EDITIONEN·FR·ქართ

Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Occupations and Terms of Reference › Clinical trials manager

Universal terms of reference · POS-222 · version 1.0 · status: draft · next review 2027-10-27

Clinical trials manager

To manage clinical trials, so that they are delivered on time, to good clinical practice, and with safety and data quality at the centre.

Each part of this page links to the related trainings, competencies and policies. The links are the same for every facility, so an organisation can see at a glance what a role requires and what it is trained in.

Job description

Job summary. You manage the trials programme. You plan trials, manage budgets and timelines, oversee monitoring, and make sure trials meet regulatory and ethical standards.

Reports to: Director of research.

Leads or supervises: Clinical trials coordinators and clinical researchers.

What you do on a typical day

Working conditions and demands

What good looks like

Place in the organogram

Reporting line, from the top: see the organogram on the Occupations page. The lines above and below this role are listed in section 3.

1. Golden rules

These rules apply in every setting.

2. Identification

Item Detail
Position code POS-222
ISCO-08 1223 (skill level 4)
ESCO to map
Department Education and research
Facility types Hospital, Ambulatory, Transport, Medevac, Fitness, Aesthetic

3. Reporting line and working relationships

Reports to: POS-220. Supervises: .

Works with Nature of the relationship
Director of research Trial portfolio.
Clinical trials coordinator Trial files and product.
Chief pharmacist Investigational medicines.

4. Key accountabilities

Domain Accountability Evidence of delivery Checked Linked competencies Linked trainings Linked policies Standards
Delivery Delivers trials to timelines and budgets. Milestones met 90% or more Monthly C-01 T-06 – 2
Monitoring Closes monitoring findings on time. Findings closed within agreed time Quarterly C-02 T-04 POL-DATA 2
Compliance Keeps trials compliant with regulation and ethics. No critical findings at inspection Quarterly C-03 T-05 POL-INC 2

5. Decision rights

The post holder decides Consults or escalates
Trial sequencing within the protocol Serious non-compliance or safety concerns (director of research and CQO)
Monitoring schedules Trial suspension decisions (director of research and sponsor)

6. Qualifications and experience

ID Qualification Mandatory Validity
Q-01 Degree in health sciences or a related field Yes Lifetime
Q-02 Good clinical practice certificate Yes Lifetime
ID Experience Minimum years Mandatory
E-01 Clinical trials management experience 5 Yes

7. Training requirements

Recommended common practice. Each facility adapts the list to its national law. Essential items apply in every setting; recommended items apply where resources allow.

ID Training Tier When Validity Linked policies Linked competencies
T-01 Facility induction essential at_entry Once POL-WHISTLE · POL-EQUAL · POL-DATA –
T-02 Safeguarding adults essential periodic Every 3 year(s) POL-SAFEG –
T-03 Safeguarding children essential periodic Every 3 year(s) POL-SAFEG –
T-04 Data protection and confidentiality essential annual Every 1 year(s) POL-DATA C-02
T-05 Incident reporting and open disclosure essential periodic Every 2 year(s) POL-INC C-03
T-06 Governance, accountability and assurance recommended periodic Every 3 year(s) – C-01
T-07 Emergency and major incident command essential annual Every 1 year(s) POL-INC –
T-08 Speaking up, inclusion and equality leadership essential periodic Every 2 year(s) POL-WHISTLE · POL-EQUAL –

8. Health, fitness and language

ID Requirement Frequency Tier Minimum in low-resource settings
H-01 Immunity to vaccine-preventable diseases relevant to the setting, documented at entry At entry or as set essential Documented hepatitis B status at entry
H-02 Tuberculosis screening at entry, then as the national rule requires At entry or as set essential Symptom screening at entry and after exposure
H-03 Fitness-to-work assessment at entry and after serious illness or injury Every 12 months recommended Fitness check at entry
Language Level Mandatory
Official language of the country of practice professional Yes
English working Yes

9. Competencies by level

ID Competency Foundation Practitioner Expert Assessed by Revalidate Linked trainings
C-01 Trial planning and delivery Follows trial plans Manages a trial Designs trial portfolios Trial review Every 12 months T-06
C-02 Monitoring and findings Supports monitoring Leads monitoring visits Designs monitoring systems Monitoring audit Every 12 months T-04
C-03 Regulatory and ethics compliance Knows the rules Manages compliance Designs compliance systems Compliance audit Every 12 months T-05

10. Performance evaluation

ID Indicator Target Data source Frequency
PI-01 Milestones met 90% or more trial tracker Monthly
PI-02 Monitoring findings closed on time 100% findings tracker Quarterly
PI-03 Critical findings at inspection 0 inspection log Quarterly

11. Career ladder and promotion

Level Role Minimum experience to move on Qualifications Competency minimums Trainings required Assessment
Executive Clinical trials manager 5 years (recommended) Q-01, Q-02 C-01 expert, C-03 practitioner T-05 · T-06 Executive appointment and performance review

12. Policies the post holder follows

Each policy is a standard template that the facility adopts and adapts. Templates are maintained centrally, so every facility works from the same version.

POL-SAFEG · Safeguarding adults and children
Purpose: Protect patients from abuse, neglect and harm, and make sure every concern is recognised and acted on.
Scope: All staff, volunteers and contractors.
Key rules:
  • Recognise signs of abuse and neglect and record them factually.
  • Report every concern to the designated safeguarding lead the same shift.
  • Do not investigate alone.
  • Share information only as the safeguarding procedure allows.
Linked trainings: T-08 · T-09 · Review every 12 months · Template 0.1 (draft)
POL-DATA · Data protection and confidentiality
Purpose: Keep patient and staff information private, secure and used only for care and legal purposes.
Scope: All staff who access records or systems.
Key rules:
  • Access only the records needed for your work.
  • Keep records secure; do not leave screens or paper unattended.
  • Do not share information without a lawful basis.
  • Report any breach to the data protection officer within 24 hours.
Linked trainings: T-10 · Review every 12 months · Template 0.1 (draft)
POL-WHISTLE · Speaking up (whistleblowing)
Purpose: Let staff raise patient safety or conduct concerns without fear of reprisal.
Scope: All staff.
Key rules:
  • Raise a concern with your line manager or the named speaking-up officer.
  • If that route fails, escalate to the board or the national regulator.
  • Retaliation against anyone who speaks up is a disciplinary offence.
  • Concerns are recorded, investigated and the outcome given to the person raising them.
Linked trainings: T-01 · Review every 12 months · Template 0.1 (draft)
POL-EQUAL · Equality, diversity and inclusion
Purpose: Give every patient and colleague fair access, respectful treatment and reasonable adjustments.
Scope: All staff and patients.
Key rules:
  • Treat every person with dignity regardless of background.
  • Make reasonable adjustments, including interpreters, for language and disability.
  • Report discrimination through the speaking-up route.
  • Monitor access and outcomes by group.
Linked trainings: T-01 · Review every 24 months · Template 0.1 (draft)
POL-INC · Incident reporting and open disclosure
Purpose: Report and learn from incidents and near misses, and tell patients honestly when things go wrong.
Scope: All staff.
Key rules:
  • Report every incident and near miss the same shift.
  • Give the patient and family an honest account and an apology where appropriate (open disclosure).
  • Take immediate action to protect others.
  • Learn: contribute to the review and follow the agreed actions.
Linked trainings: T-11 · T-05 · Review every 12 months · Template 0.1 (draft)

13. Standards that name this role

2

14. Record history

Date Change Approved by
2026-10-27 Draft record, batch 1 of the position build Awaiting approval

Back to all occupations · Health Occupations Map

© 2026 Accréditation Sans Frontières · PHIG · Sheni Network