COVID-19: Clinical Advice

The following advice is provided for clinical staff involved in facilitating organ and tissue donation in the UK.

It is general guidance so please always check the latest Government COVID-19 advice for up to date national guidance as well as any local policies which may be applicable.

Because the situation continues to change, please revisit this site to find the latest version of any guidance.

Clinical enquiries and questions should be directed as appropriate to: regional organ donation teams or Regional Clinical Leads for Organ Donation, national organ retrieval service leads, or transplant centres.

COVID-19 vaccine information

COVID-19 vaccine information for clinicians and patients

The OTDT clinical team, including lay member representatives have devised guidance for clinicians and patients with regards to COVID-19 vaccines. 

We hope that you find this information useful and access alongside other information with regards to COVID–19 vaccines, including Government, JCVI and MHRA advice.

Patients with thrombosis and thrombocytopenia occurring after vaccination

We have created guidance around the safety of organ donation and transplantation from patients with thrombosis and thrombocytopenia occurring after a COVID-19 vaccination.

SARS-CoV-2 assessment and screening in donors and recipients

*Updated policy*

This policy provides guidance on the SARS-CoV-2 assessment and screening of potential solid organ donors and transplant recipients. It is anticipated that it will be updated as new evidence and practices emerge.

The policy has been updated to describe circumstances where organ donation from selected donors with positive (or indeterminate) SARS-CoV-2 RNA test results may be reasonable, following virological advice, and where evolving infection (and therefore the risk of infectivity to recipients) is deemed unlikely.

SARS-CoV-2 Assessment and Screening in Organ Donors and Recipients - POL304 (PDF 734KB) (published 30 March 2022)

Transplant unit SARS-CoV-2 outbreak prevention and management guidance

This guidance is written as an aide-memoire for transplant Multi-Disciplinary Teams (MDT) to use as part of their service consideration and planning.

The four key principles for units to consider and plan for are: prevention, preparation, escalation and shared learning as part of outbreak management.

Transplant unit SARS-CoV-2 outbreak management guidance  - POL306 (PDF 366KB)

NHS winter pressures and transplantation

The following recommendations may help you secure the support of your Trust/Board Executive to continue to deliver transplantation in the face of competing winter pressures and COVID-19.

These measures will help to improve the resilience of the multi-disciplinary workforce, preserve the infrastructure that supports transplantation services and save and improve lives for patients waiting for a transplant.

Winter pressures in the NHS in 2021 and its potential effect on transplantation - a discussion document - INF1596 (PDF 411KB)

Transplant centre restrictions

Guidance documents and videos

Reporting incidences of COVID-19

In order to capture and appropriately use and share real-time information on confirmed COVID-19 in transplanted patients and those on transplant waiting lists, please use the reporting forms in the drop down menu below.

The first form collects information at presentation and the second facilitates follow-up with an outcome at or before 30 days later.

SARS-CoV-2 cases in wait list and organ transplant patients

Information on all patients registered with NHS Blood and Transplant active on the waiting list for an organ transplant or in follow-up after receiving an organ transplant that have tested positive for SARS-CoV-2.

The report is updated each month. 

Download the report (PDF 911KB)

Daily donor and transplant report

Daily organ donation and transplantation figures for the UK. Reports will be published Monday - Friday.