Form 1 - Gp Medical Registration Form - Gms1 - University Of Sheffield (Page 2 of 2) in pdf

NHS Organ Donor Registration

I want to register my details on the NHS Organ Donor Register as someone whose organ/tissue

may be used for transplantation after my death.

Please tick the boxes that apply

Any of my organs and tissue, or

Kidneys

Heart

Liver

Corneas

Lungs

Pancreas

Any part of my body

Signature confirming my agreement to organ/tissue donation: ________________________________

Date: _____/_____/_____

NHS Blood Donor Registration

I would like to join the NHS Blood Donor Register as someone who may be contacted

and would be prepared to donate blood.

Tick here if you have given blood in the last 3 years

Signature confirming my agreement to inclusion on the NHS Blood Donor Register: ______________________

Date: _____/_____/_____

MORE INFORMATION ABOUT ORGAN AND BLOOD DONATION

ORGAN DONOR INFORMATION

Transplants are one of the most miraculous achievements of modern medicine. They involve the donation of organs from one person to another and

enable about 2,700 people to take on a new lease of life in the UK every year.

Kidney transplants are the most commonly performed. Transplants of the heart, liver and lungs are also regularly carried out. As medicine

advances, other vital organs including the pancreas and small bowel are also being used in transplants. Tissue such as corneas, heart valves, skin

and bone can also be donated.

There is a serious shortage of donors. More than 8,000 people in the UK currently need a transplant to save or dramatically

improve their lives but fewer than 3,000 transplants are carried out each year due to the shortage of organs. About 400 people

die every year while waiting for a suitable organ to become available

The Human Tissue Act 2004, which came into force on 1 September 2006, gives priority to the wishes of the 13.5m people on

the NHS Organ Donor Register, donor card carriers and others who have said they want to help others to live in the event of

their death. It means that relatives no longer have the legal right to overrule a loved one’s wish to donate organs or tissue

More information about organ donation: or call 0845 60 60 400

BLOOD DONOR INFORMATION

Everyone knows blood is literally a lifesaver for those who’ve been in an accident or need it to help survive treatments and

operations. But for some, whose illness has no cure and that last battle they face just can’t be won, a blood transfusion can help to improve their

quality of life during their final months, weeks or even days

Karen Clarke, a Community Nurse who gives transfusions to the terminally ill in their own homes, says, "These vital

transfusions give patients a better quality of life. It gives them the energy and ability to enjoy this precious, final time with their families."

In some serious accidents, a blood transfusion can mean a critically ill patient can stay alive long enough for their loved

ones to reach the hospital to see them, one last time

Plasma derived from donated blood is used after obstetric loss of blood (which is usually childbirth), during cardiac surgery, used in the treatment

of all kinds of anaemia which can't be medically corrected, such as when rheumatoid arthritis or cancer is involved, and when red cells break down

in the newborn and for sickle cell disease

Platelets derived from donated blood can be used in bone marrow failure, post transplant and chemotherapy treatments, and leukaemia

More information about blood donation:

Form 1 - Gp Medical Registration Form - Gms1 - University Of Sheffield Page 2

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