The same research proposal was submitted to 24 district health authori
ty (DHA) research ethics committees in different parts of the country.
The objective was to obtain permission for a multi-centre research pr
oject. The study of neonatal care in different types of unit (regional
, subregional and district), required that four health authorities wer
e approached in each of six widely separated health regions in England
. Data were collected and compared concerning aspects of processing, i
ncluding application forms, information required, timing and decision-
making. The key finding was that ethics committees received and proces
sed the applications variably, reflecting individual factors and local
problems. To improve consensus and facilitate multi-centre studies, s
tandard forms and instructions are suggested and the establishment of
a national committee or advisory group advocated.