Introduction

1. Introduction Lesley Logan (Regional Manager) NORTHERN 3rd July 2013 Dr Angus Vincent (Regional-Clinical Lead)

2. Programme NORTHERN 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) DrHuwTwamley,Jacki Newby 12:30 Lunch 13:15 Donation after brain-stem death (1A01, 1A02, 2C06) Diagnosis of death Dr Dale Gardiner Donor optimisationDrGerlindeMandersloot 1430 Coffee 1445 Family approach and consent (F101, I106, 2C06) DrAngus Vincent 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 NORTHERN • 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 NORTHERN Regional Clinical Lead Angus Vincent Regional Manager Lesley Logan Team Manager Lynn Robson 12 Specialist Nurses 2 Admin Staff 9 Trusts (12 Hospitals) Pop of approx 3million 1Transplant 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 Northern Team 2003-2013 NORTHERN 50.8% 12.5% 173.3% 6 Organ Donation Past, Present and Future

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

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

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

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

11. Where are potential donors in the Northern team lost? NORTHERN 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. Number of AUDITED DEATHS per million population (pmp) Preliminary 2011/12 data Population <=75 years National Organ Donation Committee, June 2012

15. Number of POTENTIAL DONORS per million population (pmp) Preliminary 2011/12 data Population <=75 years National Organ Donation Committee, June 2012

16. Number of ACTUAL DONORS* per million population (pmp) Preliminary 2011/12 data Population <=75 years * Actual donors meeting PDA criteria National Organ Donation Committee, June 2012

17. 2008 2008 2011

18. 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