- University of Barcelona - Bosch i Gimpera Foundation (UB-FBG): coordinator;
- Donation and Transplantation Institute (DTI)- Barcellona: training;
- Slovenjia Transplant: dissemination;
- Croatian Transplant and Biomedicine Center: organization of social events;
- Italian National Transplant Centre: dissemination;
- Dinamia Sociedad Cooperativa (Spagna):evaluation.
- although follow-up data for transplanted patients are registered and monitored in all the countries surveyed there are no general national rules on how and what to measure apart from standard clinical parameters, blood values, immunosuppression levels, and general health status.
- Physical activity was found to be recognised as an added value but is not regularly included in most of the programs.
- Physiotherapy is prescribed by National Health Systems when needed, with some countries providing a few weeks of rehabilitation after liver, heart and lung transplantation.
- No funding is provided for further physical activity as a means of improving quality of life of transplanted patients.
- Determining methodologies for assessing the risks associated to novel tissues/cells
- Determining methodologies for assessing the extent of the studies needed to provide enough quality, safety and efficacy data for the use of tissues/cells
- Determining the follow up programs, according to the inputs of the previous issues, to ensure safety and support the evaluation of the clinical efficacy
In 2003, during a meeting of Ministers of Health of the countries that were about to enter the Union at the time, a particular emphasis was placed on the problem of the shortage of organs and on the advantages that greater collaboration between foreign countries would have produced in this area. On the basis of this recommendation in 2004 a large group of countries, including Italy and Czech Republic, Austria, Greece, Poland, Hungary, Slovakia, Latvia, Lithuania, Estonia, Cyprus and Malta, signed a common statement that turned to the inter-governmental organization European Transplant Network, whose secretariat was initially established in Prague and since 2005 in Italy. Since 2004, the ETN has carried out a series of activities in four main areas, training (seven training courses for healthcare professionals for a total of 240 participants), the presentation of joint scientific projects (MODE, ACCORD) the development of joint initiatives for the exchange of organs (projects COORENOR and FOEDUS, and bilateral agreements), as well as the care of the legal aspects.
Previous to the birth of the Italian National Transplant Center, various bilateral agreements between Italian inter regional ares or regions and some European countries were already put in place. Over the last thirteen years, CNT tried to systematize the agreements of this kind, bringing them within the framework of cooperation agreements signed by the healthcare Italian Ministry of Health, while respecting the interest of some clinical centers for international cooperation. These agreements relate mainly to the training, exchanges of surplus organs and caring of a limited number of patients, usually urgent cases, pediatric or particular complex cases, and for which no adequate care could take place in their the country of origin, but always in accordance with a budget of resources that does not penalize any participating country. Currently such agreemets are in place with Poland, Slovakia, Malta, Greece, and are sporadically exchange of organs with many other countries, such as the area of Eurotransplant, France, Spain.