JPAC Joint United Kingdom (UK) Blood Transfusion and Tissue Transplantation Services Professional Advisory Committee

Welcome to the East of England RTC

We aim to make your local RTC web pages the first place you look online for transfusion related information.

Follow the links above the map to find details of audits, forthcoming events, regional contacts, presentations from past training days and other educational resources, local policies, business papers and information about working groups.

If you have material you would like published here please contact Frances Sear or Jane O'Brien the East of England RTC website representatives.

News

We are very pleased to welcome Dr Hamish Lyall, Consultant Haematologist at Norfolk & Norwich to the role of RTC Vice Chair. He will be serving as Acting Chair during Nicola Jones maternity leave. The RTC is very grateful to Claire Atterbury for all her hard work during her 4 year term as RTC Vice Chair. 

The Human Factor

"The Human Factor" was held on 4th October in Cambridge and was a most enjoyable day. We are very grateful to Trevor Dale and Denis Campbell from Atrainability and Paula Bolton-Maggs and Alison Watt from SHOT for their considerable contributions to the success of this event.

"Blood Matters: Transfusion education for haematology/oncology staff":

Our transfusion education day for haematology-oncology staff was held on 15th June and received excellent feedback. We are very grateful to all speakers for sharing their expertise. Presentations can be found on the education page. "Appropriate use of blood components" by Dr Foukaneli is too big for this website and can be obtained from Jane O'Brien

HTC Chairs Toolkit

The East of England RTC has developed a Toolkit for New and Developing HTC Chairs which has been sent to all HTC Chairs in the region. However this document may be of interest to other staff involved in transfusion. If you would like electronic copies of any of the documents referred to in the toolkit, please contact Jane O'Brien.  We are very grateful to the North West RTC for allowing us to use their format. 

Midwives Transfusion Toolkit 

The East of England Regional Transfusion Committee has put together a toolkit of transfusion related resources for midwives and other staff working in obstetrics. Here you will find web links, embedded documents and order information for a wide variety of patient information, healthcare professional information and regional and National resources.

Hard copies of the toolkit have been sent to all heads of midwifery at East of England hospitals and midwifery leads at regional universities.

Toolkit for Transfusion Lead Consultant Haematologists

The East of England Regional Transfusion Committee have produced a toolkit (PDF 258KB) for Consultant Haematologists with responsibility for transfusion. This was put together to assist  new and locum consultant haematologists in the region. It contains a wide variety of information which we hope will be helpful to all new and developing haematology consultants plus links to regional documents and national websites

Major Haemorrhage Guidance

Following the recent publications of the NICE guidelines on trauma and the BCSH guideline on the haematological management of major haemorrhage, we have made some changes to our regional guidance documents for both adults and children to ensure that they are in line with recommendations. For consistency of terminology with both NICE and BCSH we have changed the titles from "Massive Blood Loss" to "Major Haemorrhage"

There are editable boxes on the top left hand side for you to add your own contact numbers. These documents together with other regional guidance,can be found on the policies page

Shared Care Document

We have updated our regional Shared Care form. This form is for use when a patient has a need for special requirements and his/her care is shared by a specialist treatment centre and a referring hospital. It enables both hospitals to share information and ensure the patient always receives the correct components. The revised form now includes space for HEV negative components and has additional information on the back which includes all special requirements and duration of need. Instructions for completion of the form.

Transfer of blood

The East of England RTC has produced regional guidelines on the transfer of blood with patients (pdf 20KB) and accompanying blood and components transfer forms, version 3 (Word doc 450KB). The transfer forms have been revised; we are grateful to Peterborough City Hospital for their input.

Acute Transfusion Reactions (ATR)

Our Regional guidelines based on the BCSH Guideline on the Investigation of Acute Transfusion Reactions (2012) have been reviewed and minor changes made. Version 2 is  available for download on the policies page. There are editable boxes for you to add your own relevant phone numbers.

 

Group O RhD Negative Top Ten Tips

The East of England Transfusion Advice and Discussion Group (TADG) have compiled a list of top tips to assist transfusion laboratories in reducing Group O RhD negative red cell issues and wastage. 

Single Unit Guideline

We have produced a regional guideline to encourage the transfusion of a single unit of red cells in stable, non bleeding patients followed by assessment and review prior to administration of a second unit if required. We also have an algorithm to assist with laboratory review of red cell requests. We are very grateful to the London Single Unit Pilot Group.

 

Management of iron deficiency anaemia in pregnancy

Queen Elizabeth Hospital in King's Lynn has developed guidance for the management of iron deficiency anaemia in pregnancy and childbirth (pdf 152KB) which has considerably reduced the need for transfusion in the Obstetric and Gynaecology department. The Regional Transfusion Team feel that this is an example of good practice and staff at the Queen Elizabeth Hospital are happy to share their guidance. For further reading on the subject see the UK Guidelines on the Management of Iron Deficiency in Pregnancy (pdf 272 KB)  produced by the British Committee for Standards in Haematology (BCSH).