Question to the Department of Health and Social Care:

To ask His Majesty's Government what assessment they have made of the problems affecting transplants identified in the episode by BBC File on 4 Investigates, The battle for hearts and lungs: Transplants in trouble, released on 24 March.

The Government recognises the challenges faced by heart and lung transplant services, as highlighted in the BBC File on 4 Investigates programme. Clinical teams have continued to improve activity and patient outcomes, reflecting their expertise and commitment. However, challenges remain and further work is needed to address variation in access, workforce pressures, and the complexity of organ acceptance and allocation.

NHS England is working closely with the Department, NHS Blood and Transplant (NHSBT), and transplant centres to address these issues. The concerns raised in the programme are consistent with challenges previously identified by the Organ Utilisation Group and explored through the Implementation Steering Group for Organ Utilisation’s Cardiothoracic Information Collation Exercise. This has informed NHS England’s clinically led national improvement programme for heart and lung transplant services, which brings together clinicians, patients, and patient organisations to co-design solutions to improve services in these key areas.

In parallel, NHSBT is delivering a Department funded programme of Assessment and Recovery Centres (ARC), including lung ARC pilot schemes launched in February 2026, to improve the preservation and utilisation of donor organs for transplantation.

While it is encouraging that activity has increased and waiting lists have reduced, the Government recognises that continued work is needed to ensure services are consistently accessible and resilient. Work will continue with patients, partners, and local centres to ensure care is personalised, equitable, and sustainable, and to address challenges facing the transplant workforce.