Introduction

1. Introduction Marian Ryan (Regional Manager) Dr Mark Patten (R-CLOD) 10th June 2013 EASTERN

2. Programme EASTERN 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 Malcolm Watters 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 EASTERN • Update on progress since 2008 Organ Donor Taskforce Report and scene set for future challenges. • 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 • 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 EASTERN Regional Clinical Leads Mark Patten Regional Manager Marian Ryan Team Managers Michelle Tyler Liz Brettell 16 Specialist Nurses 2 Admin Staff 19 Trusts (20 Hospitals) 2 Transplant Centres 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 Eastern Team 2003-2013 EASTERN 148.4% 89.7% 247.8% 6 Organ Donation Past, Present and Future

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

8. EASTERN Tied 1st 50% Organ Donation Past, Present and Future

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

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

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

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

13. BUT if we adopted BEST PRACTICE EASTERN 26.3ppm 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 EASTERN ED Strategy Donor Management Bundles and Guidance FICM & ICS endorsed: Brain-stem Death Forms www.odt.nhs.uk Organ Donation Past, Present and Future