Podcast
Questions and Answers
What is one of the main objectives of the internal audit at Brunel University London?
What is one of the main objectives of the internal audit at Brunel University London?
- To promote innovation in tissue research
- To increase the number of human tissue samples processed
- To ensure compliance with external funding regulations
- To determine whether the tissue is covered by the license (correct)
Which of the following is NOT an objective of the internal audit procedure?
Which of the following is NOT an objective of the internal audit procedure?
- Identify problems and suggest solutions
- Develop new protocols for tissue research (correct)
- Ensure SOPs are being followed
- Ensure that essential documentation is held
The internal audit aims to protect which aspect related to staff at Brunel University London?
The internal audit aims to protect which aspect related to staff at Brunel University London?
- The health and safety of staff (correct)
- The financial investments of the department
- The effectiveness of the marketing strategy
- The approval processes for research
Which aspect is ensured through the internal audit process regarding human tissue handling?
Which aspect is ensured through the internal audit process regarding human tissue handling?
What is expected of staff involved in the handling of human tissue according to the internal audit objectives?
What is expected of staff involved in the handling of human tissue according to the internal audit objectives?
What was one of the main reasons for the introduction of the Human Tissue Act 2004?
What was one of the main reasons for the introduction of the Human Tissue Act 2004?
What did the Redfern report recommend regarding the collection of organs?
What did the Redfern report recommend regarding the collection of organs?
Which of the following is NOT a role held by Dr. Hassan Khonsari?
Which of the following is NOT a role held by Dr. Hassan Khonsari?
What is one of the key focuses of the Human Tissue Act 2004 in Scotland?
What is one of the key focuses of the Human Tissue Act 2004 in Scotland?
What type of support was recommended for trusts according to the Redfern report?
What type of support was recommended for trusts according to the Redfern report?
What societal issue prompted the review of the coroner's system as per the Redfern report?
What societal issue prompted the review of the coroner's system as per the Redfern report?
What does the Human Tissue Act 2004 require of researchers?
What does the Human Tissue Act 2004 require of researchers?
What historical event significantly influenced the creation of the Human Tissue Act 2004?
What historical event significantly influenced the creation of the Human Tissue Act 2004?
What is the primary function of the Human Tissue Authority (HTA)?
What is the primary function of the Human Tissue Authority (HTA)?
Which of the following activities is NOT covered by the Human Tissue Act 2004?
Which of the following activities is NOT covered by the Human Tissue Act 2004?
What is the purpose of the legislation regarding human tissue for DNA analysis in the UK?
What is the purpose of the legislation regarding human tissue for DNA analysis in the UK?
Who holds the licenses for research involving human tissue?
Who holds the licenses for research involving human tissue?
What types of material can be stored under the Human Tissue Act without specific ethical approval?
What types of material can be stored under the Human Tissue Act without specific ethical approval?
What is a Designated Individual (DI) in the context of the Human Tissue Act?
What is a Designated Individual (DI) in the context of the Human Tissue Act?
Which of the following is true regarding the storage of human tissue?
Which of the following is true regarding the storage of human tissue?
Which regulation governs establishments that require a license for human application of tissues?
Which regulation governs establishments that require a license for human application of tissues?
What is the role of the Designated Individual (DI)?
What is the role of the Designated Individual (DI)?
Who currently holds the research license at Brunel University London?
Who currently holds the research license at Brunel University London?
What must be true for a research license to not be required when holding relevant material?
What must be true for a research license to not be required when holding relevant material?
Under which condition is a license not required for transferring tissue?
Under which condition is a license not required for transferring tissue?
What is a situation where a license is not needed due to the age of the donor?
What is a situation where a license is not needed due to the age of the donor?
Which individuals are designated persons (PDs) for the research license?
Which individuals are designated persons (PDs) for the research license?
What is required for all relevant samples at Brunel University London?
What is required for all relevant samples at Brunel University London?
What is the requirement for processing to render acellular in terms of time?
What is the requirement for processing to render acellular in terms of time?
What is required to hold relevant material for research under the Human Tissue Act?
What is required to hold relevant material for research under the Human Tissue Act?
Which of the following qualifies as bodily material under the Human Tissue Act?
Which of the following qualifies as bodily material under the Human Tissue Act?
What type of consent is needed when holding bodily material intended for DNA analysis?
What type of consent is needed when holding bodily material intended for DNA analysis?
Which of the following statements about cell lines is true?
Which of the following statements about cell lines is true?
What is considered as relevant material under the Human Tissue Act?
What is considered as relevant material under the Human Tissue Act?
Which of the following types of samples does NOT require consent under the Human Tissue Act?
Which of the following types of samples does NOT require consent under the Human Tissue Act?
Which material is explicitly excluded from being classified as bodily material?
Which material is explicitly excluded from being classified as bodily material?
What defines primary human tissue according to the Human Tissue Act?
What defines primary human tissue according to the Human Tissue Act?
What does appropriate consent ensure in research involving living or deceased individuals?
What does appropriate consent ensure in research involving living or deceased individuals?
Which statement best describes the process of consent?
Which statement best describes the process of consent?
What is required for human tissue research conducted by Brunel University staff?
What is required for human tissue research conducted by Brunel University staff?
What does anonymisation mean in the context of the Human Tissue Act 2004?
What does anonymisation mean in the context of the Human Tissue Act 2004?
What must be displayed in areas where work with Human Tissue is undertaken?
What must be displayed in areas where work with Human Tissue is undertaken?
What documentation is essential for HTA activities at Brunel University?
What documentation is essential for HTA activities at Brunel University?
Which of the following is NOT a requirement for handling human tissue at Brunel University?
Which of the following is NOT a requirement for handling human tissue at Brunel University?
What is a key aspect of Standard Operating Procedures (SOPs) for working with human tissue?
What is a key aspect of Standard Operating Procedures (SOPs) for working with human tissue?
Flashcards
What is the HTA?
What is the HTA?
The Human Tissue Act 2004 created the Human Tissue Authority (HTA) to oversee the ethical use of human tissue in the UK.
What does the HTA do?
What does the HTA do?
The HTA licenses organizations that store and use human tissue for various purposes, including research, treatment, post-mortem examinations, teaching, and public exhibitions.
What are the HTA's goals?
What are the HTA's goals?
The HTA aims to establish clear and reasonable standards for using human tissue, ensuring both public and professional confidence.
What specific activities does the HTA regulate?
What specific activities does the HTA regulate?
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What is 'relevant material' in the context of the HTA?
What is 'relevant material' in the context of the HTA?
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How does the HTA regulate research using human tissue?
How does the HTA regulate research using human tissue?
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What is 'human application' in the context of the HTA?
What is 'human application' in the context of the HTA?
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What is a Designated Individual (DI)?
What is a Designated Individual (DI)?
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What was the catalyst for the Human Tissue Act?
What was the catalyst for the Human Tissue Act?
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What does the HTA aim to do?
What does the HTA aim to do?
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What does the HTA regulate?
What does the HTA regulate?
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What's the importance of consent in the HTA?
What's the importance of consent in the HTA?
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What's the ethical principle behind the HTA?
What's the ethical principle behind the HTA?
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What are the HTA requirements for researchers?
What are the HTA requirements for researchers?
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What was the Redfern report and its impact?
What was the Redfern report and its impact?
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How does the HTA apply in Scotland?
How does the HTA apply in Scotland?
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Internal Audit
Internal Audit
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Documentation Compliance
Documentation Compliance
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SOP Compliance
SOP Compliance
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Audit Trail for Tissue
Audit Trail for Tissue
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Staff Training and Experience
Staff Training and Experience
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Relevant Material (HTA)
Relevant Material (HTA)
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Bodily Material (HTA)
Bodily Material (HTA)
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Research License (HTA)
Research License (HTA)
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Anatomy License (HTA)
Anatomy License (HTA)
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Consent in Research (HTA)
Consent in Research (HTA)
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Cell Line (HTA)
Cell Line (HTA)
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Primary Cells (HTA)
Primary Cells (HTA)
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Established Cell Line (HTA)
Established Cell Line (HTA)
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Designated Individual (DI)
Designated Individual (DI)
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Persons Designated (PDs)
Persons Designated (PDs)
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Research License
Research License
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Ethics Approval
Ethics Approval
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Acellular material
Acellular material
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Very Old Samples
Very Old Samples
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Transferring Tissue
Transferring Tissue
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Central Database
Central Database
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What is appropriate consent?
What is appropriate consent?
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What does anonymization mean?
What does anonymization mean?
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What research at Brunel University requires ethical approval?
What research at Brunel University requires ethical approval?
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What is a College Research Ethical Committee (CREC)?
What is a College Research Ethical Committee (CREC)?
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What is the function of the University Research Ethics Committee (UREC)?
What is the function of the University Research Ethics Committee (UREC)?
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What are the practicalities of working with human tissue?
What are the practicalities of working with human tissue?
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What is the HTA license?
What is the HTA license?
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What are Standard Operating Procedures (SOPs)?
What are Standard Operating Procedures (SOPs)?
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Study Notes
Human Tissue Act 2004
- The Human Tissue Act 2004 was created in response to a media storm in the late 1980s and early 1990s concerning the ethical use and storage of human tissue.
- This led to a significant decline in public confidence in medical research.
- The Act aims to protect public confidence by licensing organizations that store and use human tissue.
- The Act covers the use of tissue from deceased and living individuals in England, Wales, and Northern Ireland.
- The law is also applicable to DNA analysis and is consistent across the UK.
Human Tissue Authority (HTA)
- The HTA is a regulatory body established by the Act, overseeing the licensing of tissue-handling organizations.
- The HTA sets clear and reasonable standards for the storage and use of human tissue, with codes of practice for public and professional confidence.
- The HTA licenses organizations handling and storing material.
Activities Covered by the HTA
- Anatomical examinations
- Post-mortem examinations
- Removal of tissue from deceased individuals (except in specific, ethically approved projects)
- Storage of relevant material from deceased individuals (except in specific, ethically approved projects)
- Storage of anatomical specimens
- Storage of material from living individuals for research (except in specific, ethically approved projects)
- Human application (licensing under specific regulations)
- Public display of deceased individuals' remains or materials
Exceptions to Licensing Requirements
- No license is needed for relevant material being held for an ethically approved study, provided the ethics approval comes from an NHS Research Ethics Committee. In this case, a university ethics committee's review is inadequate (for licensing).
- No license is needed if the relevant material is only held for a brief period (hours to a week) prior to transfer to another establishment.
- No license is required for material from a donor who died over a century ago.
Relevant vs. Bodily Material
- Relevant material: any tissue or sample consisting of or including human cells.
- Bodily material: any material from a human body that consists of or includes human cells. DNA itself is not considered bodily material.
Cell Lines
- Primary human tissue and cells are considered relevant material if directly taken from a person.
- Cell lines created from the expansion of primary cultures are not considered relevant material since they are created outside the human body.
- Storage of pre-existing cell lines doesn't require an HTA license.
Consent
- Appropriate consent is essential for using and storing relevant material from both living and deceased individuals, particularly for research or anatomical study.
- Consent is also required if the intent is to analyze the DNA of bodily material.
- Consent is a process, not just a signature on a form.
Anonymisation
- Anonymization ensures that researchers cannot identify donors, and, in the future, donor identification is likely to become impossible.
Research Ethics Approval
- All research involving human participants, data, or use of organs/tissue within Brunel University London requires ethics approval.
- This approval can be granted by the local College Research Ethics Committee (CREC) or, in all human tissue cases, the University's Research Ethics Committee (UREC).Â
Compliance with the Act at Brunel
- Clear display of HTA license within all relevant areas
- Established procedures (SOPs)
- Dedicated risk assessments
- Qualified individuals (DIs/PDs)
Risk Assessments
- Handling of bodily fluids/blood-borne pathogens/vaccinations
- Labelling and storage of samples; traceability
- Equipment maintenance/backup (e.g. freezers)
- Security of samples
- Adverse events/errors logging procedures
Offences Under the Act
- Removing, storing, or using relevant material without proper license
- Carrying out licensable activities without license.
- Failing to document procedures.
- Storing material with intent to analyze DNA without consent.
Ensuring Compliance at Brunel
- Internal audit processes to ascertain compliance with regulations and guidelines
- Procedures for handling, processing, and disposing of tissue samples
- Ensuring appropriate staff training and qualification
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