How and where to get tested for kidney donation

If you’re thinking about donating a kidney, the first step is to get tested. Testing is important to make sure you’re healthy enough to donate and that donation is safe for you. The tests also check if your kidney is a good match for the person who needs it. 

The good news is that all testing is free and arranged by the NHS. This page explains how to start the testing process, where the tests take place, what the tests involve, how long it takes, and what support is available while you’re being tested. 

Starting the Kidney Donation Testing Process 

If you have any questions or worries that you’d like to talk about before beginning the testing process, you can speak to our Donor Relationship Manager on our Contact Us page for support, information and advice around all things living kidney donation. We can explain how to begin the kidney donation process and provide you with the best contact details for your nearest NHS unit. 

If you want to donate a kidney to someone you know, like a family member or friend, you should speak to the transplant centre where they’re registered or being looked after. The transplant centre is responsible for organising your assessment and tests.  

If you’re considering donating a kidney to someone you don’t know (this is called a non-directed or altruistic donation), you can contact any NHS transplant centre in the UK to begin. They will guide you through the steps and explain what happens next. 

You don’t need a referral from your doctor to start the process, but you can ask your healthcare professional for advice if you’re unsure. The transplant centre team will be your main point of contact throughout. 

Where Does Testing Take Place? 

Most of the tests are done in NHS transplant centres. These centres have the specialist equipment and expert teams to carry out detailed assessments safely and thoroughly. 

However, some of the first tests – such as blood samples or urine tests – might be done closer to home, for example at your local hospital or clinic. This helps make the process easier by reducing the number of visits to the transplant centre. 

As you move through the testing process, you’ll usually need to visit the transplant centre several times for scans, medical checks, and meetings with the team. 

What Tests Are Involved? 

The testing for kidney donation includes a number of important checks: 

• Blood and urine tests – These look at how well your kidneys are working and check for any signs of illness or infection. 

• Scans and imaging – Tests like ultrasounds or CT scans let doctors see your kidneys and nearby blood vessels to make sure everything looks healthy. 

• Medical examinations – This includes checking your blood pressure, heart health, and general fitness for surgery. 

• Psychological assessment – You may meet with a specialist to discuss your feelings about donation. 

These tests help make sure donation will be safe for you and that your kidney is suitable for the recipient. You can read our page on the donor assessment process for more information. 

How Long Does the Kidney Donation Testing Process Take? 

The full testing and assessment process can take several months, or sometimes over a year. This might seem long, but it’s important that every step is done carefully to protect both you and the person receiving your kidney. 

The exact length the kidney donation testing process takes depends on factors like your health, how many tests you need, and the type of donation you are making. 

You’ll stay in close contact with the transplant centre throughout the testing process. They will explain everything that’s happening at each stage and can answer any questions you have. 

Costs and Support During Testing 

All tests and appointments related to kidney donation are free. The NHS covers the cost of all medical assessments, scans, and consultations. 

If you need to travel to the hospital or transplant centre, you may be able to claim back travel costs and any money lost from taking time off work. This financial support is there to make sure donation is possible for everyone, no matter your financial situation. 

If you’re unsure about what help you can get, your living donor coordinators can give you advice and explain how to apply for reimbursement. 

By understanding how the testing works, where it happens, and what to expect, you’ll feel more prepared and confident as you move forward. If you want to start the process, you can speak to our Donor Relationship Manager to discuss the next step in your journey and the right person to speak to. 

And remember, if you have questions or concerns at any point, healthcare professionals are there to help.