The Research Excellence Framework (REF) is the UK-wide system used to assess the quality, impact and environment of research in higher education institutions. Its outcomes shape research funding, institutional priorities and the way academic careers are supported.
For aspiring clinical academics, understanding how the REF works can help you navigate academia more confidently and make strategic decisions about your research, collaborations and career development.
What is the REF?
The REF is a national assessment exercise led by the UK’s research funding bodies. Universities submit selected research for expert review, and the results are used to:
- allocate Quality-Related (QR) research funding
- demonstrate accountability for public investment in research
- benchmark research quality across institutions
- inform institutional research strategy, recruitment and promotion
Although individual researchers are not ranked, the REF has a significant influence on how research careers are recognised, resourced and progressed.
How REF 2021 assessed research
REF 2021 evaluated research across three core elements:
Research outputs (60%)
Research outputs included a wide range of scholarly and applied work, such as:
- peer-reviewed publications
- clinical trial reports
- translational and applied research
- health services or implementation research
- evidence syntheses, guidelines, software or datasets
Outputs were assessed on their originality, significance and rigour.
Research impact (25%)
Impact focused on the benefits of research beyond academia, including:
- changes to clinical practice, guidelines or policy
- improvements in patient outcomes or safety
- NHS service innovation or redesign
- public health and population-level benefits
Impact was evidenced through Impact Case Studies, demonstrating how research led to meaningful real-world change.
Research environment (15%)
This element assessed how well institutions support high-quality and sustainable research, including:
- research leadership and strategic vision
- training, mentorship and career development
- equality, diversity and inclusion
- support for clinical academic career pathways
- research infrastructure and NHS partnerships