Feasibility Checklist To be used for the departmental feasibility review of new studies. Please answer all questions below. All forms should be reviewed by a Research Facilitator before authorisation by the PI and R&I Lead. Date of completion: ________________ Trial Title: Short Title/Acronym: Sponsor Institution: Funder: IRAS number: Chief Investigator: NIHR CRN Portfolio Status: Intending to apply for adoption/Portfolio Adoption confirmed Non-portfolio/not eligible KCH Principal Investigator: KCH Research Delivery Unit: KCH Research (Location within KCH that will take Delivery Sub-Unit responsibility for the study) (where applicable) Educational study? University: Yes Academic supervisors: Course/qualification: KCH Location: Denmark Orpington PRUH Hill (Check Box) Beckenham Queen Mary’s, Beacon Sidcup SYNOPSIS: Provide a brief 1-2 paragraphs lay summary overview of the project 1. RECRUITMENT: a) How many participants do you aim Denmark Orpington: PRUH: Beckenham: Queen Mary’s: to recruit at KCH sites? Hill: (Add total to boxes on right Please do not enter a range, but the maximum number you intend to recruit which will be entered into the study agreement, where applicable) Denmark Orpington: PRUH: Beckenham: Queen Mary’s: Hill:
Feasibility Checklist To be used for the departmental feasibility review of new studies. Please answer all questions below. All forms should be reviewed by a Research Facilitator before authorisation by the PI and R&I Lead. Date of completion: ________________ Title: Short Title/Acronym: Sponsor Institution: Funder: IRAS number: Chief Investigator: NIHR CRN Portfolio Status: Intending to apply for adoption/Portfolio Adoption confirmed Non-portfolio/not eligible KCH Principal Investigator: KCH Research Delivery Unit: (Location within KCH that will take responsibility for the study) KCH Research Delivery Sub-Unit (where applicable) Educational study? Yes University: Academic supervisors: Course/qualification: KCH Location: (Check Box) Denmark Hill Orpington PRUH Beckenham Beacon Queen Mary’s, Sidcup SYNOPSIS: Provide a brief 1-2 paragraphs lay summary overview of the project 1. RECRUITMENT: a) How many participants do you aim to recruit at KCH sites? (Add total to boxes on right Please do not enter a range, but the maximum number you intend to recruit which will be entered into the study agreement, where applicable) Denmark Hill: Orpington: PRUH: Beckenham: Queen Mary’s: Denmark Hill: Orpington: PRUH: Beckenham: Queen Mary’s: Trial
mi%20-%20132.4%20-%20feasibility%20proforma.docx