Better Blood Transfusion
Better Blood Transfusion was an initiative by the UK Chief Medical Officers to improve the safe and appropriate use of blood. It started in 1998 and continued until 2012 when it was superseded by Patient Blood Management. the NBTC had a major role in overseeing the Better Blood Transfusion initiative in England, where there was demonstrable success including a reduction in the morbidity and mortality associated with transfusion documented by SHOT and a reduction of 20% in the use of red cell transfusions. This section provides key documents related to Better Blood Transfusion.
Health Service Circulars
HSC 2007/001: 'Better Blood Transfusion' safe and appropriate use of blood (pdf 190KB) This circular is also available from the Department of Health website
HSC 2002/009: 'Better Blood Transfusion: appropriate use of blood (pdf 40KB)
HSC 1998/224: 'Better Blood Transfusion' (pdf 288KB)
Survey of IT systems in Hospital Transfusion Laboratories (pdf 324KB)
National Transfusion Practitioner Survey of England and North Wales - Full Report (pdf 280KB)
Results of survey on the implementation of the Health Service Circular 2007/001 'Better Blood Transfusion - Safe and Appropriate Use of Blood'. (pdf 376KB)
Results of survey on the implementation of the Health Service Circular 2007/001 'Better Blood Transfusion - Safe and Appropriate Use of Blood' (pdf 360KB)
Appropriate Use of Blood HSC 2002/09: survey of implementation by December 2006. Survey results (pdf 81KB) This survey included:
Progress on the implementation of 'Better Blood Transfusion': regional results (pdf 346KB)
Progress on the implementation of 'Better Blood Transfusion' in NHS Trusts since 2003
Appropriate Use of Blood HSC 2002/09: survey of implementation by April 2004
These papers outline surveys of the implementation of the Better Blood Transfusion initiatives launched in 2002 and 1998:
Murphy MF, Howell. Survey of the implementation of the recommendations in the Health Service Circular 2002/009 ‘Better Blood Transfusion’ on behalf of the National Blood Transfusion Committee. Transfusion Medicine 2005; 15: 453-460.
Murphy MF, Edbury C, Wickenden C. Survey of the implementation of the recommendations in the Health Services Circular 1998/224 ‘Better Blood Transfusion’. Transfusion Medicine 2003; 13: 121-5.
Resources required for the implementation of Better Blood Transfusion HSC 2002/009 (Sept 2002) (pdf 20KB)