A 10-month audit of reasons for donor medical deferral at sessions was
carried out in two Scottish regions of the SNBTS. Six thousand deferr
ed donors were assessed. Although the deferred donor population mirror
ed the attending donor population in both regions, significantly more
donors, both new and regular, were deferred in the Edinburgh and South
East region, compared with the North East. The main differences in de
ferral were attributable to three clinical conditions (cervical carcin
oma in situ, other gynaecological conditions and hypertension) and to
donors admitting to high-risk behaviour. Although the staff in the def
erral process - doctors, nurses and clerks - were involved in roughly
equal proportions in both regions, the spectrum of medical conditions
seen by each staff grouping appeared to be different in each region. T
he staff in the South East appeared to have made more correct decision
s. Further analysis and audits are being undertaken in areas highlight
ed by this study.