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, Registration and Allocation Policies

Introduction to Selection and Allocation Policies
Last updated: September 2015 Approved by TPRC: September 2015 Effective date: December 2015 Next review: September 2016
Assessment of allocation policies for organs from deceased donors
Last updated: January 2016 Approved by TPRC: January 2016 Effective date: February 2016 Next review: January 2017
Non-compliance with selection and allocation policies
Last updated: April 2015 Approved by TPRC: April 2015 Effective date: June 2015 Next review: April 2016
Patient Selection and Organ Allocation Policies Review and Approval (Organs)
Last updated: August 2016 Approved by TPRC: March 2014 Effective date: August 2016 Next review: August 2017
Patient Registration for Transplantation
Last updated: June 2015 Approved by TPRC: September 2015 Effective date: March 2016 Next review: September 2016
Registering a Patient for Transplantation
Last updated: June 2015 Approved by TPRC: December 2015 Effective date: March 2016 Next review: September 2016

Cornea Selection and Allocation

Cornea Selection Policy
Last updated: June 2015 Approved by TPRC: June 2015 Effective date: July 2015 Next review: January 2016
Cornea Allocation Policy
Last updated: June 2015 Approved by TPRC: June 2015 Effective date: July 2015 Next review: January 2016

Heart Selection and Allocation

Heart Selection Policy
Last updated: April 2017 Approved by TPRC: April 2017 Effective date: May 2017: Next review: May 2018
Heart Allocation Policy
Last updated: June 2017 Approved by TPRC: April 2017 Effective date: June 2017: Next review: June 2018

Intestinal Selection and Allocation

Intestinal Selection Policy
Last updated: September 2015 Approved by TPRC: September 2015 Effective date: November 2015 Next review: September 2016
Intestinal Allocation Policy
Last updated: April 2016 Approved by TPRC: September 2015 Effective Date: 13th May 2016 Next review: September 2016

Kidney Selection and Allocation

Kidney Selection Policy
Last updated: February 2016 Approved by TPRC: July 2014 Effective date: February 2016 Next review: December 2016
Kidney Allocation Policy
Last updated: January 2017 Effective date: January 2017 Next review: January 2018

Liver Selection and Allocation

Liver Selection Policy
Last updated April 2017 Approved by TPRC: April 2017 Effective date: May 2017 Last reviewed April 2017 Next review May 2018
Liver Allocation Policy
Last updated: November 2015 Approved by TPRC: April 2015 Effective date: December 2015 Last reviewed: December 2016 Next review: December 2017

Lung Selection and Allocation

Lung Allocation Policy
Last updated: June 2017 Approved by TPRC: April 2017 Effective date: June 2017 Next review: June 2018
Lung Selection Policy
Last updated: April 2017 Approved by TPRC: April 2017 Effective date: May 2017 Next review: May 2018

Pancreas Selection and Allocation

Pancreas Selection Policy
Last updated: January 2015 Approved by TPRC: April 2015 Effective date: June 2015 Next review: January 2016
Pancreas Allocation Policy
Last updated: January 2017 Effective date: January 2017 Next review: January 2018

Additional Policy and Guidance

Clinical contraindications to approaching families for possible organ donation
Last updated: November 2015 Approved by TPRC: April 2015 Effective date: December 2015 Next review: June 2016
Pregnancy in Donation
Last updated: May 2013 Effective date: January 2017
Guidance and Principles - Donor Organ Photographs
Last updated: April 2017 Effective date: may 2017 Next review: May 2018
Living Organ Donors Who Require a Transplant as a Direct Consequence of Donation
Last updated: July 2015 Approved by TPRC: February 2011 Effective date: July 2015 Next review: July 2018
NHSBT BTS Guidelines for consent for solid organ transplantation in adults
Last updated: September 2015 Approved by TPRC: September 2015 Effective date: October 2015 Next review: September 2016
NHSBT BTS Responsibilities of clinicians for the acceptance of organs from deceased donors
Last updated: July 2015 Approved by TPRC: April 2015 Effective date: July 2015 Next review: April 2016
NHSBT BTS Transition Change of Care Guidance
Last updated: March 2014 Approved by TPRC: March 2014 Effective date: March 2014 Next Review: March 2015
Response to signals arising from audit of outcomes after solid organ transplantation
Last updated: June 2015 Approved by TPRC: June 2015 Effective date: August 2015 Next review: June 2016
Organ Boxes - Instructions for use
Organ Boxes - Frequently Asked Questions
Active BTS Standards and Guidelines
The Transplantation Society Guidelines
The American Society for Transplantation Guidelines and Opinions

National Operating Procedures

Donor and Organ Characterisation Assessment and Allocation in Deceased and Living Donatation and Transplantation - NOP001
Verification of Donor Identity Consent and Authorisation Organ and Donor Characterisation in deceased and Living Donation and Transplantation - NOP002
Packaging Labelling and Transport of Organs in Deceased and Living Donation and Transplantation - NOP003
Management of Procurement Material and Equipment in Deceased and Living Donor and Transplantation - NOP004
Activities to be Performed Under the Guidance of a Registered Medical Practitioner - NOP005
Transfer and Storage of Donor and Organ Characterisation Information and Storage of Traceability Data - NOP006

Next section: Transplant Units in the UK

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