Key points
  1. This paper discusses an unexplored variable: use of blood transfusion in a major ENT, Head & Neck Centre in the United Kingdom.
  2. The paper highlights patterns associated with Red Blood Cell (RBC) transfusion use within the specialty and highlights idiosyncratic practices of surgeons.
  3. The authors discuss the financial burden posed by the use of RBC transfusions by a high volume ENT centre.
  4. The paper suggests a way forward to improve clinical practice which can be beneficial to patients and the health economy at large.