Letters Faecal transplants

Obstacles to establishing an NHS faecal transplant programme

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h6043 (Published 19 November 2015) Cite this as: BMJ 2015;351:h6043
  1. Benjamin H Mullish, clinical research fellow1,
  2. Horace R T Williams, consultant gastroenterologist and honorary senior lecturer1
  1. 1Division of Digestive Diseases, Faculty of Medicine, Imperial College London, St Mary’s Hospital, London W2 1NY, UK
  1. b.mullish{at}imperial.ac.uk

Having recently established a faecal microbiota transplantation (FMT) programme, we raise two points about Spector and Knight’s editorial on FMT.1

Firstly, despite the UK’s relatively permissive regulatory framework on FMT, we encountered considerable obstacles to establishing an NHS programme. Donor screening is expensive (>£500 (€703; $755)/screen/donor, repeated regularly). It is unclear …

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