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Organ Donation Past, Present and Future Introduction Lesley Logan (Regional Manager) 3 rd July 2013 Dr Angus Vincent (Regional-Clinical Lead) NORTHER N

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Introduction. Lesley Logan ( Regional Manager). NORTHERN. 3 rd July 2013. Dr Angus Vincent (Regional-Clinical Lead). Programme. NORTHERN. 10:00Introduction 10:15Donation in the UK (F105, 2C06) Dr Paul Murphy 11:00 Coffee - PowerPoint PPT Presentation

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Page 1: Introduction

Organ Donation Past, Present and Future

IntroductionLesley Logan (Regional Manager)

3rd July 2013 Dr Angus Vincent (Regional-Clinical Lead)

NORTHERN

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 Huw Twamley,

Jacki Newby12:30 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

NORTHERN

Page 3: Introduction

3

Embed Pauline’s story- Start automatically

- Full screen

Organ Donation Past, Present and Future

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

NORTHERN

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 LeadAngus Vincent

Regional ManagerLesley Logan

Team ManagerLynn Robson

12 Specialist Nurses

2 Admin Staff

9 Trusts (12 Hospitals)Pop of approx 3 million1 Transplant Centre

5Organ Donation Past, Present and Future

NORTHERN

Page 6: Introduction

0

10

20

30

40

50

60

70

80

90

100

2003

/04

2004

/05

2005

/06

2006

/07

2007

/08

2008

/09

2009

/10

2010

/11

2011

/12

2012

/13

Total DeceasedDonationDonation after BrainDeathDonation afterCirculatory Death

Donation in the Northern Team2003-2013

6Organ Donation Past, Present and Future

173.3%

12.5%

50.8%

NORTHERN

Page 7: Introduction

Eastern

London

Midlands

North W

est

Northern

Northern Ire

land

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

NORTHERN

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%

8

Tied 5th

Organ Donation Past, Present and Future

NORTHERN

Page 9: Introduction

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

KidneysPancreasesLiversHeartsLungs

9Organ Donation Past, Present and Future

Organs from Northern Donors: 2003-13NORTHERN

Page 10: Introduction

10Organ Donation Past, Present and Future

NORTHERN

96

7

30

1115

Kidneys Pancreases Livers

Hearts Lungs

155

15

49

13

43

Kidneys Pancreases Livers

Hearts Lungs

2007-2008 Organs Transplanted from Northern Donations

2012-2013 Organs Transplanted from Northern Donations

Page 11: Introduction

Where are potential donors in the Northern team lost?

11Organ Donation Past, Present and Future

NORTHERN

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 WORLD50%

13.4 ppm

19.1 ppm

Organ Donation Past, Present and Future

BUT if all regions adopted BEST PRACTICE

Page 14: Introduction

National Organ Donation Committee, June 2012

Number of AUDITED DEATHS per million population (pmp)Preliminary 2011/12 dataPopulation <=75 years

Page 15: Introduction

National Organ Donation Committee, June 2012

Number of POTENTIAL DONORS per million population (pmp)Preliminary 2011/12 dataPopulation <=75 years

Page 16: Introduction

National Organ Donation Committee, June 2012

Number of ACTUAL DONORS* per million population (pmp)Preliminary 2011/12 dataPopulation <=75 years

* Actual donors meeting PDA criteria

Page 17: Introduction

2008

2011

Page 18: Introduction

NHSBT Guidelines

18

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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