Conclusion
Regulatory giraffes?
in Trust in the system
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This final chapter will draw the various threads of the book together and reflect on them in the light of current debates around Research Ethics Committee (REC) review. This chapter will explore how many of the historical challenges raised by REC practice (for example, the geographical variation in approval rates resulting from autonomous, local committees or the review of scientific quality of applications) are still subject to considerable debate on the part of policy makers and how the proposed responses – because they fail to engage with the central role of trust – run the risk of undermining REC decision making.

The chapter then sets out three specific insights – around REC membership, the regulation of risk, and street-level bureaucracies – that arise from the book as a whole.

Trust in the system

Research Ethics Committees and the regulation of biomedical research

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