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Researcher Guidance for Public Health ETC


01 December 2018


v5 June 2022


Managing Excess Treatment Costs (ETC) for Research into Public Health and Social Care Interventions Commissioned by Non-NHS Organisations in England


The Department of Health and Social Care (DHSC) and NIHR are piloting interim arrangements to support non-NHS excess treatment costs for research into public health and social care (non-NHS intervention costs). This replaces the previous arrangements for supporting public health intervention costs managed by Public Health England (PHE).

Whilst it is expected that as a matter of principle the organisation responsible for commissioning the service being researched should pay intervention costs or provide equivalent resources, where this has not been possible public health and social care research studies funded by non-commercial funders may be eligible for support from DHSC.

Researchers who are undertaking research in public health and/or social care in England that is funded non-commerically and who are seeking funding for excess treatment costs (ETCs) should contact in the first instance.

For the purposes of this guidance, non-NHS excess treatment costs are considered as Non-NHS intervention costs; interventions or services that are outside of the remit of the NHS (generally Local Government commissioned) and not covered by existing arrangements for payment by clinical service commissioners.

The role of the NIHR Local Clinical Research Network (LCRN)

Support with the submission of the full funding application

The research lead will need to make contact with the LCRN when the research funder has invited them to submit a full funding application. A lead LCRN based in the study lead’s geographical area will provide support for multicentre studies.

The LCRN will support the research sponsor with the completion of the Schedule of Events Cost Attribution Tool (SoECAT). The SoECAT captures details of the activities undertaken in the research study to allow cost attribution. It must be signed off by the AcoRD specialist and submitted alongside all applications for new single stage calls and invitations to submit a final application that are issued after 1st October 2018.

Support when funding has been awarded

When research funding has been awarded the LCRN can help with inclusion of the research onto the NIHR portfolio and arrange for provision of ongoing support in line with DHSC eligibility criteria.

For public health research studies, the LCRN will utilise the ETC Triage process to confirm the commissioning organisation(s) that would be responsible for the payment of the ETCs identified in the SoECAT.

Useful links

SoECAT templates