National Update Dr Dale Gardiner Deputy N-CLOD 1.The National Picture i.Good news ii.Bad news...
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Transcript of National Update Dr Dale Gardiner Deputy N-CLOD 1.The National Picture i.Good news ii.Bad news...
National Update
Dr Dale GardinerDeputy N-CLODwww.clodlog.com
1. The National Picturei. Good newsii. Bad newsiii. Even Spain had bad yearsiv. Congratulations & Challenge
2. Education Activitiesi. CLOD & Chair Inductionii. ICM Trainingiii. Deceased Donation Simulationiv. SNOD Cohort Trainingv. National Congress
3. Neurological Death Testing Forms
Exceptional October
143 Donors
365 Transplants
DONOR AND TRANSPLANT ACTIVITY
Current year Previous year
% Change
Previous full financial year
(01.04.15 - 08.11.15)
(01.04.14 - 08.11.14)
(2014/2015)
ORGAN DONORS
Donors after brain death (DBD) 479 492 -2.6 772
Donors after circulatory death (DCD) 336 296 13.5 510
Total deceased donors (DD) 815 788 3.4 1282
Non-proceeding deceased donors (DD) 399 404 -1.2 639
ORGAN TRANSPLANTS
Deceased donors (DD)
Kidney 1203 1150 4.6 1880
Heart 113 105 7.6 180
Lung(s) 125 109 14.7 185
Liver/lobe6 514 528 -2.7 829
Intestinal 10 17 -41.2 24
Total DD transplants 2120 2053 3.3 3341
Living transplants 552 579 -4.7 1090
Active Transplant Waiting List 6656 6909 -3.7 6943
Mar
-08
Sep-0
8
Mar
-09
Sep-0
9
Mar
-10
Sep-1
0
Mar
-11
Sep-1
1
Mar
-12
Sep-1
2
Mar
-13
Sep-1
3
Mar
-14
Sep-1
4
Mar
-15
Sep-1
50
200
400
600
800
1000
1200
1400
Rolling 12 month numbers of DBD and DCD donors, 2008- to date
total deceased donors
DBD donors
DCD donors
nu
mb
er
14.3
17.8
20.221.7 22.6
2527 26.8
29
31.533.6 33.9
32.533.7 34.6 35
33.8 34.3 34.2 34.4
0
5
10
15
20
25
30
35
40
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008
year
do
no
rs p
mp 50% increase in
5 years
Rafael Matesanz, Director of Spain’s National Transplant Organisation
26 donors per million population
CongratulationsNORTH WESTNORTH WEST
Regional Collaborative
North West DCD referral rate
1 April 2014 to 31 March 2015, data as at 8 April 2015
Last time
Regional Collaborative
North West DCD referral rate
1 April 2015 to 30 September 2015, data as at 8 October 2015
This time
ChallengeNORTH WEST
Regional Collaborative
DCD SN-OD involved
-------- National rate
77
87
56
87
66
73
46
76
86
75
60
83
% a
pp
roa
ch
es
wh
ere
SN
-OD
invo
lve
d
0
20
40
60
80
100
Team
1 April 2014 to 31 March 2015, data as at 8 April 2015
Last timetied # 1
Regional Collaborative
DCD SN-OD involved
-------- National rate
81 80
70
80
70
87
51
70
86 85
68
84
% a
pp
roa
ch
es
wh
ere
SN
-OD
invo
lve
d
0
20
40
60
80
100
Team
1 April 2015 to 30 September 2015, data as at 8 October 2015
This time # 6and we are watching your consent pilot…
Congratulations
YORKSHIRE
Regional Collaborative
DBD consent rate
-------- National rate
73
52
6770
91
61
76 74
62
74
8380
Co
ns
en
t/a
uth
ori
sa
tio
n r
ate
(%
)
0
20
40
60
80
100
Team
1 April 2015 to 30 September 2015, data as at 8 October 2015
#3
YORKSHIRE – a rising contender in consent!
Regional Collaborative
DCD consent rate
-------- National rate
57
46
51
5653
58
35
6157
54
59 60
Co
ns
en
t/a
uth
ori
sa
tio
n r
ate
(%
)
0
20
40
60
80
100
Team
1 April 2015 to 30 September 2015, data as at 8 October 2015
#2
YORKSHIRE – a rising contender in consent!
Challenge
YORKSHIRE
Regional Collaborative
Actual deceased donors- Yorkshire team
DBD DCD
58
8
53
16
36
27
56
32
52
37
51
32
52
38
60
43
62
52
35
23
70
46
Nu
mb
er
0
10
20
30
40
50
60
70
80
90
100
110
120
Year
06/07 07/08 08/09 09/10 10/11 11/12 12/13 13/14 14/15 15/16 Apr-Sep
15/16 projected
1 April 2006 to 30 September 2015, data as at 8 October 2015Hospitals are allocated to teams using the current team allocations, not the allocation at the time of donation
This is your predicted
highest ever
can you achieve it?
26 donors per million population
Regional Collaborative
Regional Collaborative
National Update
Dr Dale GardinerDeputy N-CLODwww.clodlog.com
1. The National Picturei. Good newsii. Bad newsiii. Even Spain had bad yearsiv. Congratulations & Challenge
2. Education Activitiesi. CLOD & Chair Inductionii. ICM Trainingiii. Deceased Donation Simulationiv. SNOD Cohort Trainingv. National Congress
3. Neurological Death Testing Forms
Regional Collaborative
Key finding in the National CLOD and Chair Survey in
March 2014
• 33% of CLODs would like more training for their role• 35% of ODC Chairs would like more training for their role
20085% 2009
17%
201027%
201120%
201212%
201316%
20143%
In what year did you take on your role?
51% of ODC Chairs missed the PDP 2010 education programme.
200813%
200932%
201013%
20117%
201210%
201320%
20145%
In what year did you take on your role?
42% of CLODs missed the PDP 2010 education programme.
Regional Collaborative
Education ActivitiesCLOD Induction• 21st and 22nd October 2015 in Bristol• 4th and 5th November 2015 in London• 3rd and 4th February 2016 in Edinburgh
(This is a date change from the originally advertised 2nd-3rd February)• 7th and 8th March 2016 in Birmingham
Chair Induction• 2nd March 2016 in Birmingham
ICM Trainee Simulation Course• 30th November - 1st December 2015, St George’s, London• 24th - 25th February, 2016, Nottingham• 28th - 29th June, 2016, Nottingham
EMAIL [email protected]
Regional Collaborative
www.deceaseddonationsim.com
Regional Collaborative
www.deceaseddonationsim.com
Regional Collaborative
www.deceaseddonationsim.com
Regional Collaborative
www.deceaseddonationsim.com
www.deceaseddonationsim.com
www.deceaseddonationsim.com
Regional Collaborative
Education Activities
SNOD Cohort Training
National CONGRESS, Warwick
20th and 21st September, 2016
National Update
Dr Dale GardinerDeputy N-CLODwww.clodlog.com
1. The National Picturei. Good newsii. Bad newsiii. Even Spain had bad yearsiv. Congratulations & Challenge
2. Education Activitiesi. CLOD & Chair Inductionii. ICM Trainingiii. Deceased Donation Simulationiv. SNOD Cohort Trainingv. National Congress
3. Neurological Death Testing Forms