PIS-Adults

 

 

Introduction

 

The INVOLVE research database is a structured collection of biological and clinical data stored for potential research purposes, which allows analysis of data to answer research questions for multiple projects, for example, EMPOWER-2, EMPOWER-3 etc.

This research database aims to build data and information that can be used in research studies to help us better understand how the body works, develop ways of preventing illnesses, and find new ways to treat people when they are ill.

The INVOLVE research database has the ultimate aim of laying the foundations that may lead to improved healthcare for the broad range of people that make up our society.

A potential key success factor for this research database is whether it can recruit large numbers of people who are healthy and those that are unwell due to specific illnesses or diseases.

This is why we are inviting:

  1. People that are unwell or whose relative(s) are unwell with particular illnesses or diseases.
  2. Healthy people of different ages

Please read through this booklet and also the Participants Information sheet that has been written for your child (titled ‘Information for Parents and Legal Guardians of Children who are Eligible for Participation’).

Please take time to consider the invitation and ask us any questions.

 

 

What is the purpose of this Research database?

 

This research database focuses on “complex” diseases and illnesses that affect large numbers of people in the UK.

Different groups of people in our society are more likely to develop certain illnesses than others. It is thought that the reasons for this may be influenced by differences between people’s DNA.

The research programme consists of building a research database and also conducting a series of planned studies, where the ultimate goal is to improve care and outcomes of people with complicated illnesses and diseases.

This research database will form a resource for us to carry out research studies in the future that are designed to improve patient health and wellbeing.

 

What will the Research database do?

 

The medical information and DNA from different participants will be collected by authorised research personnel who understand that personal data must be kept private and confidential.

One of the methods used to protect a participant’s identity is by de-identification. This involves removal of personal information such as names, address, NHS number, and date of birth.

The collected medical information and records will be de-identified, as well as all biological samples, such as the saliva (spit). Once this is done, the de-identified information will be reviewed alongside information produced from analysing de-identified samples.

Scientists will try and find links between large groups (100’s-1000’s) of participants that have a particular illness or disease. DNA that is unique to a particular group will be compared to equally large groups of healthy participants. This will then allow scientists to carry out future studies to find ways of improving human health and wellbeing for people in the UK and beyond.

Given that only de-identified data will be used to produce research findings or results, it is not practical to link any finding or results back to any individual that participates in the research database. Therefore, there is no personal benefit to participants taking part. Instead, by joining the research database, each participant can help researchers try and find ways of helping others.

 

 

Enrolment and Participation Process

 

If you are happy to participate, you will be asked to confirm that:

  1. you have given your permission for you to participate by signing a “consent form”.
  2. As soon as you provide written consent, the researchers will ask you to provide a saliva (spit) sample where you will be asked to spit in a clean tube. If you have a scheduled or routine NHS phlebotomy appointment on that same day, then if you agree you can also have the nurse take an extra blood sample for Future Genetics.
  3. Medical records will be collected, analysed and stored for research purposes. However, your medical records will be accessed at a later date.

 

Collection and Use of Samples

 

Once samples have been collected from a participant, all samples will be de-identified prior to further analysis by researchers. Therefore, the identity of individual participants is unknown to researchers who carry out research using the de-identified samples and data.

DNA and other materials will be recovered from de-identified samples and then analysed.

Samples will be only used for research purposes.

All samples will be stored at the Future Genetics research laboratories that is a secure facility. The samples may be stored for a period of time that spans several years, so researchers can continue their work.

 

Extent of DNA and biological analysis

 

This is a research database that may support multiple research projects aimed at trying to improve care of people with complicated illnesses and diseases.

This research database wants to collect your DNA, which is something that is found in almost every single cell that makes up our bodies.

Our DNA is made up of thousands of sections or bits called genes. Genes contain “instructions” that, in combination with our environment, makes us what we are. For example, some people have genes that makes them have brown eyes. Other people may have different genes that give them blue eyes.

DNA Gene for eye colour Eye Colour
DNA contains all our genes Gene for eye colour controls what colour our eyes are Eye Colour of different people

DNA also contains other genes that, in combination with our environment, influence why certain medicines work in some people but not in others. Genes can also influence why only some people develop certain illnesses but others do not. We also know that differences in DNA found between genes can also affect health for some people.

We do not know the identity of all the bits of DNA that either control or influence whether a person will stay healthy or might get ill in the future.

Scientist are now starting to understand that there are a few people in our society that take medicines that do not work for them, and this might be due to small differences in their DNA compared to other people.

In order to try and find those DNA differences, we aim to look through all the DNA of different people.

The scientists want to look at each participant’s complete DNA code and medical records, and then compare that information to other people’s information.

By doing this, the scientists might be able to find a number of things such as:

  1. Designing special quick and easy tests that will tell each doctor which medicine to give to a person based on their DNA. This will hopefully mean that each person gets the right medicine for them.
  2. Using the information we find, we can try to make new medicines for different groups of people.

We hope this research database can support the planned research programme aimed at helping people in the future.

 

Collection and Use of Data

 

As explained above, Future Genetics will collect a saliva sample (and blood should you agree and are scheduled for a phlebotomy appointment) and also access your medical records. In order to protect your identity and privacy both your samples and medical records will be de-identified before any research analysis. Therefore, as already explained all of the studies research-findings are based on de-identified data.

However, when we collect your medical records (clinical reports), a copy of that information is left with your GP. The Clinical reports may be used by your GP when they manage your care

The research involves comparing de-identified medical information and records of a participant to the information that was obtained from the de-identified biological samples.

Once researchers have the results of any research database, they usually interpret those results and make a statement of what they mean (conclusion). This can then lead to them taking the next step to try and improve the healthcare of people.

Continued access to medical information will allow researchers to monitor and check the certainty of any conclusions made by researchers. The access to information may also help researcher make new discoveries in the future.

Each person’s medical records and history develops overtime. The researchers will therefore collect all previous and future medical records, unless the participant withdraws from the research database.

The type of information used in the research will include GP, clinic, hospital, social care, and dedicated databases that hold personal scientific or clinical data. This access is based on the need to confirm any link between the results seen from samples with different types of social or health information.

Information will be requested from the NHS (including your GP and hospitals that may have treated you) and other organisations that hold medical information. The information collected will include the treatments received as well as test results such as images, X-rays, or MRI scan results.

In order to receive copies of medical and health information from organisations holding the information, the researchers will need to provide a minimum level of information, such as the NHS number and date of birth, to obtain the correct records. The authorised researchers will only receive a copy of the information, and the original data will always be kept by the NHS or other organisation.

Similar to the collected samples, all medical information that is collected will be de-identified before any further analysis.

The data is kept safe and protected by Future Genetics, and they are responsible for ensuring that only authorised people can access it.

All the data from this project is owned by Future Genetics.

 

Privacy

 

If you decide to enrol, we will notify your GP/health professional.

The purpose of the research database is to collect and analyse data and samples from lots of different people.

Future Genetics is a research organisation that is committed to working closely with the NHS, British Universities, UK charities, partnerships, third party collaborators and organisations that provide technical services, both in the UK and abroad.

As already explained in this information sheet, only de-identified data will be used to carry out research after it has been collected. This applies to both our researchers and any person(s) from other organisations that are working with us to find solutions for better healthcare. We will be responsible for ensuring that only de-identified information can be accessed by our partners and collaborators.

A key aim of the research database is to collect and store new information that can be used in future research that helps people live better and healthier lives. One way to arrive at this goal quicker is to share research findings and results with other scientists and doctors.

We hope to share results from the de-identified data by supporting research studies that may lead to publishing reports in medical and scientific journals, and results being shared at medical/scientific conference and symposia events. The results from studies that have been supported by the INVOLVE research database will be published on the company website and social media platforms. This type of sharing can lead to other doctors and scientists to start trying to find newer ways of helping people.

The research may lead to discoveries that allow for development of new medicines, tests, and devices that can lead to better healthcare or other outcomes. However, it is also possible that we may not be able to achieve any of the above. However, without trying we will not know.

As is for all participants, there is no financial benefit or reward for you if this research database or any related research results in any advance including the development of new therapies or medical and scientific tests.

 

Sample and Data Management

 

The processing of biological and clinical data will be carried out by Future Genetics Limited, which is a UK based medical research organisation committed to improving health outcomes.

The samples and data will be securely stored at their business premises site. The research facilities have controlled access, are alarmed, with CCTV, and security patrols.

Electronic data will be encrypted and password protected at a level that is meets NHS standards.

All personnel handling data will be bound by robust confidentiality agreements and UK law that prevents unauthorised disclosure. All authorised staff handling sensitive information are made aware that any breach may be a criminal offence and can lead to a prosecution under UK Law. Further, the organisation(s) associated with a breach may also be held responsible. Therefore, the risk of any individual participant being identified has been notably reduced.

De-identified data and results will be used by authorised people from collaborating and partner organisations from the NHS, universities, UK charities, and other third-party organisations both in the UK and overseas.

Only selected de-identified information will be shared with our collaborators. Therefore, in the absence of personal information the identity of each participant can remain protected.

 

 

Access to Data

Medical and health data that is collected will be de-identified at the earliest opportunity. Once that has been done, your original data file collected and held by Future Genetics will be destroyed. However, where clinical audits are performed at NHS sites as part of collaborative research such as at your GP surgery or specialist NHS clinic, we will offer a copy of the original information to them.

Any research database results related to a particular person cannot be practically shared with that person or their doctor because the results are produced by looking at only de-identified data.

 

Life or health Insurance

 

This is a research database so it will not produce any diagnostic information for individual participants.

Once data has been collected it is de-identified at an early stage. The research database only uses de-identified data in further studies, and all reported data will always remain de-identified.

There is no relevant information available that can be shared with insurance companies because all the research finding will be based on de-identified data and information.

No insurance company will have any access to your personal information or data from this research database.

 

Future Engagement

 

We may contact your GP, clinic, or you to:

  1. Ask for further information or support
  2. Ask for feedback from you
  3. Invite you to take part in future studies

As is the case in all instances, it will be your decision if or how you respond.

 

Withdrawal

 

You can leave the Research database at any time, and you do not have to provide any reason for the decision.

In order to keep a record of the withdrawal you will be asked to complete a withdrawal form and return this to your GP or clinic doctor who is involved in this research database.

At the time of withdrawal, de-identified data may already have been used to carry out scientific and clinical research. It is not practical to discard research analyses that has already been carried out and then re-perform analyses in the absence of the withdrawing patient’s de-identified data. Therefore, withdrawal will only be applied to identifiable medical information and biological samples that have not been used in the research database.

The Withdrawal form will give you three choices:

  1. No new samples will be requested by researchers. Researchers will continue to update medical records by collecting and de-identifying new information in order to support ongoing research.
  2. New samples may be requested if needed for research, but medical records will not be used to updated for research purposes.
  3. No new samples or updates of medical information will be collected by researchers.

Once we receive the completed withdrawal form, you will be withdrawn from the research database as soon as possible.

 

Complaints Procedure

 

In the unfortunate event that you feel you are unhappy or dissatisfied with any aspect of the INVOLVE research database or the Future Genetics researchers, please contact our Chief Operating Officer at coo@futuregenetics.co.uk or call 0121 667 3007.

We take your complaints seriously, and this why the first person to formally address your complaint is a senior person in our organisation. They will take responsibility to resolve the matter.

 

 

Finally…

 

Thank you very much for taking time to considering whether you should take part in the research database.