Please explain what responsibilities the staff at the satellite site have for meeting the consent requirements of the Human Tissue Act and Codes of Practice Does the satellite store relevant material on behalf Yes No of any organisation other than the hub? If yes, please provide details. Does the satellite supply or Yes No use relevant material for research purposes? Please state how many adverse events have occurred at the satellite in the last year Does the satellite have any form of accreditation, such Yes No as CPA, MHRA, JACIE, ISO etc? If yes, please provide the following information for each accreditation: Accrediting body: Date accreditation obtained: Current status: For each tissue type please Tissue type: Usage: Average number of units: state how many units on Procured average are procured, Tested processed, stored, Processed distributed and imported / Stored exported by the satellite Distributed each year. Imported Exported Please continue on a Procured separate sheet if Tested necessary. Processed Stored Distributed Imported Exported Procured Tested Processed Stored
Please explain what responsibilities the staff at the satellite site have for meeting the consent requirements of the Human Tissue Act and Codes of Practice Does the satellite store relevant material on behalf of any organisation other than the hub? Yes No If yes, please provide details. Does the satellite supply or use relevant material for research purposes? Yes No Please state how many adverse events have occurred at the satellite in the last year Does the satellite have any form of accreditation, such as CPA, MHRA, JACIE, ISO etc? Yes No If yes, please provide the following information for each accreditation: Accrediting body: Date accreditation obtained: Current status: For each tissue type please state how many units on average are procured, processed, stored, distributed and imported / exported by the satellite each year. Please continue on a separate sheet if necessary. Tissue type: Usage: Average number of units: Procured Tested Processed Stored Distributed Imported Exported Procured Tested Processed Stored Distributed Imported Exported Procured Tested Processed Stored
Human_Application_Licence_Application_Form_Updated_June_2014.docx