POL195 - Liver Transplantation: Selection Criteria and Recipient Registration

Policy · Tier 1, UK official · UK · 2026-07-31, updated 2025-11

Current — checked with the publisher on 2026-09-01

https://nhsbtdbe.blob.core.windows.net/umbraco-assets-corp/39473/pol195.pdf

What this platform has drawn from it — 3 claims

In the UK, an adult with chronic liver disease can be selected for the national liver transplant list on the basis of a projected one-year liver disease mortality without transplantation of more than 9%, predicted by a UKELD score of 49 or more. Section 3.2.1, Criteria for selection, p. 14
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The UK super-urgent liver transplant scheme includes, as Category 1, paracetamol poisoning with an arterial pH below 7.25 more than 24 hours after overdose and after fluid resuscitation. Section 3.5.2, Category 1, p. 20
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UK liver transplant selection policy is issued by NHS Blood and Transplant, created by the Liver Advisory Group, and is subject to annual review by the Organ and Tissue Donation and Transplantation Clinical Audit Risk and Effectiveness Group. Policy statement, p. 1
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How this record was checked, and what is doubtful about it

SENTINEL YEAR RESOLVED. Document retrieved and cached; 53 pages. Version POL195/21, effective date 31JUL2026, last updated November 2025, approved by OTDT CARE May 2026. Created by the Liver Advisory Group on behalf of NHSBT. Contains: minimal listing criterion UKELD >= 49 (section 3.2.1); super-urgent registration Categories 1-11 and 20 (section 3.5.2); HCC listing criteria (section 3.2.1). IMPORTANT: the policy states the UKELD variables (sodium, creatinine, bilirubin, INR) and the threshold but does NOT print the formula - see SRC-BARBER-2011-ukeld-derivation.

Verification: verified · last accessed 2026-09-01 · status checked against https://www.odt.nhs.uk/transplantation/tools-policies-and-guidance/policies-and-guidance/