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National Liver Offering Scheme

NHS Blood and Transplant (NHSBT) has introduced a new way of matching livers from deceased donors to adult patients on the liver transplant waiting list. The new scheme will match livers on a national, rather than a regional, basis and will help to place the organ with the patient most likely to benefit from it. This is expected to increase the number of life-years gained from transplanted livers, and decrease the number of people who die on the waiting list.

Working with the Liver Advisory Group, NHSBT have developed this new scheme. It looks at the characteristics of the donor and the liver patient, to match the donated liver to the patient in a more specific way; helping to make sure the liver is allocated to the patient who will receive the most benefit from it. This new scheme uses a new scoring system called the Transplant Benefit Score (TBS).

ODT Hub Operations will now be responsible for all liver offering rather than Specialist Nurses – Organ Donation (SNODs). This will support SNODs by removing hours of time spent on administrative tasks and allow them more time to spend with donor families and on clinical activities.

* The roadshows were set up to deliver information on the new National Liver Offering Scheme to Liver Transplant Coordinators, Specialist Nurses – Organ Donation and surgeons and to answer any questions that arose.