York Teaching Hospital NHS Foundation Trust provides a comprehensive range of acute hospital and specialist healthcare services for approximately 800,000 people living in and around York, North Yorkshire, North East Yorkshire and Ryedale - an area covering 3,400 square miles.
The Research & Development Office strive to increase the opportunities for patients and their families to be informed about, and involved in, our research and research processes.
The information on these pages will be relevant to York Hospital staff NHS Foundation Trust staff who are planning their own research study.
This section contains the Standard Operating Procedures (SOPs) and Guidance documents issued by the R&D Unit.
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SOPs and Guidance
All Pharmacy SOPs are scheduled for review every 3 years.
Users of the SOPs are reminded that all members of staff have a responsibility to identify changes in policy, legislation and procedures that affect SOPs and for bringing this to the attention of the SOP Controller. If any user identifies any Pharmacy SOPs that require review they should complete a review form and send this to the SOP Controller.
| Title | Number | Version number | Implementation date | Related SOP |
|---|---|---|---|---|
| Assessing an area for Investigational Medicinal Product Storage outside of Pharmacy | Pharm/F89 | 4.0 | 13th February 2023 | Pharm/S76 |
| Certificate of Destruction | Pharm/F44 | 6.0 | 13th February 2023 | Pharm/S57 |
| Clinical Trials Fridge/Freezer Cleaning Schedule | Pharm/F40 | 3.0 | 21st February 2024 | Pharm/S96 |
| Clinical Trials Monthly Stock Check Form | Pharm/F63 | 7.0 | 21st February 2024 | Pharm/S70 |
| Clinical Trial Patient Log | Pharm/F38 | 3.0 | 30th March 2022 | Pharm/S45 |
| Clinical Trials Temperature Logger Sign-Out Form | Pharm.F109 | 2.0 | 15th October 2024 | Pharm/S48 |
| Clinical Trials Training package & Competency Workbook | Pharm/F115 | 3.0 | 26th October 2021 | Pharm/S49 |
| Clinical Trials Prescription Risk Assessment Form | Pharm/F04 | 2.0 | 21st February 2024 | Pharm/S73 |
| Code Break Test Form | Pharm/F50 | 7.0 | 1st July 2025 | Pharm/S54 |
| Code Break Record Form | Pharm/F54 | 5.0 | 1st July 2025 | Pharm/S54 |
| Daily Clinical Trials Temperature Checks | Pharm/F108 | 4.0 | 15th October 2024 | Pharm/S48 |
| Deviation Assessment Form | Pharm/F107 | 3.0 | 26th July 2022 | Pharm/S104 |
| Expiry Date Re-Labelling Worksheet | Pharm/F117 | 4.0 | 7th July 2025 | Pharm/S51 |
| IMP Recall Test Form | Pharm/F49 | 7.0 | 18th June 2025 | Pharm/S58 |
| Introduction to Pharmacy Clinical Trials - Short course training package | Pharm/F116 | 2.0 | 26th October 2021 | Pharm/S49 |
| Master Label Form | Pharm/F33 | 6.0 | 21st February 2024 | Pharm/S105 |
| Master Label Amendment Form | Pharm/F34 | 50 | 21st February 2024 | Pharm/S105 |
| Contents of Pharmacy File | Pharm/F52 | 7.0 | 9th October 2024 | Pharm/S44 |
| Pharmacy Closedown Form | Pharm/F87 | 3.0 | 9th October 2024 | Pharm/S56 |
| Pharmacy Training Log | Pharm/F61 | 7.0 | 16th July 2025 | Pharm/S49 |
| Pharmacy Clinical Trials Maintenance Form | Pharm/F82 | 5.0 | 11th July 2023 | Pharm/S39 |
| Pharmacy Clinical Trials Monthly Dispensing Collection Sheet | Pharm/F24 | 2.0 | 22nd October 2025 | Pharm/S61 |
| Pharmacy Personnel Log | Pharm/F39 | 3.0 | 30th March 2022 | Pharm/sS45 |
| Pharmacy Clinical Trial Set Up Form | Pharm/F14 | 3.0 | 30th March 2022 | Pharm/S45 |
| Pharmacy Clinical Trials Wardlist Check Form | Pharm/F102 | 5.0 | 21st February 2024 | Pharm/S97 |
| Pharmacy Clinical Trials - Dispensing Errors Reporting Log and Codes | Pharm/F29 | 4.0 | 8th October 2024 | Pharm/S87 |
| Pharmacy Trial Instructions Version Control Form | Pharm/F35 | 2.0 | 21st February 2024 | Pharm/S44 |
| Quarantine Notice | Pharm/F42 | 8.0 | 7th October 2024 | Pharm/S59 |
| Quarantine Log | Pharm/F43 | 7.0 | 7th October 2024 | Pharm/S59 |
| Receipt and Review of Amendments in Pharmacy Form | Pharm/F94 | 5.0 | 9th October 2024 | Pharm/S79 |
| Record of Labels Printed | Pharm/F105 | 5.0 | 21st February 2024 | Pharm/S105 |
| Record of access to a clinical trial protocol and/or investigator brochure | Pharm/F111 | 4.0 | 21st February 2024 | Pharm/S106 |
| Temperature Excursion Record Form (Clinical Trials) | Pharm/F79 | 5.0 | 21st October 2025 | Pharm/S48 |
| Trial Drug Recall Summary Sheet | Pharm/F41 | 7.0 | 18th June 2025 | Pharm/S58 |
| Transfer of IMP from Pharmacy to a storage location outside of Pharmacy | Pharm/F91 | 4.0 | 13th February 2023 | Pharm/S76 |
| Clinical Trials Delivery Form | Pharm/F92 | 2.0 | 15th October 2024 | Pharm/S101 |
| Pharm/F84 | 2.0 | 8th September 2025 | Pharm/S101 |
| Title | Number | Version number | Implementation date | Related SOP |
|---|---|---|---|---|
| Final Check Checklist Template | Pharm/T43 | 3.0 | 8th October 2024 | Pharm/S50 |
| Additional Pharmacy Process SOP Template | Pharm/T16 | 2.0 | 14th February 2024 | Pharm/S50 |
| Clinical Trial Prescription Template | Pharm/T15 | 4.0 | 15th October 2024 | Pharm/S88 |
| Dispensing Instructions Template | Pharm/T42 | 4.0 | 16th July 2025 | Pharm/S50 |
| Pharmacy Invoice Template | Pharm/T14 | 7.0 | 10th October 2023 | Pharm/S42 |
| Template master accountability log (double blind trial) | Pharm/T36 | 4.0 | 14th February 2024 | Pharm/S103 |
| Template master accountability log (open label trial) | Pharm/T37 | 4.0 | 14th February 2024 | Pharm/S103 |
| Template participant specific accountability log | Pharm/T38 | 4.0 | 14th February 2024 | Pharm/S103 |
| Trial Stock Management Instruction Template | Pharm/T39 | 4.0 | 16th July 2025 | Pharm/S50 |
| Trial Details and Summary Template | Pharm/T40 | 4.0 | 16th July 2025 | Pharm/S50 |
| Trial Specific Pharmacy Monitoring Visit Form Template | Pharm/T53 | 3.0 | 7th October 2024 | Pharm/S76 |
1st April 2024 – 31st March 2025
York & Scarborough
86 research studies open to recruitment
5051 patients recruited into clinical trials
