1. ED Strategy
All Regions Data

2. The goal of the strategy is that for patients dying in the ED meeting referral criteria...
All Regions Referral 2

3. Strategy Goal: No one died in your ED meeting referral criteria and was not referred.
(NO BLUE)
... they are either all referred, or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU.
All Regions Referral 3

4. The goal of the strategy is that for patients dying in the ED meeting referral criteria...
Eastern Referral 4

5. Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE)
... they are either all referred (eg James Paget), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Ipswich).
Eastern Referral 5

6. The goal of the strategy is that for patients dying in the ED meeting referral criteria...
London Referral 6

7. Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE)
... they are either all referred (eg Barking), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Chelsea).
London Referral 7

8. The goal of the strategy is that for patients dying in the ED meeting referral criteria...
Midlands Referral 8

9. Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE)
... they are either all referred (eg Shrewsbury), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Birmingham Children’s).
Midlands Referral 9

10. The goal of the strategy is that for patients dying in the ED meeting referral criteria...
Northern Referral 10

11. Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE)
... they are either all referred (eg South Tees), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Durham).
Northern Referral 11

12. Northern Ireland Referral
The goal of the strategy is that for patients dying in the ED meeting referral criteria...
Northern Ireland Referral 12

13. Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE)
... they are either all referred, or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg South Eastern).
Northern Ireland Referral 13

14. The goal of the strategy is that for patients dying in the ED meeting referral criteria...
North West Referral 14

15. Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE)
... they are either all referred (eg Betsi Cadwalador), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Alder Hey and Central Manchester).
North West Referral 15

16. The goal of the strategy is that for patients dying in the ED meeting referral criteria...
Scotland Referral 16

17. Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE)
... they are either all referred, or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Dumfries).
Scotland Referral 17

18. South Central Referral
The goal of the strategy is that for patients dying in the ED meeting referral criteria...
South Central Referral 18

19. Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE)
... they are either all referred (eg Portsmouth), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Great Western).
South Central Referral 19

20. The goal of the strategy is that for patients dying in the ED meeting referral criteria...
South East Referral 20

21. Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE)
... they are either all referred (eg Epson), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Ashford).
South East Referral 21

22. The goal of the strategy is that for patients dying in the ED meeting referral criteria...
South Wales Referral 22

23. Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE)
... they are either all referred (eg Hywel Dda), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Cym Taf).
South Wales Referral 23

24. The goal of the strategy is that for patients dying in the ED meeting referral criteria...
South West Referral 24

25. Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE)
... they are either all referred (eg Dorset), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Plymouth).
South West Referral 25

26. The goal of the strategy is that for patients dying in the ED meeting referral criteria...
Yorkshire Referral 26

27. Strategy Goal: No one died in your ED meeting referral criteria and was not referred. (NO BLUE)
... they are either all referred (eg Barnsley, Hull), or there are no patients dying in your ED meeting referral criteria because they have all been admitted to ICU (eg Airedale, Chesterfield).
Yorkshire Referral 27

28. Family Approaches All Regions
The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation.
[THIS IS ALL APPROACHES in ED regardless of where the patient died - unlike referral statistics above]
Family Approaches All Regions 28

29. Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
Therefore patient families in this situation are either all approached with a SNOD, or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU.
Family Approaches All Regions 29

30. Family Approaches - Eastern
The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation.
Family Approaches - Eastern 30

31. Family Approaches - Eastern
Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
Therefore patient families in this situation are either all approached with a SNOD (eg Cambridge), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Basildon).
Family Approaches - Eastern 31

32. Family Approaches - London
The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation.
Family Approaches - London 32

33. Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
Therefore patient families in this situation are either all approached with a SNOD (eg Imperial), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Guy’s).
Family Approaches - London 33

34. Family Approaches - Midlands
The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation.
Family Approaches - Midlands 34

35. Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
Therefore patient families in this situation are either all approached with a SNOD (eg Burton), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Birmingham Children’s).
Family Approaches - Midlands 35

36. Family Approaches - Northern
The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation.
Family Approaches - Northern 36

37. Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
Therefore patient families in this situation are either all approached with a SNOD (eg Durham), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Sunderland).
Family Approaches - Northern 37

38. Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
No family approaches in the ED in Northern Ireland.
Family Approaches – Northern Ireland 38

39. Family Approaches – North West
The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation.
Family Approaches – North West 39

40. Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
Therefore patient families in this situation are either all approached with a SNOD (eg Aintree), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Alder Hey).
Family Approaches – North West 40

41. Family Approaches – Scotland
The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation.
Family Approaches – Scotland 41

42. Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
Therefore patient families in this situation are either all approached with a SNOD, or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Dumfries).
Family Approaches – Scotland 42

43. Family Approaches – South Central
The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation.
Family Approaches – South Central 43

44. Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
Therefore patient families in this situation are either all approached with a SNOD (Buckinghamshire), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Glouestershire).
Family Approaches – South Central 44

45. Family Approaches – South East
The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation.
Family Approaches – South East 45

46. Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
Therefore patient families in this situation are either all approached with a SNOD (Brighton), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Ashford).
Family Approaches – South East 46

47. Family Approaches – South Wales
The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation.
Family Approaches – South Wales 47

48. Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
Therefore patient families in this situation are either all approached with a SNOD (Aneurin Bevan), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Wye Valley).
Family Approaches – South Wales 48

49. Family Approaches – South West
The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation.
Family Approaches – South West 49

50. Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
Therefore patient families in this situation are either all approached with a SNOD, or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Dorset).
Family Approaches – South West 50

51. Family Approaches – Yorkshire
The goal of the strategy is that no family is approached regarding organ donation in the ED without involving a specialist nurse for organ donation.
Family Approaches – Yorkshire 51

52. Strategy Goal: No family approached in ED regarding organ donation without a SNOD. (NO RED)
Therefore patient families in this situation are either all approached with a SNOD (Hull), or there are no patients needing to be approached in the ED because they have all been admitted to ICU and any approach will occur on ICU (eg Barnsley).
Family Approaches – Yorkshire 52

53. 2016 Organ Donation and the ED
The ED Strategy is a big ask and we need your help.
What we need from you in the ED is three things.
No blue. No one dies in your ED meeting referral criteria and is not referred.
No red. No family is approached in ED regarding organ donation without involving a SNOD.
And to ensure the right prognostic decision is always made and there are no mixed messages given – no family is approached in ED regarding organ donation without two senior doctors first confirming the end of life treatment decision.
Organ Donation and the ED