ED Strategy All Regions Data

The goal of the strategy is that for patients dying in the ED meeting referral criteria... All Regions Referral 2

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred, or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU. All Regions Referral 3

The goal of the strategy is that for patients dying in the ED meeting referral criteria... Eastern Referral 4

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred (eg James Paget), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Ipswich). Eastern Referral 5

The goal of the strategy is that for patients dying in the ED meeting referral criteria... London Referral 6

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred (eg Barking), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Chelsea). London Referral 7

The goal of the strategy is that for patients dying in the ED meeting referral criteria... Midlands Referral 8

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred (eg Shrewsbury), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Birmingham Children’s). Midlands Referral 9

The goal of the strategy is that for patients dying in the ED meeting referral criteria... Northern Referral 10

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred (eg South Tees), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Durham). Northern Referral 11

Northern Ireland Referral The goal of the strategy is that for patients dying in the ED meeting referral criteria... Northern Ireland Referral 12

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred, or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg South Eastern). Northern Ireland Referral 13

The goal of the strategy is that for patients dying in the ED meeting referral criteria... North West Referral 14

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred (eg Betsi Cadwalador), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Alder Hey and Central Manchester). North West Referral 15

The goal of the strategy is that for patients dying in the ED meeting referral criteria... Scotland Referral 16

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred, or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Dumfries). Scotland Referral 17

South Central Referral The goal of the strategy is that for patients dying in the ED meeting referral criteria... South Central Referral 18

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred (eg Portsmouth), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Great Western). South Central Referral 19

The goal of the strategy is that for patients dying in the ED meeting referral criteria... South East Referral 20

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred (eg Epson), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Ashford). South East Referral 21

The goal of the strategy is that for patients dying in the ED meeting referral criteria... South Wales Referral 22

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred (eg Hywel Dda), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Cym Taf). South Wales Referral 23

The goal of the strategy is that for patients dying in the ED meeting referral criteria... South West Referral 24

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred (eg Dorset), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Plymouth). South West Referral 25

The goal of the strategy is that for patients dying in the ED meeting referral criteria... Yorkshire Referral 26

Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE) ... they are either all referred (eg Barnsley, Hull), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Airedale, Chesterfield). Yorkshire Referral 27

Family Approaches All Regions The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation. [THIS IS ALL APPROACHES in ED regardless of where the patient died - unlike referral statistics above] Family Approaches All Regions 28

Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) Therefore patient families in this situation are either all approached with a SNOD, or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU. Family Approaches All Regions 29

Family Approaches - Eastern The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation. Family Approaches - Eastern 30

Family Approaches - Eastern Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) Therefore patient families in this situation are either all approached with a SNOD (eg Cambridge), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Basildon). Family Approaches - Eastern 31

Family Approaches - London The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation. Family Approaches - London 32

Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) Therefore patient families in this situation are either all approached with a SNOD (eg Imperial), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Guy’s). Family Approaches - London 33

Family Approaches - Midlands The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation. Family Approaches - Midlands 34

Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) Therefore patient families in this situation are either all approached with a SNOD (eg Burton), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Birmingham Children’s). Family Approaches - Midlands 35

Family Approaches - Northern The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation. Family Approaches - Northern 36

Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) Therefore patient families in this situation are either all approached with a SNOD (eg Durham), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Sunderland). Family Approaches - Northern 37

Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) No family approaches in the ED in Northern Ireland. Family Approaches – Northern Ireland 38

Family Approaches – North West The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation. Family Approaches – North West 39

Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) Therefore patient families in this situation are either all approached with a SNOD (eg Aintree), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Alder Hey). Family Approaches – North West 40

Family Approaches – Scotland The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation. Family Approaches – Scotland 41

Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) Therefore patient families in this situation are either all approached with a SNOD, or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Dumfries). Family Approaches – Scotland 42

Family Approaches – South Central The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation. Family Approaches – South Central 43

Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) Therefore patient families in this situation are either all approached with a SNOD (Buckinghamshire), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Glouestershire). Family Approaches – South Central 44

Family Approaches – South East The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation. Family Approaches – South East 45

Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) Therefore patient families in this situation are either all approached with a SNOD (Brighton), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Ashford). Family Approaches – South East 46

Family Approaches – South Wales The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation. Family Approaches – South Wales 47

Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) Therefore patient families in this situation are either all approached with a SNOD (Aneurin Bevan), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Wye Valley). Family Approaches – South Wales 48

Family Approaches – South West The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation. Family Approaches – South West 49

Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) Therefore patient families in this situation are either all approached with a SNOD, or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Dorset). Family Approaches – South West 50

Family Approaches – Yorkshire The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation. Family Approaches – Yorkshire 51

Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED) Therefore patient families in this situation are either all approached with a SNOD (Hull), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Barnsley). Family Approaches – Yorkshire 52

2016 Organ Donation and the ED The ED Strategy is a big ask and we need your help. What we need from you in the ED is three things. No blue. No one dies in your ED meeting referral criteria and is not referred. No red. No family is approached in ED regarding organ donation without involving a SNOD. And to ensure the right prognostic decision is always made and there are no mixed messages given – no family is approached in ED regarding organ donation without two senior doctors first confirming the end of life treatment decision. Organ Donation and the ED