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Article History

Received: 30 August 2024

Accepted: 8 July 2025

First Online: 6 August 2025

Declarations

:

: This study was conducted as an observational service analysis of the existing transplant immunosuppression policy at the Royal London Hospital. Research ethics committee approval was deemed unnecessary under the terms of the UK Policy Framework for Health and Social Care Research, using their online decision support tool (). The project adheres to the Declaration of Helsinki.

: Not applicable.

: Informed consent to for their data to be used in this project was not sought from patients. It is not required under UK law for use of patient data in clinical audit (see General Medical Council document Using and Disclosing Patient Information for Secondary Purposes paragraphs 95 and 96 (). Institutional approval came from the Barts Health Clinical Effectiveness Unit.

: Not applicable.

: The authors declare no competing interests.