FYI - don't think this has been posted here before
In November 2016 The Royal College of Surgeons of England issued the following 40 page booklet:
Caring for patients who refuse blood - a guide to good practice
This document provides guidance on the surgical management of Jehovah’s Witnesses and other patients who withhold consent to blood transfusion. It takes into account and expands on the principles set out in Good Surgical Practice (RCS, 2014), Consent: Supported Decision-Making – A Guide to Good Practice (RCS, 2016) as well as guidance from the GMC and NICE, to enable surgeons and their teams to provide high-quality care to Jehovah’s Witness and other patients who refuse blood transfusion while respecting their right to make autonomous decisions about treatment.
It offers information on the current requirements for patient communication and supported decision-making and practical advice to support surgeons in complying with their legal, ethical and regulatory obligations.
Although this guide has been developed primarily for surgeons, most of its recommendations are applicable to other medical specialties.
Clayton O'Neill comments on these guidelines in the article below from February 2017 (Clayton O'Neill is a Lecturer at the UK's Nottingham Trent University. His research interests are in medical law and human rights, particularly the relationship between medical law and the manifestation of religious belief.)
Blood transfusion refusals – why new guidelines aren’t up to scratch
Blood transfusions are a common and often lifesaving procedure. However, some groups, such as Jehovah’s Witnesses, forbid blood transfusions on religious grounds. Recently, the Royal College of Surgeons issued new guidelines on what to do when a person rejects a transfusion based on religious belief. However, these guidelines need further clarification to make it easier for surgeons to act fully in line with developments in English law when it comes to children.
In recent years, there has been a move away from paternalistic medicine, where the doctor always knows best, and a move towards “shared-decision making” – a process that is enshrined in English law. This means that the patient is informed of all the risks and, together with the doctor, they make an informed decision.
The issue of transfusion refusals is becoming increasingly important because the population of Jehovah’s Witnesses is growing, as well as people who refuse blood transfusions for reasons unrelated to religion. And the guidelines make a good attempt to give direction to surgeons who have to grapple with potentially life-threatening situations involving the refusal of blood transfusions using a patient-focused approach.
Slightly off-topic, not sure if this has been posted here before, so thought I'd just tag it on the bottom here.... rather old and two versions of the same document
The Association of Anaesthetists of Great Britain and Ireland have the following 32 page booklet:
Management of Anaesthesia for Jehovah's Witnesses
The first edition of this guidance was published in March 1999 and was received by the members of both the Association of Anaesthetists of Great Britain and Ireland (the Association) and the Watch Tower Bible and Tract Society of Britain (the official organisation for British Jehovah’s Witnesses) with some acclaim.
Since then there has been a continuing debate surrounding the ethical and practical consequences of consent for medicine as well as developments in the areas of ‘Oxygen Therapeutics’, blood transfusion medicine and alternative blood sparing technologies.
In his Report for 2003 entitled On the State of Public Health, the UK Department of Health’s Chief Medical Officer, Professor Liam Donaldson, stated that he believed too many unnecessary blood transfusions were being given in England. He added, “The gift of blood is too often squandered by unnecessary and inappropriate use”, and expressed concern at the fall in the donor pool (down by one fifth in 4 years). He further suggested that transfusion is unnecessary unless the haemoglobin falls below 7 g/dl, and proposed that only consultants, and not junior staff, should be allowed to order blood and blood products.
READ MORE - 2005 version: https://www.aagbi.org/sites/default/files/Jehovah's%20Witnesses_0.pdfREAD MORE - 1999 version: https://www.aagbi.org/sites/default/files/Jehovah's%20Witness%201999.pdf