Future trends If there is one guaranteed thing in today's world it's uncertainty, change and unpredictability. We're in a “a rising tide” of change and a “deluge of discovery” driven by economic, demographic, social, scientific and other factors. Our report explores the challenges medical research charities face and uncovers some of the excellent ways they are taking the initiative and adapting to the changing environment around them. The report and its accompanying scorecard aims to help charities reflect on their preparedness for future challenges. Please email our communications manager, Leo if you would like a PowerPoint slide summary of the report.