Guidance and Policies


Guidance and Policies describe how clinicians, scientists and others work to deliver the service. The polices are usually developed by the appropriate Advisory Group in discussion with other patient and lay groups and professional organisations. When agreed, these are reviewed and approved by the Transplant Policy Review Committee, which acts on behalf of the Board of NHSBT where the statutory responsibility lies. When appropriate, guidelines are issued in conjunction with appropriate professional or statutory bodies. These policies are regularly reviewed and revised.

Selection and Allocation Policies

Introduction to Selection and Allocation Policies
Last updated: October 2013 Approved by TPRC: October 2013 Next review: October 2014
Assessment of allocation policies for organs from deceased donors
Last updated: December 2013 Approved by TPRC: October 2013 Next review: December 2014
Non-compliance with selection and allocation policies
Last updated: July 2012 Approved by TPRC: July 2012 Next review: June 2014
Patient Selection and Organ Allocation Policies Review and Approval (Organs)
Last updated: March 2014 Approved by TPRC: March 2014 Next review: March 2015

Cornea Selection and Allocation

Cornea Selection Policy
Last updated: December 2011 Approved by TPRC: January 2012 Next review: January 2013
Cornea Allocation Policy
Last updated: December 2011 Approved by TPRC: January 2012 Next review: January 2013

Intestinal Selection and Allocation

Intestinal Selection Policy
Last updated: January 2014 Approved by TPRC: March 2014 Next review: January 2015
Intestinal Allocation Policy
Last updated: January 2014 Approved by TPRC: March 2014 Next review: January 2015

Kidney Selection and Allocation

Kidney Selection Policy
Last updated: December 2011 Approved by TPRC: January 2012 Next review: June 2014
Kidney Allocation Policy
Last updated: January 2014 Approved by TPRC: March 2014 Next review: January 2015

Liver Selection and Allocation

Liver Selection Policy
Last updated: January 2014 Approved by TPRC: March 2014 Next review: January 2015
Liver Allocation Policy
Last updated: January 2014 Approved by TPRC: March 2014 Next review: January 2015

Pancreas Selection and Allocation

Pancreas Selection Policy
Last updated: January 2014 Approved by TPRC: March 2014 Next review: January 2015
Pancreas Allocation Policy
Last updated: January 2014 Approved by TPRC: March 2014 Next review: January 2015

Additional Policy and Guidance

Contraindications to Organ Donation - A Guide for SNODs
Last updated: June 2014 Approved by TPRC: May 2014 Next review: June 2015
Pregnancy in Donation
Last updated: August 2012 Approved by TPRC: February 2010
Guidance and Principles - Donor Organ Imaging
Last updated: March 2014 Next review: March 2015
Living Organ Donors Who Require a Transplant as a Direct Consequence of Donation
Last updated: February 2011 Approved by TPRC: February 2011 Next review: February 2016
NHSBT BTS Guidelines for consent for solid organ transplantation in adults
Last updated: March 2013 Approved by TPRC: April 2013 Next review: March 2015
NHSBT BTS Responsibilities of clinicians for the acceptance of organs from deceased donors
Last updated: December 2012 Approved by TPRC: December 2012 Next review: December 2014
NHSBT BTS Transition Change of Care Guidance
Last updated: March 2014 Approved by TPRC: March 2014 Next Review: March 2015
Response to signals arising from audit of outcomes after solid organ transplantation
Last updated: October 2013 Approved by TPRC: October 2013 Next review: August 2014

Tools

Liver
UK End-stage Liver Disease (UKELD) score calculator
This calculator is not currently compatible with iPads and tablets
Kidney
The UK Kidney Allocation Scheme used to prioritise patients and allocate kidneys considers a number of clinically relevant factors and is complex in design. It is therefore extremely difficult for patients and clinicians to understand and manage expectations concerning waiting times to deceased donor kidney transplantation. On average, adult patients can expect to wait approximately three to four years for a deceased donor kidney transplant, but there is considerable variation according to patient characteristics. R-CoT is computer software that is able to provide more meaningful waiting time information tailored to an individual patient’s circumstance. It is based on a rigorous analysis of factors influencing waiting time to kidney transplant.
Relative Chance of Kidney Transplant Calculator
This calculator is not currently compatible with iPads and tablets
RCoT Instructions for Use
Reports
Summary and Recommendations from report of Moderator on Liver Consensus Conference on Allocation on 29th March 2012
Consensus Conference on Allocation held on 29th March 2012 - Attendees
Report of Moderator on Liver Consensus Conference on Allocation on 29th March 2012

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