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Organ Donation Past, Present and Future Introduction Karen Morgan (Regional Manager) 9 th July 2013 Dr Alex Manara (R- CLOD) SOUTH WEST

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Introduction. Karen Morgan (Regional Manager). 9 th July 2013. Dr Alex Manara (R-CLOD). SOUTH WEST. Programme. SOUTH WEST. 10:00Introduction 10:15Donation in the UK (F105, 2C06) Dr Paul Murphy 11:00 Coffee 11:15Donor Identification and Referral (I102, 2C06) Dr Alex Manara - PowerPoint PPT Presentation

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Page 1: Introduction

Organ Donation Past, Present and Future

Introduction

Karen Morgan (Regional Manager)9th July 2013

Dr Alex Manara (R-CLOD)

SOUTH WEST

Page 2: Introduction

Programme

2

10:00 Introduction10:15 Donation in the UK (F105, 2C06) Dr Paul Murphy11:00 Coffee11:15 Donor Identification and Referral (I102, 2C06) Dr Alex Manara12:30 Lunch13:15 Donation after brain-stem death (1A01, 1A02, 2C06)

Diagnosis of death Dr Dale GardinerDonor optimisation Dr Gerlinde Mandersloot

1430 Coffee1445 Family approach and consent (F101, I106, 2C06) Dr Angus Vincent1600 Discussion and next steps1630 Close

Attendance at this meeting has been recognised for 5 CPD credits by the Royal College of Anaesthetists

Organ Donation Past, Present and Future

SOUTH WEST

Page 3: Introduction

3Organ Donation Past, Present and Future

Embed Pauline’s story- Start automatically- Full screen

Page 4: Introduction

Objectives

1. Update on progress since 2008 Organ Donor Taskforce Report and scene set for future challenges.

2. 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

3. Secure commitment to change practice in your hospital around key pinch points in deceased donation pathways

4Organ Donation Past, Present and Future

SOUTH WEST

Page 5: Introduction

Organ Donation Services Team

SCOTLAND

NORTH

NORTH WEST

YORKSHIRE

MIDLANDS

SOUTH WALES

EASTERN

SOUTH EAST

SOUTH CENTRAL

SOUTH WEST

NORTHERN IRELAND

Regional Clinical LeadAlex Manara

Regional ManagerKaren Morgan

2 Team Managers;Rachel Stoddard-MurdenJacquie Spencer

18 Specialist Nurses

2 Admin Staff

14 Trusts (16 Hospitals)Pop of approx 4 million2 Transplant Centres

5Organ Donation Past, Present and Future

SOUTH WEST

Page 6: Introduction

Donation in the South West Team2003-2013

6Organ Donation Past, Present and Future

60.7%

-20.0%

11.0%

SOUTH WEST

Page 7: Introduction

Eastern

London

Midlands

North W

est

Northern

Northern

Ireland

Scotla

nd

South Central

South East

South Wales

South West

Yorkshire

0

25

50

75

100

125

150 148.4

44.8

87.5

26.6

50.8

81.874.1

46.4

19.77.1 11

30.4

Perc

enta

ge A

chie

vem

ent

50% Target by Donor Team

Organ Donation Past, Present and Future 7

SOUTH WEST

Page 8: Introduction

Eastern 13%

London 13%

Midlands 12%

North West 10%Northern

8%

Northern Ireland 3%

Scotland 8%

South Central 8%

South East 8%

South Wales 4%

South West 7%

Yorkshire 7%

Contribution to 50% by Donor Team

50%

8Organ Donation Past, Present and Future

SOUTH WEST

Page 9: Introduction

9Organ Donation Past, Present and Future

Organs from South West Donors: 2003-13 SOUTH WEST

0

20

40

60

80

100

120

140

160

180

2003

/04

2004

/05

2005

/06

2006

/07

2007

/08

2008

/09

2009

/10

2010

/11

2011

/12

2012

/13

Kidneys

Pancreases

Livers

Hearts

Lungs

Page 10: Introduction

10Organ Donation Past, Present and Future

109

1

46

15

27

Kidneys Pancreases Livers

Hearts Lungs

142

17

45

624

Kidneys Pancreases Livers

Hearts Lungs

2007-2008 Organs Transplanted from South West Donations

2012-2013 Organs Transplanted from South West Donations

SOUTH WEST

Page 11: Introduction

Where are potential donors in the South West team lost?

11Organ Donation Past, Present and Future

SOUTH WEST

Page 12: Introduction

12

2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 Best Practice0

200

400

600

800

1000

1200

1400

1600

1800Target Actual

50%

13.4 ppm

19.1 ppm

Organ Donation Past, Present and Future

BUT if all regions adopted BEST PRACTICE

Page 13: Introduction

13

2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 Best Practice0

200

400

600

800

1000

1200

1400

1600

1800Target Actual

26.3ppm

TOP 5 in the WORLD

50%

13.4 ppm

19.1 ppm

Organ Donation Past, Present and Future

BUT if all regions adopted BEST PRACTICE

Page 14: Introduction

2008

2011

Page 15: Introduction

NHSBT Guidelines

15

ED Strategy

Donor Management Bundles and Guidance

FICM & ICS endorsed: Brain-stem Death Forms

www.odt.nhs.uk

Organ Donation Past, Present and Future


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