1. Leadership and Changing Clinical Practice November 2014

2. Consent rates April 2013 - Sept 2014

3. Deceased donors April 2013 - Sept 2014

4. Consented organs utilised April 2013 - Sept 2014

5. Transplants from deceased donors April 2013 - Sept 2014

6. Organ donors pmp Europe and USA, 2013 Source: Council of Europe – Transplant Newsletter

7. Deceased and living donor transplants pmp Europe and USA, 2013 Source: Council of Europe – Transplant Newsletter

8. Congratulations & thank you Practice has been transformed in most hospitals most of the time Referrals, brainstem death testing, family approach, Specialist Nurse involvement and donor numbers have all improved. Transplant numbers have increased and the kidney waiting list has fallen.

9. Does leadership matter Direction and expectations Accountability Encouragement & support Environment & Resources

10. Success When we have helped everyone to have the courage to choose donation we will have saved and transformed the lives of thousands of people...then we will be successful.

11. Success There are no secrets to success. It is the result of preparation, hard work and learning from failure. ~Colin Powell

12. Is everyone prepared for success? Policy People Plans Practice = Perfection

13. I attribute my success to this – I never gave or took any excuse ~Florence Nightingale

14. What is hard work? It’s knowing what needs to happen and making sure it does. It’s setting clear expectations & helping people meet them, recognising achievements & holding people to account when they let you down. It’s thinking hard, finding new solutions, being visible, taking action.

15. Failure A failure is not always a mistake, it may simply be the best one can do under the circumstances. The real mistake is to stop trying. ~B F Skinner (US psychologist)

16. How do you learn from failure? Recognise and accept it – don’t explain it away Examine the situation – what would you do differently? Try a different approach – did it work this time? Will it work every time? Keep thinking deeply & be creative.

17. How do you motivate yourself & others? Know yourself Find out what works for the people in your team Link expectations with aims and values Recognise that change is always difficult & know who will embrace it & who won’t – use different tactics that meet their needs

18. Resources to help Other members of the collaborative ACCORD hospitals ~& toolkit to spread PDSA methodology http://www.ihi.org

19. 6807 people on the waiting list Waiting for us to save or transform their lives