Establishment and Leadership

The National Renal Transplant Service (NRTS) was established as a national service in September 2014, following endorsement from the National Health Board and the Minister of Health.

Dr Paul Manley took up the Clinical Directorship of the NRTS in February 2024, replacing Dr Nick Cross, who stepped down from the role at the start of 2023 after leading the group since its inception.

Some of the first steps Dr Manley will take in the role will include overseeing a review of the NTRS terms of reference and membership and recommencing reporting on Quality Improvement Metrics.


The NRTS provides clinical leadership, strategic oversight, direction and support for implementation of initiatives to improve access to renal transplants.

Transplants have been shown to improve the quality of life and survival of people with end stage renal disease.

The NRTS is responsible for a work programme to increase the number of live donor renal transplants.


The National Renal Transplant Leadership Team (NRTLT) comprises clinical and managerial leaders from Te Whatu Ora providing transplant and renal services, and representatives from the New Zealand Blood Service, Organ Donation NZ.

The group’s new membership will be published when it is confirmed.