Solid Organ Donation and Transplantation in the United Kingdom: Good Governance is Key to Success

Author:

Johnston-Webber Charlotte,Mah Jasmine,Prionas Apostolos,Streit Simon,Wharton George,Forsythe John,Mossialos Elias,Papalois Vassilios

Abstract

The United Kingdom (UK) supports a highly successful organ donation and transplantation program. While the UK originally had one of the lowest organ donation rates in Europe, sustained reforms have resulted in steady improvement. Of note, the UK nearly doubled its rate of deceased donations between 2008 and 2018. In this report, we present a case study of the UK organ donation and transplantation program as an example of a complete system with sound and inclusive governing structures that are strongly integrated with critical programs focused on training and research. This study was based on an initial targeted review of the literature led by a UK expert that included guidelines, national reports, and academic papers. Feedback solicited from other European experts was incorporated into our findings via an iterative process. Overall, the study highlights the stepwise evolution of the UK program that ultimately became successful largely due to ongoing collaborative efforts carried out at all levels. Centralized coordination of all aspects of the program remains a key driver of improved rates of organ donation and transplantation. The designation and empowerment of expert clinical leadership have helped to maintain focus and promote ongoing quality improvement.

Publisher

Frontiers Media SA

Subject

Transplantation

Reference59 articles.

1. Organ Donation in Croatia: The Importance of a National Champion, a Comprehensive Plan, and International Collaborations;Mah,2023

2. Lessons From the Portuguese Solid Organ Donation and Transplantation System: Achieving Success Despite Challenging Conditions;Streit,2023

3. Ten Lessons From the Spanish Model of Organ Donation and Transplantation;Streit,2023

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