Ella Poppitt (Regional Manager) Introduction Ella Poppitt (Regional Manager) Dr Pardeep Gill (R-CLOD) Welcome by RM and housekeeping Fire alarms – nothing planned – follow signs for fire routes or outside onto main car park. Parking – swap current ticket on arrival for a day pass from the little reception just outside this room by the entrance Refreshments - outside this room Cloakroom and rest rooms just as you enter in main entrance. Roving mike for any questions 26th June 2013 SOUTH EAST

Programme 10:00 Introduction 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 RM Attendance at this meeting has been recognised for 5 CPD credits by the Royal College of Anaesthetists Organ Donation Past, Present and Future

Organ Donation Past, Present and Future Embed Pauline’s story Start automatically Full screen Will start automatically and full screen Lights down if able – cinema feel Organ Donation Past, Present and Future

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 R-CLOD Organ Donation Past, Present and Future

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 Where the audience fits into donation team structure. Needs to be filled in yet. NORTH WEST MIDLANDS EASTERN SOUTH WALES SOUTH CENTRAL SOUTH EAST SOUTH WEST Organ Donation Past, Present and Future 5

Donation in the South East Team 2003-2013 SOUTH EAST 19.7% 8.9% 50.0% Deceased donation over 10 years [click] Then when taskforce introduced, calling for 50% gain over five years. [clicks] % gains for DBD, DCD and TOTAL Was it an aberrant good year last year for Eastern or true culture change?? Organ Donation Past, Present and Future 6

50% Target by Donor Team SOUTH EAST How the region fared against 50% target Organ Donation Past, Present and Future

Tied 5th 50% SOUTH EAST Organ Donation Past, Present and Future Ccontribution toward the 50% goal Organ Donation Past, Present and Future

Organs from South East Donors: 2003-13 Organs donated from South East donors. (unlike the early roadshows- this slide is now of organs donated total, not necessarily transplanted and the numbers do not match the next slide) Organ Donation Past, Present and Future

Organ Donation Past, Present and Future SOUTH EAST 2007-2008 Organs Transplanted from South East Donations 2012-2013 Organs Transplanted from South East Donations Number of organs donated AND TRANSPLANTED from South East Donors Organ Donation Past, Present and Future

Where are potential donors in the South East team lost? Fall off with three key pinch points [Click 1] = Testing [Click 2] = Approach and Consent (Mask = symbol for DBD, broken heart = symbol for DCD] Organ Donation Past, Present and Future

BUT if all regions adopted BEST PRACTICE 19.1 ppm 50% 13.4 ppm 50% is great and this slide shows how the UK achieved it year on year BUT If everyone tested for brain death like Eastern does, approached like the Northern and South West, consented like South Central and Northern do = this is what could be achieved. (do not feel you have to mention each other region – only given for your interest) Organ Donation Past, Present and Future

BUT if all regions adopted BEST PRACTICE 26.3 ppm TOP 5 in the WORLD 19.1 ppm 50% 13.4 ppm Top 5 in the World We don’t need to do anything new in the UK we just need every region to achieve what some regions are already showing can be done in each aspect of the donation pathway. Organ Donation Past, Present and Future

2008 2008 Slide showing national external guidance that can help us be Top 5 2011

NHSBT Guidelines www.odt.nhs.uk SOUTH EAST ED Strategy Donor Management Bundles and Guidance FICM & ICS endorsed: Brain-stem Death Forms Slide showing NHSBT best practice and strategy guides and other helpful resources. These will help you to achieve best practice in your hospital and why we are meeting today. www.odt.nhs.uk Organ Donation Past, Present and Future