Introduction Marian Ryan Regional Manager Dr Mark Patten

Introduction Marian Ryan (Regional Manager) Dr Mark Patten (R-CLOD) 10 th June 2013 Organ Donation Past, Present and Future EASTERN

Programme 10: 00 10: 15 11: 00 11: 15 12: 30 13: 15 1430 1445 1600 1630 EASTERN Introduction Donation in the UK (F 105, 2 C 06) Dr Paul Murphy Coffee Donor Identification and Referral (I 102, 2 C 06) Dr Malcolm Watters Lunch Donation after brain-stem death (1 A 01, 1 A 02, 2 C 06) Diagnosis of death Dr Dale Gardiner Donor optimisation Dr Gerlinde Mandersloot Coffee Family approach and consent (F 101, I 106, 2 C 06) Dr Paul Murphy Discussion and next steps Close Attendance at this meeting has been recognised for 5 CPD credits by the Royal College of Anaesthetists Organ Donation Past, Present and Future 2

Embed Pauline’s story -Start automatically -Full screen Organ Donation Past, Present and Future 3

Objectives EASTERN 1. Update on progress since 2008 Organ Donor Taskforce Report and scene set for future challenges. 1. Outline best practice, using regional and local data, and the most recent national guidance around: – – – The referral and identification of donors Donation after Brain Death Family approach and consent 2. Secure commitment to change practice in your hospital around key pinch points in deceased donation pathways Organ Donation Past, Present and Future 4

Organ Donation Services Team EASTERN Regional Clinical Leads Mark Patten 19 Trusts (20 Hospitals) 2 Transplant Centres Regional Manager Marian Ryan SCOTLAND Team Managers Michelle Tyler Liz Brettell NORTHERN IRELAND YORKSHIRE NORTH WEST MIDLANDS EASTERN SOUTH WALES SOUTH CENTRAL SOUTH WEST Organ Donation Past, Present and Future SOUTH EAST 16 Specialist Nurses 2 Admin Staff 5

Donation in the Eastern Team EASTERN 2003 -2013 148. 4% 89. 7% 247. 8% Organ Donation Past, Present and Future 6

50% Target by Donor Team EASTERN Percentage Achievement 150 148. 4 125 100 87. 5 81. 8 74. 1 75 44. 8 50 46. 4 50. 8 26. 6 25 19. 7 30. 4 7. 1 11 al ut es h W Yo est rk sh ire W st So ut h h Ea l ut So So So ut h Ce nt ra nd la ot nd Sc Ire la n No rth er n rth er t es No rth W s nd No M id la on nd Lo Ea st er n 0 Organ Donation Past, Present and Future 7

Yorkshireto 50% by Donor Team Contribution South West 7% EASTERN 7% Eastern 13% Tied 1 st South Wales 4% South East 8% London 13% 50% Midlands 12% South Central 8% Scotland 8% Northern Ireland 3% Northern 8% Organ Donation Past, Present and Future North West 10% 8

Organs from Eastern Donors: 2003 -13 Organ Donation Past, Present and Future EASTERN 9

EASTERN 2007 -2008 Organs Transplanted from Eastern Donations 2012 -2013 Organs Transplanted from Eastern Donations Organ Donation Past, Present and Future 10

Where are potential donors in the Eastern team lost? EASTERN 1 st Organ Donation Past, Present and Future 11

BUT if we adopted BEST PRACTICE 1800 Target EASTERN Actual 1600 19. 1 ppm 1400 1200 1000 50% 13. 4 ppm 800 600 400 2007/08 2008/09 2009/10 2010/11 Organ Donation Past, Present and Future 2011/12 2012/13 Best Practice 12

BUT if we adopted BEST PRACTICE 1800 Target 26. 3 ppm Actual TOP 5 in the WORLD 1600 19. 1 ppm 1400 1200 1000 50% EASTERN 13. 4 ppm 800 600 400 2007/08 2008/09 2009/10 2010/11 Organ Donation Past, Present and Future 2011/12 2012/13 Best Practice 13

2008 2011

EASTERN NHSBT Guidelines ED Strategy Donor Management Bundles and Guidance FICM & ICS endorsed: Brain-stem Death Forms www. odt. nhs. uk Organ Donation Past, Present and Future 15