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Increase in demand for O D negative red cells. Updated guidance published by the National Blood Transfusion Committee

Letter of communication 18 July 2019

Pre-operative anaemia

Identifying and correcting anaemia prior to elective surgery which is likely to involve significant blood loss, is an important part of Patient Blood Management.

North West Pre-op Anaemia Project

The North-West Pre-operative Anaemia project was initiated by Dr Kate Pendry (Consultant Haematologist and Clinical Director for Patient Blood Management, NHSBT). The project in the North West of England is to drive implementation of Pre-op Anaemia Management into every day practice. 

To implement a pre-op anaemia programme for patients undergoing major blood loss surgery, so that no scheduled patient with treatable anaemia comes to surgery without an attempt to correct the anaemia.

Aiming for Hb 120g/L (female) and 130g/L (male) in selected surgical procedures in 5 pilot sites:

Lancashire Teaching Hospitals NHS Foundation Trust: Upper GI

Countess of Chester Hospital NHS Foundation Trust: Elective Orthopaedics

Salford Royal Hospitals NHS Trust: Elective Orthopaedics

Blackpool Victoria Hospital: Cardiac

Pennine Acute Hospitals NHS Trust: Colorectal

The goal is to share lessons learned and good practice from the pilot sites with other Trusts, to drive best practice in pre-op anaemia management in all hospitals across the country.

The project prides itself on

      • Partnership working and effective stakeholder communication
      • Robust systems and processes (data collection, achievable goals, evidence of success)
      • Collecting information on patient experiences
      • Consultation and collaboration with Primary Care and Commissioners
      • Working together to drive continuous improvements in healthcare service delivery

Business case template


Management guidelines

Examples of data collection forms and GP Letters

Blackpool Victoria

North West 

Updates from each pilot site/other hospitals

Workshop minutes

2015 March and April workshops 


For information please contact Joanne Bark, Patient Blood Management Practitioner on 0151 268 7041.    

See also regional transfusion committees

North West