1. Organ Donation Past, Present and Future Donation after Brain-Stem Death DBD Dr Ranjit Dulai Dr Dale Gardiner Dr Gerlinde Mandersloot 26 th June 2013

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 Ranjit Dulai East Kent Hospitals, CLOD 3 SOUTH EAST

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 61 donors (2012-2013) 8.9% increase (from 5 years ago) SOUTH EAST

5. Donation in the South East Team 2003-2013 5 Organ Donation Past, Present and Future 50.0% 8.9% 19.7% SOUTH EAST

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

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 East Neurological death testing rate SOUTH EAST

9. Organ Donation Past, Present and Future 9 1 April 2012 to 31 March 2013, data as at 4 April 2013 South East Neurological death testing rate SOUTH EAST

10. Mean no. of organs donated per DBD donor 1 April 2012 to 31 March 2013, data as at 4 April 2013 Tied 3 rd Northern (1 st ) : Every 10 donors save 2 more lives than we do 10 Organ Donation Past, Present and Future SOUTH EAST