Select Committee on European Union Minutes of Evidence


Examination of Witnesses (Questions 460 - 465)

THURSDAY 27 MARCH 2008

Dr Adamos Adamou and Ms Anna Pavlou

  Q460  Baroness Young of Hornsey: You mean what you were saying in answer to my last question covers that. Is that what you are saying?

  Dr Adamou: Yes.

  Q461  Chairman: Some of our witnesses have suggested that the EU would be well placed because it has a wider pool of people of different groupings to undertake socio-demographic and cultural research to show why and how you do what you have been describing and what it is that helps to get to these groups. Do you think the EU could contribute to that research or do you think people should just get on and get to their communities?

  Dr Adamou: You can coordinate the effort. That is the only thing you can do, coordinate and give guidelines. Otherwise you cannot interfere with the Member States; the Member States should understand what to do. The Commission and the Council and everybody, let us say screening for cancer—I am taking cancer because I have a great expertise in this—everybody knows that screening saves lives. The Commission is just giving recommendations; it cannot force the Member States to implement a programme. They can say these programme save lives if they are implemented, the same as with public awareness, just give guidelines and information to Member States and ask them to implement and to come together.

  Q462  Baroness Young of Hornsey: It is a slightly different question. If I could give you an example of what I mean, let us say that in this country, for argument's sake, that members of the Greek Cypriot community in North London are not giving organs at the same rate as neighbouring and other communities and yet maybe we would find out that in Cyprus there is this big willingness to give organs. What we are suggesting is that it would be very useful for us to know what the differences are across the different Member States within different communities as to what really is the barrier preventing some people giving their organs.

  Dr Adamou: Different cultures, different religions, different deep roots where they come from. You mentioned the Cypriot community but Cyprus would have a problem with dead donors; we are the last on the list, but we are the first for the living donors. This is the culture but it is not happening in other Member States. Can we take this practice and try to implement another one? No, we cannot do this. The only thing we can do is to raise public awareness to find common guidelines based on different things, not cultural, not religious, because people are suffering commonly from these diseases. Of course, we have to respect the religions and the cultures for other Member States but when we come to health and to measures that you will take to eliminate the disease or deaths coming from this disease, then I think everybody must be united. That is why this is the work of the Commission, to coordinate the Member States even if they have a different culture or a different religion.

  Q463  Baroness Young of Hornsey: Obviously the coordination is absolutely important, but I think what has been suggested in the past by other witnesses is that we do not actually have enough information and evidence about what the differences are and what is driving that. Could the EU make a contribution by funding some key research in this area?

  Ms Pavlou: That is what Mr Adamou said. You could help us collect all this information and make extensive research within the Member States to see first of all what discrepancies exist within the Member States, within which communities, which communities have lower levels, which communities have higher levels. Coming back to the point you said about the Greek Cypriot community in North London not wanting to donate to the other communities, this happens quite often. Many people say that they do not want their organ to go to X, Y or Z but by raising awareness and giving information we are trying to promote equality and equity. The organ will go to the person who needs it, not to a person who needs it less but fits the idea of the donor. Obviously this is very hard to balance in some cases.

  Q464  Chairman: I am sorry but we have run out of time, in fact we have run over because we are so interested in what you have been saying. Just for the record to clarify that last point, it seems to me that you are saying that there is some role for the EU in terms of exchanging information and coordination. Certainly we have felt that we have learned already a lot from other countries in this hearing. You are saying that when it comes to interference in relation to the delivery of the services that the EU does not have a role. Do I have the distinction clear?

  Ms Pavlou: Yes. It cannot interfere within the decisions of the Member States unfortunately. It can try to coordinate, it can try to set minimum levels but it will not come to the UK and tell you that you have to do something about your communities that do not want to donate. It is up to the UK to try to raise awareness and raise the levels.

  Q465  Chairman: We are immensely grateful. We do think we are travelling along the same road. I was just trying to work out where our report would come in relation to your report. Although we are reporting obviously to our Government we do send copies to the Commission and you might well find that what we are supporting will be very helpful. We have certainly found your evidence extremely helpful and we wish you a safe journey home.

  Dr Adamou: Thank you very much. I want to state here that as soon as we are back in Brussels and the report is ready after the voting yesterday, we will send you a copy and of course, in April we will send you the copy of the Plenary Session so that you will have the final results of what the European Parliament thinks about this. Thank you very much for accepting me here; it was a great pleasure.






 
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