Is the NHS doing enough to combat the crisis in organ donations for transplants? Allan Urry examines the challenge of ensuring more suitable donors are available at a time when those waiting for life saving operations are increasing. Surgeons are reporting worse outcomes for some patients, as poorer quality organs have to be used because of chronic shortages. This comes despite a big drive by the Department of Health to improve availability. But, are opportunities to recover more organs being missed because of the way doctors manage the care of patients who are close to death?