Excess treatment costs for clinical research

Researchers applying for clinical research funding need to complete a Schedule of Events Cost Attribution Template (SoECAT) to be eligible for the National Institute for Health Research (NIHR) portfolio and the support this provides.

This change came into effect on 1 October 2018.

Who needs to complete a SoECAT

You must complete a SoECAT if:

  • you’re applying for clinical research funding
  • you will carry out your research in England
  • your research will use NHS England resources
  • your research requires Health Research Authority approval
  • you’re completing a full application for a funding scheme round that opened after 1 October 2018.

You must complete a SoECAT even if you don't think your clinical research will involve excess treatment costs (ETCs).

If you’ve already submitted your application, we’ll let you know if you need to complete a SoECAT.

You don't need to complete a SoECAT if:

  • you’re submitting a preliminary application, but you will if we invite you to complete a full application
  • you submitted a full application before 1 October 2018.

How to complete a SoECAT form

These are the steps you need to take when you apply for a Wellcome grant.

  • Complete a new form called a ‘Schedule of Events Cost Attribution Template (SoECAT)’, which you can download from the NIHR website.
  • Get your form signed off by a Local Clinical Research Network (LCRN) AcoRD specialist. You should contact your LCRN, which you can find on the NIHR website early as possible in the application process.
  • Send us the 'study information' and 'summary' pages from your SoECAT form as a single PDF with your completed grant application. We may ask for the full form later in the application process.
  • If we award you a grant you must tell your LCRN AcoRD specialist. Very expensive ETCs may need further assessment by an NHS panel.

Why you need to

Excess Treatment Costs occur when patient care costs are higher in research than in routine care.

For non-commercial research the NHS is responsible for these costs. In the past, research has been held up because of difficulties arranging for ETCs to be agreed and paid.

This has delayed research and the health improvements it can bring.

This new system is to simplify the process and payment of ETCs. It is being piloted from 1 October 2018 to April 2019. During the pilot the NIHR LCRNs will:

  • act as a single point of access for all applications which may involve ETCs
  • manage the ETC process on behalf of their local Clinical Commissioning Groups.

This should simplify the process for researchers and speed up ETC approval.

More information