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Developing the Next Generation of Clinical Trial Chief Investigators

12th October 2026

More than 50 delegates attended a workshop at the International Clinical Trials Methodology Conference (ICTMC) in Birmingham to explore how the UK can develop and sustain the next generation of Chief Investigators (CIs) for clinical trials.

Hosted by members of the UK Registered CTU Network’s Chief Investigator Network Group (CING), the session focused on the proposed Chief Investigators of Randomised Trials: Increasing Capacity And Leadership (CRITICAL) Scheme. The initiative aims to address a recognised gap in the clinical trials landscape: whilst clinical trials and Clinical Trials Units (CTUs) operate within well-established frameworks, there is currently no formal training pathway for Chief Investigators in the UK.

The need for future trial leaders is becoming increasingly important. Demand for both commercial and investigator-led trials continues to grow, clinical research is expanding across health and social care settings, and the range of professionals taking on leadership roles is widening. At the same time, the number of clinical academics in the UK is declining, creating concerns about future research capacity.

The workshop brought together representatives from the UK Registered CTU Network, NIHR and the Academy of Medical Sciences, alongside experienced Chief Investigators and other CTU colleagues. Delegates discussed a proposed leadership pathway that would provide structured development opportunities for aspiring CIs, including learning resources, leadership training, trial development experience and mentorship.

Developing the Next Generation of Clinical Trial Chief Investigators - ICTMC 2026 Speakers
Speakers (left to right): Katherine Dew, Kerry Hood, Katie Morris, Rustam Al-Shahi Salman, Holly Speight
Developing the Next Generation of Clinical Trial Chief Investigators - ICTMC 2026 Delegates
Lively discussion with Mentimeter at ICTMC 2026!

Feedback from the session demonstrated strong support for the initiative, with 95% of respondents agreeing that a scheme such as CRITICAL is needed. Delegates also offered valuable suggestions on accreditation, educational resources, continuing professional development and collaboration across the research community. Several attendees also volunteered to contribute to the scheme’s future development.

The next step will be to secure funding for the discovery phase of the project. In the meantime, the UK Registered CTU Network will continue to engage with Chief Investigators and other stakeholders to help shape the scheme and ensure it meets the needs of future trial leaders across the UK.


Find out more about CING’s remit and ongoing activities here.

Discover guidance and other useful resources for Chief Investigators here.

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