• Andrew A Mallick and Finbar J K O'Callaghan.
• Bristol Institute of Child Life and Health, Academic Unit of Child Health, Level 6, UBHT Education Centre Upper Maudlin Street, Bristol BS2 8AE, UK.
• J R Soc Med. 2009 May 1; 102 (5): 195198195-8.

ObjectivesTo evaluate the delay in research governance approval for a non-interventional, multicentre study in the United Kingdom.DesignThe times taken from application to the granting of research governance approval for an observational study of childhood stroke with ethical approval were prospectively recorded.SettingNinety-two acute NHS Trusts in the United Kingdom. Main outcome measures Median delay (in working days) between application and research governance approval.ResultsThe median delay between application and research governance approval was 43 working days (interquartile range 27-62, range 0-147). The reason for delay beyond 43 working days was inexplicable in 30 (70%) of 44 trusts.ConclusionsThere is considerable variation in the processes undertaken by research and development departments that can lead to significant delays in commencing an ethically approved study. Any improvements to the systems for gaining approval are welcome.

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