This report was written in conjunction with Sir Liam's Report of a Census of Organs and Tissues Retained by Pathology Services in England and in response to public criticism at the unauthorised retention of children's tissue and organs at certain hospitals.

It drew together problems and concerns with the current system and made recommendations for change to ensure greater respect and compassion for the deceased and bereaved, clearer information on the medical purpose of such retention and greater participation in decisions by families, while preserving the need to continue the practice more appropriately for research and training needs.

Legislative reform was also recommended to require clear consent from families for retention and the need for an independent commission to be established to return organs and tissues to families where requested.