JPAC Joint United Kingdom (UK) Blood Transfusion and Tissue Transplantation Services Professional Advisory Committee

Disabled Donor

Obligatory

All donors must:
a) Fully understand the donation process.

b) Give their informed consent to the process and to the testing of their blood for infections that may affect its suitability for use.

c) Be able to use the bleed facilities provided without risking their own safety or the safety of others (donors must not be bled in a wheelchair).

Discretionary

Donors with difficulty in reading:
Ensure by questioning the donor that they:
a) Understand and fully complete the tick-box questionnaire.

b) Give valid consent to donation and to the testing of their blood for diseases that may affect its suitability for use.

See if Relevant

Central Nervous System Disease
Urinary Catheterisation 
Neurobehavioral Disorders
Spina Bifida

Additional Information

The Services are aware of their duties under Disability Discrimination Legislation and will, whenever and wherever reasonable, try to provide facilities for disabled individuals. Potential donors with a disability are advised to seek advice from their local Blood Service Help Line before attending a donor session to see if their needs can be met. It is however important to note the following.

Some donors, especially those with spinal cord injuries can have significant problems with regulating their blood pressure and as such may be at a greater risk of vasovagal events following blood donation. People who are in wheelchairs are more at risk if they suffer a delayed vasovagal event in the chair, and are alone, as they could remain upright and may suffer prolonged cerebral hypoxia. This can result in permanent brain injury or in extreme circumstances death. For this reason donors must not donate from a wheelchair. Some potential donors may have indwelling shunts and/or catheters in situ which will mean that they are not eligible to donate.

To comply with Part 2 of the Blood Safety and Quality Regulations 2005 (BSQR) every donor must:

a) Be provided with accurate educational materials, which are written in terms which can be understood by members of the general public (Part A 1-13).

b) Complete a health and medical history questionnaire and undergo a personal interview performed by a health professional (defined in the BSQR as a doctor, a nurse or a donor carer) trained and qualified in the requirements of the BSQR (Part B 15).

c) Provide written informed consent to proceed with the donation process which must be countersigned by the qualified health professional responsible for obtaining the health history (Part B 16 (a) - (f)).

A qualified health professional may assist a donor in the completion of the health and medical history questionnaire and in understanding the consent statement and any other information provided by the Blood Service. To facilitate comprehension it is permissible to use alternative formats (e.g. audio, Braille, computer or alternative language) for the donor information leaflets, the health and medical history questionnaire and consent statements. The donor must be able to clearly demonstrate they have understood this material. At present there is no standardised way of assessing comprehension so this will be a personal judgement made by the qualified health professional.

Guidance on the use of interpreters is presented in Chapter 3 of the Guidelines for the Blood Transfusion and Tissue Transplantation Services in the UK (Red Book).

To comply with both the BSQR and Health and Safety Regulations no donor can be accepted if it unnecessarily puts their own safety or the safety of others at risk.

Information

Part of this entry is a requirement of the Blood Safety and Quality Regulations 2005.

Reason for change

The guidance on third party interpreters has been moved to Chapter 3 of the Guidelines for the Blood Transfusion and Tissue Transplantation Services in the UK (Red Book).

Donor Information

If you wish to obtain more information regarding a personal medical issue, please contact your National Help Line.

Please do not contact this web site for personal medical queries, as we are not in a position to provide individual answers.

Update Information

This entry was last updated in
WB-DSG Edition 203 Release 77