Excerpt

A significant proportion of people in England and Wales would wish to donate their organs after death for the purpose of transplantation. This guideline recognises the complexities that arise owing to the majority of potential organ donors lacking the capacity to be directly involved in decision making at the time of their death. This guideline seeks to promote the identification and fulfilment of these wishes through: more effective and expedient identification and referral of potential organ donors and a more informed, considered and timely approach to consent for donation that is based primarily on identifying the wishes of the individual whenever known and however recorded.

Contents

• Introduction
• Person-centred care
• 1. Recommendations
  • 1.1. List of all recommendations
  • 1.2. Overview
  • 1.3. How this guideline was developed
  • 1.4. Who this guideline is for
• 2. Evidence review and recommendations
  • 2.1. Increasing donation rates through identification, referral and consent
• 3. Research recommendations
  • 3.1. Joining the NHS organ donation register
  • 3.2. Reasons for refusal for consent
  • 3.3. Improving rates of identification and referral of potential donors
  • 3.4. Improving consent rates
  • 3.5. The experience of consenting for organ donation
• 4. Implementation
• 5. Other versions of this guideline
  • Quick reference guide
  • NICE Pathway
  • ‘Understanding NICE guidance’
• 6. Updating the guideline
• 7. References, glossary and abbreviations
  • 7.1. References
  • 7.2. Glossary
  • 7.3. Abbreviations
• 8. Contributors
  • 8.1. The Guideline Development Group
  • 8.2. The short clinical guidelines technical team
  • 8.3. The short clinical guidelines team
  • 8.4. The Guideline Review Panel
  • 8.5. NICE Centre for clinical practice
  • 8.6. Declarations of interest
  • 8.7. Authorship and citation
• Appendix A. Scope
• Appendix B. How this guideline was developed
• Appendix C. References of all included studies
• Appendix D. Full GRADE evidence profiles
• Appendix E. Evidence tables

This guideline was developed following the NICE short clinical guideline process. This document includes all the recommendations, details of how they were developed and summaries of the evidence they were based on.

Disclaimer

NICE clinical guidelines are recommendations about the treatment and care of people with specific diseases and conditions in the NHS in England and Wales.

This guidance represents the view of NICE, which was arrived at after careful consideration of the evidence available. Healthcare professionals are expected to take it fully into account when exercising their clinical judgement. However, the guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient.

Implementation of this guidance is the responsibility of local commissioners and/or providers. Commissioners and providers are reminded that it is their responsibility to implement the guidance, in their local context, in light of their duties to avoid unlawful discrimination and to have regard to promoting equality of opportunity. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.