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Level 1 Meeting

This meeting in January 2016 aimed to increase the deceased donor transplant rate and consent rate to improve organ donation statistics in the UK. The meeting discussed categorizations, key statistics, and strategies to achieve the set goals. It highlighted the importance of maximizing donation conversion by sharing data, learning from other hospitals, and identifying ways NHSBT can offer better support. The meeting showcased exceptional achievements and defined eligibility criteria for potential donors. Participants aimed to enhance donation conversion from potential donors and maintain the regional leadership status.

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Level 1 Meeting

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  1. Level 1 Meeting 11thJanuary, 2016

  2. Level 1 Meeting, January 2016

  3. 2020 Strategy Consent/authorisation rate 80% (currently 61.2%) Aim for 26 deceased donors per million population (pmp) (currently 20.4 pmp) Aim to transplant 5% more of the organs offered from consented, actual donors Aim for a deceased donor transplant rate of 74 pmp (currently 53 pmp) Level 1 Meeting, January 2016

  4. 26 donors per million population Level 1 Meeting, January 2016

  5. Neurological Death Tested like Northern = 95% (68-95%) Referred DBD like Northern = 100% (92-100%) Referred DCD like Northern = 88% (68-88%) Approached DBD like South Wales = 98% (91-98%) Approached DCD like South West = 61% (32-61%) Consented/Authorised DBD like South West = 80% (55-80%) Consented/Authorised DCD like South East = 64% (44-64%) If in 2014/15 we… Level 1 Meeting, January 2016

  6. TOP 5 IN THE WORLD Level 1 Meeting, January 2016

  7. Exceptional October 143 Donors 365 Transplants

  8. UK Donation by Level Level 1 Meeting, January 2016

  9. Historic Categorisation of Donation Activity by Level Very Old System circa 2008 Old System, 2013 If the same rules of Club 32 were to be applied in 2016 we would now have Club 42, making events like today unmanageable. Level 1 Meeting, January 2016

  10. New 2016 Categorisation of Donation Activity by Level Potential donor after brainstem death (DBD) are defined as patients who have neurological death suspected by meeting all of the following criteria: apnoea, coma from known aetiology and unresponsive, ventilated, fixed pupils. Excluding those for whom cardiac arrest occurred despite resuscitation, brain stem reflexes returned, and neonates less than 2 months post term. Eligible donors after circulatory death (DCD) are defined as patients who had treatment withdrawn and death was anticipated within four hours, with no absolute medical contraindications to solid organ donation. Level 1 Meeting, January 2016

  11. Level 1 Group key (alphabetical) Level 1 Meeting, January 2016

  12. The why and the how of Club 32, November 2013 Why • Maximise donation conversion from potential in the UK • Club 32 members follow the 50:20 rule • Club 32 members are regional leaders How • Share comparative data • Learn from other ‘similar’ large donation potential hospitals • Facilitate discussion about successes and challenges • Challenge each Trust/Board team to consider how you will maximise donation conversion from potential • Identify how NHSBT might better support your efforts

  13. The why and the how of Level 1, January 2016 Why • Maximise donation conversion from potential in the UK • Level 1 members follow the 50:20 rule • Level 1 members are regional leaders How • Share comparative data • Learn from other ‘similar’ large donation potential hospitals • Facilitate discussion about successes and challenges • Challenge each Trust/Board team to consider how you will maximise donation conversion from potential • Identify how NHSBT might better support your efforts Level 1 Meeting, January 2016

  14. Programme 11th January 2016 The Wesley, 81 – 103 Euston Street, London NW1 2EZ. Level 1 Meeting, January 2016

  15. Level 1 actual deceased donors 1st October 2005 – 30th September 2015 50:20 rule 50% of donors come from 20% of hospitals

  16. Level 1 actual deceased donors 1st October 2014 – 30th September 2015 Cambridge University Hospitals NHS Foundation Trust 54 donors including 35 DCD St George's Healthcare NHS Foundation Trust 47 donors including 34 DBD

  17. Level 1s neurological death testing rate 1st October 2014 – 30th September 2015 GoSBAR

  18. Level 1s neurological death testing rate 1st October 2013 – 30th September 2014 Sheffield Teaching Hospitals NHS Foundation Trust

  19. Level 1s neurological death testing rate Sheffield Teaching Hospitals NHS Foundation Trust Comparison 1st October 2013 – 30th September 2015 31. University Hospitals Birmingham NHS Foundation Trust 8. Cardiff And Vale Health Board

  20. Level 1s DBD referral rate 1st October 2014 – 30th September 2015 St George's

  21. Level 1s SNOD involvement rate 1st October 2014 – 30th September 2015 St George's

  22. Level 1s DBD consent/authorisation rate 1st October 2014 – 30th September 2015

  23. Level 1s DCD referral rate 1st October 2014 – 30th September 2015 • Leeds

  24. Level 1s DCD SNOD involvement rate 1st October 2014 – 30th September 2015

  25. Level 1s DCD consent/authorisation rate 1st October 2014 – 30th September 2015 Cambridge

  26. Level 1 tabulated rates: highlighting silver and gold 1st October 2014 – 30th September 2015

  27. Programme 11th January 2016 The Wesley, 81 – 103 Euston Street, London NW1 2EZ. Level 1 Meeting, January 2016

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