Last Modified: 1:29pm 23/03/2022

Research and Development Contact Form

If you are a member of staff here at Milton Keynes University Hospital and you have a research idea or innovation idea you would like support with, please complete this form.

What is your research idea / innovation?* What is the intended use/purpose of your research idea / innovation?* What patient group or clinical area is your research suitable for?* Will it guide future clinical decisions?* -- Please Select -- Yes No Not Sure What is the current care for this patient group/ clinical area?* Are there any similar research/innovations that you are aware of?* -- Please Select -- Yes No Not sure If you answered yes, please include details of the research currently in progress Is it for in-house Trust use only or is this intended for a wider roll-out?* -- Please Select -- In-house only Wider roll-out Not sure yet Will your research idea or innovation use a medical device or investigational medicinal product?* -- Please Select -- Yes No Not sure If using a medical device, is this CE marked? -- Please Select -- Yes No Not using a medical device Is it a standalone medical device or software? -- Please Select -- Yes No Not sure Has funding been awarded for the research or are you intending to apply for research funding?* -- Please Select -- Funding has been awarded Intendingto apply for funding Not sure, need more infomration Email address* Phone number*