How we are managed

Our work is directed by the Chief Scientific Adviser at the Department of Health and Social Care (DHSC) and by the Senior Management Team of DHSC's Science Research and Evidence Directorate.

DHSC contracts directly with seven coordinating centres  which oversee our day-to-day operations. It also contracts with the Dean of the NIHR Academy, the National Director for Dementia Research, the National Director for Patients, Carers and the Public, and the Research Programme Directors. Local Clinical Research Networks are contracted to DHSC but managed through the Clinical Research Network Coordinating Centre. DHSC is advised by members of the NIHR Strategy Board

 governance and advisory structure diagram

The Centres Executive Board is the body for decision-making and oversight for certain cross-NIHR initiatives and projects. The establishment of the Board recognises the NIHR Centre Directors as part of the 'executive team' that is leading the NIHR at national level and that has decision-making authority in conjunction with the Senior Management Team of DHSC's Science Research and Evidence Directorate. 

Members of CEB, the Dean of the NIHR Academy, the National Director for Dementia Research, the National Director for Patients, Carers and the Public, and the Research Programme Directors are all represented on the NIHR Strategy Board. Their relationship with DHSC is therefore advisory as well as contractual.

The NIHR is a whole health research system and has a widely distributed structure. It covers all health and care research areas - look up NIHR in your area by specialty.