• Given the very low incidence of TTP suggested that TTP managed at a regional referral centre:
    • Have multidisciplinary teams with experience in ICU and long- term aspects of management
  • National agreement now in place with Regional Ambulance Services that TTP forms one of nine conditions designated as a ‘critical transfer’ requiring immediate life‐saving transfer:
    • Due to risk of deterioration anaesthetic escort is advised to avoid arrival of unstable patients.