House of Lords

Session 2007-08 Publications on the internet European Union Committee Publications

European Union - Seventeenth Report Here you can browse the report which was ordered by the House of Lords to be printed 24 June 2008. CONTENTS Terms of Reference    FOREWORD—What this Report is about Chapter 1: Setting the Scene The purpose of our inquiry What the Commission's Communication says Relevant developments during our inquiry How we conducted the inquiry Chapter 2: The European Commission's Proposals EU Directive on the quality and safety of organ donation and transplantation Action Plan for strengthened cooperation between Member States Combating organ trafficking Chapter 3: Shortage of donor organs across the EU Organ transplantation as a medical treatment Organ donation rates Table 1: Organ donor rates in EU Member States: 2004 (per million population) Table 2: Kidney transplant waiting lists in EU Member States: 2005 Acquiring organs for transplant Table 3: Numbers of patients on waiting lists for transplants; numbers of transplants from deceased donors (shown separately for heartbeating and non-heartbeating) and from living donors: UK, 2005 and 2006 Living donation Donation after brain stem death Donation after cardiac death Cross border donation Table 4: Solid organs exchanged between the UK and other countries: April 2006 to March 2007 The human and economic cost of organ scarcity Conclusions Recommendations Chapter 4: Proposed EU Directive relating to organ quality and safety Quality and Safety Box 1: Proposed framework for a directive on the quality and safety of organ donation and transplantation Balancing safety and quality standards with increasing organ donation Safety and quality within the UK "Gold plating" Clinical judgement Conclusions Recommendations Chapter 5: Proposed EU action plan for cooperation on organ donation Greater cooperation between EU Member States Best practice Potential donors Diagnosis of death Transplant outcomes Management information Action plan overall Public Awareness Organ trafficking European Donor Card Information and research Conclusions Recommendations Chapter 6: Organisation of organ donation and transplantation services The UK Context The "Spanish Model" for organ donation services Employment and training of staff Donor identification and audit The Organ Donation Taskforce's proposals Box 2: 14 recommendations made by the Organ Donation Taskforce Conclusions Recommendations Chapter 7: Patient care issues—organ donors and organ recipients Living donation Donation after Brain Stem Death (a) Brain stem testing (b) Conflict of interest Donation after cardiac death The role and needs of families Conclusions Recommendations Chapter 8: Alternative forms for donor consent Consent to organ donation and the EU Consent to organ donation in the UK UK donor cards and the Organ Donor Register The role of the family Box 3 : Qualifying relationships for giving consent to organ donation "Ownership" of a deceased body Living donation Presumed consent Presumed consent and the organisation of donation services Conclusions Recommendations Chapter 9: Ethnic and cultural aspects The need for organ transplants in ethnic minority communities Organ donation issues in ethnic minority communities Disease Prevention Reaching out to communities Data needs Conclusions Recommendations Chapter 10: The views of faith groups General views Views about brain stem death "Official" views Individual conscience and religious teaching Views about presumed consent The role of local religious leaders Conclusions Recommendations Chapter 11: Conclusions and Recommendations Appendix 1: Sub-Committee G (Social Policy and Consumer Affairs) Appendix 2: List of Witnesses Appendix 3: Call for Evidence Appendix 4: Letter from Baroness Howarth to faith groups Appendix 5: Recent Reports NOTE: References in the text of the Report are as follows: (Q) refers to a question in the oral evidence (p) refers to a page of written evidence The Report of the Committee is published in Volume I (HL Paper 123-I) and the Evidence is published in Volume II (HL Paper 123-II) MINUTES OF EVIDENCE - VOLUME II (HL 123-II) Thursday 22 November 2007 Thursday 6 December 2007 Thursday 13 December 2007 Thursday 24 January 2008 Thursday 7 February 2008 Thursday 21 February 2008 Thursday 28 February 2008 Thursday 6 March 2008 Thursday 13 March 2008 Thursday 20 March 2008 Thursday 27 March 2008 Thursday 3 April 2008 WRITTEN EVIDENCE - VOLUME II (HL 123-II) WRITTEN EVIDENCE by Faith Groups - VOLUME II (HL 123-II)

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