Unreliable clinical guidance for transplant patients
First to latest report 14 Apr 2014 — 12 Nov 2024
Reports that mention this concern
2
Times this concern has been raised
2
Stated actions linked to this concern
8
What this concern includes
Includes failures of transplant-specific clinical guidance and protocols, including their development, completeness, accessibility, dissemination, staff understanding and application, across kidney, heart or other named transplant-care contexts where the guidance is intended to direct safe assessment, treatment or perioperative care.
What is not included
Excludes generic clinical-guideline awareness or access failures where no transplant-specific guidance is involved.
Excludes failures in transplant treatment, monitoring, medication or surgery where no deficiency in transplant-specific guidance is identified.
Excludes organ-specific clinical guidance unrelated to transplantation, and non-transplant guidelines even when they concern similar clinical decisions.
Excludes generic staffing, training, communication or governance deficiencies unless they directly impair transplant-specific clinical guidance.
Trends
Reports over time
Reports mentioning this concern, over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Department of Health and Social Care1
George Eliot Hospital NHS Trust1
Medicines and Healthcare products Regulatory Agency1
NHS England1
The British Transplantation Society1
The Renal Association1
University Hospitals Coventry and Warwickshire NHS Trust1
Executive non-departmental public body1
Medicines and medical devices regulator1
Ministerial department1
NHS trust1
Registered charity1
Reports and published responses 2 reports
See individual reports that have raised this concern, and the actions taken in response
Coventry and Warwickshire
Concerns raised1
Lack of consistent awareness of and access to kidney transplant care guidelines and protocols
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
George Eliot Hospital NHS Trust
NHS England
The British Transplantation Society
UK Kidney Association (UKKA; formerly the Renal Association
University Hospitals Coventry and Warwickshire NHS Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.8
University Hospitals Coventry and Warwickshire NHS Trust
Finalise, agree, and cascade shared guidelines for managing acutely unwell kidney-transplant inpatients.
University Hospitals Coventry and Warwickshire NHS Trust
Place the agreed renal-care guidelines on the Trust intranet after governance ratification.
George Eliot Hospital NHS Trust
Complete ratification and upload the renal management guidelines to the Trust intranet.
George Eliot Hospital NHS Trust
Produce laminated quick-reference guidance for managing acutely unwell kidney transplant recipients.
George Eliot Hospital NHS Trust
Disseminate the renal guidelines and quick-reference materials to Directorate Governance Leads, doctors, consultants and relevant clinical staff.
George Eliot Hospital NHS Trust
Discuss the new renal guidance at Directorate Governance Meetings and Trust-wide Governance meetings.
George Eliot Hospital NHS Trust
Reiterate the renal guidance at the Doctors Grand Round.
George Eliot Hospital NHS Trust
Display laminated renal quick-reference posters across clinical areas and the Trust.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.5
The British Transplantation Society and UK Kidney Association (UKKA; formerly the Renal Association
Specialist-led care is considered sufficient, so clinicians should not necessarily need to refer to renal care guidelines.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
NHS England
Oversight of delegated renal medicine services rests with individual Integrated Care Boards, including Coventry and Warwickshire ICB.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
NHS England
Providers involved in the care should respond to concerns about local arrangements and processes, rather than NHS England.
Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
University Hospitals Coventry and Warwickshire NHS Trust
The agreed guidelines, service-level agreement and related processes are considered sufficient to address the six concerns.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
University Hospitals Coventry and Warwickshire NHS Trust
Specialist renal care should rely on direct specialist contact rather than universal guideline access, because guidelines may cause misunderstanding of urgency.
Existing arrangements considered sufficientThe respondent said that existing arrangements were sufficient, so no further action was needed.
Manchester West
Concerns raised1
Lack of protocols and guidelines for perioperative management of heart transplant patients undergoing non-cardiac surgery
This report raised 2 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statements
No respondent-stated action or position is linked to these concerns in the published data.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.