The HTA is responsible for assessing all donations of bone marrow or PBSC (these are cells found in the bloodstream which are able to develop into all of the different cell types in blood) from adults who lack capacity to consent and children who lack competence to consent. Potential donors and the person/s acting on the donor's behalf, as well as the recipient, are interviewed by an HTA trained Accredited Assessor (AA) who submits a report to the HTA.
Adults who lack capacity and children who lack competence to consent
Under the Human Tissue Act 2004, every donation of bone marrow or PBSC from adults who lack capacity to consent and children who lack competence to consent, must be assessed by an Accredited Assessor and a report submitted to the HTA for consideration.
The HTA’s code of practice on the Donation of allogeneic bone marrow and peripheral blood stem cells for transplantation provides practical guidance to professionals and lays down standards.
In Scotland, all donations by children (those under the age of 16) must be assessed by an Accredited Assessor and a decision made by the HTA.
Adults and children competent to consent
All donations of bone marrow and PBSC by adults and children competent to consent do not require HTA approval.