Organ Donation Past, Present and Future Next Steps… Paula Aubrey Andre Vercueil Paul Murphy 4 th June 2013 LONDON

Next steps… Against 50% Goal: 7 th Contribution to 50% Goal: Tied 1 st LONDON

Next steps… DBD DCD Against 50% Goal: Contribution to 50% Goal: 2 nd Referral 3 rd BSD Testing 9 th Organs per donor 4 th 12 th Consent 4 th 12 th Approach 7 th 1st SN-OD Involvement 1st 7 th Tied 1 st LONDON

Referral BSD Testing Organs per donor Consent Approach SN-OD Involvement SMART steps… Specific, Measurable, Attainable, Relevant and Timely Choose from the list and commit your hospital to 1-2: Be SMART about it. LONDON

... taking Organ Donation and Transplantation to

Organ Donation, Past Present and Future The Organ Donation Taskforce report Aim: a 50% increase in organ donation SocietyAcute hospitals Retrieval and transplantation NHSBT and Commissioners

Organ Donation, Past Present and Future Taking Organ Donation and Transplantation to 2020 SocietyAcute hospitals Retrieval and transplantation NHSBT and Commissioners Aim: to match world class performance in organ donation and transplantation

Organ Donation, Past Present and Future Taking Organ Donation and Transplantation to 2020 Aim: to match world class performance in organ donation and transplantation NHSBT and Commissioners workforce strategy strengthen Regional Collaboratives streamline processes more effective commissioning of retrieval and transplantation services

Organ Donation, Past Present and Future Taking Organ Donation and Transplantation to 2020 Aim: to match world class performance in organ donation and transplantation Acute hospitals professional ‘standards’ document memorandum of understanding open publication of data improved family approach

Organ Donation, Past Present and Future Taking Organ Donation and Transplantation to 2020 Aim: to match world class performance in organ donation and transplantation Retrieval and transplantation improved collaboration with ICUs peer review to promote greater consistency in decision making review of pre-mortem interventions evaluation of post-mortem technologies

Organ Donation, Past Present and Future Taking Organ Donation and Transplantation to 2020 Aim: to match world class performance in organ donation and transplantation Society more robust interpretation of ODR challenging debates, e.g. reciprocity legislative reform political accountability Impactful public promotion Without donation there can be no transplantation

Organ Donation, Past Present and Future These issues should not be particularly difficult, or even that costly to resolve. Overcoming them will require leadership, boldness and willingness to change established practice. The prize for doing so is considerable. Mary Hand, cystic fibrosis sufferer. Died aged 22

Organ Donation, Past Present and Future