Introduction
description
Transcript of Introduction
Organ Donation Past, Present and Future
Introduction
Marian Ryan (Regional Manager)Dr Mark Patten (R-CLOD)10th June 2013 EASTERN
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 Malcolm Watters12:30 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 Paul Murphy1600 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
EASTERN
3
Embed Pauline’s story- Start automatically
- Full screen
Organ Donation Past, Present and Future
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
EASTERN
Organ Donation Services Team
SCOTLAND
NORTH
NORTH WEST
YORKSHIRE
MIDLANDS
SOUTH WALES
EASTERN
SOUTH EAST
SOUTH CENTRAL
SOUTH WEST
NORTHERN IRELAND
Regional Clinical LeadsMark Patten
Regional ManagerMarian Ryan
Team ManagersMichelle TylerLiz Brettell
16 Specialist Nurses
2 Admin Staff
19 Trusts (20 Hospitals)2 Transplant Centres
5Organ Donation Past, Present and Future
EASTERN
Donation in the Eastern Team2003-2013
6Organ Donation Past, Present and Future
EASTERN
247.8%
89.7%
148.4%
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
EASTERN
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 1st
Organ Donation Past, Present and Future
EASTERN
9Organ Donation Past, Present and Future
EASTERNOrgans from Eastern Donors: 2003-13
EASTERN
10Organ Donation Past, Present and Future
107
4
35
14
18
Kidneys Pancreases Livers
Hearts Lungs
225
23
74
1342
Kidneys Pancreases Livers
Hearts Lungs
2007-2008 Organs Transplanted from Eastern Donations
2012-2013 Organs Transplanted from Eastern Donations
Where are potential donors in the Eastern team lost?
EASTERN
11Organ Donation Past, Present and Future
1st
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
BUT if we adopted BEST PRACTICE
50%
13.4 ppm
19.1 ppm
Organ Donation Past, Present and Future
EASTERN
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
EASTERNBUT if we adopted BEST PRACTICE
2008
2011
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
EASTERN