1. Ella Poppitt (Regional Manager)
Introduction
Ella Poppitt (Regional Manager)
Dr Pardeep Gill (R-CLOD)
Welcome by RM and housekeeping
Fire alarms – nothing planned – follow signs for fire routes or outside onto main car park.
Parking – swap current ticket on arrival for a day pass from the little reception just outside this room by the entrance
Refreshments - outside this room
Cloakroom and rest rooms just as you enter in main entrance.
Roving mike for any questions
26th June 2013
SOUTH EAST

2. Programme 10:00 Introduction
SOUTH EAST
10:00 Introduction
10:15 Donation in the UK (F105, 2C06) Dr Paul Murphy
11:00 Coffee
11:15 Donor Identification and Referral (I102, 2C06) Dr Alex Manara
12:30 Lunch
13:15 Donation after brain-stem death (1A01, 1A02, 2C06)
Diagnosis of death Dr Dale Gardiner
Donor optimisation Dr Gerlinde Mandersloot
1430 Coffee
1445 Family approach and consent (F101, I106, 2C06) Dr Paul Murphy
1600 Discussion and next steps
1630 Close RM
Attendance at this meeting has been recognised for 5 CPD credits by the Royal College of Anaesthetists
Organ Donation Past, Present and Future

3. Organ Donation Past, Present and Future
Embed Pauline’s story
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Organ Donation Past, Present and Future

4. Objectives
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
R-CLOD
Organ Donation Past, Present and Future

5. Organ Donation Services Team
SOUTH EAST
Regional Clinical Lead (s)
Pardeep Gill
Argy Zoumprouli
Regional Manager
Ella Poppitt
Team Managers
Louise Davey
Tracey Gibson
16 Specialist Nurses (2 vacancies)
2 Admin Staff
18 Trusts (27 Hospitals)
Pop of approx 4.2 million
1 Transplant Centre
SCOTLAND
NORTH
NORTHERN IRELAND
YORKSHIRE
Where the audience fits into donation team structure.
Needs to be filled in yet.
NORTH WEST
MIDLANDS
EASTERN
SOUTH WALES
SOUTH CENTRAL
SOUTH EAST
SOUTH WEST
Organ Donation Past, Present and Future 5

6. Donation in the South East Team
SOUTH EAST
19.7%
8.9%
50.0%
Deceased donation over 10 years
[click] Then when taskforce introduced, calling for 50% gain over five years.
[clicks] % gains for DBD, DCD and TOTAL
Was it an aberrant good year last year for Eastern or true culture change??
Organ Donation Past, Present and Future 6

7. 50% Target by Donor Team SOUTH EAST
How the region fared against 50% target
Organ Donation Past, Present and Future

8. Tied 5th 50% SOUTH EAST Organ Donation Past, Present and Future
Ccontribution toward the 50% goal
Organ Donation Past, Present and Future

9. Organs from South East Donors: 2003-13
Organs donated from South East donors.
(unlike the early roadshows- this slide is now of organs donated total, not necessarily transplanted and the numbers do not match the next slide)
Organ Donation Past, Present and Future

10. Organ Donation Past, Present and Future
SOUTH EAST
Organs Transplanted from South East Donations
Organs Transplanted from South East Donations
Number of organs donated AND TRANSPLANTED from South East Donors
Organ Donation Past, Present and Future

11. Where are potential donors in the South East team lost?
Fall off with three key pinch points
[Click 1] = Testing
[Click 2] = Approach and Consent
(Mask = symbol for DBD, broken heart = symbol for DCD]
Organ Donation Past, Present and Future

12. BUT if all regions adopted BEST PRACTICE
19.1 ppm
50%
13.4 ppm
50% is great and this slide shows how the UK achieved it year on year BUT
If everyone tested for brain death like Eastern does, approached like the Northern and South West, consented like South Central and Northern do = this is what could be achieved.
(do not feel you have to mention each other region – only given for your interest)
Organ Donation Past, Present and Future

13. BUT if all regions adopted BEST PRACTICE
26.3
ppm
TOP 5 in the WORLD
19.1 ppm
50%
13.4 ppm
Top 5 in the World
We don’t need to do anything new in the UK we just need every region to achieve what some regions are already showing can be done in each aspect of the donation pathway.
Organ Donation Past, Present and Future

14. 2008
2008
Slide showing national external guidance that can help us be Top 5
2011

15. NHSBT Guidelines www.odt.nhs.uk SOUTH EAST ED Strategy
Donor Management Bundles and Guidance
FICM & ICS endorsed: Brain-stem Death Forms
Slide showing NHSBT best practice and strategy guides and other helpful resources.
These will help you to achieve best practice in your hospital and why we are meeting today.
Organ Donation Past, Present and Future