Canterbury DHB

Context

Administration

In This Section

Haematopoietic Stem Cell Transplant Committee

Referral of Patients for Stem Cell Grafts

Stem Cell Accreditation

Foundation for Accreditation of Cellular Therapy (FACT)

Patient Information Websites

Reference Sources for Stem Cell Grafting Information

Haematopoietic Stem Cell Transplant Committee

The members of the Haematopoietic Stem Cell Transplant Committee (HSCT) are as follows:

Chair

Dr Andrew Butler

Transplant Registrar

Rotating registrar

Clinical Director, Haematology

Dr Mark Smith

Clinical Director, Laboratory Haematology

Dr Steve Gibbons

Haematologists

Dr Shingi Chiruka (Dunedin)

Dr Peter Ganly

Dr Sean MacPherson

Dr Hilda Mangos (Dunedin)

Dr Bridgett McDiarmid (Dunedin)

Dr Emma-Jane McDonald

Dr Annette Neylon (Dunedin)

Dr Lucy Pemberton (Dunedin)

Dr Mark Smith

Dr Ruth Spearing

Medical Oncologist

Dr Jim Edwards

Radiation Oncologist

Dr Brendon Anderson

Paediatric Oncologists

Dr Rob Corbett

Dr Siobhan Cross

Dr Amanda Lyver

Dr Tristan Pettitt

Clinical Charge Nurse, BMTU

Sally Braycotton

BMT Coordinators

Jenny Roberts

Sarah O’Brien

Clinical Psychologists

Dr Lois Surgenor

Dr Sharon Green

Data Coordinators

Lizzie Collin

Charmaine Mah

Other individuals receive electronic copies of Committee correspondence. These include:

The Bone Marrow Transplant (BMT) Coordinator prepares the planning list for each meeting and the Chair will write letters documenting the decisions made on newly referred patients. These are regarded as the minutes. The Committee deals with policy issues and principles of individual patient selection and management.

Transplant planning of patients accepted for transplant takes place in a separate weekly meeting on Thursdays at 8 am in the BMTU Meeting Room. This meeting involves:

Only in urgent circumstances will decisions on patient selection and management be made outside of the HSCT Committee. In these circumstances, the Committee Chair and referring Consultant will consult other Committee members before reaching a decision.

Referral of Patients for Stem Cell Grafts

All patients referred for consideration of HSCT will be reviewed by the Christchurch Hospital Haematopoietic Stem Cell Transplant Committee, which meets every two weeks on Mondays at 1-2 pm in the BMTU Meeting Room.

Referral letters should be emailed to HSCTcommittee@cdhb.health.nz or posted to Dr Butler, HSCT Committee Chair, Christchurch Hospital, Haematology Department, PO Box 4710, Christchurch 8140.

Attach supporting documentation where necessary. Send to the Committee Chair in time to circulate to other Committee members prior to the meeting, in general by the previous Wednesday.

The minimum desirable information for referral includes:

The Committee will evaluate each referral in relation to the current indications for SCT procedures, and will reach its decision by consensus, taking into account individual patient factors, priority with regard to other patients, and resource availability. No patient should be promised a SCT procedure without prior approval from the Committee. In general, transplantation is recommended only for those patients in whom the chance of survival post SCT is likely to be in the order of 20% or more at 2 years but considerable discussion is given to individual circumstances.

Useful resources when considering whether or not to refer a patient for transplant are:

Stem Cell Accreditation

The rapid advance in many aspects, especially technological, of SCT has led to an increase in the number of transplants performed and a proliferation of centres performing them. There is some variability in procedures and standards between different transplant centres. In view of the risks and costs associated with stem cell transplants, legitimate concerns have been raised about the safety and quality of transplant procedures carried out within individual centres. Measures to accredit transplant centres on a more formal basis to ensure compliance with international guidelines are currently underway.

The clinical service at Christchurch Hospital is registered with the International Bone Marrow Transplant Registry and is subject to on-site audit visits. The Unit is also registered with the NZBMDR and Australian Bone Marrow Donor Registry for involvement with unrelated donor transplants.

The laboratory service for processing and manipulation of haematopoietic stem cells (Canterbury Health Laboratories and the New Zealand Blood Service) is accredited by International Accreditation New Zealand (IANZ) and licensed following annual audit by the New Zealand Ministry of Health (MEDSAFE).

Foundation for Accreditation of Cellular Therapy (FACT)

Founded in 1996, FACT establishes standards for high quality medical and laboratory practice in cellular therapies. FACT is a non-profit corporation co-founded by the International Society for Cellular Therapy (ISCT) and the American Society of Blood and Marrow Transplantation (ASBMT) for the purposes of voluntary inspection and accreditation in the field of cellular therapy.

The first FACT-Quality Coordinator, Meghan Heaphy, was appointed in September 2012.

FACT accreditation was received on 5th November 2015.

SCT Accreditation

Patient Information Websites

The following websites are recommended:

National Marrow Donor Program (US)

bethematchclinical.org

The US National Marrow Donor Program®/Be The Match® facilitates transplants, conducts research, provides support and resources for patients, and education for physicians.

Macmillan

www.macmillan.org.uk

MacMillan is a UK support group for patients with cancer and their families

UK Myeloma

www.myeloma.org.uk

UK Myeloma provides resources on myeloma and related conditions for patients and clinicians

UK Lymphoma Association

www.lymphomas.org.uk

The UK Lymphoma Association provides resources on lymphoma and related conditions for patients and clinicians

Bone Marrow Cancer Trust

www.bmct.org.nz

The BMCT is a charitable trust supporting the work of the South Island Bone Marrow Transplant programme and provides accomodation at Ranui House for patients and their families undergoing treatment in Christchurch.

Leukaemia and Blood Cancer NZ

www.leukaemia.org.nz

NZ charity to provide help and supports patients with blood cancers

Bone Marrow Transplant Network NSW

www.aci.health.nsw.gov.au

New South Wales Agency for Clinical Information resource page

Reference Sources for Stem Cell Grafting Information

Medical Journals

Professional Societies – websites/meetings

Centre for Blood and Marrow Transplant Research (CIBMTR)

www.bmtnet.org

www.mcw.edu

www.cibmtr.org

Australian Bone Marrow Donor Registry (ABMBR)

www.abmdr.org.au

AS Bone Marrow Transplant (ASBMT)

www.asbmt.org

National Marrow Donor Programme (NMDP)

www.marrow.org

European Bone Marrow Transplant (EBMT)

www.EBMT.org

Cord Blood transplantation Group

eurocord-ed.org

International Society for Cellular Therapy

www.celltherapysociety.org

International histocompatibility working group

www.ihwg.org

World Marrow Donor Association

www.wmda.info

American Society of Histocompatibility and Immunogenetics (ASHI)

www.ashi-hla.org

Asia-Pacific Histocompatibility and Immunogenetics Association

http://www.aphia.org.au

AABB

www.aabb.org

American Society Haematology (ASH)

www.hematology.org

ASCO

www.asco.org

FACT

www.factwebsite.org

JACIE

www.jacie.org

NCI

www.cancernet.nci.nih.gov

National Library of Medicine

www.nlm.nih.gov

About this Canterbury DHB document (7972):

Document Owner:

Andrew Butler (see Who's Who)

Issue Date:

December 2016

Next Review:

December 2018

Keywords:

Note: Only the electronic version is controlled. Once printed, this is no longer a controlled document. Disclaimer

Topic Code: 7972