Increasing SNOD Involvement to Increase Quality Care - Stretch Goal Review Charmaine Buss Specialist Nurse Organ Donation Midlands Organ Donation Services Team & Nottingham University Hospitals

Charmaine Buss, Specialist Nurse Organ Donation Regional Collaborative Midlands Organ Donation Services Team & Nottingham University HospitalsNovember 2015 Stretch Goal Collaborative Requesting was the area of focus for the Midlands team for 2015/16 Enhance care and service provided to our donor families and hospital Trusts SNOD involvement may help achieve the target for Consent Understanding reasons for decline/ ODR overrides Consent rate by 2020 = 80%

Charmaine Buss, Specialist Nurse Organ Donation Regional Collaborative Midlands Organ Donation Services Team & Nottingham University HospitalsNovember 2015 MeasurePerformance2014/15 Performance Increase the rate of families approach- ed with a SNOD present 2012/ /1 4 TargetDec YTD Jan YTD Feb YTD Mar YTD DBD & DCD 54.0%55.7%78.0%60.1%61.4%60.5%61.0% DBD57.6%64.2%85.0%69.2%70.8%69.3%70.1% DCD52.2%51.2%73.0%55.2%56.5%56.1%56.4%

Charmaine Buss, Specialist Nurse Organ Donation Regional Collaborative Midlands Organ Donation Services Team & Nottingham University HospitalsNovember 2015 Stretch Goal Review All Trusts completed commitment tools in May These were returned with a review document in October to track progress & help support Trusts 10 of 16 Trusts returned the review documents

Charmaine Buss, Specialist Nurse Organ Donation Regional Collaborative Midlands Organ Donation Services Team & Nottingham University HospitalsNovember 2015 Outcome (10/16 Trusts) 70% Implemented all mandatory actions on commitment tool 60% Trusts increased DBD SNOD Involvement 80% Trusts increased in DCD SNOD Involvement 10% Trusts Increased DBD Consent 50% Trusts Increased DCD Consent (Comparing data from April – August 2014 & 2015)

Charmaine Buss, Specialist Nurse Organ Donation Regional Collaborative Midlands Organ Donation Services Team & Nottingham University HospitalsNovember 2015 Midlands Team 2015/16YTD SNOD Involvement (Yr end 2014/15) Target Midlands Combined74.9% (61%) 80% DBD82.9% (70%) 87% DCD69.5% (56%) 75%

Charmaine Buss, Specialist Nurse Organ Donation Regional Collaborative Midlands Organ Donation Services Team & Nottingham University HospitalsNovember 2015 Significant Changes RDH2014/152015/16 DCD SNOD Involvement16.7%54% DCD Consent50%80% UHNM2014/152015/16 DCD SNOD Involvement50%65% DCD Consent41%75% NUH2014/152015/16 DCD SNOD Involvement63%95% DCD Consent37%55% UHCW2014/152015/16 DBD SNOD Involvement 60%100% DCD SNOD Involvement 56%100% DCD Consent33%75%

Charmaine Buss, Specialist Nurse Organ Donation Regional Collaborative Midlands Organ Donation Services Team & Nottingham University HospitalsNovember 2015 Sharing Practice- Additional Actions From Commitment Tools

Charmaine Buss, Specialist Nurse Organ Donation Regional Collaborative Midlands Organ Donation Services Team & Nottingham University HospitalsNovember 2015 What is Working Well? Stretch Goal Those Attending Training has Changed Practice SNOD’s Part of The Team Daily CallsRCA Increase SNOD Visibility Open Discussions Change in Thought Process Active Committee

Charmaine Buss, Specialist Nurse Organ Donation Regional Collaborative Midlands Organ Donation Services Team & Nottingham University HospitalsNovember 2015 Cited Barriers to Increasing SNOD Involvement Geography Split Sites Reduction in SNOD’s (courses/training) CQC/ Other Trust priorities Clinicians not understanding/ accepting importance Local CLOD vacancy Change in culture Paediatrics Some clinicians not making a plan High staff turnover Bed capacity No pathways

Charmaine Buss, Specialist Nurse Organ Donation Regional Collaborative Midlands Organ Donation Services Team & Nottingham University HospitalsNovember 2015 Team Commitment/ Overcoming Barriers Non-SNOD involvement reviewed at team meetings KPI’s Review of cluster teams (timely attendance/daily phone calls) Focus on daily SNOD attendance in hospitals with greatest potential (level 1’s) SNOD/ CLOD training

Charmaine Buss, Specialist Nurse Organ Donation Regional Collaborative Midlands Organ Donation Services Team & Nottingham University HospitalsNovember 2015 Next Steps Maintain focus on stretch goal as a team/ collaborative Encourage practice sharing Consent Target- Move to “Green” by year end Welcome feedback

Charmaine Buss, Specialist Nurse Organ Donation Regional Collaborative Midlands Organ Donation Services Team & Nottingham University HospitalsNovember 2015 Thank you for your commitment & support of the stretch goal