Multi Factor Authentication in Clinical Trial Databases

Interested to know how academic trial units based within NHS trusts or arms length NHS bodies are interpreting the NHS England Multi Factor Authentication Policy and its application to clinical trial databases, and also what MHRA expectations are around MFA for clinical trial databases.
[URL="https://digital.nhs.uk/cyber-and-data-security/guidance-and-assurance/multi-factor-authentication-mfa-policy/nhs-england-multi-factor-authentication-policy"]NHS England: multi-factor authentication (MFA) policy - NHS England Digital[/URL]

Thank you