1. Organ Donation Past, Present and Future Donation after Brain-Stem Death DBD Dr Matt Williams Dr Dale Gardiner Dr Gerlinde Mandersloot 10 th June 2013 1

2. Session Objectives Present regional data for DBD Understand that DBD gives better organs than DCD Increase rate of neurological confirmation of death by increasing confidence in the Diagnosis of Death Increase quality of DBD organs – adoption of extended care bundle and compliance with the six early interventions in donor optimisation – collaboration in Scout pilot 2 Organ Donation Past, Present and Future

3. Regional Data Dr Matt Williams Queen Alexandra Hospital, CLOD 3 SOUTH CENTRAL

4. Organ Donation Past, Present and Future Donation after Brain Death (DBD) Mechanically ventilated patient where death has been confirmed using neurological criteria. Kidneys Liver Pancreas Lungs Heart Small Intestine 62 donors (2012-2013) 40.9% increase (from 5 years ago) SOUTH CENTRAL

5. 5 Organ Donation Past, Present and Future Donation in the South Central Team 2003-2013 56.0% 40.9% 46.4% SOUTH CENTRAL

6. 6 Organ Donation Past, Present and Future Donation in the South Central Team 2003-2013 SOUTH CENTRAL

7. Organ Donation Past, Present and Future pancreas liver lungs kidneys heart intestine DCDDBD best transplant outcome favours

8. -------- National rate 87 82 76 74 86 78 73 76 74 76 74 ND tested (%) 0 20 40 60 80 100 Team EasternLondon Midlands North West Northern Ireland Scotland South Central South East South Wales South West Yorkshire 1 April 2012 to 31 March 2013, data as at 4 April 2013 Organ Donation Past, Present and Future 8 5 th South Central Neurological death testing rate SOUTH CENTRAL

9. ND tested (%) 0 20 40 60 80 100 Number of neurological death suspected patients 0510152025303540 1 10 11 12 13 1415 16 17 18 2 3 4 5 6 7 8 9 HospitalNational rate95% Lower CL 95% Upper CL99.8% Lower CL99.8% Upper CL Organ Donation Past, Present and Future 9 1 April 2012 to 31 March 2013, data as at 4 April 2013 South Central Neurological death testing rate SOUTH CENTRAL 1Portsmouth, Queen Alexandra Hospital 2Southampton, Southampton University Hospitals 3Winchester, Royal Hampshire County Hospital 4Basingstoke, North Hampshire Hospital 5Salisbury, Salisbury District Hospital 6Swindon, Great Western Hospital 7Newport, St Mary's Hospital 8Slough, Wexham Park Hospital 9Reading, Royal Berkshire Hospital 10Aylesbury, Stoke Mandeville Hospital 11Wycombe, Wycombe General Hospital 12Milton Keynes, Milton Keynes General Hospital 13Northampton, Northampton General Hospital 14Oxford, Churchill Hospital 15Banbury, Horton General Hospital 16Oxford, John Radcliffe Hospital 17Cheltenham, Cheltenham General Hospital 18Gloucester, Gloucestershire Royal Hospital

10. Mean no. of organs donated per DBD donor 1 April 2012 to 31 March 2013, data as at 4 April 2013 11 th Northern (1 st ) : Every 10 donors save 5 more life than we do 10 Organ Donation Past, Present and Future SOUTH CENTRAL