1. Graham Lipkin September 23 rd 2014 West Midlands Renal Network Transplant Education & Audit

2. Introduction The changing face of transplantation Access to transplantation in Wmids

3. Survival advantage of Renal Tx over dialysis Wolfe RA. N Eng J Med 1999;341:1725-30 RR at 18monthsPredicted years life without Tx Predicted years of life with Tx All recipients0.321020

4. Survival advantage of Renal Tx over dialysis Wolfe RA. N Eng J Med 1999;341:1725-30 RR at 18monthsPredicted years life without Tx Predicted years of life with Tx All recipients0.321020 Transplantation doubles length of life Health economic benefits +++

5. Transplant Early-Pre-emptive Transplantation is Ideal 100 90 80 70 60 50 40 30 20 01224364860728496108120 Months post-transplant % event free survival Pre-emptive 0–6 months 6–12 months 12–24 months 24+ months Meier-Kriesche et al. (2002)

6. Transplant Outcome-Timing 100 90 80 70 60 50 40 30 20 01224364860728496108120 Months post-transplant % event free survival Pre-emptive 0–6 months 6–12 months 12–24 months 24+ months Meier-Kriesche et al. (2002) Survival best if Transplant before dialysis or shortly after

7. UK Renal Registry 14th Annual Report Transplantation Profile

8. Adult Kidney Transplants

9. Increasing Transplant Numbers

10. Wmids Transplant Access Rates: How do we compare?

11. Waiting Time for Deceased Donor Transplant

12. Pre-emptive Transplant Listing

13. Wmids Transplant Plan Designated transplant lead Consultant and nurse Transplant list annual review Review Live Donor and pre-emptive Tx listing rates Annual education & audit Review post transplant quality markers Share best practice