Pre-operative anaemia
Supporting healthcare professionals to identify and manage pre-operative anaemia
Commissioning for Quality and Innovation (CQUIN) relaunch for 2022/23
CCG6 Anaemia screening and treatment for all patients undergoing major elective surgery: guidance and indicator specifications.
The guidance from the regulatory bodies
British Society of Haematology (BSH)
BSH Good Practice Paper (GPP) Preoperative patient blood management during the SARS‐CoV‐2 pandemic
Get It Right First Time (GIRFT) Report 2021: Anaesthesia and perioperative Medicine
International Society of Blood Transfusion (ISBT)
Modern iron replacement therapy: clinical and pathophysiological insights
(International Journal of Haematology)
National Institute for Health and Care Excellence (NICE) quality statements
NICE Perioperative care in adults Quality Improvement Programme (PQIP)
Royal College of Nursing (RCN) guidelines for management of iron deficiency in adults

The toolkits
NHSBT Patient Blood Management
Quality improvement for surgical teams
A beginner’s guide to commissioning
The urgent need to implement patient blood management: policy brief (PDF 2238KB)
The information for patients
- Anaemia leaflet print friendly factsheet
- Iron in your diet leaflet Please note: this guidance is under review and we would appreciate your feedback, please email any comments to pbm.team@nhsbt.nhs.uk
Quality improvement
How patient-level costing (PLICS) can support quality improvement - 60 minute webinar

The research
A pre-operative anaemia service to avoid unnecessary blood transfusions
Alternate day oral iron dosing in iron deficiency anaemia
Current concepts in the evaluation and management of preoperative anaemia
International consensus statement on the peri-operative management of anaemia and iron deficiency
Iron deficiency without anaemia: A diagnosis that matters
NICE clinical knowledge summary, anaemia - B12 and folate deficiency
NICE clinical knowledge summary, anaemia - iron deficiency (revised)
PREVENTT trial: full report (PDF 405KB) and summary (PDF 757KB)
Improving patient outcomes
Early identification and management of anaemia pre-operatively improves patient outcomes.

Up to 75%
The estimated percentage of pre-op patients who may be anaemic.
Anaemia service business case
An example of a business case (PDF 155 KB), kindly shared by Royal Cornwall Hospitals NHS Trust.
Share your learning
Tell us about your current, planned or previous pre-operative anaemia projects, highlighting your successes or where things didn’t go well and we'll include on this page.