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Annual activity report 2014
word-based data collection form
We recommend you gather data in advance by sharing this form with your colleagues.
Please note you are not able to send this form instead of submitting data via the web Portal.
Your details
Name of licensed establishment
Your five-digit licensing number
Name of person completing this submission
Your email address
Your daytime telephone number
Financial information
Who should we contact regarding payment
of licensing fees to the HTA?
What is the address of your finance
department?
Contact name:
Contact email:
Postcode:
Licensable activities
We will use this information to calculate your licence fee, so ensure you only tick the boxes for the activities that
you need to be licensed for, and undertake either at your establishment, at your satellite site(s) or under the
authority of your licence through a Third Party Agreement.
If these activities change at any time you must notify the HTA, otherwise you risk breaching the Quality and Safety
Regulations 2007 or being charged the wrong fee.
Licensable activities (please select boxes). Please note that these are the activities shown on your licence.
Procurement
Donor testing
Processing
Distribution
Export
Import
Storage
How many satellites are associated with your main licence?
How many donors were tested under the authority of your licence between 1 January and 31
December 2014?
Do you store tissue for a scheduled purpose (such as research) under the authority of a HTA licence issued under
the Human Tissue Act 2004? Please note you will not be charged for this licensable activity in 2014/15.
Yes
No
2
Tissue types
Please verify the types of tissues and cells you worked with between 1 January 2014 and 31 December 2014.
You will only be able to enter data relating to the tissue types that you select here.
Skeletal tissues (please select)
Bone
Tendons/ligaments
Cartilage and/or chondral tissue
Demineralized bone
Acellular bone chips
Other skeletal tissues
Blood cells and stem cells (please select)
Peripheral Blood Stem Cells
Bone marrow
Cells for Donor Lymphocyte Infusions
Umbilical cord blood
Umbilical cord tissue
Human embryonic stem cells (hESCs)
Other blood cells
Ocular tissues (please select)
Cornea
Sclera
Limbal Stem Cells
Other ocular tissues
Vascular tissues (please select)
Heart valves
Iliac vessels
Other vessels
Skin (please select)
Whole skin and/or Keratinocyte cells
Fibroblast
Other tissues or cells (please select)
Pancreatic islets
Hepatocytes
Amniotic membrane
Adipose tissue (e.g. adipocytes)
Ovarian and testicular tissues
Other tissues or cells
Additional questions
Have any tissues or cells been used in your establishment as starting materials for ATMPs or IMPs?
Yes
No
Have you derived any cell lines (hESCs or any other type) from tissues in 2014 for human application?
Yes
No
3
Data entry for skeletal tissues
Using the information gathered in your tissue register for the period of 1 January to 31 December 2014, enter the
number of units of each tissue type associated with each activity.
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment
Procured under your licence from a donor
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not including
establishment units which weren’t processed)
Used in a transplant/engraftment within your establishment
Bone
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your establishment on
31 December 2014 as
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment
Procured under your licence from a donor
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not including
establishment units which weren’t processed)
Tendons
and
ligaments
Used in a transplant/engraftment within your establishment
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your establishment on
31 December 2014 as
4
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
your
establishment
Distributed to you from another establishment from within the UK or
EEA
Procured under your licence from a donor
Processing
within your
establishment
Cartilage
and
chondral
tissue
How many units were processed within your establishment?
How many units were held following processing? (Not including
units which weren’t processed)
Used in a transplant/engraftment within your establishment
Output from
your
establishment
Distributed to another establishment within the UK or EEA
Exported to outside the EEA
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Tissue
type
Storage
within your
establishment
We calculate your net change of units in 2014 as
Descriptor
Licensable activity
We calculate the number of units stored at your establishment on
31 December 2014 as
Number of
units
Imported from outside the EEA
Input into
your
establishment
Distributed to you from another establishment from within the UK or
EEA
Number of processed units from bone which was procured under
your licence from a donor
Used in a transplant/engraftment within your establishment
Demineralized
bone
Output from
your
establishment
Distributed to another establishment within the UK or EEA
Exported to outside the EEA
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
within your
establishment
We calculate your net change of units in 2014 as
We calculate the number of units stored at your establishment on
31 December 2014 as
5
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into your
establishment
Distributed to you from another establishment from within the UK
or EEA
Number of processed units from bone which was procured under
your licence from a donor
Used in a transplant/engraftment within your establishment
Acellular
bone
chips
Output from
your
establishment
Distributed to another establishment within the UK or EEA
Exported to outside the EEA
Disposed of
Used as starting material for an IMP or ATMP
Storage within
your
establishment
Please enter the number of units stored on 1 January 2014
We calculate your net change of units in 2014 as
We calculate the number of units stored at your establishment on
31 December 2014 as
Tissue
type
Please describe other skeletal tissues referred to here and record all together when asked:
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into your
establishment
Distributed to you from another establishment from within the UK
or EEA
Number of processed units from bone which was procured under
your licence from a donor
Used in a transplant/engraftment within your establishment
Other
skeletal
tissues
Output from
your
establishment
Distributed to another establishment within the UK or EEA
Exported to outside the EEA
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage within
your
establishment
We calculate your net change of units in 2014 as
We calculate the number of units stored at your establishment on
31 December 2014 as
6
Data entry for blood cells and stem cells
Using the information gathered in your tissue register for the period of 1 January to 31 December 2014, enter the
number of units of each tissue type associated with each activity.
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment
Procured under your licence from a donor
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not including
establishment units which weren’t processed)
Used in a transplant/engraftment within your establishment
Periphera
l Blood
Stem
Cells
(PBSCs)
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your establishment on
31 December 2014 as
How many procurements were for autologous use only?
How many procurements were for allogeneic use through a
Procurements registry?
How many allogeneic procurements were for directed or related
recipients?
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment
Procured under your licence from a donor
Bone
marrow
(BM)
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not including
establishment units which weren’t processed)
Used in a transplant/engraftment within your establishment
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Storage
Please enter the number of units stored on 1 January 2014
within your
establishment We calculate your net change of units in 2014 as
7
We calculate the number of units stored at your establishment on
31 December 2014 as
How many procurements were for autologous use only?
How many procurements were for allogeneic use through a
Procurements registry?
How many allogeneic procurements were for directed or related
recipients?
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment
Procured under your licence from a donor
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not including
establishment units which weren’t processed)
Used in a transplant/engraftment within your establishment
Donor
Lymphoc
yte
Infusions
(DLI)
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your establishment on
31 December 2014 as
How many procurements were for autologous use only?
How many procurements were for allogeneic use through a
Procurements registry?
How many allogeneic procurements were for directed or related
recipients?
Tissue
type
Umbilical
cord
blood
PLEASE
REPORT
UMBILICAL
CORD
BLOOD
TISSUE
SEPARAT
ELY
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment
Procured under your licence from a donor
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not including
establishment units which weren’t processed)
Used in a transplant/engraftment within your establishment
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
8
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your establishment on
31 December 2014 as
How many procurements were for autologous use only?
How many procurements were for allogeneic use through a
Procurements registry?
How many allogeneic procurements were for directed or related
recipients?
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment
Procured under your licence from a donor
Umbilical
cord
blood
tissue
PLEASE
REPORT
UMBILICAL
CORD
BLOOD
SEPARAT
ELY
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not including
establishment units which weren’t processed)
Used in a transplant/engraftment within your establishment
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your establishment on
31 December 2014 as
Please note, one ‘unit’ equates to one container of cells, regardless of size or the number of cells contained.
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Embryoni
c stem
cells
(hESCs)
ONLY
REPORT
ACTIVITY
RELATED
TO
HUMAN
APPLICATI
ON
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment How many units were stored following derivation by your
establishment?
Distributed to other establishments within the UK or EEA
Output from
Exported to outside the EEA
your
establishment Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your establishment on
31 December 2014 as
9
Please describe other blood cells referred to here:
Tissue
type
21. Descriptor
22. Licensable activity
23. Number of
units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment
Procured under your licence from a donor
Other
blood
cells
Record all
together
when
asked
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not including
establishment units which weren’t processed)
Used in a transplant/engraftment within your establishment
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your establishment on
31 December 2014 as
10
Data entry for ocular tissues
Using the information gathered in your tissue register for the period of 1 January to 31 December 2014, enter the
number of units of each tissue type associated with each activity.
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment
Procured under your licence from a donor
Corneas
PLEASE
REPORT
LIMBAL
STEM
CELLS
SEPARAT
ELY
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not including
establishment units which weren’t processed)
Used in a transplant/engraftment within your establishment
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your establishment on
31 December 2014 as
Tissue
type
Descriptor
Licensable activity
Input into
your
establishment
Imported from outside the EEA
Number of
units
Distributed to you from another establishment from within the UK
or EEA
Procured under your licence from a donor
Processing
within your
establishment
Sclera
How many units were processed within your establishment?
How many units were held following processing? (Not including
units which weren’t processed)
Used in a transplant/engraftment within your establishment
Output from
your
establishment
Distributed to another establishment within the UK or EEA
Exported to outside the EEA
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
within your
establishment
We calculate your net change of units in 2014 as
We calculate the number of units stored at your establishment on
31 December 2014 as
11
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment
Procured under your licence from a donor
Limbal
Stem
Cells
(LSCs)
PLEASE
REPORT
CORNEAS
SEPARAT
ELY
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not including
establishment units which weren’t processed)
Used in a transplant/engraftment within your establishment
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your establishment on
31 December 2014 as
Please describe other ocular tissues referred to here:
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment
Procured under your licence from a donor
Other
ocular
tissues
Record all
together
when
asked
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not including
establishment units which weren’t processed)
Used in a transplant/engraftment within your establishment
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your establishment on
31 December 2014 as
12
Data entry for vascular tissues
Using the information gathered in your tissue register for the period of 1 January to 31 December 2014, enter the
number of units of each tissue type associated with each activity.
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
your
establishment
Distributed to you from another establishment from within the UK
or EEA
Procured under your licence from a donor
Processing
within your
establishment
How many units were processed within your establishment?
How many units were held following processing? (Not including
units which weren’t processed)
Used in a transplant/engraftment within your establishment
Heart
valves
Output from
your
establishment
Distributed to another establishment within the UK or EEA
Exported to outside the EEA
Disposed of
Used as starting material for an IMP or ATMP
Storage
within your
establishment
Tissue
type
Descriptor
Please enter the number of units stored on 1 January 2014
We calculate your net change of units in 2014 as
We calculate the number of units stored at your establishment on
31 December 2014 as
Licensable activity
Number of
units
Imported from outside the EEA
Input into
your
establishment
Distributed to you from another establishment from within the UK
or EEA
Procured under your licence from a donor
Processing
within your
establishment
How many units were processed within your establishment?
How many units were held following processing? (Not including
units which weren’t processed)
Used in a transplant/engraftment within your establishment
Iliac
Vessels
Output from
your
establishment
Distributed to another establishment within the UK or EEA
Exported to outside the EEA
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
within your
establishment
We calculate your net change of units in 2014 as
We calculate the number of units stored at your establishment on
31 December 2014 as
13
Please describe other vessels referred to here:
Tissue
type
Descriptor
Licensable activity
Number of
units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within the UK
your
or EEA
establishment
Procured under your licence from a donor
Other
vessels
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not including
establishment units which weren’t processed)
Used in a transplant/engraftment within your establishment
Record all
data
together
when
asked
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your establishment on
31 December 2014 as
14
Data entry for skin
Using the information gathered in your tissue register for the period of 1 January to 31 December 2014, enter the
number of units of each tissue type associated with each activity.
Tissue
Number of
Descriptor
Licensable activity
type
units
Whole skin
PLEASE
PROVIDE
DATA
RELATING
TO
NUMBER
OF UNITS,
REGARDLE
SS OF THE
SIZE OF
THE
INDIVIDUAL
UNITS
Tissue
type
Fibroblast
and/or
keratinocy
te cells
ONLY
REPORT
ACTIVITY
RELATED
TO HUMAN
APPLICATI
ON.
EXCLUDE
ACTIVITY
RELATED
TO
RESEARCH
CELLS.
Input into
your
establishme
nt
Imported from outside the EEA
Processing
within your
establishme
nt
How many units were processed within your establishment?
Distributed to you from another establishment from within the UK
or EEA
Procured under your licence from a donor
How many units were held following processing? (Not including
units which weren’t processed)
Used in a transplant/engraftment within your establishment
Output from
your
establishme
nt
Distributed to another establishment within the UK or EEA
Exported to outside the EEA
Disposed of
Used as starting material for an IMP or ATMP
Storage
within your
establishme
nt
Please enter the number of units stored on 1 January 2014
Descriptor
Licensable activity
Input into
your
establishme
nt
Imported from outside the EEA
Processing
within your
establishme
nt
How many units were processed within your establishment?
We calculate your net change of units in 2014 as
We calculate the number of units stored at your establishment on
31 December 2014 as
Number of
units
Distributed to you from another establishment from within the UK
or EEA
Derived from within your establishment
How many units were held following processing? (Not including
units which weren’t processed)
Used in a transplant/engraftment within your establishment
Output from
your
establishme
nt
Distributed to another establishment within the UK or EEA
Exported to outside the EEA
Disposed of
Used as starting material for an IMP or ATMP
Storage
within your
establishme
nt
Please enter the number of units stored on 1 January 2014
We calculate your net change of units in 2014 as
We calculate the number of units stored at your establishment on
31 December 2014 as
15
Data entry for other tissues or cells
Using the information gathered in your tissue register for the period of 1 January to 31 December 2014, enter the
number of units of each tissue type associated with each activity.
Tissue type
Descriptor
Licensable activity
Number of units
Imported from outside the EEA
Input into your
establishment
Distributed to you from another establishment from within
the UK or EEA
Procured under your licence from a donor
Processing
within your
establishment
Pancreatic
Islets
How many units were processed within your
establishment?
How many units were held following processing? (Not
including units which weren’t processed)
Used in a transplant/engraftment within your establishment
Output from
your
establishment
Distributed to another establishment within the UK or EEA
Exported to outside the EEA
Disposed of
Used as starting material for an IMP or ATMP
Storage within
your
establishment
Tissue type
Descriptor
Please enter the number of units stored on 1 January 2014
We calculate your net change of units in 2014 as
We calculate the number of units stored at your
establishment on 31 December 2014 as
Licensable activity
Number of units
Imported from outside the EEA
Input into your
establishment
Distributed to you from another establishment from within
the UK or EEA
Procured under your licence from a donor
Processing
within your
establishment
How many units were processed within your
establishment?
How many units were held following processing? (Not
including units which weren’t processed)
Used in a transplant/engraftment within your establishment
Hepatocytes
Output from
your
establishment
Distributed to another establishment within the UK or EEA
Exported to outside the EEA
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage within
your
establishment
We calculate your net change of units in 2014 as
We calculate the number of units stored at your
establishment on 31 December 2014 as
16
Tissue type
Descriptor
Licensable activity
Number of units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within
your
the UK or EEA
establishment
Procured under your licence from a donor
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not
establishment including units which weren’t processed)
Used in a transplant/engraftment within your establishment
Amniotic
membrane
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your
establishment on 31 December 2014 as
Tissue type
Descriptor
Licensable activity
Number of units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within
your
the UK or EEA
establishment
Procured under your licence from a donor
Adipose
Tissue
(e.g.
adipocytes)
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not
establishment including units which weren’t processed)
Used in a transplant/engraftment within your establishment
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your
establishment on 31 December 2014 as
17
Tissue type
Descriptor
Licensable activity
Number of units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within
your
the UK or EEA
establishment
Procured under your licence from a donor
Ovarian and
testicular
tissues
Record all
together
when asked
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not
establishment including units which weren’t processed)
Used in a transplant/engraftment within your establishment
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your
establishment on 31 December 2014 as
Please describe all other tissues or cells you procured, tested, stored, distributed, imported or exported in 2014:
Tissue type
Descriptor
Licensable activity
Number of units
Imported from outside the EEA
Input into
Distributed to you from another establishment from within
your
the UK or EEA
establishment
Procured under your licence from a donor
All other
tissues or
cells
Record all
together
when asked
How many units were processed within your establishment?
Processing
within your
How many units were held following processing? (Not
establishment including units which weren’t processed)
Used in a transplant/engraftment within your establishment
Distributed to another establishment within the UK or EEA
Output from
your
Exported to outside the EEA
establishment
Disposed of
Used as starting material for an IMP or ATMP
Please enter the number of units stored on 1 January 2014
Storage
We calculate your net change of units in 2014 as
within your
establishment We calculate the number of units stored at your
establishment on 31 December 2014 as
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Further information
Please use the space below to provide any further information. For example, if any error messages have been
given, please explain why you think the data you inputted is accurate. Also, if the end-of-year stock calculation
does not tally with your stock check, please make this clear, with an explanation or the difference.
Feedback
Please provide some feedback relating to the annual activity data submission process for 2014.
How clear were the instructions and communications from the HTA prior to submitting the 2014 data?
Very clear
Partially clear
Not clear
How do you rate the online submission process this year in comparison to previous years?
Better
The same
Worse
Not applicable (e.g. this is the first submission you have made)
How useful did you find the guidance document for this year’s submission?
Very useful
Partially useful
Not useful
I did not read it
Please provide any further comments on how you feel we could improve our data collection process for future
years in the space below.
Declaration
I have completed this annual activity data submission using the information recorded in my establishment’s tissue
register during 2014.
I certify that the information provided is accurate.
I agree with this declaration
Please note that once you have submitted this data it cannot be recalled. If you wish to correct your data
entry please do so before you submit this form.
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