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Four Nations and UKECA

Resource page

The Four Nations meeting is a discussion forum between the Health Research Authority (HRA), the Health and Social Care in Northern Ireland (HSC), the Chief Scientists Office in Scotland (CSO) and the Health and Care Research Wales.

A standing item at each Four Nations meeting is the review of any United Kingdom Ethics Committee Authority (UKECA) business. As detailed in the Medicines of Human Use (Clinical Trials) Regulations 2004, UKECA is the body responsible for establishing, recognising and monitoring ethics committees in the UK. Further information on UKECA’s responsibilities are available in the Medicines for Human Use (Clinical Trials) Regulations.

The Four Nations group is also responsible for considering ways to ensure there is compatibility in procedures and processes, where possible, across the four nations, including the collaboration and development programme of work.

The Four Nations meeting is held on a bimonthly basis. Meeting dates and minutes from previous meetings are available here:






For more information on the Four Nations meeting group, please contact Stephen Tebbutt, Head of Corporate Governance (stephen.tebbutt@nhs.net).