Context 

As part of the ongoing UK wide work to streamline research, an HRA Radiation Assurance process for studies involving ionising radiation has been tested and is in place for the UK. The process coordinates and standardises the Medical Physics Expert (MPE) and Clinical Radiation Expert (CRE) review using an agreed methodology, before studies are submitted for Research Ethics Committee (REC) review. This will streamline the process and minimise delays by identifying issues at an earlier stage, reducing duplication and providing a single point of contact for sponsors.

CREs reviewing through the HRA Radiation Assurance process will be undertaking a professional role supporting the UK-wide process, and contributing to improved healthcare in the UK. The Health Research Authority will coordinate the service to a process agreed across the UK.

Role Details

Accountable to:

  • Health Research Authority 

Liases with:

HRA Technical Assurance team

Clinical Radiation Expert Reviewers 

Medical Physics Expert Reviewers 

Four Nations Radiation Assurance Working Party 

  • Radiation Assurance Applicants

Time commitment: 

A minimum of 5 CRE reviews per annum (this is a minimum for HRA-managed studies only. This number may vary for those reviewers undertaking self-managed reviews).


Benefits: 

HRA registered CRE reviewers who are members of the Royal College of Radiologists (RCR) can claim 1 CPD point per review completed through Radiation Assurance.


Role description 

  • to work collaboratively as part of a network of MPE and CRE reviewers to deliver the Radiation Assurance process

  • to justify the proposed investigations as meeting the required aims of the study based on the information contained in the Research Exposure Form (Part F1) and the study documentation in accordance with HRA guidance

  • to complete the CRE form (Part F3) within the Research Exposure Form according to the HRA guidance in language easily understood by a lay person and return this to the HRA within specified timescales

  • to liaise with the HRA Technical Assurance team regarding any issues relating to the justification which need clarification from the study sponsor

  • to check and authorise the completed review once inserted into IRAS, when requested by the applicant or study sponsor and within the timelines specified by the HRA

  • to report and highlight any issues/concerns to the HRA regarding the Radiation Assurance process as part of the continuous quality improvement cycle

  • to perform quality control checks on reviews conducted by other CRE reviewers according to guidance and within the timelines specified by the HRA. It is anticipated that this should be no more than two quality assurance checks per year


Personal specification 

Education/qualifications

Education/qualifications Evidence
Registered clinical radiologist, clinical oncologist, dentist, or other medical practitioner with a license to practice and current UK clinical expertise in one or more modalities (imaging/treatment method) used in research studies. GMC registration certificate for doctors or GDC registration certificate for dentists. Curriculum vitae (CV).

Professional appointments 

Professional appointments Evidence
Expertise in the UK regulatory and clinical environment. Letter from employer
Current UK practice in the modalities and/or specialisms seeking registration for CV
Appointed as an IRMER practitioner. Letter from employer
ARSAC license-holder (if applicable) CV/ARSAC license

Knowledge, skills and experience 

Knowledge, skills and experience Evidence
Actively practicing specified modalities and specialisms in a clinical setting in the United Kingdom Letter from employer / CV
Appropriate, structured experience of using judgement, skill and specialist knowledge to act as a Clinical Radiation Expert (CRE) under IRMER in own specialist area. Letter from employer / CV
Experience of carrying out local IRMER compliance reviews as a CRE in departments using ionising radiation.
Guidance for HRA-managed reviewers: five local reviews and five lead assessments within the last five years would provide appropriate experience. Where this number cannot be met please contact radiation.assurance@hra.nhs.uk to discuss how to progress your application further.
Self-managed reviewers may have less experience than HRA-managed reviewers but should still have recent experience of conducting local reviews and assessments.
Letter from employer / covering letter

CRE areas of expertise 

CRE areas of expertise Evidence
Experienced in research undertaken in one or more disciplines e.g. cardiology, dentistry, neurology, oncology, orthopaedics, paediatrics, respiratory, rheumatology, vascular etc. CV / covering letter / letter from employer
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