INFORMATION DOCUMENT INF965/2 Effective: 02/10/14 NCI Customer Guide INTRODUCTION NHSBT endeavours to minimise waste from the donations generously given to us by donors. Inevitably, however, there is material which is surplus to clinical requirements or unsuitable for therapeutic use. Where such donations are unsuitable for, or unable to be used in, clinical provision, NHSBT is in the unique position of being able to supply donated material for use in our own research and development and to the wider NHS and to authorised organisations for specific approved “non clinical” uses. NHSBT’s donor consent procedure includes provision for such materials to be used to benefit patients indirectly for: 1) In-vitro diagnostic tests & laboratory Quality Control including EVA and/or 2) Training and Education and/or 3) Product/Service development of Reagents, new components and procedures and/or 4) Commercial production of reagents and blood test kits. NHSBT will not supply donated material for: 1) Administration to humans, or 2) Use in the manufacture of any product that may be administered to humans, or 3) Use as a tissue culture medium supplement. Whilst we do not charge for blood products, which are generously donated by donors, we do need to recover the costs of processing them and handling requests for donated materials. This Customer Guide provides information to organisations and individuals who wish to request a supply of donated material for non clinical use. Subject area GENERAL GUIDANCE THE APPLICATION PROCESS THE APPLICATION FORM PRODUCT INFORMATION AND SPECIFICATION INTENDED USE LICENSING GENETIC RESEARCH ACCOUNT CREATION HANDLING AND DISPOSAL OF MATERIALS AUTHORISED PERSONS APPLICATION REVIEW BY NHSBT RECEIVING YOUR MATERIALS AGREEMENT Any queries related to completing this application can be sent to nciadmin@nhsbt.nhs.uk Page No 2 2 3 3 4 4 5 5 5 5 5 6 6 (Template Version 07/10/08) Author(s): Kevin Cavanagh Page 1 of 6 INFORMATION DOCUMENT INF965/2 Effective: 02/10/14 NCI Customer Guide GENERAL GUIDANCE People and organisations intending to use and/or store human cells/tissue may require licensing from the Human Tissue Authority. The storage of human cells and tissue for ethically approved research projects may be exempt from licensing requirements. Organisations should familiarise themselves with the legislative and licensing requirements and industry best practice for handling and use of human cells and tissue and confirm that they have the necessary licences, authority, processes, procedures and resources to comply with these before requesting supply from NHSBT. NHSBT requires that all organisations receiving human cells and tissues for non clinical use produce and maintain sufficient records of receipt, use, storage and discard to provide a complete audit trail for all cells and tissues provided. NHSBT reserves the right to inspect the records, facilities and staff of organisations who receive human cells and/or tissue from us. Organisations must not make available in whole or in part any cells or tissue from material supplied by NHSBT to anyone other than those named on the application or working directly for the named lead and for the purposes approved on their application. Passing on or making available any product, excess or unused part of any product to a 3rd party of for another use is expressly forbidden. This applies whether or not the user is internal or external to your organisation If your research or development requires you to make samples available for external quality assurance then this must be made clear in the application. Full details of the organisation, recipients, intended use and fate of material provided must be supplied with your application. Where a product is produced containing any part of the donated material, full details of the product, intended use and availability of the product must be provided in your application. Failure to provide this information in full with your application may result in it being rejected or significantly delayed while we request the information and reassess. Organisations should be aware that an NHSBT’s regulatory inspection body may require access to the records, staff and facilities of an organisation receiving material from us. THE APPLICATION PROCESS Requests to supply materials can only be made by completing an NCI account application form which is available here: http://hospital.blood.co.uk/products/nci_of_blood_components/ application forms must be clearly legible therefore any application that is not typed, word processed or completed in clear block capitals may be rejected all applications are treated as commercial in confidence (Template Version 07/10/08) Author(s): Kevin Cavanagh Page 2 of 6 INFORMATION DOCUMENT INF965/2 Effective: 02/10/14 NCI Customer Guide successful applications usually take 4-6 weeks to set up after receipt of a properly completed application form. After this time, successful applicants will be able to order the materials for which they have been approved THE APPLICATION FORM The first section of the form is designed to capture the essential contact and customer details we need to set up and administer the account as well as details of where to send invoices. Whilst we do not charge for blood products, which are generously donated by donors, we do need to recover the costs of processing them and handling requests for donated materials. We ask for the expected start date, duration and end of proposed work so we can accurately assess the impact of meeting your request. Where projects or intended use is not subject to a defined end date please indicate this in the free text box. Please Note NHSBT will indicate the maximum duration of the supply chain in the Terms and Conditions we ask you to sign prior to any supply. The second section of the form requests details of the products you require. Please ensure the correct product/s is/are requested as you will only be authorised and able to order products on your application. The anticipated typical volume of material required and frequency of order must also be provided so we can assess our ability to supply. NHSBT cannot authorise accounts for unspecified amounts of materials therefore incomplete applications will be rejected. PRODUCT INFORMATION AND SPECIFICATION Current consent allows NHSBT to provide material with the following donor information, where known: a. Year of birth b. Gender c. CMV status (if known) d. Blood Group Requests for material with more detailed information will be assessed on a case by case basis and may take longer than 4-6 weeks for review. If approved they may require the development of a bespoke consent and supply process which will need to be fully cost-recovered. It may not be possible to approve these requests if the impact on clinical supply chains is significant. NHSBT is mandated to screen all donated blood components for HIV 1&2, HTLV, Hepatitis B, Hepatitis C and Syphilis. Leucocyte Cones Leucocyte Cones are issued untested. Cones are acquired from donors who have previously, often repeatedly, tested negative for all the tests NHSBT is mandated to (Template Version 07/10/08) Author(s): Kevin Cavanagh Page 3 of 6 INFORMATION DOCUMENT INF965/2 Effective: 02/10/14 NCI Customer Guide perform and are only allowed to donate after successfully completing a lifestyle questionnaire that ensures they remain a low risk. However, all biological material must be treated as potentially infectious and universal precautions applied when handling and working with them. A biohazard waiver will therefore need to be signed by Cone recipients prior to any supply, confirming they have suitable processes and procedures in place to handle and dispose of biohazard materials. Buffy Coats Buffy Coats may also be requested for issue prior to testing results being known if ultra fresh cells are required. In such cases a bio hazard waiver will need to be signed by recipients stating they are aware of untested status and have suitable processes and procedures in place to handle and dispose of biohazard materials. General handling of donated materials Donors will have often repeatedly tested negative for all the tests NHSBT is mandated to perform and are only allowed to donate after successfully completing a lifestyle questionnaire that ensures they remain a low risk. However all biological material must be treated as potentially infectious and universal precautions applied when handling and working with them INTENDED USE Section 1 on page 2 of the form requests details of the intended use of the materials you require. If the intended use is for research then you are requested to provide details of the ethical approval status of the proposed work or that a valid HTA licence is in place. Applications for material for research use may be approved in principle while awaiting ethical approval but no material will be supplied until Ethical Approval has been granted and details provided to NHSBT. The source of funding for the research or development proposal is also requested. These details must be provided in full. NHSBT is mandated to consider the requirements for explicit informed consent from donors on a case by case basis when supplying material on a commercial basis. Therefore full disclosure of the funding source is required. Incomplete information may result in the application being rejected. All information supplied in support of an application is treated as commercial in confidence. LICENSING Section 2 on page 2 requests details of any HTA Licence held by organisations requesting supply of material which include human cells and tissue. The HTA provides guidance on assessing whether or not the acquisition, storage, processing or distribution of human cells requires a HTA licence. (Template Version 07/10/08) Author(s): Kevin Cavanagh Page 4 of 6 INFORMATION DOCUMENT INF965/2 Effective: 02/10/14 NCI Customer Guide The following link to the HTA website provides a flowchart for assessing licensing requirements: http://www.hta.gov.uk/_db/_documents/Do_I_need_a_licence_under_the_Quality_an d_Safety_Regulations_5.0.pdf Organisations requesting human cells or tissue must ensure that their methods of use and storage are appropriate, licensed (where necessary) and that there are sufficient records of receipt, use, storage and discard to provide a full audit trail of the use and outcome of all cells provided. Further advice and guidance is available from the Human Tissue Authority and the Medical Research Council. GENETIC RESEARCH The next question relates to use of material for Genetic Research. NHSBT is mandated to ensure that the use of material for Genetic Research is in accordance with guidelines issued by the Human Genetics Commission. We may not be able to provide material for many forms of genetic research without developing a bespoke process and consent. ACCOUNT CREATION Page 3 of the application deals captures the remaining details required to set up an account. Please use section 1 on page 3 to indicate whether or not you hold a HTA licence and if so provide details of the licence held. HANDLING AND DISPOSAL OF MATERIALS The next section captures details of the systems and processes you employ to ensure the safe and appropriate handling and disposal of human cells and tissue. NHSBT reserve the right to audit or inspect any or all facilities, systems and people involved in the handling and disposal of supplied material. AUTHORISED PERSONS The third section of page 3 is to record the names and roles of the persons in your organisation who are authorised to place, amend and cancel orders and accounts. Instructions and orders relating to accounts will only be accepted from persons authorised to undertake these activities. Any change to authorised persons must be requested by way of a revised application. APPLICATION REVIEW BY NHSBT Following receipt of your correctly completed application the request will be reviewed by medical, manufacturing and Finance representatives to ensure the use and supply of materials is appropriate and consistent with NHSBT policy. We aim to complete this review and set up approved accounts for standard products within 4-6 weeks of receipt of completed paperwork, bespoke requests or large volume requests of specific typing, serology or other specification will take longer. (Template Version 07/10/08) Author(s): Kevin Cavanagh Page 5 of 6 INFORMATION DOCUMENT INF965/2 Effective: 02/10/14 NCI Customer Guide Please note: It is a condition of continued supply that users accept and sign NHSBT’s Terms and Conditions. RECEIVING YOUR MATERIALS Our preferred option is for customers to arrange their own collection of materials from a designated NHSBT centre at an agreed time. This may be undertaken in person or via a courier arranged by the customer at the customer’s expense. NHSBT may be able to arrange for a courier to deliver products, dependent on recipient location but this will incur a charge, currently around £53 for the first 45 miles inside the M25 (55 miles outside the M25). Additional mileage will be charged for deliveries arranged by NHSBT outside of this area. Please indicate at the time of ordering what your requirements are, there is a space on the order form to do so. AGREEMENT All supply chains will be covered by a signed Material Transfer Agreement (“MTA”) with Terms and Conditions which define the supply and use of materials. All recipients of donated material must consent to NHSBT auditing their facilities, records and staff as required to ensure compliance with these agreements and authorised use. This Customer Guide provides information to organisations and individuals who wish to request a supply of donated material for non clinical use. The information in this Guide does not form part of any contract to supply which will be set out in our Agreement with you. (Template Version 07/10/08) Author(s): Kevin Cavanagh Page 6 of 6