1. Organ Donation Past, Present and Future Introduction Karen Morgan (Regional Manager)9 th July 2013 Dr Alex Manara (R-CLOD) SOUTH WEST

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

3. 3 Organ Donation Past, Present and Future Embed Pauline’s story -Start automatically -Full screen

4. Objectives 1.Update on progress since 2008 Organ Donor Taskforce Report and scene set for future challenges. 1.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 2.Secure commitment to change practice in your hospital around key pinch points in deceased donation pathways 4 Organ Donation Past, Present and Future SOUTH WEST

5. Organ Donation Services Team SCOTLAND NORTH NORTH WEST YORKSHIRE MIDLANDS SOUTH WALES EASTERN SOUTH EAST SOUTH CENTRAL SOUTH WEST NORTHERN IRELAND Regional Clinical Lead Alex Manara Regional Manager Karen Morgan 2 Team Managers; Rachel Stoddard-Murden Jacquie Spencer 18 Specialist Nurses 2 Admin Staff 14 Trusts (16 Hospitals) Pop of approx 4 million 2 Transplant Centres 5 Organ Donation Past, Present and Future SOUTH WEST

6. Donation in the South West Team 2003-2013 6 Organ Donation Past, Present and Future 60.7% -20.0% 11.0% SOUTH WEST

7. 50% Target by Donor Team Organ Donation Past, Present and Future 7 SOUTH WEST

8. 50% 8 Organ Donation Past, Present and Future SOUTH WEST

9. 9 Organ Donation Past, Present and Future Organs from South West Donors: 2003-13 SOUTH WEST

10. 10 Organ Donation Past, Present and Future 2007-2008 Organs Transplanted from South West Donations 2012-2013 Organs Transplanted from South West Donations SOUTH WEST

11. Where are potential donors in the South West team lost? 11 Organ Donation Past, Present and Future SOUTH WEST

12. 12 50% 13.4 ppm 19.1 ppm Organ Donation Past, Present and Future BUT if all regions adopted BEST PRACTICE

13. 13 26.3 ppm TOP 5 in the WORLD 50% 13.4 ppm 19.1 ppm Organ Donation Past, Present and Future BUT if all regions adopted BEST PRACTICE

14. 20082008 2008 2011

15. NHSBT Guidelines 15 ED Strategy Donor Management Bundles and Guidance FICM & ICS endorsed: Brain-stem Death Forms www.odt.nhs.uk Organ Donation Past, Present and Future