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Royal Brompton & Harefield NHS Foundation Trust
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Team in the operating theatre

Clinical departments 

Transplant services

Our heart and lung transplant unit, based at Harefield hospital, is the UK’s largest and most experienced centre for heart and lung transplants. The unit works with the Heart Science Centre, which is at the forefront of research into heart disease and transplantation.

Our facilities

Our dedicated transplant unit consists of two wards, with a total of 34 beds, most of which are in single or double rooms. Patients are admitted for transplant assessment, routine check-ups and unplanned admissions in the event of post-transplant complications (such as infection or organ rejection).  We run a dedicated transplant follow-up clinic – our focus is on enabling patients to live the most normal and active life possible.


Transplant services at Harefield Hospital are supported by our specialist immunosuppression monitoring services, which includes the UK National Monitoring Service for Sirolimus.

Expertise includes:

  • Non-heart beating donor lung transplantation
  • Experience in performing Heterotopic heart transplantation
  • Experience in live-lobar lung transplantation
  • Experience of combined heart-kidney transplantation
  • Use of mass spectrometry technology for monitoring immunosuppressant drug levels
  • Application of plasmapherisis to treat acute antibody mediated rejection in heart and lung transplantation
  • Short- and long-term mechanical circulatory supportwith ventricular assist devices (VADs)
  • Application of LVADsto support recovery of the patient’s heart following dilated cardiomyopathy

Royal Brompton

Sydney Street,
London SW3 6NP
Tel: +44 (0)20 7352 8121


Read more about transplant services on our pages for patients and carers

"Patients undergoing surgery at Harefield Hospital had some of the best outcomes for cardiac, thoracic and cardiothoracic transplant (heart, lung and heart-lung transplant) in the country."

- Care Commission Quality, 2017

  • Lung recipient selection policy [pdf / 88KB] This document provides guidelines for the selection of adult and paediatric patients on to the UK national transplant list and, where necessary, criteria for their de-selection.