What is a Research Ethics Committee (REC)?
A Research Ethics Committee (REC) is an independent committee that considers the ethics of applications to conduct health or social care research in the UK. The research proposals involve human participants, and most will take place within the NHS. The research proposal cannot proceed without the approval of the REC.
The key duty of a REC is to protect the safety, wellbeing and dignity of the research participants and the public whilst at the same time facilitating ethical research. The committee reviews research applications and gives an opinion on whether the research is ethical. REC members receive training in conducting an ethics review and have opportunities to debate challenging issues.
The Health Research Authority (HRA) is the appointing authority for RECs in England. RECs based in Scotland, Wales and Northern Ireland have different appointing authorities and their recruitment process for REC members might differ slightly. However, the information below is relevant to REC members in the UK.
Each REC has approximately 15 members. REC membership is made up of a variety of people who bring different skills and experiences. Some members have experience in delivering healthcare or social care, some have experience in conducting research and some have no experience in these fields at all. This is important to make sure that we have insight from different perspectives. Everyone’s view is equally important.
There are currently 87 RECs in the UK and 64 in England. Between them they review approximately 4,000 applications to carry out health or social care research each year.
The process of ethics review
This process involves ensuring that any research project should fairly balance the likely benefits to the participant, or society at large, against the burdens involved and any risk of harm or actual harm to those taking part. It also means ensuring that the research proposal itself is necessary, properly designed, supervised and conducted and that the outcome will answer the research question.
An extremely important part of this is ensuring that patients or other participants are not unfairly pressured into taking part and that they are fully informed about the project and what it will mean for them. Central to this is ensuring participants have appropriate information before they agree to take part in the study (informed consent). Members undertake ethical review in line with the Standard Operating Procedures for Research Ethics Committees and other national and international legislation and guidance, such as the Medicines for Human Use (Clinical Trials) (Amendment) Regulations 2025, Mental Capacity Act and the Human Tissue Act.
There are 2 categories of RECs in the UK:
- recognised RECs – can review all research applications including research involving the testing of new medicines (we call these CTIMPs)
- authorised RECs – review research applications excluding the testing of new medicines
Some RECs may also be flagged to review research in special areas, such as gene therapy, social care and phase 1 research in healthy volunteers.
REC meetings are held virtually by Zoom and are not held in public, although meetings may be attended by observers with an interest in the work of RECs.
Everyone who joins the service as a volunteer will be known as a REC member. To help us ensure that our meeting requirements are met, we allocate members an additional designation when they are, or have been, a healthcare or social care professional, or they are a lay member.
What is a lay designation?
A lay member is someone who has never been a healthcare or social care professional and has not been involved in conducting health or social care research.
Our lay members come from a wide range of professional backgrounds, for example, teachers, lecturers, students, solicitors, barristers, managers and administrative staff.
What is a healthcare designation?
The healthcare designation is allocated to REC members who are or have been UK registered healthcare professionals. Our definition of a healthcare professional reflects the definition in the Medicines for Human Use (Clinical Trials) (Amendment) Regulations 2025. A healthcare professional is:
- anaesthesia associates
- doctor
- dentist
- nurse or midwife
- pharmacist
- physician associates
- ophthalmic optician registered under section 7 of the Opticians Act 1989
- registered osteopath as defined by section 41 of the Osteopaths Act 1993
- registered chiropractor as defined by section 43 of the Chiropractors Act 1994
- a person registered by the Health Professions Council, which includes the following:
- art therapists
- chiropodists
- clinical scientists
- dieticians
- medical laboratory technicians
- occupational therapists
- orthoptists
- paramedics
- physiotherapists
- practising psychologists
- prosthetists and orthotists
- radiographers
- social workers in England
- speech and language therapists
What is a social care designation?
This is allocated to members when they are, or have been, a registered social care professional within the nation the REC they are joining is based.
Qualities required for the role of a REC member
To help you decide if you'd like to apply to be a REC member, please look at the criteria below that we use when assessing candidates. To be considered, you must be able to demonstrate that you have the qualities, skills and experience to meet these.
We are looking for people:
- with a strong personal commitment to the interests of patients who take part (or are asked to) in health and social care research
- with a strong personal commitment to ensuring the highest standards for health and social care research
- who can read, understand and analyse complex issues from research proposals and weigh up conflicting opinions
- who are able to take an objective stance, looking at a situation from several perspectives
- who are good communicators and confident to voice their opinions
- who are able to discuss issues with people who may not agree with them, including being able to influence others from a range of backgrounds
- who are able to contribute to the work of the REC
- who can be available monthly (approximately 10 meetings per year) with a commitment to attend at least 6 of the meetings
- who are available to undertake the review of low risk studies (Proportionate Review applications) and substantial modifications electronically on a rota basis (approximately 2 to 3 meetings a year)
- who understand the requirement for confidentiality
- who will take part in the induction training and equality, diversity and human rights training in the first year of membership and then complete at least 5 hours training per year to equip you to carry out your role
- who are IT literate and comfortable reviewing documents electronically. Access to a computer or tablet is desirable but if not, we can loan you a netbook to enable you to undertake REC work via email, Zoom and the member portal
Some questions you may have:
What kind of person would make a good REC member?
REC members have a very real interest in protecting patients' interests and in supporting health and social care research. They take a balanced view of the likely harms and benefits of a research project and are confident about expressing and supporting their own opinions, whilst also taking into consideration the opinions of colleagues on the committee. Members have the ability to understand the sometimes complex issues involved in reaching ethical decisions. They are flexible, have excellent communication skills and possess a desire to make a difference.
Who would I be representing?
Members of a REC do not represent any interest group. The mixture of members that makes up a committee give as wide a perspective as possible. Lay members will bring their own valuable perspective to the committee’s deliberations through a variety of experiences and reflect current public views and concerns. Members with experience as healthcare or social care professionals will bring to the discussion their knowledge and experience of working within the healthcare system and / or conducting research.
What experience should I have?
REC members come from all walks of life and bring differing experiences to the committees. It is not necessary to have been involved in committee work before, but some of our members have experience gained via involvement in business, industry, community groups, school representative bodies, voluntary organisations and charities. We will provide you with training to undertake the role.
What would I be expected to do?
REC members work as part of a committee, using their skills and personal experience to reach decisions about research applications. Prior to the meeting they read the meeting papers electronically via our member portal. At the meetings, the proposals will be discussed, and it may be possible to ask questions directly to the researchers, before a decision is taken by the committee. As the meeting papers are reviewed electronically, it is important that you are comfortable using a computer or a tablet to review the documents.
How much time is involved?
We ask our members to commit to 4 to 5 hours per month for each REC meeting, plus 5 to 6 hours reading in preparation for each meeting. There are usually 10 meetings of each committee each year, and we ask all members to commit to attending at least 6 of these. After 6 months as a member, we ask you to participate in the review of Proportional Review (PR) applications as part of a sub-committee. PR applications are low risk studies. You may also be asked to take part in modification sub-committees on a rota basis. The sub-committees review changes (modifications) to studies already given a favourable opinion. At the moment all meetings are being held online and our sub-committees held via HARP, our online platform.
Will I be able to carry out the role of a REC member alongside my current job?
Some employers allow REC members time to attend meetings, recognising this activity as professional development or supporting this activity under their corporate social responsibility. Many organisations appreciate the valuable work of committees, without which research in the NHS could not be carried out. Please check whether your organisation offers this support. We can send a letter to your employer asking them to support your application to join a REC, should this be helpful.
Most REC meetings are held during the day but we do have some meetings in the evening.
For healthcare professionals, REC membership is recognised as Continuing Professional Development (CPD) and can count towards Clinical Excellence Awards.
If you are not a healthcare professional, it is important to acknowledge the work you undertake and the skills you have developed because of being a REC member at your work appraisal.
Will I get paid for being a REC member?
This is a voluntary position, and does not accrue employment rights under employment legislation. You will not be paid for this role but the HRA will reimburse any travel costs or other agreed expenses, such as childcare, incurred whilst undertaking REC duties. All payments are made by BACS and in line with the HRA’s Committee Member Expense Policy.
If you are in receipt of certain state benefits you may wish to get independent advice about whether your planned involvement in our work affects your continued entitlement. We want to support people receiving benefits to take part in our work.
We may be able to adjust our offer to you, to comply with your benefit conditions if requested.
Who else is on a REC?
REC members include:
- general practitioners
- hospital medical staff
- lay people
- other health service professionals
- research professionals
- academics
Our membership includes people in all walks of life who are representative of the community and general population, whether employed, unemployed or retired.
Where will REC meetings be held?
All our REC meetings are held online and we will use your availability outlined in the application form to find you a REC that meets on a day and time convenient for you.
Once allocated a REC, we will send you a list of the meeting dates and times for you to add to your diary. However, our REC Directory lists all of our committees along with their meeting dates and time too. You can search for a specific committee or committees in a region.
What is the legal position of a REC member?
Any member acting responsibly within the committee is ‘indemnified’ by the HRA (or the appropriate appointing authority if you become a member of a committee based in Wales, Scotland or Northern Ireland). The indemnity provided will differ slightly across the UK but for members based in England, this means the HRA will protect members against civil action that might arise from the business of the committee. This is with the condition that the member informs the HRA and co-operates with them in respect of any claim made against them, and has not acted in bad faith, wilfully defaulted on their responsibilities or been grossly negligent.
How long would I serve?
Each term of appointment is generally 5 years. After your first term, and with the agreement of your appointing authority, you may serve a further term of up to 5 years. At the end of the second term and with the agreement of your appointing authority you can transfer to another REC. Members can resign at any point during their membership, but members can, and many do, stay on for a maximum of 10 years.
Who can I discuss this with in greater detail?
If you would like further information about REC membership, please contact the HRA member support team for committees based in England and the HCRW member support team for committees based in Wales.
Applicants often find it helpful to attend a REC meeting as an observer, to better understand how a REC works before applying. This can be arranged by contacting the member support Team using one of the email addresses detailed above.
How do I apply?
Please apply by completing our online application form.
If you’re shortlisted we will invite you to complete a short assessment and attend an interview.