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Xenotransplantation - Nuffield Council on Bioethics

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Animal-to-Human Transplants : the ethics of xenotransplantati<strong>on</strong><br />

8.16 From 1 April 1996, the Supra Regi<strong>on</strong>al Services Advisory Group will have additi<strong>on</strong>al<br />

resp<strong>on</strong>sibilities including “funding the service costs of new developments, in those services<br />

for which it is the purchaser, to enable full evaluati<strong>on</strong> to take place”. This would allow<br />

the involvement of the Supra Regi<strong>on</strong>al Services Advisory Group in the provisi<strong>on</strong> of<br />

services, such as xenotransplantati<strong>on</strong>, before they are established clinical services. 11<br />

8.17 A mechanism such as the Supra Regi<strong>on</strong>al Services Advisory Group would allow the<br />

introducti<strong>on</strong> and provisi<strong>on</strong> of xenotransplantati<strong>on</strong> which, at the outset, will be a rare<br />

and expensive treatment, in a c<strong>on</strong>trolled way. The Working Party recommends<br />

that, if xenotransplantati<strong>on</strong> becomes a treatment of choice, the introducti<strong>on</strong><br />

of the treatment into the NHS should be overseen by the Supra Regi<strong>on</strong>al<br />

Services Advisory Group. The Supra Regi<strong>on</strong>al Services Advisory Group would<br />

be c<strong>on</strong>cerned with administrati<strong>on</strong> and financing and thus its role would be distinct<br />

from that of the proposed Advisory Committee <strong>on</strong> <str<strong>on</strong>g>Xenotransplantati<strong>on</strong></str<strong>on</strong>g> resp<strong>on</strong>sible<br />

for establishing good practice in xenotransplantati<strong>on</strong> (paragraph 6.41).<br />

11<br />

Supra Regi<strong>on</strong>al Services Advisory Group annual report (1994-5) p 3. The Group’s name will change to Nati<strong>on</strong>al<br />

Specialist Commissi<strong>on</strong>ing Advisory Group to reflect these additi<strong>on</strong>al resp<strong>on</strong>sibilities.<br />

100

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