The document outlines the essential steps for initiating research projects within the NHS, including determining if a project qualifies as research, the necessity for ethics approval, and the use of the Integrated Research Application System (IRAS) for registrations. It highlights the support offered by the Clinical Research Network (CRN), including training, resource identification, and performance management, as well as the Early Contact and Engagement with Researchers service to facilitate the research delivery pathway. Key contacts for further assistance are also provided, emphasizing the importance of early engagement with R&D departments and support teams.