Healthy volunteers

If you are healthy, do not have a current condition and are not being seen by an NHS doctor, you can still contribute to research.

Our state-of-the-art clinical research facility (CRF) at Hammersmith Hospital carries out studies that include healthy volunteers as well as NHS patients. Healthy volunteers are people who are interested in taking part in, and contributing to research, but who do not have a current condition and are not being seen by an NHS doctor.

If you decide to join our healthy volunteers’ panel, we will contact you if a study comes up that you are eligible to join. There is no obligation to take part and you can remove your name from the panel at any time. If you are enrolled in a study, we will pay you for your time.

Complete the form below if you would like to join the CRF healthy volunteers’ panel. Once we’ve received your completed form, we will review it and you may be invited to the CRF for screening tests. This is to ensure that potential volunteers do not have a healthcare condition they are unaware of and are truly in good health.

Screening tests may include:

• Measuring your height, weight, blood pressure and pulse
• Blood tests to check your liver, kidneys, thyroid and cholesterol levels (for anaemia or diabetes)
• An electrocardiogram (ECG) to look at how healthy your heart is
• A urine screening test
• A breath test to measure levels of alcohol in your blood

Find out more about studies which are recruiting healthy volunteers.

Please be aware that Imperial CRF is located in West London, and there may be CRFs that are closer to you that are more suitable. A list of all NIHR funded research facilities in the UK can be found here. 

If you have any questions about becoming a healthy volunteer, or you would like help to complete the form, please call 020 3313 8070 Monday to Friday between 08.00 and 17.00. Or you can email: imperial.crf@nhs.net.

About you

Name Email address Telephone number Date of birth Gender male female Prefer not to say Height (please include units): Weight (please include units): Do you smoke? yes no Are you on any long-term regular medications? yes no

If yes, please enter their names

Your ethnicity White British White other Black British Black African Black Caribbean Black other Asian British Asian Indian Asian Pakistani Asian Bangladeshi Asian other Chinese Mixed Other

Other, please state

Where did you hear about us? MetroEvening Standard Other Newspapers Spotify Facebook Twitter Radio Trainbus Online Fairs Mail out Word of mouth Posters Other

Other, please state

Consent

With your permission, we will retain the above information in the Imperial CRF for an indefinite period of time.

We will keep the information secure and treat it as confidential, so it will only be accessible to authorised staff, and researchers that are affiliated with the CRF.

We will use this information to assess your suitability for research studies and to contact you about them.

For more information about how we may use your data, please read our privacy statement at: http://imperial.crf.nihr.ac.uk/patients-public/.

If you wish to withdraw your consent to us using this information, you can do so at any time, and this does not mean you can’t participate in current or future studies.

However once we have deleted your records, we will no longer be able to contact you about future research studies.

To withdraw your consent, simply email chris.rubery@nhs.net making it clear that you wish to have your details removed from the healthy volunteer database.

All questions are optional except your name and one form of contact, however by providing other information we will be better able to identify more suitable studies for you.

Please tick the box to indicate that you have read the above information, and you consent to us processing your information as described above and in the privacy statement.

I confirm my consent