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Thursday, 20 December 2007<br />

To: Transfusion Labora<strong>to</strong>ry Managers, Transfusion Practitioners, Consultant<br />

Haema<strong>to</strong>logists with responsibility <strong>for</strong> transfusion labora<strong>to</strong>ries and Chairs of HTCs in<br />

hospitals served by <strong>the</strong> National Blood Service (NBS)<br />

For In<strong>for</strong>mation<br />

1.0 Transfusion Matters<br />

2.0 Consolidation of RCI work in South and South <strong>We</strong>st<br />

3.0 Changes <strong>to</strong> reagent manufacture in 2008<br />

4.0 Units of Non-UK Methylene Blue treated and removed Fresh Frozen Plasma <strong>for</strong><br />

Neonatal and Paediatric Use (MB FFP) from <strong>the</strong> Scottish National Blood Transfusion<br />

Service (SNBTS)<br />

5.0 National Commissioning Group Communication<br />

6.0 Training & Education events and courses<br />

For <strong>in<strong>for</strong>m</strong>ation<br />

1.0 Transfusion Matters<br />

The Transfusion Liaison Nurse(TLN) team have produced <strong>the</strong> Autumn/Winter 2007 edition of<br />

Transfusion Matters, <strong>the</strong> newsletter <strong>for</strong> ward based hospital staff. The aim of <strong>the</strong> newsletter is<br />

<strong>to</strong> help raise aw<strong>are</strong>ness of transfusion issues.<br />

The <strong>the</strong>me of this latest edition of Transfusion Matters is '<strong>the</strong> journey of a bag of blood from<br />

<strong>the</strong> donor <strong>to</strong> <strong>the</strong> patient'. The newsletter highlights <strong>the</strong> main stages which blood goes through<br />

be<strong>for</strong>e it can be issued <strong>to</strong> a hospital <strong>for</strong> transfusion.<br />

This edition also features a request <strong>for</strong> some feedback from readers about <strong>the</strong> usefulness of<br />

this publication. There is a tear off slip with a freepost address so <strong>that</strong> readers can return this<br />

feedback <strong>to</strong> <strong>the</strong> TLN team. By putting <strong>the</strong>ir e-mail address in <strong>the</strong> space provided on <strong>the</strong> <strong>for</strong>m<br />

<strong>the</strong>y can be entered in<strong>to</strong> a prize draw <strong>to</strong> win a copy of 'A Manual <strong>for</strong> Blood Transfusion'.<br />

Copies of Transfusion Matters can be ordered from Hospital Liaison Admin Team<br />

Hospital.Liaison@nhsbt.nhs.uk<br />

01865 440037 and will be restricted <strong>to</strong> 50 copies per hospital in <strong>the</strong> first instance.<br />

Kath Hearnshaw, Transfusion Liaison Nurse<br />

2.0 Consolidation of RCI work in South and South <strong>We</strong>st<br />

The joint consultation process <strong>for</strong> <strong>the</strong> transfer of work from Southamp<strong>to</strong>n <strong>to</strong> Bris<strong>to</strong>l and<br />

introduction of new working arrangements at Bris<strong>to</strong>l was completed on 11 th November. The<br />

plan is <strong>to</strong> move all RCI work from Southamp<strong>to</strong>n <strong>to</strong> Bris<strong>to</strong>l by <strong>the</strong> end of March 2008. A joint<br />

hospital / RCI workshop was held recently, <strong>to</strong> give Southamp<strong>to</strong>n RCI cus<strong>to</strong>mers <strong>the</strong><br />

opportunity <strong>to</strong> hear and comment on current plans <strong>for</strong> testing and transport of samples. In<br />

order <strong>to</strong> take on <strong>the</strong> extra work in Bris<strong>to</strong>l RCI and <strong>to</strong> implement changes <strong>to</strong> working hours<br />

<strong>the</strong>re, more BMS staff will be needed. Advertisement <strong>for</strong> <strong>the</strong>se posts has started.<br />

Consolidation of RCI work at Bris<strong>to</strong>l will be followed by transfer of all RCI work from <strong>the</strong><br />

current site at Bris<strong>to</strong>l <strong>to</strong> <strong>the</strong> new site at Fil<strong>to</strong>n in late 2008.


3.0 Changes <strong>to</strong> Reagent manufacture in 2008.<br />

Starting in mid-2008, <strong>the</strong> plan is <strong>that</strong> reagent production will transfer from Cambridge and<br />

Birmingham <strong>to</strong> <strong>the</strong> Liverpool Reagents Unit. Fur<strong>the</strong>r details will be given in <strong>the</strong> annual<br />

communication regarding standing orders, prices and despatch dates which will be distributed<br />

in early 2008. The Liverpool Unit already produces a large proportion of NBS Reagent<br />

product lines and this consolidation will make our production more robust and help with<br />

containing costs. <strong>We</strong> aim <strong>to</strong> continue <strong>to</strong> use NBS transport as our principal means of<br />

distribution and have <strong>for</strong>mulated plans <strong>to</strong> ensure <strong>the</strong>re is no adverse effect on deliveries.<br />

Gordon Burgess, RCI Redevelopment Lead<br />

4.0 Units of Non-UK Methylene Blue treated and removed Fresh Frozen Plasma <strong>for</strong><br />

Neonatal and Paediatric Use (MB FFP) from <strong>the</strong> Scottish National Blood<br />

Transfusion Service (SNBTS)<br />

To assist with s<strong>to</strong>ck management we occasionally import blood and blood components from<br />

<strong>the</strong> SNBTS.<br />

Please note <strong>the</strong> SNBTS does not mark plasma imported from <strong>the</strong> United States as Non-UK.<br />

Any SNBTS units of MB FFP issued <strong>to</strong> hospitals supplied by <strong>the</strong> NBS <strong>are</strong> from non-UK<br />

sourced donations. When we changed <strong>to</strong> plasma sourced from <strong>the</strong> United States <strong>the</strong><br />

SNBTS continued <strong>to</strong> use <strong>the</strong> barcodes <strong>that</strong> were originally used <strong>for</strong> UK MB FFP so <strong>the</strong> codes<br />

may still be on <strong>you</strong>r hospital systems. The codes <strong>you</strong> require <strong>are</strong> detailed below. Also please<br />

note <strong>that</strong> <strong>the</strong> MB FFP <strong>for</strong> paediatric use imported from <strong>the</strong> SNBTS will not be marked <strong>for</strong><br />

paediatric use.<br />

Fresh Frozen Plasma <strong>for</strong> Neonatal Use (Methylene Blue Treated & Removed)<br />

Start Code Barcode No S<strong>to</strong>p Code Additional In<strong>for</strong>mation<br />

a0 82901 3b Pack One<br />

a0 82902 3b Pack Two<br />

a0 82903 3b Pack Three<br />

a0 82904 3b Pack Four<br />

Fresh Frozen Plasma (Methylene Blue Treated & Removed)<br />

Start Code Barcode No S<strong>to</strong>p Code Additional In<strong>for</strong>mation<br />

a0 82910 3b Single unit<br />

Apologies <strong>for</strong> any confusion this may cause. In <strong>the</strong> long term <strong>the</strong> Standing Advisory<br />

Committees on Blood Components (SACBC) and In<strong>for</strong>mation Technology (SACIT) <strong>are</strong><br />

working <strong>to</strong>wards commonality amongst <strong>the</strong> UK blood services regarding blood component<br />

labels.<br />

Hea<strong>the</strong>r Aplin. Hospital Liaison Manager, Projects<br />

5.0 National Commissioning Group Communication<br />

The National Commissioning Group which is responsible <strong>for</strong> establishing <strong>the</strong> price of blood<br />

components and o<strong>the</strong>r NBS services met in Oc<strong>to</strong>ber 2007 <strong>to</strong> agree <strong>the</strong> 2008/9 price<br />

structures. The communication detailing <strong>the</strong> outcome of this meeting will be issued <strong>to</strong><br />

hospitals shortly. The finance sub-group of <strong>the</strong> NCG will shortly be asked <strong>to</strong> review <strong>the</strong> NBS<br />

financial position at Month 9 i.e. end of December 2007 after which <strong>the</strong> NBS will issue<br />

rebates <strong>to</strong> hospitals. It is <strong>the</strong>re<strong>for</strong>e highly unlikely <strong>that</strong> any rebates will be issued be<strong>for</strong>e <strong>the</strong><br />

end of January 2008.


6.0 Training & Education events and courses<br />

A full list of NBS training events, which <strong>are</strong> open <strong>to</strong> hospital personnel, is available on <strong>the</strong><br />

following <strong>are</strong>a of our website.<br />

http://hospital.blood.co.uk/training/index.asp<br />

If <strong>you</strong> have any queries regarding <strong>the</strong> above, please do not hesitate <strong>to</strong> contact <strong>you</strong>r local<br />

Hospital Liaison Manager, Transfusion Liaison Nurse or ei<strong>the</strong>r of us, using <strong>the</strong> details<br />

below.<br />

For those of <strong>you</strong> who receive hard copies of this letter, it will be available shortly, along<br />

with many o<strong>the</strong>r pieces of <strong>in<strong>for</strong>m</strong>ation, on <strong>the</strong> NBS hospital website at:<br />

Yours sincerely,<br />

http://hospital.blood.co.uk<br />

Prof. Mike Murphy Teresa Allen<br />

National Medical Lead - Hospital Liaison Head of Hospital Liaison<br />

Tel: 01865 44 7902 Tel: 01865 44 0042<br />

email: mike.murphy@nhsbt.nhs.uk email: teresa.allen@nhsbt.nhs.uk

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