Directorate of Donor Care UK Transplant NHSBT Strategic Plan and ODTF Recommendations Regional Managers

Directorate of Donor Care UK Transplant Aims To re –cap on ODTF recommendations that fall within NHSBT's remit To share & present information contained in NHSBT's Strategic Plan 2008/11 To outline the broad principles of the Strategic Plan To confirm the next steps that NHSBT will be taking to contact staff's current employers to work with them on implementing the ODTF recommendations To reassure you that we want to answer all of your many questions and work with you on implementation plans once formal channels of communication commence with your employer

Directorate of Donor Care UK Transplant ODTF Recommendations (1)‏ A UK wide organ donation organisation (ODO) should be established The establishment of the ODO should be the responsibility of NHSBT All parts of the NHS must embrace organ donation as a usual, not unusual event. Local policies, constructed around national guidelines, should be put in place. Discussions about donation should be part of all end of life care when appropriate. Each Trust should have an identified clinical donation champion and a Trust donation committee to help achieve this

Directorate of Donor Care UK Transplant ODTF Recommendations (2)‏ Donation activity in all Trusts should be monitored. Rates of potential donor identification, referral, approach to the family and consent to donation should be reported. The Trust donation committee should report to the Trust Board through the clinical governance process and the medical director, and the reports should be part of the assessment of Trusts through the relevant healthcare regulator. Benchmark data from other Trusts should be made available for comparison

Directorate of Donor Care UK Transplant ODTF Recommendations (3)‏ The current network of DTCs should be expanded and strengthened through central employment by a UK wide ODO. Additional co-ordinators embedded within critical care areas, should be employed to ensure a comprehensive, highly skilled, specialised and robust service. There should be a close and defined collaboration between DTCs, clinical staff and Trust donation champions. Electronic on line donor registration and offering systems should be developed.

Directorate of Donor Care UK Transplant ODTF Recommendations (4)‏ Financial disincentives to trusts facilitating donation should be removed through the development and introduction of appropriate reimbursement A UK wide network of dedicated organ retrieval teams should be established to ensure timely, high-quality organ removal from all HB and NHB donors. The ODO should be responsible for commissioning the retrieval teams and for audit and performance management

Directorate of Donor Care UK Transplant NHSBT’s Strategic Plan 2008/11 Plan agreed by the Board on 3 April 2008 Contains overall ‘high level’ strategic objectives surrounding the implementation of ODTF recommendations that fall within NHSBT's remit Successful delivery of ODFT outcomes & benefits require effective integration of the entire work programme through an overarching NHS framework led by the DH supported by the three devolved health administrations. Overarching aim is to achieve a 50% increase in organ donation within a 5 year time frame

Directorate of Donor Care UK Transplant ODTF 5 year Predictions 2012/13 No. of organ donors1995 No. of organ transplants4481 No. of cornea donors2250 No. of cornea transplants3000

Directorate of Donor Care UK Transplant ODTF 5 year Predictions 2012/13 % of pts where BSD is a possible diagnosis & are suitable donors 94% % of HB families approached that consent/authorised donation 70%

Directorate of Donor Care UK Transplant ODTF 5 year Predictions 2012/13 No. of Tx organ per HB donor 4.12 No. of Tx organ per NHB donor 2.55 % of corneas100% No. on ODR18m

Directorate of Donor Care UK Transplant Strategic Plan 2008/11 Implement clinical donation champions & an organ donation committee within donating hospitals (ODTF 4)‏ 07/0808/0909/1010/11 0%51/19%155/58%195/73% ↓ JDs and recruitment process to be agreed through the DAG

Directorate of Donor Care UK Transplant Strategic Plan 2008/11 Implement effective performance management within all donating hospitals (ODTF 6)‏ 07/08 08/09 09/10 10/11 0% 0% 100% 100% ↓ Develop indicators for inclusion in HCC standards ( + equivalent in devolved health admins)

Directorate of Donor Care UK Transplant Strategic Plan 2008/11 Implement financial reimbursement to all hospitals (for proceeding and non proceeding donors) (ODTF 8) 07/08 08/09 09/10 10/11 100% 100% 100%

Directorate of Donor Care UK Transplant Strategic Plan 2008/11 Implementation of a centrally employed DTC network (ODTF 9)‏ Current thinking on plans for service reconfiguration are based on the ODTF recommendations to reorganise the existing 18 teams into 12 teams but this needs to be tested Increased recruitment over the next 2 years to enable teams to become fully operational by the third year of service delivery NHSBT want to undertake appropriate consultation with staff on implementation once the consultation process is agreed with current employers and relevant Trade Union organisations

Directorate of Donor Care UK Transplant Overarching Plan in Broad Terms 08/09 → 4 NHSBT employed teams in place and undergoing additional recruitment to full funded establishment 09/10 → All NHSBT employed teams in place – 4 to have reached full recruitment establishment and therefore be fully operational 10/11 → All teams to be at full funded establishment and to be fully operational

Directorate of Donor Care UK Transplant What Happens next? To open channels of communication on implementing the recommendations the following steps will need to take place Contact from DOH and Devolved Administrations to current employers confirming NHSBT is tasked to commence working with current employers on transfer arrangements

Directorate of Donor Care UK Transplant What Happens Next? (cont) Contact between CEO NHSBT, Lynda Hamlyn and CEO's of current employers. Contact between NHSBT HR representative and HR Directors at NHS Trusts Formal request for identification of staff Formal request for identification of recognised Trade Unions representing staff or elected Staff Representative (if Staff are non Unionised)‏

Directorate of Donor Care UK Transplant When can we be given more information and be consulted? NHSBT must firstly work with your current employers on the future consultation process. NHSBT is committed to working with you, your employer and recognised Trade Union representatives on future consultation and implementation plans.

Directorate of Donor Care UK Transplant When will more information be provided on future job descriptions? We are aware that staff are awaiting this detail because future job roles are integral to implementing the Task Force recommendations. We will consult on this information at the earliest opportunity once we agree the process for doing this via your employer.

Directorate of Donor Care UK Transplant How soon do NHSBT plan to provide more information? We hope to be able to share more information in May, once we have undertaken the necessary first contact with current NHS employers and recognised Trade Unions. It is important that we secure all parties input before we discuss any detail about implementation process. We plan to work on a consultation timetable via your current employer.

Directorate of Donor Care UK Transplant Strategic Plan 2008/11 Improve & streamline the process of donor registration, through the introduction of an electronic (web based) offering system (ODTF 9)‏ 07/08 08/09 09/10 10/11 ↓ By March 09

Directorate of Donor Care UK Transplant Strategic Plan 2008/11 Implement nationally commissioned organ retrieval teams (ODTF 10)‏ 07/08 08/9 → prepare & deploy framework (develop spec & model)‏ 09/10 → 7 teams (part year effect)‏ 10/11 → 7 teams full effect (? further teams part year effect)‏

Directorate of Donor Care UK Transplant Strategic Plan 2008/11 Review eye retrieval units. Performance manage each against a target of 70% retrieval 08/09 → 3 units 09/10 → 6 units 10/11 → 8 units

Directorate of Donor Care UK Transplant Conclusion This presentation has been for information only We are going to proceed through the correct channels of communication to ensure that we can commence more detailed discussions We will be agreeing with your employer how we undertake the more detailed consultation with you and your representatives.