1. Organ Donation Past, Present and Future Donation after Brain-Stem Death DBD Dr Rowan Burnstein Dr Dale Gardiner Dr Gerlinde Mandersloot 10 th June 2013 1

2. Session Objectives Present regional data for DBD Understand that DBD gives better organs than DCD Increase rate of neurological confirmation of death by increasing confidence in the Diagnosis of Death Increase quality of DBD organs – adoption of extended care bundle and compliance with the six early interventions in donor optimisation – collaboration in Scout pilot 2 Organ Donation Past, Present and Future

3. Regional Data Dr Rowan Burnstein Addenbrookes Hospital - CLOD 3 EASTERN

4. Organ Donation Past, Present and Future Donation after Brain Death (DBD) Mechanically ventilated patient where death has been confirmed using neurological criteria. Kidneys Liver Pancreas Lungs Heart Small Intestine 74 donors (2012-2013) 89.7% increase (from 5 years ago) EASTERN

5. Donation in the Eastern Team 2003-2013 5 Organ Donation Past, Present and Future EASTERN 247.8% 89.7% 148.4%

6. Donation in the Eastern Team 2003-2013 6 Organ Donation Past, Present and Future EASTERN

7. Organ Donation Past, Present and Future pancreas liver lungs kidneys heart DCDDBD intestine best transplant outcome favours

8. -------- National rate 87 82 76 74 86 78 73 76 74 76 74 ND tested (%) 0 20 40 60 80 100 Team EasternLondon Midlands North West Northern Ireland Scotland South Central South East South Wales South West Yorkshire 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future 8 EASTERN 1 st DBD- Eastern Neurological death testing rate

9. Organ Donation Past, Present and Future 9 1 April 2012 to 31 March 2013, data as at 4 April 2013 EASTERN 1Southend University Hospital NHS Foundation Trust 2Bedford Hospital NHS Trust 3Luton and Dunstable Hospital NHS Foundation Trust 4The Queen Elizabeth Hospital, King's Lynn NHS Foundation Trust 5Basildon and Thurrock University Hospitals NHS Foundation Trust 6Colchester Hospital University NHS Foundation Trust 7Peterborough and Stamford Hospitals NHS Foundation Trust 8James Paget University Hospitals NHS Foundation Trust 9Ipswich Hospital NHS Trust 10West Suffolk NHS Foundation Trust 11Cambridge University Hospitals NHS Foundation Trust 12Norfolk and Norwich University Hospitals NHS Foundation Trust 13Kettering General Hospital NHS Foundation Trust 14Mid Essex Hospital Services NHS Trust 15Hinchingbrooke Health Care NHS Trust 16The Princess Alexandra Hospital NHS Trust 17West Hertfordshire Hospitals NHS Trust 18East and North Hertfordshire NHS Trust

10. Mean no. of organs donated per DBD donor 1 April 2012 to 31 March 2013, data as at 4 April 2013 2 nd Northern (1 st ) : Every 10 donors save 1 more life than we do 10 Organ Donation Past, Present and Future EASTERN