Audit tool for transfusion

Hospitals and Trusts are required to audit pratice against each quality statement in order to demonstrate compliance.

Use our gap analysis tool to check your compliance

Please use our gap analysis tool to assess how you comply with the National Institute for Health and Care Excellence (NICE)'s Quality Standard [QS138] which has four priority areas for Blood Transfusion quality improvement. On completion of the analysis you will receive a summary of your results.

If you wish to receive an anonymised report which is benchmarked against other hospitals, please contact your RTC Administrator.

Before performing the gap analysis please read the proforma (PDF 383KB) and guidance (PDF 906 KB)


National Institute for Health and Care Excellence endorsement statement, September 2018

The content of this audit tool supports the implementation of recommendations in the NICE guideline on blood transfusion. It also supports statements 2 and 3 as well as portions of statements 1 and 4 in the NICE quality standard for blood transfusion.

Endorsed resource


This audit tool and supporting documents have been designed to facilitate hospitals to measure compliance to the NICE QS138 standard, NHS Blood and Transplant (NHSBT) does not hold any responsibility for how this resource is used or how results are interpreted. 

This tool along with the proforma and guidance was developed by NHSBT in conjunction with the South East Coast Regional Transfusion Committee.