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Originator: National Patient Safety Alert - NHS England Patient Safety

Issue date: 09-Sep-2025 09:59:30

This alert has been issued to:
  • Care Trusts
  • Mental Health Trusts
  • Specialists Trusts
  • Learning Disabilities Trusts
  • Mental Health & Social Care Trusts
  • Ambulance Trusts
  • Mental Health & Learning Disabilities Trusts
  • Acute Trusts
  • Community Trusts

  • Other contacts
  • Independent Healthcare Providers (registered with CAS)
  • Clinical Commissioning Groups
  • Special Health Authorities
  • Territorial CMOs in Northern Ireland, Scotland & Wales
  • Integrated Care Boards

Action category: Action

Title: Harm from delayed administration of rasburicase for tumour lysis syndrome

Broadcast content:

This National Patient Safety Alert requires action to prevent delays in the administration of rasburicase for tumour lysis syndrome (TLS). TLS is a life-threatening emergency that can develop when cancer cells break down rapidly, releasing harmful substances into the bloodstream. It requires urgent treatment with rasburicase in high-risk cases.

The alert requires NHS organisations providing emergency departments and cancer services to complete specific actions within 6 months, including updating risk assessment protocols, ensuring medication availability, and addressing operational barriers to timely treatment.



Additional information: This alert is not relevant to primary care.

Alert reference: NatPSA/2025/005/NHSPS

Action underway deadline: 11-Sep-2025

Action complete deadline: 09-Mar-2026

Attachments:

Contact our helpdesk

Email: safetyalerts@mhra.gov.uk

Medicines and Healthcare products Regulatory Agency