research colleagues at Oxford Health NHS Foundation Trust who are celebrating a significant milestone after recruiting their third participant to the ENIGMA schizophrenia trial, making Oxford Health the highest recruiting site in the UK to date. Read more. - King’s Recruits First Global Patient in Commercial Phase 3 Blood Cancer Trial
King’s College Hospital NHS Foundation Trust has recruited the world’s first participant to a major Phase 3 commercial trial for Myelodysplastic Syndromes (MDS). Supported by the NIHR King’s Clinical Research Facility, the site successfully achieved first-patient-in ahead of national set-up benchmarks demonstrating the speed, efficiency, and predictability of the UK’s commercial research infrastructure. Read the full story.
We’re keen to hear about and share success stories about improvements across the system. Please send yours to: ukcrdprogramme@dhsc.gov.uk.
Read more about how UKCRD efforts are helping to make the UK a world leader in clinical trials on the UKCRD news page.
Webinars
Catch up on recent webinars:
- Watch: NIHR Industry Hub: Boost recruitment for your commercial trial with Be Part of Research on how the Be Part of Research service connects studies with over 700,000 research-ready volunteers across the UK helping reach recruitment targets across diverse populations.
- Watch: Is the UK More Competitive for Early Clinical Trials Than You Thought? Tanya Turgoose, Industry Operations Manager for the NIHR UK Clinical Research Facilities (UKCRF) Network talks about the environment for commercial clinical trials in the UK and the types of support the Industry Hub offers.
If you would like to submit an update to this monthly publication, please email ukcrdprogramme@dhsc.gov.uk