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Large, single improvements are nice to have but rather rare. Marginal gains – small improvements to processes – start to add up if look across a whole system. Trial Forge aims to look across all trial processes with the intention of trying to improve them all, even if it’s just by a tiny amount, because these gains will start to add up when done across the whole trial system. A paper in Trials describing the Trial Forge approach is available at


Trial Forge is coordinated from the Health Services Research Unit at the University of Aberdeen ( by:
Azar Alexander-Sefre is a PhD student working on a project that aims to consider intersectionality, combine elements of the INCLUDE Frameworks and present these to trialists in a useful way. Azar’s profile is at

Hanne Bruhn, a Research Fellow working on, among other things the PRO EDI study. Hanne’s profile is at

Seonaidh Cotton, a trial manager working on, among other things the Trial Forge ESP2 study. Seaonaidh’s profile is at

Heidi Gardner
Heidi Green has worked on many Trial Forge projects including ORINOCO and STRIDE. Heidi was at the University of Aberdeen but now works for COUCH Health.

Magda Rzewuska Diaz, an advanced research fellow and lead for patient and public involvement and engagement, is interested in the fast and equitable implementation of effective interventions, and how public involvement in trials can support these objectives. Magda’s profile:

Shaun Treweek, who is leading Trial Forge and doing some other trial-related stuff, especially related to trial recruitment. Shaun’s profile is at
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