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Liver Diseases: Transplant Surgery

Volume 501: debated on Thursday 26 November 2009

To ask the Secretary of State for Health what steps he is taking to develop a new liver allocation scheme. (301356)

A proposal document has been accepted by the Liver Selection and Allocation Working Party—part of NHS Blood and Transplant's (NHSBT) Liver Advisory Group—with four key stages: agreeing the aims of transplantation (maximising survival from the point of registration onto a transplant list); developing statistical models which can predict as accurately as possible a patient's survival without a liver transplant; developing models to predict survival after liver transplantation; and comparing four possible models of allocation.

The process is being overseen by the Liver Selection and Allocation Working Party, reviewed by the Liver Advisory Group at NHSBT who will make final recommendations to the NHS BT Board for their ratification. The modelling is expected to finish by March 2010. A 12 month simulation will then follow, with the aim of having a final model for implementation by April 2011.