The Royal Liverpool Children's Inquiry  
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Recommendations
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Chapter 10. Human Tissue Act
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Recommendations
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We respectfully recommend that:

  • The Department of Health, the Royal Colleges and medical schools shall instruct members of the medical profession in the precise terms and provisions of the Human Tissue Act 1961, on the basis of our analysis, and the need for strict compliance.
  • The Human Tissue Act 1961 shall be amended to provide a test of fully informed consent for the lawful post mortem examination and retention of parts of the bodies of deceased persons. While we have concluded that there has been little difference between ‘lack of objection’ and ‘informed consent’ in practical terms for the next of kin, it is important that the law and future practice are brought into line and updated.
  • The class of persons relevant to the obtaining of fully informed consent shall be defined as the ‘next of kin’.
  • The class of ‘any surviving relative’ shall no longer be relevant to post mortem examination.
  • There shall be a programme of health education for the public relevant to the medical need for continued post mortem examination and access to organs and samples for therapeutic, educational and research purposes.
  • The Department of Health, the Royal Colleges and medical schools shall provide training for all those involved in obtaining fully informed consent.
  • The Human Tissue Act 1961 shall be amended to impose a criminal penalty by way of fine for breach of its provisions in order to encourage future compliance.
  • Guidelines relating to the requirements of the Human Tissue Act 1961 and the obtaining of fully informed consent shall be drawn up and provision made for breach to result in disciplinary proceedings which could lead to suspension, dismissal or financial penalty.
  • The Human Rights Act 1998 makes provision for an effective remedy other than in criminal proceedings. If breaches of the Human Tissue Act 1961 amount to breaches of the Human Rights Act 1998 consideration shall be given to incorporating a financial remedy with the Human Tissue Act 1961 itself. If necessary, reference should be made to the Law Commission.

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