South West RTC RBC Issues

April 2014 – March 2015 vs. April 2015 – March 2016

SWRTC MEETING – May 2016 SWRTC RBC Issues April 2014 - March 2015 vs April 2015 - March 2016 2014-2015 2015-2016 % Variance Bath 10126 9879 -2.4% Derriford 14787 14177 -4.1% 2014-2015 2015-2016 Devon & Exeter 11941 10178 -14.8% Royal Cornwall 8381 7578 -9.6% 13500 Southmead 11567 11788 1.9% Taunton 8018 7116 -11.2% 13000

UHB 14404 13250 -8.0% 12500 Bournemouth 7002 5910 -15.6% Cheltenham 5957 5362 -10.0% 12000 Gloucester 7045 6441 -8.6% Poole 5444 5310 -2.5% 11500 Swindon 7279 5946 -18.3% Torbay 6242 5202 -16.7% 11000 Barnstaple 4134 4266 3.2% Dorset 4271 4365 2.2% 10500 Salisbury 5210 4509 -13.5% Weston 4112 3706 -9.9% 10000 Yeovil 3940 3792 -3.8% 9500 Nuffield Cheltenham 555 496 -10.6%

Nuffield Exeter 264 287 8.7% 9000 Spire Bristol 391 288 -26.3% SWRTC 141070 129848 -8.0% National 1651237 1585440 -4.0%

SWRTC MEETING – May 2016 South West RTC Platelet Issues

April 2013 – March 2016

SWRTC MEETING – May 2016 SWRTC Platelet Issues : April 2013 – March 2016 % Variance % Variance 2013/14 vs. 2014/15 vs. 2013-2014 2014-2015 2015-2016 2013-2014 2014-2015 2015-2016 2015/16 2015/16 Bath 1017 1093 1119 10.0% 2.4% 1900 Derriford 1937 1971 2114 9.1% 7.3% Devon & Exeter 992 1213 988 -0.4% -18.5% 1800 Royal Cornwall 1208 1242 1040 -13.9% -16.3% 1700 Southmead 896 865 917 2.3% 6.0%

UHB 4461 4478 4350 -2.5% -2.9% 1600 Bournemouth 984 1480 968 -1.6% -34.6% Cheltenham 836 1068 793 -5.1% -25.7% 1500 Dorset 629 575 397 -36.9% -31.0% Poole 1126 997 851 -24.4% -14.6% 1400

Swindon 711 764 920 29.4% 20.4% 1300 Taunton 905 791 821 -9.3% 3.8% Torbay 507 391 472 -6.9% 20.7% 1200 Barnstaple 376 297 233 -38.0% -21.5% Gloucester 520 514 416 -20.0% -19.1% 1100 Salisbury 325 519 562 72.9% 8.3% 1000 Weston 281 318 217 -22.8% -31.8% Yeovil 180 122 134 -25.6% 9.8% Nuffield Cheltenham 2 2 0 -100.0% -100.0% Nuffield Exeter 6 6 0 -100.0% -100.0% Spire Bristol 18 46 14 -22.2% -69.6% SWRTC 17917 18752 17326 -3.3% -7.6% National 271290 274948 271309 0.0% -1.3%

SWRTC MEETING – May 2016 South West RTC RBC & Platelet Wastage Q2 2012/13 – Q3 2015/16

SWRTC MEETING – May 2016 SWRTC RBC Wastage Q2 12/13 – Q3 15/16

SW RTC RBC % WASTAGE: VERY HIGH USERS SW RTC RBC % WASTAGE: HIGH USERS

Bath RBCH 5 5 4.5 4.5 Derriford Chelt. 4 4 3.5 3.5 RD&E Glouc. 3 3 2.5 2.5 RCH Poole 2 2 1.5 Taunton 1.5 Sw indon 1 1 0.5 UHB 0.5 Torbay 0 0 5 3 3 3 4 4 4 5 5 5 6 6 6 /13 1 /1 3/1 /1 4/1 /1 12/13 12 13/14 13/14 14/1 14/15 12/1 13/1 13/1 14/1 15/1 2 4 2 12 3 4 12/ 1 3 1 4 1 14 2 4 1 2 15 3 Q Q4 Q2 Q Q2 Q4 Q2 15/16 Q Q Q Q Q2 13/14Q Q Q Q Q3 14/15Q Q1 15/1Q Q

SW RTC RBC % WASTAGE: VERY LOW (PRIVATE) SW RTC RBC % WASTAGE:16% MODERATE USERS 13% 6.7% 16.4% 5.7% NDDH 10 Nuffield 5 9 Chelt. 4.5 Dorset 8 4 3.5 Frenchay 7 3 6 Nuffield Salisbury 5 Exeter 2.5 4 2 S'mead 1.5 3 Spire 1 Weston 2 Bristol 0.5 1 Yeovil 0 0 3 4 4 4 5 5 5 6 6 6 5 1 /1 1 /1 /1 3/14 12/1 3/1 14/1 4/1 1 13/ 1 4 13 2 14/ 1 1 15 3 15 1 13/14 3 14/15 Q4 Q Q2 Q3 13/14 Q Q1 Q Q3 Q4 14/15 Q Q2 15/1 Q Q4 12/13 Q Q2 1 Q3 13/14 Q4 13/14 Q1 14/15 Q2 14/15 Q Q4 14/1 Q1 15/16 Q2 15/16 Q3 15/16

SWRTC MEETING – May 2016 SWRTC Platelet Wastage Q2 12/13 – Q3 15/16

SW RTC PLATELET % WASTAGE: VERY HIGH/HIGH USERS SW RTC PLATELET % WASTAGE: MODERATE USERS 27.3% Bath RBCH 20 20 Chelt. Derriford 15 15 Dorset

RD&E Poole 10 10 Sw indon RCH 5 5 Taunton UHB Torbay 0 0 3 4 4 4 5 5 6 /1 /13 /1 /14 /1 /1 /15 /1 /16 /1 3 5 5 6 2 2 3 3 4 4 4 5 /1 /13 /14 /14 /14 /14 /1 /15 /1 /16 /1 1 1 1 13 1 1 1 15 3 4 2 13/1 1 1 1 15/16 3 1 12 13 14 14 15 Q2 Q3 12/13Q4 Q1 Q Q3 Q4 Q Q2 14/15Q3 Q4 Q Q2 Q 2 12 1 13 4 13 3 14/15 3 15 Q Q3 Q4 12/13Q Q2 Q3 1 Q Q1 Q2 1 Q Q4 Q1 Q2 15/16Q

SW RTC PLATELET % WASTAGE: LOW/VERY LOW USERS SW RTC PLATELET % WASTAGE: VERY LOW USERS (PRIVATE) 22.6% NDDH 20 35.0 Frenchay 30.0 Nuffield 15 Glouc Chelt. 25.0

Salisbury 20.0 Nuffield 10 Exeter S'mead 15.0 10.0 5 Weston Spire Bristol 5.0 Yeovil 0 0.0 3 5 5 5 6 /13 14 /15 15 1 1 1 1 2/13 5/16 2/ 3/14 4/15 4/1 4/ 4/ 5/ 13/14 14/15 1 1 1 1 1 1 1 15/16 2 1 4 12 2 13/ 3 4 13/14 1 14 3 14/ 4 1 15/16 2 1 3 15/16 1 Q Q3 12/13 Q Q1 13/14 Q Q Q Q Q2 14/15 Q Q Q Q Q Q4 Q1 Q2 13/14 Q3 13/14 Q4 13/14 Q Q2 Q3 Q4 Q1 Q2 Q3 15/16

SWRTC MEETING – May 2016 South West RTC O-Neg Issues

April 2014 – March 2015 vs. April 2015 – March 2016

SWRTC MEETING – May 2016 SWRTC O-Neg Issues April 2014 - March 2015 vs April 2015 - March 2016

2014-2015 2015-2016 Bath 10.7 10.3 2014-2015 2015-2016 Derriford 12.7 12.6 Devon & Exeter 10.9 10.4 RD&E 2014-2015 RD&E 2015-2016 Royal Cornwall 11.2 12.4 Southmead 10.2 11.5 16.0 Taunton 8.5 10.0 UHB 11.5 10.8 14.0 Bournemouth 10.2 10.8 Cheltenham 8.3 9.6 Gloucester 11.0 11.0 12.0 Poole 10.9 9.5 Swindon 11.6 14.3 10.0 Torbay 13.0 13.7 Barnstaple 12.5 10.8 8.0 Dorset 10.3 10.6 Salisbury 11.3 12.4 Weston 8.6 11.3 6.0 Yeovil 14.2 13.0 Nuffield Cheltenham 26.7 29.0 Nuffield Exeter 91.7 40.1 Seven trusts received over 1% of their O-Neg issues as substitutions Spire Bristol 25.8 35.1 (Derriford, UHB, Bournemouth, Torbay, Poole, Dorset and Salisbury) SWRT C 11.3 11.5 This did not have a significant impact on annual % of all rbc s issued.

SWRTC MEETING – May 2016 South West RTC Comparison of CMV-ve RBC & Platelet Issues

April 2012 – March 2016

SWRTC MEETING – May 2016 SWRTC CMV-ve RBC Issues Comparison April 2012 - March 2016 Unit % of total Variance % Variance SWRTC CMV-ve RBC Requests April 2012 - March 2016 Units Total Units Total RBC issues 2012/13 vs 2012/13 vs 2012/13 £ 2015/16 £ 2015-16 2015/16 2015/16 £+/- Very High April 2012-March 2013 April 2013-March 2014 Bath 462 3742 82 703 0.8 -380 -82.3% -3039 Derriford 1817 14718 421 3608 3.0 -1396 -76.8% -11110 April 2014-March 2015 April 2015-March 2016 Devon & Exeter 464 3758 299 2562 2.9 -165 -35.6% -1196 Royal Cornwall 871 7055 384 3291 5.1 -487 -55.9% -3764 Southmead 1569 12709 272 2331 2.3 -1297 -82.7% -10378 1800 Taunton 168 1361 146 1251 2.1 -22 -13.1% -110 1600 UHB 3277 26544 1643 14081 12.4 -1634 -49.9% -12463 1400 1200 High Bournemouth 485 3929 577 4945 9.8 92 19.0% 1016 1000 Cheltenham 343 2778 69 591 1.3 -274 -79.9% -2187 800 Gloucester 246 1993 204 1748 3.2 -42 -17.1% -244 600 Poole 1389 11251 937 8030 17.6 -452 -32.5% -3221 400 Swindon 1373 11121 220 1885 3.7 -1153 -84.0% -9236 200 Torbay 345 2795 78 668 1.5 -267 -77.4% -2126 0 Moderate Barnstaple 196 1588 136 1166 3.2 -60 -30.6% -422 Dorset 110 891 150 1286 3.4 40 36.4% 395 Salisbury 657 5322 523 4482 11.6 -134 -20.4% -840 Weston 86 697 110 943 3.0 24 27.9% 246 Additional cost for CMV -ve platelets - Yeovil 1004 8132 124 1063 3.3 -880 -87.6% -7070 £8.10 April 12-March 13 £8.57 from April 15 Very Low Nuffield Cheltenham 13 105 0 0 0.0 -13 -100.0% -105 Spire Bristol 11 89 0 0 0.0 -11 -100.0% -89

TOTAL 14886 120577 6375 54634 4.9 -8511 -57.2% -65943

SWRTC MEETING – May 2016 SWRTC CMV-ve Platelet Issues Comparison April 2012 - March 2016 % of total Unit platelet Variance % Variance SWRTC CMV-ve Platelet Requests April 2012 - March 2016 Units Total Units Total issues 2012/13 vs 2012/13 vs 2012/13 £ 2015/16 £ 2015/16 2015/16 2015/16 £+/- April 2012-March 2013 April 2013-March 2014 Very High/High April 2014-March 2015 April 2015-March 2016 Bath 256 2074 45 386 4.0 -211 -82.4% -1688 Derriford 974 7889 46 394 2.2 -928 -95.3% -7495 Devon & Exeter 214 1733 168 1440 17.0 -46 -21.5% -294 600 Royal Cornwall 281 2276 131 1123 12.6 -150 -53.4% -1153 500 Southmead 92 745 21 180 2.3 -71 -77.2% -565 400 UHB 1226 9931 502 4302 11.5 -724 -59.1% -5628 300

Moderate 200 Bournemouth 140 1134 423 3625 43.7 283 202.1% 2491 100 Cheltenham 45 365 0 0 0.0 -45 -100.0% -365 Dorset 48 389 39 334 9.8 -9 -18.8% -55 0 Poole 494 4001 413 3539 48.5 -81 -16.4% -462 Swindon 38 308 56 480 6.1 18 47.4% 172 Taunton 34 275 16 137 1.9 -18 -52.9% -138 Torbay 300 2430 55 471 11.7 -245 -81.7% -1959

Low/Very Low Additional cost for CMV -ve platelets - Barnstaple 10 81 10 86 4.3 0 0.0% 5 £8.10 April 12-March 13 Gloucester 16 130 9 77 2.2 -7 -43.8% -52 Salisbury 142 1150 117 1003 20.8 -25 -17.6% -148 £8.57 from April 15 Weston 9 73 0 0 0.0 -9 -100.0% -73 Yeovil 36 292 5 43 3.7 -31 -86.1% -249

TOTAL 4355 35276 2056 17620 11.9 -2299 -52.8% -17656

SWRTC MEETING – May 2016