Design review in South Australia: origins and influence: Stuart Harrison in conversation with Kirsteen Mackay and Paul Finch

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ABSTRACT This article presents a cross-continental dialogue between Kirsteen Mackay (South Australian Government Architect), Stuart Harrison (Government Architect Western Australia and Senior Lecturer, University of Melbourne), and Paul Finch (Programme Director, World Architecture Festival; former Chair of CABE, UK). The conversation was conducted online in March 2025, across Adelaide, Perth, and London. It explores the evolution of design review within UK and Australian planning systems. Finch outlines the UK's trajectory from the Royal Fine Art Commission (1924) to CABE (1999), highlighting a shift toward transparent, multidisciplinary processes. Mackay and Harrison discuss the adaptation of these principles in Australia, focusing on South Australia's Integrated Design Commission and its transition into a statutory framework. The discussion identifies key themes for the success of design review processes, including: early engagement, confidentiality, continuity, and the balance between advisory input and regulatory authority. It also considers the role of professional leadership in shaping responsive governance structures. The dialogue is relevant to planners interested in how design review can be embedded within policy and practice to support improved urban development outcomes and public value.

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  • Economic Papers: A journal of applied economics and policy
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Khan is Professor of Medicine and Pediatrics at the University of Texas Southwestern Medical Center in Dallas, USA. He is the Program Director for the Allergy & Immunology fellowship program at Southwestern. Dr. Khan is a Past-President of the Texas Allergy, Asthma and Immunology Society. He is also a member of the Joint Task Force on Practice Parameters for Allergy & Immunology. Dr. Khan received his medical degree from the University of Illinois in Chicago, USA. After completing an Internal Medicine residency at the Good Samaritan Medical Center in Phoenix, Arizona, USA, he went on to fellowship training in Allergy & Immunology at the Mayo Clinic, USA. His research interests include rush immunotherapy, drug allergy, mood disorders in asthma and alternative therapies for refractory chronic urticaria. Enrico CompalatiEnrico CompalatiDr Compalati MD, PhD, graduated from Medical School at the University of Genoa, Italy. After his residency in Internal Medicine, he received his degree in Allergy and Clinical Immunology. His post-graduate experiences include a PhD-doctorate in Clinical-Experimental Allergy & Respiratory Physiopathology and a Master course in Immunotherapy of Allergic and Respiratory Diseases at the same University. Currently he is researcher and clinician allergist at the Allergy and Respiratory Diseases Clinic of the Genoa University, with particular interests in allergen specific immunotherapy, allergic inflammation, drug therapy of respiratory allergy and impact of allergic conditions on health-related quality of life. His scientific activity is mainly focused on the evidence-based methodology applied to allergy and respiratory diseases. In this field he is co-author of several systematic reviews and was visiting fellow at the department of Clinical Epidemiology & Biostatistics of the McMaster University, ON, Canada. Since 2008 onwards, he has been member of the committee of the World Allergy Organization (WAO) for the Evidence Based Medicine and Methodology and served as author for the Allergy Prevalence Survey by the World Allergy Organization 2007, the WAO Sublingual Immunotherapy Position Paper 2009, the WAO Diagnosis and Rationale for Action against Cow's Milk Allergy (DRACMA) Guidelines 2010. He is connected in the GA2LEN (the EU Network of Excellence in Allergy) and collaborates with the Grades of Recommendation, Assessment, Development and Evaluation (GRADE) Working Group. He is member of the interest group for immunotherapy of the European Academy of Allergy and Clinical Immunology (EAACI), International-member of the American Academy of Allergy Asthma and Immunology (AAAAI) and member of the Panel for Italian Guidelines on Allergic Rhinitis and its Impact on Asthma (ARIA). Associate faculty member of F1000 for Asthma & Allergic Rhinitis, he is author of different publications in peer-reviewed journals and served as Lecturer and Chair at national and international congresses.

  • Research Article
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  • 10.5694/j.1326-5377.1979.tb112011.x
DOCTOR WHY ARE YOU SO DETACHED?
  • Feb 1, 1979
  • Medical Journal of Australia
  • Anthony R Moore

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  • Research Article
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The Critical Intersect of Regulations, Health Technology Assessment, and Drug Safety Assessments.
  • Dec 19, 2023
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  • Wen-Wen Yang + 3 more

Health technology assessment (HTA) is a multidisciplinary process that determines the value of health technology at different points in its lifecycle. Safety issues have become more important since regulatory authorities are increasingly adopting flexible standards, processes, and evidentiary requirements for drug approval. In this article, we compared the different role of regulatory authorities and HTA agencies. Additionally, the experience of regulatory-HTA collaboration for assessment and/or decision-making on safety issues in the lifecycle of a health technology is illustrated, including olmesartan (angiotensin II receptor antagonist) and the direct-acting hepatitis C virus (HCV) antiviral agents. Post-licensing data can be derived from various sources such as electronic health records, medical claims, drug and disease registries, post-authorization safety studies (PASS) or post-authorization safety efficacy studies (PAES), periodic benefit-risk assessment reports, as well as HTA reassessment reports, which incorporate utilization information from patients in a real-world setting and provide crucial evidence for various purposes. With the ongoing accumulation of safety and efficacy information during post-regulatory approval, a standardized process for continuous data collection and active reassessment of risk and benefit becomes crucial for managing the lifecycle of health technologies. In order to define evidence requirements clearly, reduce uncertainty, and minimize delays in HTA approval, early engagement and collaboration of HTA agencies in the regulatory review processes have become more common. However, there is currently limited interaction and collaboration between regulatory authorities and HTA agencies. This article aims to identify the challenges faced by regulators and HTA agencies today, emphasizing the significance of conducting regulatory reviews and health technology assessments throughout a technology's lifecycle, underlining the value of utilizing real-world data and evidence, and emphasizing the necessity of enhancing collaboration between regulatory authorities and HTA agencies, all within the overarching context of drug safety.

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