This page contains copies of consent forms used by the Cambridge centre.  Some centres had a slightly different initial approach but used similar documents on their own letterhead and modified where appropriate, to comply with Local Ethical Committee requirements.

 - These forms will now print nicely - 

bullet

Wave 1 subject consent form

bullet

Resource Implications Study consent form

bullet

Wave 3 blood/saliva consent form

bullet

Wave 3 medical record consent form

bullet

Wave 4 subject consent form

bullet

Wave 4 relative/carer assent form

bullet

Delaration Of Intent (DOI) for donor

bullet

Declaration Of Intent for next of kin

bullet

Information letter for Retrospective Informant Interview

bullet

Consent for Retrospective Informant Interview

New forms of re-consent 2004 - for all centres

bullet

DOI Assent

bullet

DOI - donor

bullet

Information for donors

bullet

Information for male donor's relatives/carers

bullet

Information for female donor's relatives/carers

 

Wave 1 subject consent form

 

 

RETURN TO TOP

 

Resource Implications Study consent form

 

 

RETURN TO TOP

 

Wave 3 blood/saliva consent form

 

 

RETURN TO TOP

 

Wave 3 medical record consent form

 

 

RETURN TO TOP

 

Wave 4 subject consent form  

CAMBRIDGESHIRE PROJECT FOR LATER LIFE

Department of Public Health & Primary Care

Institute of Public Health

University of Cambridge

Forvie Site

Robinson Way

Cambridge CB2 2SR

Telephone  01223 330311

Fax:  01223 330330

 

CONSENT FORM

Respondent identifier:

                                                                Please Initial

I confirm that I have read and understood the information sheet (version 5 dated October 2000) for the above study and have had the opportunity to ask questions.

 

I understand that my participation is voluntary and that I am free to withdraw at any time, without giving any reason, without my medical care or legal rights being affected

 

I understand that sections of any of my medical notes may be looked at by responsible individuals from MRC CFAS where it is relevant to my taking part in research. I give permission for these individuals to have access to my records.

 

I agree to continue to take part in the above study. 

 

I understand that this interview is to be taped for training and quality control purposes. I agree to this interview being audio recorded.

 

All the information collected by the study is completely confidential and is stored 

anonymously, without personal details. The blood samples and brain tissue are stored

securely and anonymised. Audio tapes are anonymised and used for training and 

quality control purposes only and will be destroyed when no longer required.

 

Name of Respondent/ Date /Signature of Respondent

Interviewer name and number/ Date /Signature of Interviewer

RETURN TO TOP

 

Wave 4 relative/carer assent form

CAMBRIDGESHIRE PROJECT FOR LATER LIFE

Department of Public Health & Primary Care

Institute of Public Health

University of Cambridge

Forvie Site

Robinson Way

Cambridge CB2 2SR

Telephone  01223 330311

Fax:  01223 330330

Form of Assent

Respondent name: Identifier:

Name of Relative/carer: Relationship to Respondent:

I have read the attached information sheet (version 5 October 2000) and have 

been given a copy to keep. I have had the opportunity to ask questions about 

the study and understand why the research is being done. I understand that this

 is not a legal document.

I understand that ………………… consented to take part in this study in 1991/2,  

and has not withdrawn consent since that date.

I confirm that, to the best of my knowledge, ……………………… has not changed 

her/his mind since s/he gave her/his consent .

                     Please Initial

I confirm that I have read and understood the information sheet (version 5 dated October 2000) for the above study and have had the opportunity to ask questions.

 

I understand that …………………..’s participation is voluntary and that s/he is free to withdraw at any time, without giving any reason, without her/his medical care or legal rights being affected

 

I understand that sections of any of her/his medical notes may be looked at by responsible individuals from MRC CFAS where it is relevant to her/him taking part in research. I believe that s/he would not object to this.

 

I agree to …..………………. continuing to take part in the above study.

 

Signature of Relative/carer             Date

Interviewer name and number/ Date /Signature of Interviewer

 

RETURN TO TOP

 

Declaration of Intent for donor

 

University of Cambridge

CAMBRIDGE BRAIN BANK LABORATORY

Pathology Laboratories Block, Level 3 (Histopathology)

Addenbrooke’s Hospital, Hills Road, Cambridge CB2 2QQ

Secretary (01223-762610)

Answerphone (01223) 217336

Fax (01223) 762610

 

DECLARATION OF INTENT for DONOR

Have you read the attached information sheet on postmortem brain donation, 

and have you been given a copy to keep?

Have you been given the opportunity to ask questions about brain donation?

Do you understand that you can change your mind about brain donation any 

time, without giving a reason or explanation, and without affecting your 

medical care?

Do you wish to make a gift of your brain to medical research in the event of 

your death?

Do you also wish to make a gift of cerebrospinal fluid and a blood sample to 

medical research in the event of your death? These samples are used 

primarily for excluding infection, thus ensuring the safety of research workers.

Are you aware that your gift of brain and related fluids will be placed in the 

custody of the Cambridge Brain Bank Laboratory, which acts on behalf of the 

University of Cambridge?

Your brain donation is intended primarily to support the research project 

entitled: "The CFA Study, or the Cognitive Function and Ageing Study". Do 

you agree that your gift of brain and related fluids may be used for other 

research projects?

Research may involve genetic study any may lead to the discovery of genes 

that predispose to, or protect against, disease. It is our policy that donor 

identity is protected in this kind of research by withholding any information 

that may identify the donor from the research workers. Genetic information is 

not communicated to anyone outside the research project, even to relatives. 

Do you agree that your gift of brain and related fluids may be used for genetic 

research in this way? Development of new drug therapies and diagnostic 

tests to the point where they can be made sufficiently widely available to 

benefit human health can sometimes only be achieved with the involvement 

of the commercial sector. Do you agree that your gift of tissue may be used 

to help the commercial sector achieve these aims?

I confirm that, in the event of my death, I wish to donate my brain and related 

tissues to the Cambridge Brain Bank Laboratory for use in medical research 

as indicated above

Signed………………………………………… Date………………………………

Name in capitals……………………………………………

 

FOR OFFICE USE

Name of Donor: …………………………………………..

Address: …………………………………………………

Tel.No …………………………………………………….

 

Name of Next of kin ………………………………………

Relationship: ………………………………………………

Address: ………………………………………………………………

Tel.No …………………………………………………….

Name of Doctor: ………………………………………….

Address: …………………………………………………………

Tel.No …………………………………………………….

 

RETURN TO TOP

 

Declaration of Intent for next of kin

 

University of Cambridge

CAMBRIDGE BRAIN BANK LABORATORY

Pathology Laboratories Block, Level 3 (Histopathology)

Addenbrooke’s Hospital, Hills Road, Cambridge CB2 2QQ

Secretary (01223-762610)

Answerphone (01223) 217336

Fax (01223) 762610

DECLARATION OF INTENT for NEXT-OF-KIN

Have you read the attached information sheet on postmortem

brain donation, and have you been given a copy to keep?

Have you been given the opportunity to ask questions about brain 

donation?

Do you understand that you can change your mind about brain

donation any time, without giving a reason or explanation, and 

without affecting medical care of your?

Do you wish to make a gift of your (enter relationship to, and

name of, donor)…………………………....’s brain to medical research 

in the event of his/her death?

Do you also wish to make a gift of cerebrospinal fluid and a blood 

sample to medical research in the event of his/her death? These 

samples are used primarily for excluding infection, thus ensuring 

the safety of research workers.

Are you aware that your gift of brain and related fluids will be 

placed in the custody of the Cambridge Brain Bank Laboratory, 

which acts on behalf of the University of Cambridge?

Your brain donation is intended primarily to support the research 

project entitled: "The CFA Study, or the Cognitive Function and 

Ageing Study". Do you agree that your gift of brain may also be 

used for other research projects?

Research may involve genetic study any may lead to the 

discovery of genes that predispose to, or protect against, 

disease. It is our policy that donor identity is protected in this 

kind of research by withholding any information that may identify 

the donor from the research workers. Genetic information is not 

communicated to anyone outside the research project, even to 

relatives. Do you agree that your gift of brain and related fluids 

may be used for genetic research in this way?

Development of new drug therapies and diagnostic tests to the 

point where they can be made sufficiently widely available to 

benefit human health can sometimes only be achieved with the 

involvement of the commercial sector. Do you agree that your 

gift of tissue may be used to help the commercial sector achieve 

these aims?

I confirm that, in the event of the death of my …………………………

(enter relationship of donor and name of donor), I wish to donate 

his/her brain and related fluids to the Cambridge Brain Bank 

Laboratory for use in medical research as indicated above

Signed……………………………………………………… Date………………………………

Name in capitals……………………………………………

FOR OFFICE USE

Name of Donor: …………………………………………..

Address: …………………………………………………………

Tel.No …………………………………………………….

Name of Next of kin ………………………………………

Relationship: ………………………………………………

Address: ………………………………………………………………

Tel.No …………………………………………………….

Name of Doctor: ………………………………………….

Address: ………………………………………………………………

Tel.No …………………………………………………….

 

RETURN TO TOP

 

Information letter for Retrospective Informant Interview

MRC Cognitive Function and Ageing Study

Administrative Centre

Department of Public Health & Primary Care

Institute of Public Health

University of Cambridge

Forvie Site

Robinson Way

Cambridge CB2 2SR

Telephone  01223 330311

Fax:  01223 330330

MRC CFAS

RETROSPECTIVE INFORMANT INTERVIEW

MRC CFAS is a large multicentre study of Health and Ageing that 

started in 1991 - The Medical Research Council Cognitive 

Function and Ageing Study. The aim of the study is to examine 

how health and well-being changes with age and about what 

might influence the different ways in which we age.  From this 

study we hope that we will be able to suggest ways in which the

health of older people can be improved in the future.

Your relative/friend contributed to the study greatly by allowing 

us to visit them and  interview them regularly.   We were able to 

collect unique and valuable information about them and their lives.  

They also generously agreed to the examination of their brain 

after death, we value this gift highly as it will enable us to look 

at major causes of illness and frailty in older people and most 

particularly those conditions which affect the brain tissues.

When we examine the donated tissue, we find it extremely helpful 

to have some information about the final years of the donor's life.  

We appreciate that this may upset or distress you and would be 

happy to carry out the interview at your convenience.  All the 

information is strictly confidential, and will be held on our data files.

The interview would take approximately 45 minutes and will be 

carried out by a Research Nurse/Interviewer,  it can be conducted 

by telephone if you prefer.  There is no obligation to take part but 

if you feel able to participate the information will be valued highly.

If you would like further information please contact Mrs Linda 

Barnes, Research Nurse on 01223 330311.

RETURN TO TOP

 

Consent for Retrospective Informant Interview

MRC Cognitive Function and Ageing Study

Administrative Centre

Department of Public Health & Primary Care

Institute of Public Health

University of Cambridge

Forvie Site

Robinson Way

Cambridge CB2 2SR

Telephone  01223 330311

Fax:  01223 330330

 

CONSENT FORM

RETROSPECTIVE INFORMANT INTERVIEW

 

Centre:…………………………………                               

 

Project Number………………………..

                                                               Please Initial

 

I confirm that I have read the information sheet version 3

Dated 26.6.03 and have been given a copy to keep.

 

I have had the opportunity to ask questions about the study                  

and understand why the research is being done. 

                                                                                                                   

I understand that…………………………..(enter relationship and name

consented to take part in the study in 1991/2 and that they 

agreed to brain donation after their death.

 

I am willing to give information on the final years of

my…………………….……….(enter relationship and name).

                                

I understand that all the information collected is strictly confidential,

and will be held securely on the data files by the MRC CFAS Study.

 

 

………………………………….                 …………………………….

Signature of Relative/Carer                     Date

 

………………………………….          …………………     ………………………….

Interviewer Name and number     Date    Signature of Interviewer

 

A collaborating centre in the Medical Research Council/ Cognitive 

Function And Ageing Study (MRC CFAS)                        

 

RETURN TO TOP

 

New forms of re-consent 2004 - for all centres

DOI Assent

MRC Cognitive Function and Ageing Study

Administrative Centre

Department of Public Health and Primary Care

Institute of Public Health

University of Cambridge

Forvie Site

Robinson Way

Cambridge  CB2 2SR

Telephone: 01223 330311

Fax: 01223 330330

 

MRC CFAS STUDY BRAIN DONATION

ASSENT

   

PROJECT NO……………………………

 

NAME OF DONOR…………………………………………………..

 

NAME OF NEXT OF KIN…………………………………………..  

 

ADDRESS OF NEXT OF KIN………………………………………

 

…………………………………………………………………………

 

…………………………………………………………………………

 

RELATIONSHIP OF NEXT OF KIN………………………………

                                                                                                                                                   

                                                                              Please Initial

I have read the attached information sheet (Version 1/

March 04) and have been given a copy to keep.   YES   NO

 

I have been given an opportunity to ask questions about 

brain donation.  YES   NO

    

The gift of brain donation is intended primarily to support the 

research Project entitled "The CFA Study or the Cognitive 

Function and Ageing Study "(Reworded as appropriate for 

each centre)”. Do you agree that his/her gift may be used in

the future for related research projects as approved by a 

Research Ethics Committee.   YES   NO                                                                                                                    

                                                                                                       

Project No………………………

Are you aware that his/her gift will be placed under the 

custodianship of NHS Brain Banks supporting the CFAS study. 

(Reworded as appropriate for each centre)   YES   NO                                                                        

Research involving genetic study of tissues and cells may 

lead to the discovery of genes that either predispose to, or 

protect against, disease. I understand that using the sample 

they give, may include genetic research aimed at understanding 

the genetic influences on diseases related to ageing such as 

Alzheimer's, but that the result of these investigations are unlikely

to have any implications for me personally.     YES   NO                                        

                                                                                                                    

Development of new drug therapies and diagnostic tests to 

the point where they can be made sufficiently widely available 

to benefit human health, can sometimes only be achieved with 

the involvement of the commercial sector.

Do you agree that his/her gift of tissue may be used to help 

the commercial Sector achieve these aims? YES   NO  

                                                                                                 

I understand that neither my family nor I will benefit financially 

if this research leads to the development of a new treatment 

or medical test.       YES   NO                                                                   

                                                                                                           

International co-operation enables us to work with approved 

collaborators worldwide to advance medical research.  Do you 

agree that we may send tissue abroad from his/her gift to 

approved collaborators outside of the UK?      YES   NO                                                

                                                                                                                  

I know how to contact the research team if I need to, and 

how to get information about the results of the research. 

         YES   NO                                                                                                      

                                                                                                                  

 Project No………………………

  

I believe that my ……………………………'s. (enter relationship of 

donor) who consented to brain donation for medical research 

in the past, would not object to these additional requirements 

and would still wish to make the gift of his/her brain and 

related fluids to NHS Brain Banks supporting the CFAS study 

(Reworded as appropriate for each centre) for use in medical 

research as indicated above.

  

Signed………………………………………………………………

 

Name in Capitals…………………………………………………...

 

Date…………………………………..  

RETURN TO TOP

 

DOI - donor

MRC Cognitive Function and Ageing Study

Administrative Centre

Department of Public Health and Primary Care

Institute of Public Health

University of Cambridge

Forvie Site

Robinson Way

Cambridge  CB2 2SR

Telephone: 01223 330311

Fax: 01223 330330  

 

MRC CFAS STUDY BRAIN DONATION

DECLARATION OF INTENT for DONOR

  

PROJECT NO……………………………

 

NAME OF DONOR……………………………………………

 

                                                                 Please Initial

I have read the attached information sheet (Version 3 Feb 

04) and have been given a copy to keep.        YES    NO                                                                                                                      

I have been given an opportunity to ask questions about 

brain donation          YES             NO

 

Do you wish to make a gift of your brain to medical 

research.            YES             NO

   

The gift of brain donation is intended primarily to support 

the research project entitled "The CFA Study or the 

Cognitive Function and Ageing Study".

(Reworded as appropriate for each centre)

Do you agree that your gift may be used in the future for 

related research Projects as approved by a Research 

Ethics Committee.         YES        NO                                                                                                               

Are you aware that your gift will be placed under the 

custodianship of NHS Brain Banks supporting the CFAS 

Study. (Reworded as appropriate for each centre)      

YES         NO                                 

                                                                                                                              

Research involving genetic study of tissues and cells may 

lead to the discovery of genes that either predispose to, 

or protect against, disease.  I understand that using the 

sample I give, may include genetic research aimed at 

understanding the genetic influences on diseases related 

to ageing such as Alzheimer's, but that the result of these 

investigations are unlikely to have any implications for me

 personally.       YES             NO

 

Development of new drug therapies and diagnostic tests to 

the point where they can be made sufficiently widely 

available to benefit human health, can sometimes only be 

achieved with the involvement of the commercial sector.  

Do you agree that your gift of tissue may be used to help

the commercial sector achieve these aims?   YES      NO 

                                                                                                                  

I understand that neither my family nor I will benefit 

financially if this research leads to the development of a 

new treatment or medical test.       YES             NO 

 

International co-operation enables us to work with 

approved collaborators worldwide to advance medical 

research.  Do you agree that we may send tissue abroad 

from your gift to approved collaborators outside of the

UK?                          YES             NO

 

I know how to contact the research team if I need to, and 

how to get Information about the results of the research.

                   YES             NO

 

I confirm that, I wish to donate my brain and related fluids 

to NHS Brain Banks supporting the CFAS (Reworded as 

appropriate for each centre) study for use in medical 

research as indicated.         YES             NO 

                                                                                                           

Signature…………………………………………………………… 

Name in Capitals……………………………………Date………..……………

Witness Signature…………………………………………………..

Name in Capitals……………………………………Date……………………….

 

 

CONTACT DETAILS

 

PROJECT NUMBER…………………………………………………

NAME OF DONOR…………………………………………………...

DATE OF BIRTH……………………………………………………..

ADDRESS……………………………………………………………..

………………………………………………………………………….

………………………………………………………………………….

TEL NO………………………………………………………………..

 

NAME OF NEXT OF KIN…………………………………………...  

ADDRESS OF NEXT OF KIN……………………………………….

………………………………………………………………………….

………………………………………………………………………….

RELATIONSHIP TO DONOR……...……………………………….

TEL . NO………………………………………………………………

NAME OF DOCTOR…………………………………………………

SURGERY……………………………………………………………..

………………………………………………………………………….

TEL . NO………………………………………………………………

 

RETURN TO TOP

 

 

Information for donors

MRC Cognitive Function and Ageing Study

 

Administrative Centre

Department of Public Health and Primary Care

Institute of Public Health

University of Cambridge

Forvie Site

Robinson Way

Cambridge  CB2 2SR

Telephone: 01223 330311

Fax: 01223 330330  

 

MRC CFAS STUDY

BRAIN TISSUE DONATION

 

INFORMATION FOR DONORS

  

You have very kindly in the past agreed to donate Brain 

Tissue to help research into the Ageing process, and the 

link with diseases such as Alzheimer's.

 

We hope that by asking these questions at an early 

stage in our research has allowed your decision to be 

made at a time when you and your family could ask as 

many questions as you wished. 

It is now many years since you considered and agreed 

to Brain Donation, and there have been recent advances 

in Medical research since then, and we would like to 

inform you of these.  This new information sheet covers 

the new areas but also includes the old ones. 

 

Genetic study may lead to discovery of genes that either 

predispose to, or protect against, disease.  The use of 

your future gift may include research aimed at 

understanding the genetic influences on diseases related 

to ageing such as Alzheimer's.  The results of these 

investigations are unlikely to have any implications for 

related individuals personally. Information on the findings 

of such work will not be fed back to families.  Significant 

findings would need to be confirmed in further research, 

and all the findings inform policy in the National Health 

Service.  This could include new screening and diagnostic 

tests available to populations who would benefit, with 

appropriate clinical and counselling support. We would 

like to ask whether such genetic work could be carried 

out on your gift.

 

Development of new drug therapies and diagnostic tests 

to the point where they can be made sufficiently widely 

available to benefit human health can sometimes only 

be achieved with the involvement of the commercial 

sector.  Would you agree to this option?

 

We are now able through international co-operation to 

work with approved collaborators worldwide to advance 

medical research.  Would you consider giving your 

approval to export tissue from your gift to approved 

collaborators outside of the UK?

 

It is not possible to anticipate the advances there may 

be in the field of Medical Research or Ethics.

 

Your gift would only be used for research studies, which 

have been approved by the Management Committee of 

CFAS and the CFAS Advisory Committee, which includes 

an independent scientist.  These research proposals then 

are considered by the Multi-Research Ethics Committee 

and the Local Research Ethics Committees, which also 

have to give approval before tissue can be released for 

use.

 

If your next of Kin or caregiver has changed we would 

be most grateful if you could make them aware of the 

decision that you came to regarding Brain Donation so 

that they may help us to carry out your wishes.

 

Below is some information we hope your and your family 

will find useful.

 

 

Background

 

The CFAS study (Reworded as appropriate for each 

centre) in which you have taken part is a large study that 

has been ongoing since 1989 and involves people over 65 

in six centres in Britain these include. Liverpool, 

Newcastle, Nottingham, Oxford, Cambridgeshire and 

Gwynedd.

 

The information collected through the interviews 

conducted in the study will increase our knowledge of the 

onset, course and risk factors for dementia and related 

conditions in the older population as well as healthy and 

frail ageing.

 

Some participants have been asked to consider donating 

their brain after death.  Those who felt able and willing 

to donate their brain after death are making an 

enormously valuable gift that will bring hope of a better 

life to future generations.  It was not an easy decision to 

make and needed to be discussed with the family.

 

Potential donors were asked to sign a Declaration of 

Intent.  This is not a legally binding document, and  

he/she is free to change his/her mind at any time.  The 

final decision to donate the brain has to be made by the 

next of kin after the donor's death.  

 

A very important aspect of the CFAS project is that we 

ask older people not suffering from dementia to consider 

our request as well as those with dementia.  This is 

crucial to understanding changes, which occur in the 

brains of normal elderly people with those who have 

dementia.

 

What effect will brain donation make on funeral 

arrangements?

 

If you decide to proceed with a donation, a limited post-

mortem examination would take place in the hospital 

mortuary.  The donation is carried out as soon after 

death as possible. This would not delay funeral 

arrangements. 

Your relative would be treated with great respect during 

the post-mortem and the procedure does not disfigure 

the body.

 

If a coroner has asked for a postmortem examination, 

brain donation is still possible, we would contact the 

coroner for their permission as well as your own to keep 

and examine the brain.  The donation will not cost the 

family anything, as all costs will be met by the study.

 

Confidentiality 

 

All the information collected by the study is completely 

confidential and it is stored without personal details on 

secure systems in compliance with the DPA 1998. 

 

The brain tissue is stored separately and securely, the 

gift will continue to be extremely valuable for research 

for the foreseeable future.  If the usage should come to 

an end, any remaining part of the gift would be disposed 

of with utmost respect.

 

Data collected by the study will only be analysed by 

approved researchers.

 

This study has been considered by the Multi-centre 

Research Ethics Committee and Local Research Ethics 

Committees.

 

If you would like any further information or have any 

questions please contact: -

 

Mrs Linda Barnes                                              

Research Nurse                                                  

CFAS Administrative Centre                            

01223 330311  

 

Professor Sir John Grimley Evans  

Oxford Healthy Ageing Project  

01865 224325

 

Professor Carol Brayne                                      

Cambridgeshire Project for Later Life               

01223 330311   

                                                

Mrs Cherie McCracken                                                          

Alpha Study Liverpool  

Gwynedd Project for Healthy Ageing  

0151 706 4143

 

Professor James Lowe                                       

Nottingham Health in Later Life study             

0115 970 9269                                                  

                                            

Professor Ian McKeith                                 

Newcastle Project for Health in Later Life  

Brain Tissue Donation line 0191 222 3313 

 

or look at our website:  www-cfas.medschl.cam.ac.uk/

 

RETURN TO TOP

 

Information for male donor's relatives/carers

MRC Cognitive Function and Ageing Study

 

Administrative Centre

Department of Public Health and Primary Care

Institute of Public Health

University of Cambridge

Forvie Site

Robinson Way

Cambridge  CB2 2SR

Telephone: 01223 330311

Fax: 01223 330330  

  

MRC CFAS STUDY

BRAIN TISSUE DONATION

   

INFORMATION FOR RELATIVES/CARERS

In the past we approached your family member/next of 

kin to discuss the ageing process and the links with 

diseases such as Alzheimer's.  We asked if he would be 

willing to consider brain donation when he died to 

further help the research. This was carefully considered 

by your family member/next of kin and agreed upon and 

he signed a general document indicating his wishes.

Because of recent advances in Medical Research, the 

Multi-Centre Research Ethics Committee requires us to 

seek additional and more specific approval for the use 

of his gift.  Below are some of the areas we have asked 

him to consider as suitable uses for his gift.

 

Research involving genetic study may lead to the 

discovery of genes that either predispose to, or protect 

against disease.  Use of the gift may include genetic 

research aimed at understanding the genetic influences 

on diseases related to ageing such as Alzheimer's.  The 

results of these investigations are unlikely to have any 

implications for you or related individuals personally.  

Information on the findings of such work will not be fed 

back to families.    Significant findings would need to be 

confirmed in further research, but all the findings inform 

policy in the National Health Service, this could result in 

new screening and diagnostic tests available to 

populations who would benefit, with appropriate clinical 

and counselling support.

 

Development of new drug therapies and diagnostic tests 

to the point where they can be made sufficiently widely 

available to benefit human health can sometimes only be 

achieved with the involvement of the commercial sector.  

We have asked whether such collaborations might 

include his gift if appropriate?

 

We are now able through international co-operation to 

work with approved collaborators worldwide to advance 

medical research. We have asked him to consider giving 

his approval to export tissue from his gift to approved 

collaborators outside of the UK.

 

It is not possible to anticipate the advances there may 

be in the field of Medical Research or Ethics.  We know 

that he is as committed as we are too using his gift as 

wisely as possible to help future generations.  We have 

asked him to consider his gift being used in the future 

for related research projects as approved by a Research 

Ethics Committee.

 

Data collected by the study will only be analysed by 

approved researchers.  This study has been considered 

by the Multi-centre Research Ethics Committee and 

Local Research Ethics Committees

 

All the information collected by the study is completely 

confidential and it is stored without personal details on 

secure systems in compliance with the DPA 1998. 

 

The brain tissue will be stored separately and securely, 

the gift will be extremely valuable for research for the 

foreseeable future.  If the usage should come to an 

end, any remaining part of the gift would be disposed 

of with utmost respect.

 

If you would like any further information or have any 

questions please contact:-

 

Mrs Linda Barnes                                              

Research Nurse                                                  

CFAS Administrative Centre                            

01223 330311  

 

Professor Sir John Grimley Evans  

Oxford Healthy Ageing Project  

01865 224 325

 

Professor Carol Brayne                                      

Cambridgeshire Project for Later Life               

01223 330311   

                                                

Mrs Cherie McCracken                                                          

Alpha Study Liverpool  

Gwynedd Project for Healthy Ageing  

0151 706 4143

 

Professor James Lowe                                       

Nottingham Health in Later Life study             

0115 970 9269                                                  

                                            

Professor Ian McKeith                                 

Newcastle Project for Health in Later Life  

Brain Tissue Donation line 0191 222 3313 

 

or look at our website:  www.cfas.ac.uk/  

RETURN TO TOP

 

 

Information for female donor's relatives/carers

MRC Cognitive Function and Ageing Study

 

Administrative Centre

Department of Public Health and Primary Care

Institute of Public Health

University of Cambridge

Forvie Site

Robinson Way

Cambridge  CB2 2SR

Telephone: 01223 330311

Fax: 01223 330330  

 

MRC CFAS STUDY

BRAIN TISSUE DONATION

 

INFORMATION FOR RELATIVES/CARERS

In the past we approached your family member/next of 

kin to discuss the ageing process and the links with 

diseases such as Alzheimer's.  We asked if she would be 

willing to consider brain donation when she died to further 

help the research.  This was carefully considered by your 

family member/next of kin and agreed upon and she  

signed a general document indicating her wishes.

 

Because of recent advances in Medical Research, the 

Multi-Centre Research Ethics Committee requires us to 

seek additional and more specific approval for the use of 

your family member/next of kin's gift.  Below are some of 

the areas we have asked her to consider as suitable uses 

for her gift.

 

Research involving genetic study may lead to the 

discovery of genes that either predispose to, or protect 

against disease.  Use of the gift may include genetic 

research aimed at understanding the genetic influences 

on diseases related to ageing such as Alzheimer's.  The 

results of these investigations are unlikely to have any 

implications for you or related individuals personally.  

Information on the findings of such work will not be fed 

back to families.    Significant findings would need to be 

confirmed in further research, but all the findings inform 

policy in the National Health Service, this could result in 

new screening and diagnostic tests available to 

populations who would benefit, with appropriate clinical 

and counselling support.

 

Development of new drug therapies and diagnostic tests 

to the point where they can be made sufficiently widely 

available to benefit human health can sometimes only be 

achieved with the involvement of the commercial sector.  

We have asked whether such collaborations might include 

her gift if appropriate.

 

We are now able through international co-operation to 

work with approved collaborators worldwide to advance 

medical research.  We have asked her to consider giving 

her approval to export tissue from her gift to approved 

collaborators outside of the UK.

 

It is not possible to anticipate the advances there may 

be in the field of Medical Research or Ethics.  We know 

that she is as committed as we are to using her gift as 

wisely as possible to help future generations.  We have 

asked her to consider her gift being used in the future for 

related research projects as approved by a Research 

Ethics Committee.

 

Data collected by the study will only be analysed by 

approved researchers.  This study has been considered 

by the Multi-centre Research Ethics Committee and Local 

Research Ethics Committees.

 

All the information collected by the study is completely 

confidential and it is stored without personal details on 

secure systems in compliance with the DPA 1998. 

 

The brain tissue will be stored separately and securely, 

the gift will be extremely valuable for research for the 

foreseeable future.  If the usage should come to an end, 

any remaining part of the gift would be disposed of with 

utmost respect.

 

If you would like any further information or have any 

questions please contact:-

 

Mrs Linda Barnes                                              

Research Nurse                                                  

CFAS Administrative Centre                            

01223 330311  

 

Professor Sir John Grimley Evans  

Oxford Healthy Ageing Project  

01865 224 325

 

Professor Carol Brayne                                      

Cambridgeshire Project for Later Life               

01223 330311   

                                                

Mrs Cherie McCracken                                                          

Alpha Study Liverpool  

Gwynedd Project for Healthy Ageing  

0151 706 4143

 

Professor James Lowe                                       

Nottingham Health in Later Life study             

0115 970 9269                                                  

                                            

Professor Ian McKeith                                 

Newcastle Project for Health in Later Life  

Brain Tissue Donation line 0191 222 3313 

 

or look at our website:  www.cfas.ac.uk/  

RETURN TO TOP