We appreciate the discussion regarding streamlining the regulation, and would encourage the review to reduce the number of proposals (Table 1) to a manageable set that could be implemented to improve, simplify and speed up the regulatory framework without increasing risk. In terms of human health, we would like to see more discussion regarding the process for clinical trials, and how this relates to the tiered risk approach. Any clinical trial approach should be harmonised with global standards. Similarly, we would have liked greater discussion on the utility of post market monitoring and surveillance as a method to increase compliance and knowledge.