Human Tissue Act 2004 Overview

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Questions and Answers

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?

  • 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 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?

<p>An audit trail is in place from sample receipt to disposal (B)</p> Signup and view all the answers

What is expected of staff involved in the handling of human tissue according to the internal audit objectives?

<p>They must receive appropriate training and be experienced (B)</p> Signup and view all the answers

What was one of the main reasons for the introduction of the Human Tissue Act 2004?

<p>To restore public confidence in medical research after scandals. (D)</p> Signup and view all the answers

What did the Redfern report recommend regarding the collection of organs?

<p>An independent commission should oversee the return of retained organs. (B)</p> Signup and view all the answers

Which of the following is NOT a role held by Dr. Hassan Khonsari?

<p>Director of Medical Research (A)</p> Signup and view all the answers

What is one of the key focuses of the Human Tissue Act 2004 in Scotland?

<p>The use of tissue from the deceased. (D)</p> Signup and view all the answers

What type of support was recommended for trusts according to the Redfern report?

<p>Employment of bereavement counselors. (D)</p> Signup and view all the answers

What societal issue prompted the review of the coroner's system as per the Redfern report?

<p>Scandals related to organ retention. (A)</p> Signup and view all the answers

What does the Human Tissue Act 2004 require of researchers?

<p>Strict adherence to ethical guidelines in the use of human tissue. (A)</p> Signup and view all the answers

What historical event significantly influenced the creation of the Human Tissue Act 2004?

<p>The Alder Hey organ retention scandal. (D)</p> Signup and view all the answers

What is the primary function of the Human Tissue Authority (HTA)?

<p>To regulate human tissue storage and usage (A)</p> Signup and view all the answers

Which of the following activities is NOT covered by the Human Tissue Act 2004?

<p>Performing live surgeries using human tissue (B)</p> Signup and view all the answers

What is the purpose of the legislation regarding human tissue for DNA analysis in the UK?

<p>To ensure ethical standards in human tissue usage (B)</p> Signup and view all the answers

Who holds the licenses for research involving human tissue?

<p>Designated Individuals within institutions (A)</p> Signup and view all the answers

What types of material can be stored under the Human Tissue Act without specific ethical approval?

<p>Relevant material from both deceased and living persons (B)</p> Signup and view all the answers

What is a Designated Individual (DI) in the context of the Human Tissue Act?

<p>A person responsible for overseeing research licenses (B)</p> Signup and view all the answers

Which of the following is true regarding the storage of human tissue?

<p>Storage must comply with licensing conditions (B)</p> Signup and view all the answers

Which regulation governs establishments that require a license for human application of tissues?

<p>Human Tissue (Quality and Safety for Human Application) Regulations 2007 (C)</p> Signup and view all the answers

What is the role of the Designated Individual (DI)?

<p>To ensure compliance with the Act and license conditions (C)</p> Signup and view all the answers

Who currently holds the research license at Brunel University London?

<p>Dr. Hassan Khonsari (D)</p> Signup and view all the answers

What must be true for a research license to not be required when holding relevant material?

<p>The material is for an ethically approved study by an NHS Research Ethics Committee. (D)</p> Signup and view all the answers

Under which condition is a license not required for transferring tissue?

<p>When relevant material is only on premises for up to one week pending transfer. (B)</p> Signup and view all the answers

What is a situation where a license is not needed due to the age of the donor?

<p>When the donor's death occurred more than 100 years ago. (B)</p> Signup and view all the answers

Which individuals are designated persons (PDs) for the research license?

<p>Dr. Mathew Themis and Ms. Amelia Dingley (C)</p> Signup and view all the answers

What is required for all relevant samples at Brunel University London?

<p>They must be logged onto the central database. (D)</p> Signup and view all the answers

What is the requirement for processing to render acellular in terms of time?

<p>The relevant material must be processed within one week. (A)</p> Signup and view all the answers

What is required to hold relevant material for research under the Human Tissue Act?

<p>Research license (C)</p> Signup and view all the answers

Which of the following qualifies as bodily material under the Human Tissue Act?

<p>Tissue samples taken from deceased persons (C), Hair and nails from a living person (D)</p> Signup and view all the answers

What type of consent is needed when holding bodily material intended for DNA analysis?

<p>Written consent (D)</p> Signup and view all the answers

Which of the following statements about cell lines is true?

<p>Storage of established cell lines does not require an HTA license (D)</p> Signup and view all the answers

What is considered as relevant material under the Human Tissue Act?

<p>Human tissues containing human cells (B)</p> Signup and view all the answers

Which of the following types of samples does NOT require consent under the Human Tissue Act?

<p>Extracted DNA from a living person (A)</p> Signup and view all the answers

Which material is explicitly excluded from being classified as bodily material?

<p>Embryos outside the human body (C)</p> Signup and view all the answers

What defines primary human tissue according to the Human Tissue Act?

<p>Tissue removed from a living body directly (C)</p> Signup and view all the answers

What does appropriate consent ensure in research involving living or deceased individuals?

<p>Use and storage of relevant material are permissible. (D)</p> Signup and view all the answers

Which statement best describes the process of consent?

<p>Consent involves ongoing communication and agreement. (A)</p> Signup and view all the answers

What is required for human tissue research conducted by Brunel University staff?

<p>Ethics approval from the University Research Ethics Committee. (B)</p> Signup and view all the answers

What does anonymisation mean in the context of the Human Tissue Act 2004?

<p>The donor should not be identifiable now or in the future. (C)</p> Signup and view all the answers

What must be displayed in areas where work with Human Tissue is undertaken?

<p>The Licence granted by the HTA. (D)</p> Signup and view all the answers

What documentation is essential for HTA activities at Brunel University?

<p>Approved and documented policies and procedures. (C)</p> Signup and view all the answers

Which of the following is NOT a requirement for handling human tissue at Brunel University?

<p>Approval from family members only. (A)</p> Signup and view all the answers

What is a key aspect of Standard Operating Procedures (SOPs) for working with human tissue?

<p>They need to be thorough in describing methods of use and storage. (B)</p> Signup and view all the answers

Flashcards

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?

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?

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?

The HTA issues licenses to organizations that carry out various activities involving human tissue from both the deceased and living individuals. These activities include anatomical examinations, post-mortem examinations, removal and storage of human tissue, and public display of human remains.

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What is 'relevant material' in the context of the HTA?

The HTA oversees organizations that work with relevant material from human donors. These organizations are required to adhere to ethical guidelines and maintain a safe and ethical environment.

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How does the HTA regulate research using human tissue?

The HTA licenses organizations that store human tissue for research purposes, but only for projects that have been ethically approved.

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What is 'human application' in the context of the HTA?

The HTA makes sure that organizations involved in human tissue applications are licensed and comply with regulations for quality and safety.

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What is a Designated Individual (DI)?

Each research licence issued by the HTA requires a designated individual (DI) who is responsible for ensuring compliance with the regulations.

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What was the catalyst for the Human Tissue Act?

The Human Tissue Act 2004 (HTA) was created to address concerns about the ethical use of human tissue in research after the Alder Hey organ retention scandal.

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What does the HTA aim to do?

It aims to ensure that human tissue is used ethically and that individuals have a right to choose whether their tissue is used for research.

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What does the HTA regulate?

The HTA regulates the use of human tissue for research, donation, and transplantation. It sets out requirements for consent, storage, and disposal of tissue.

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What's the importance of consent in the HTA?

The HTA ensures that individuals understand the implications of donating or using their tissue and can make informed decisions.

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What's the ethical principle behind the HTA?

The Act emphasizes the importance of respecting individuals' dignity and autonomy in relation to their tissue.

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What are the HTA requirements for researchers?

It requires researchers to obtain informed consent for the use of human tissue. They must also comply with specific regulations regarding storage, handling, and disposal.

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What was the Redfern report and its impact?

The Redfern report, commissioned in response to the Alder Hey scandal, recommended a new law on informed consent and other measures to ensure ethical use of human tissue.

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How does the HTA apply in Scotland?

The HTA focuses on the use of deceased individuals' tissue in Scotland, while other countries have similar legislation.

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Internal Audit

A systematic examination of processes and practices to ensure they comply with regulations and standards.

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Documentation Compliance

Ensuring that all necessary paperwork and documentation regarding human tissue are properly maintained by the responsible department.

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SOP Compliance

Following established procedures and guidelines during the handling and processing of human tissue.

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Audit Trail for Tissue

Tracking the movement of human tissue from the moment it's received until its disposal.

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Staff Training and Experience

Confirming that all employees involved in handling human tissue are adequately trained and experienced.

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Relevant Material (HTA)

Any tissue or sample that contains human cells. This includes things like blood samples, biopsies, and organ tissue.

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Bodily Material (HTA)

Material that came from a human body and contains cells. This includes relevant material, embryos, and hair and nails.

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Research License (HTA)

A license needed to store and use relevant material for research purposes in the UK.

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Anatomy License (HTA)

A license needed to store and use human anatomical material for research and educational purposes in the UK.

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Consent in Research (HTA)

Permission from the donor is necessary to hold and use relevant material for research or anatomical study.

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Cell Line (HTA)

Cells that have been grown in a lab and have divided many times, creating a stable cell line.

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Primary Cells (HTA)

Primary human cells are those taken directly from the body. They are considered relevant material and need a license.

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Established Cell Line (HTA)

An established cell line is a cell line that has been expanded and is no longer considered relevant material. It does not require a license for storage.

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Designated Individual (DI)

An individual responsible for overseeing all activities related to a human tissue license, ensuring compliance with regulations and conditions.

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Persons Designated (PDs)

A team of individuals appointed to support the Designated Individual (DI) in their responsibilities, assisting with compliance and related tasks.

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Research License

An official document issued by the Human Tissue Authority permitting the storage and use of human tissue for research purposes, subject to specific conditions.

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Ethics Approval

A formal authorization granted by an ethics committee, typically within an NHS organization, approving a research study involving human tissue.

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Acellular material

Human tissue that has been processed or treated to remove all cellular components, rendering it no longer subject to the Human Tissue Act.

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Very Old Samples

Human tissue samples obtained from donors who passed away more than 100 years ago.

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Transferring Tissue

The act of moving human tissue samples from one location to another, usually for research purposes.

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Central Database

A central database where all relevant samples, including NHS samples, are recorded.

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What is appropriate consent?

A process, not just a signature on a form, that ensures individuals understand and agree to the uses of their bodily material or data.

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What does anonymization mean?

The process of making it impossible to identify an individual from their data or tissue samples.

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What research at Brunel University requires ethical approval?

All research involving human participants, their data, or tissues, conducted by Brunel University staff or students must undergo ethical review and approval.

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What is a College Research Ethical Committee (CREC)?

An ethical committee within a College that reviews research involving human participants, data, or tissue.

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What is the function of the University Research Ethics Committee (UREC)?

The University Research Ethics Committee, responsible for reviewing and approving all research involving human tissue.

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What are the practicalities of working with human tissue?

All Human Tissue Act (HTA) related activities must be governed by clear policies, procedures, and standard operating procedures.

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What is the HTA license?

The permission granted by the HTA to Brunel University to work with human tissue.

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What are Standard Operating Procedures (SOPs)?

Detailed protocols outlining the methods, storage, record keeping, and disposal of human tissue samples.

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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.
  • 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). 

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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