1. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation The Human Transplantation (Wales) Act 2013 Making it work 2/12/2014

2. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Human Transplantation (Wales) Act 21013 Human Transplantation (Wales) Bill received Royal Assent September 2013 Not all of the act came into force immediately Main sections will not apply until 01/12/2015 Communications campaign began in Dec 2013 to ensure everybody is aware of their choices.

3. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation What does the Act do? Sets out how consent is to be given in Wales to the donation of organs and tissues for transplantation.

4. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation 4 Choices Opt in – When somebody registers their express intent to be a donor (express consent) Opt out – When somebody registers their express intent not to be a donor Appoint a representative to make a decision on their behalf Deemed consent the default position which will apply if the person has NOT indicated an express intent (Chosen to do nothing)

5. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Deemed consent Will apply to People over the age of 18 who ordinarily live in Wales and who also die in Wales Will not apply to People who have opted in or opted out Under 18s People who lack capacity to understand the notion of deemed consent Individuals who appoint a representative People whose family or friends object because they know the deceased would not have consented Living donors

6. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Communications campaign The countdown to organ donation changes in Wales Welsh Govt communications team – Clare Mumford and Sandra Jenkins The Agencies –Cambrensis communications- PR & Media –Golly Slater- Advertising & Creative –Group Media- Digital & Social Media –CognitionAssociates- BME & Faith Engagement Started in Dec 2013 and will last two years and consist of different phases of information, including writing to every household and engagement with hard to reach groups People will be given plenty of time to decide whether to register an express wish and be encouraged to talk to their families

7. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Time to change the way we become organ donors in Wales Dec 2013 Time to think April 2014-Dec 2014 Time to talk Jan 2015- May 2015 time to talk (more detail) June 2015-Dec 2015 Time to Choose Dec 2015- Onwards There’s always time

8. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation New ODR All four UK countries have agreed the specification for a new, single UK-wide register Steering Board is overseeing the work which is being led by NHSBT The advantage for clinicians is that there will be only one place to look The register will be technically more robust than the existing ODR and will be capable of registering opt-in and opt-out decisions as well as up to two appointed representative details

9. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Registering a No on the ODR Any person from Scotland, N. Ireland, England and Wales who wishes to register a No to organ donation will be able to do so on the new ODR There won’t be any promotion in England,to inform the general public of this option Scotland and N. Ireland will undertake promotion to choose

10. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation New ODR User Acceptance testing to commence Jan 2015 Data migration is expected to be complete by April 2015 On track to enable opt out registrations via the web site by June 2015 –+or – opt out registrations via Welsh Gp’s

11. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Human Tissue Authority Code of Practice Public consultation took place from September – December 2013 The Code will need to be approved by the Minister and Secretary of State for Health & then laid before the Assembly (Sept 2015) and Parliament

12. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Subordinate Legislation Section 150 order is being scrutinised by the joint committee on subordinate legislation and will be laid before parliament in the new year. Online consultation on 3 draft regulations under the HT(W)A 2013 ends Jan 2015.

13. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Training for healthcare professionals Training needs to be based on the HTA codes of practice Clinicians need to be ready to operate within the Law –Requiring development of specific effective training –Operating procedures reviewed and amended –Documentation reviewed and amended

14. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation There are a large number of different groups of people who will be either affected by the new legislation or the implementation of the new ODR –Different training requirements for professionals in different roles

15. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Training approach Priority 1 ODR team Duty office SNODs CLODs RCLODs National referral centre Call centre Priority 2 Tissue services Eye retrieval ICU clinicians/ nurses ED clinicians/ nurses ODCC Independent tissue organisations Other staff involved in the consent process

16. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Priority 3 Wider NHS Wales staff (GPs; non ICU/ED clinicians and nurses) Priority 4 Wider NHS staff in the UK

17. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Objectives/ Goals All users of the ODR are proficient in the use of the ODR system to carry out their roles; All SN-ODs and clinicians directly involved in the consent process fully understand the types of organ donation decisions which can be registered and their implications in detail; Other hospital staff have an understanding the of the legislation, code of practice and the processes; Wider NHS stakeholders are aware of the legislation and code of practice for organ donation.

18. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Training Delivery (yet to be determined)

19. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation General Public Wales Awareness of the new legislation and organ donation decisions for the general public in Wales will be addressed by the Welsh Govt communications strategy. Awareness for the general public in the rest of the UK is being undertaken by their individual governments except in England.

20. Karen Morgan Business Lead Welsh Legislation Project Organ Donation and Transplantation Go live