Introduction

1. Introduction Ella Poppitt (Regional Manager) Dr Pardeep Gill (R-CLOD) 26th June 2013 SOUTH EAST

2. Programme SOUTH EAST 10:00 Introduction 10:15 Donation in the UK (F105, 2C06) Dr Paul Murphy 11:00 Coffee 11:15 Donor Identification and Referral (I102, 2C06) Dr Alex Manara 12:30 Lunch 13:15 Donation after brain-stem death (1A01, 1A02, 2C06) Diagnosis of death Dr Dale Gardiner Donor optimisation Dr Gerlinde Mandersloot 1430 Coffee 1445 Family approach and consent (F101, I106, 2C06) Dr Paul Murphy 1600 Discussion and next steps 1630 Close Attendance at this meeting has been recognised for 5 CPD credits by the Royal College of Anaesthetists Organ Donation Past, Present and Future

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

4. Objectives • Update on progress since 2008 Organ Donor Taskforce Report and scene set for future challenges. 2. 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 3. Secure commitment to change practice in your hospital around key pinch points in deceased donation pathways Organ Donation Past, Present and Future

5. Organ Donation Services Team SOUTH EAST Regional Clinical Lead (s) Pardeep Gill Argy Zoumprouli Regional Manager Ella Poppitt Team Managers Louise Davey Tracey Gibson 16 Specialist Nurses (2 vacancies) 2 Admin Staff 18 Trusts (27 Hospitals) Pop of approx 4.2 million 1 Transplant Centre SCOTLAND NORTH NORTHERN IRELAND YORKSHIRE NORTH WEST MIDLANDS EASTERN SOUTH WALES SOUTH CENTRAL SOUTH EAST SOUTH WEST Organ Donation Past, Present and Future

6. Donation in the South East Team 2003-2013 SOUTH EAST 19.7% 8.9% 50.0% 6 Organ Donation Past, Present and Future

7. 50% Target by Donor Team SOUTH EAST Organ Donation Past, Present and Future

8. SOUTH EAST Tied 5th 50% Organ Donation Past, Present and Future

9. Organs from South East Donors: 2003-13 SOUTH EAST Organ Donation Past, Present and Future

10. SOUTH EAST 2007-2008 Organs Transplanted from South East Donations 2012-2013 Organs Transplanted from South East Donations Organ Donation Past, Present and Future

11. Where are potential donors in the South East team lost? SOUTH EAST Organ Donation Past, Present and Future

12. BUT if all regions adopted BEST PRACTICE 19.1 ppm 50% 13.4 ppm Organ Donation Past, Present and Future

13. BUT if all regions adopted BEST PRACTICE 26.3 ppm TOP 5 in the WORLD 19.1 ppm 50% 13.4 ppm Organ Donation Past, Present and Future

14. 2008 2008 2011

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