Organ Donation Past, Present and Future Introduction Ella Poppitt (Regional Manager) SOUTH CENTRAL Dr Malcolm Watters (R-CLOD) 11 th June 2013

Programme 2 10:00Introduction 10:15Donation in the UK (F105, 2C06) Dr Paul Murphy 11:00 Coffee 11:15Donor Identification and Referral (I102, 2C06) Dr Malcolm Watters 12:30Lunch 13:15Donation after brain-stem death (1A01, 1A02, 2C06) Diagnosis of death Dr Dale Gardiner Donor optimisation Dr Gerlinde Mandersloot 1430Coffee 1445Family approach and consent (F101, I106, 2C06) Dr Angus Vincent 1600Discussion 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 SOUTH CENTRAL

3 Organ Donation Past, Present and Future Embed Pauline’s story -Start automatically -Full screen

Objectives 1.Update on progress since 2008 Organ Donor Taskforce Report and scene set for future challenges. 1.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 2.Secure commitment to change practice in your hospital around key pinch points in deceased donation pathways 4 Organ Donation Past, Present and Future SOUTH CENTRAL

Organ Donation Services Team SCOTLAND NORTH NORTH WEST YORKSHIRE MIDLANDS SOUTH WALES EASTERN SOUTH EAST SOUTH CENTRAL SOUTH WEST NORTHERN IRELAND Regional Clinical Lead Malcolm Watters Regional Manager Ella Poppitt Team Managers Trish Collins Amanda Small 18 Specialist Nurses 2 Admin Staff 13 Trusts (18 Hospitals) Pop of approx 4.5 million 2 Transplant Centres 5 Organ Donation Past, Present and Future SOUTH CENTRAL

Donation in the South Central Team Organ Donation Past, Present and Future 56.0% 40.9% 46.4% SOUTH CENTRAL

50% Target by Donor Team Organ Donation Past, Present and Future 7 SOUTH CENTRAL 6 th

50% 8 Tied 5 th Organ Donation Past, Present and Future SOUTH CENTRAL

9 Organ Donation Past, Present and Future Organs from South Central Donors: SOUTH CENTRAL

10 Organ Donation Past, Present and Future SOUTH CENTRAL Organs Transplanted from South Central Donations Organs Transplanted from South Central Donations

Where are potential donors in the South Central team lost? 11 Organ Donation Past, Present and Future SOUTH CENTRAL

12 50% 13.4 ppm 19.1 ppm Organ Donation Past, Present and Future BUT if all regions adopted BEST PRACTICE

ppm TOP 5 in the WORLD 50% 13.4 ppm 19.1 ppm Organ Donation Past, Present and Future BUT if all regions adopted BEST PRACTICE

NHSBT Guidelines 15 ED Strategy Donor Management Bundles and Guidance FICM & ICS endorsed: Brain-stem Death Forms Organ Donation Past, Present and Future SOUTH CENTRAL