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Archived: Filton Blood Centre

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Inspection report

Date of Inspection: 28, 29 January 2014
Date of Publication: 5 March 2014
Inspection Report published 05 March 2014 PDF

Before people are given any examination, care, treatment or support, they should be asked if they agree to it (outcome 2)

Meeting this standard

We checked that people who use this service

  • Where they are able, give valid consent to the examination, care, treatment and support they receive.
  • Understand and know how to change any decisions about examination, care, treatment and support that has been previously agreed.
  • Can be confident that their human rights are respected and taken into account.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 28 January 2014 and 29 January 2014, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with staff and reviewed information given to us by the provider.

Our judgement

Before people proceeded with donation they were asked for their consent and the provider acted in accordance with their wishes.

Reasons for our judgement

All donors had to provide written consent before donation of whole blood or blood components could proceed. Those donors who attended the donor centre had to complete and sign their donor health check (DHC) form upon arrival. Whole blood donors in the centre and those donors who attended a booked appointment at a mobile blood donation session, had to hand their completed forms in on arrival. The mobile session had supplies of spare DHC forms for those donors who did not have an appointment or who were new donors.

Each donor had a private and confidential health screening consultation and were asked further questions based upon the information they had provided on the DHC. Donors had to again give written consent, signed in the presence of a member of NHS Blood and Transplant staff. Donors consented to say they had read and understood the welcome booklet, were not at risk of infection, agreed to their blood being tested, were aware of the donation process and agreed to their blood being used for the benefit of others.

All donors we spoke with, (apart from those who were new blood donors) were fully aware of the nature of the procedures that were going to happen. They told us “Even though I am a regular donor I am asked several times to give my consent”, “I wouldn’t be here if I didn’t agree to donate a pint, but I know they have to ask me” and “I realise they have to continually check and make sure I am happy to proceed”. Donor carers we spoke with told us that they had to check consent during the health screen and then again when the donor was on the couch.

We asked what would happen if donor carers had concerns that a donor appeared to lack the capacity to give consent despite having signed their consent form. They told us they would seek the advice of the qualified nurse. The nurse told us if they had the same concerns they would defer the donor. The nurse told us about occasions when first time donors who were students may have been coerced into donating blood by their peers, but had willingly consented. An explanation of why the person was not able to donate would be given. If necessary, concerns would be raised with the clinical support team within NHS Blood and Transplant and the person’s GP (if known).