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ONT SPANISH NATIONAL TRANSPLANT ORGANIZATION

The National Transplant Organization (ONT) under the authority of the Spanish Ministry of Health is an organization in charge of the development of competences related with the obtaining and clinical use of organs and tissues.
In order to carry out these functions it acts as an operative technical unit fulfilling its mission of coordinating the activities of donation, extraction, preservation, distribution, interchange and transplant of organs and tissues in the set of the Spanish Sanitary System, with adhesion to the principles of cooperation, effectiveness and solidarity.

It was created in fall of 1989, even though the law which had approved and ruled the procurement and transplantation of organ had been passed ten years before. This law (Law 30/1979 of 27th of October) and the subsequent regulations established the following principles:
1. Free of charge: No compensation of any type can be made for the donation of organs, tissues or cells for transplantation proposes
2. Legitimacy: only the health care centres which has been authorized for by the competent Health Authorities, are allowed to perform organ or tissues removal and/or transplantation
3. All organs, tissues or cells donors must fulfil the legal requirements expressed by the law and other regulations. The law also establishes the requisites to be fulfilled by the living donor and recipient.
4. Confidentiality: in reference to all data relating to transplantation, including the identity of the donors and recipients
5. Coordination with national and international bodies, as a mean to achieve its goals
6. The activities of tissue banks are also regulated.

ONT was conceived as a network with three basic levels: national, regional and local. The National Coordination of Transplants works through a central office of coordination and it has as main mission to act as nexus among local, national and European health authorities, health professionals, the different social agents implied in donation and transplantation and the general population. This central office makes, among others, the following functions: coordination of the alarms of donation and transplants, elaboration of norms and information, information and diffusion on donation and transplantation as much to professionals as to public in general, statistical data processing on transplantation, participation and promotion of courses for continued training, promotion and steering of research in clinical and epidemiological aspects of donation and transplantation, etc.
The Autonomic Coordinators have the same attributions and functions at level of their regions that the National Coordinator at level of the State. This is, to act as nexus between different health and nonhealth professional groups, health authorities, the professionals and the public in general. They participate at the Permanent Board on organs and tissues transplantation of the National Health System, in which they discuss any matter related with transplantation that could affect more than one Autonomous Community.
The hospital coordinators are the ones who carry out the detection of donors. They are who carry out the task of the day by day, the hardest and at the same time delicate part of the process. They are the professionals responsible for all the process of donation working with direct dependency on the medical director of the hospital, and their job, as labour category, is comparable to the job of any other medical specialist. In most of the cases this work is arranged with the daily health care duties, thus the coordinators remain in contact with real hospital life and they are not going to constitute a burden to theirs respective centre of work if someday they want to leave the coordination functions. ONT has always made special emphasis in continued training as an essential tool for these coordinators.



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  25.01.2006 - Organ Donation Report - 2005
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