1. Paula Aubrey Dr Andre Vercueil R-CLOD 4th June 2013
Introduction
LONDON
Paula Aubrey
Dr Andre Vercueil R-CLOD
4th June 2013
Welcome by Paula and housekeeping 1

2. Programme Organ Donation Past, Present and Future
10:00 – 10:05 Pauline’s story
10:05 – 10:15 Introduction
Paula Aubrey and Dr Andre Vercueil
10:15 – 11:00 Donation in the UK (F105, 2C06)
Dr Paul Murphy
11:00 – 11:15 Coffee
11:15 – 12:30 Donor Identification and Referral (I102, 2C06)
Jeremy Brown
Dr Huw Twamley
12:30 – 13:15 Lunch
13:15 – 14:30 Donor Family experience Pat Collins and Paula Aubrey Family approach and consent (F101, I106, 2C06)
Dr Gus Vincent
1430 – Coffee
1445 – Donation after brain-stem death (1A01, 1A02, 2C06)
Introduction Dr Farrel Igielman
Diagnosis of death Dr Dale Gardiner
Donor optimisation Dr Gerlinde Mandersloot
1600 – Discussion and next steps
R-CLOD
Organ Donation Past, Present and Future
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3. Organ Donation Past, Present and Future
Embed Pauline’s story
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Organ Donation Past, Present and Future

4. Objectives
Update on progress since 2008 Organ Donor Taskforce Report and scene set for future challenges.
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
Secure commitment to change practice in your hospital around key pinch points in deceased donation pathways
R-CLOD
Attendance at this meeting has been recognised for 5 CPD credits by the Royal College of Anaesthetists
Organ Donation Past, Present and Future
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5. Organ Donation Services Team
Regional Clinical Lead
Andre Vercueil
Regional Manager
Paula Aubrey
Team Managers
Jeanette Foley
Cliona Berman
Emiliano Mazzaretto
Jeremy Brown
Julie Whitney
32 Specialist Nurses
4 Admin Staff
19 Trusts (33 Hospitals)
Population of 8.17 million
4 Renal Transplant Centres
1 Cardiac Transplant Centres
2 Liver Transplant Centres
SCOTLAND
NORTH
NORTHERN IRELAND
YORKSHIRE
Where the audience fits into donation team structure.
Needs to be filled in yet.
NORTH WEST
MIDLANDS
EASTERN
SOUTH WALES
SOUTH CENTRAL
SOUTH EAST
SOUTH WEST
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6. Donation in London 2003-2013 44.8% 14.8% 145.8%
Gives donation over time.
Percentages are from the index year for ODTF 50% goal
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7. 50% Target by Donor Team Organ Donation Past, Present and Future 6th
You choose if you want to use this slide.
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8. Tied 1st 50% Organ Donation Past, Present and Future
London is tied with Eastern for greatest contribution toward the 50% goal
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9. Organs Transplanted from London Donors 2003-13
Some organs are no better than a decade ago
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10. Organ Donation Past, Present and Future
More people have been helped, for every organ type in London.
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11. Where are potential donors in London lost?
This is London data from NHSBT NOT national UK data like last activity report. Suggest illustrate a few pinch points. Slide will reappear for approach and consent talk in afternoon.
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12. BUT if we adopted BEST PRACTICE
19.1 ppm
50%
13.4 ppm
50% is great BUT
If we tested like the best region, approached like the best region, consented like the best region this is what could be achieved.
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13. BUT if we adopted BEST PRACTICE
26.3ppm
TOP 5 in the WORLD
19.1 ppm
50%
13.4 ppm
Top 5 in the World
We don’t need to do anything new in the UK we just need every region to achieve what some regions are already showing can be done in each aspect of the donation pathway.
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14. 2008
2008
Slide showing national external guidance that can help us be Top 5
2011 14

15. NHSBT Guidelines www.odt.nhs.uk ED Strategy
Donor Management Bundles and Guidance
FICM & ICS endorsed: Brain-stem Death Forms
Slide showing NHSBT best practice and strategy guides and other helpful resources.
These will help you to achieve best practice in your hospital and why we are meeting today.
Organ Donation Past, Present and Future
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