Transcript Donation in the UK

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Introduction
Ms Sue Duncalf (Regional Manager)
Arpan Guha and Huw Twamley (R-CLOD)
21st May 2013
Organ Donation Past, Present and Future
Programme
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10:05
Introduction
10:15
Donation in the UK Dr Paul Murphy
11:00
Coffee
11:15
Donor Identification and Referral Dr Huw Twamley
12:15
Lunch
13:15
Donation after brain-stem death
Diagnosis of death Professor Arpan Guha
Donor optimisation Professor Arpan Guha
14:15
Coffee
14:45
Family approach and consent Dr Paul Murphy
16:00
Discussion and next step
16:30
Close
Organ Donation Past, Present and Future
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Pauline's story
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https://www.dropbox.com/s/zteqd0s2gkh5rjo/Pauline%27s%20Story.mov
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As a mp4
https://www.dropbox.com/s/xsm9scyi8rdl1w6/Pauline%27s%20Story%20mp4.mo
v
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As a wmv (old microsoft)
https://www.dropbox.com/s/p6jgyfp2hm6eh7b/Pauline%27s%20Story%20wmv.w
mv
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As an avi (old microsoft)
https://www.dropbox.com/s/myw7c0lrhd6p5ha/Pauline%27s%20Story%20avi.avi
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To start automatically after previous slide
Objectives
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1. Update on progress since 2008 Organ Donor Taskforce
Report and scene set for future challenges.
2. Outline best practice, using regional and local data, and the
most recent national guidance around:
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The referral and identification of donors
Donation after Brain Death
Family approach and consent
3. Secure commitment to change practice in your hospital
around key pinch points in deceased donation pathways
Attendance at this meeting has been recognised for 5 CPD credits by
the Royal College of Anaesthetists
Organ Donation Past, Present and Future
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North West Organ Donation Services Team
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Regional Clinical Lead
Professor Arpan Guha
Dr Huw Twamley
35 Hospitals
Pop of 7.8 million
3 Transplant Centres
SCOTLAND
Regional Manager
Sue Duncalf
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NORTHERN
IRELAND
YORKSHIRE
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MIDLANDS
EASTERN
SOUTH
WALES
SOUTH
CENTRAL
SOUTH
WEST
SOUTH
EAST
Team Managers
Emma Thirlwall
Jane Monks
Dawn Lee
Niki Hargreaves
27 Specialist Nurses
4 Admin Staff
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Donation in the North West
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2003-2013
140
26.6%
120
100
80
-5.1%
Donation after Brain
Death
60
40
20
Total Deceased
Donation
181.3%
Donation after
Circulatory Death
0
Organ Donation Past, Present and Future
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50% Target by Donor Team
Percentage Achievement
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150 148.4
125
100
87.5
81.8
75
50
25
44.8
50.8
26.6
74.1
46.4
30.4
19.7
7.1
11
0
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Contribution to 50% by Donor Team
Yorkshire
South West 7%
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South Wales
4%
7%
Eastern
13%
South East
8%
London
13%
50%
South Central
8%
Scotland
8%
Northern Ireland
Northern
3%
8%
Organ Donation Past, Present and Future
Midlands
12%
North West
10%
4th
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Organs from North West Donors: 2003-13
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180
160
140
120
100
80
60
40
Kidneys
Livers
Pancreases
Lungs
Hearts
20
0
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Where are potential donors in the
North West lost?
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BUT if we adopted BEST PRACTICE
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1800
Target
Actual
1600
19.1
ppm
1400
50%
1200
1000
13.4
ppm
800
600
400
200
0
2007/08
2008/09
2009/10
2010/11
Organ Donation Past, Present and Future
2011/12
2012/13
Best Practice
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BUT if we adopted BEST PRACTICE
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26.3
pp
m
1800
Target
Actual
1600
19.1
ppm
1400
50%
TOP 5
in the
WORLD
1200
1000
13.4
ppm
800
600
400
200
0
2007/08
2008/09
2009/10
2010/11
Organ Donation Past, Present and Future
2011/12
2012/13
Best Practice
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2008
2011
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NHSBT Guidelines
ED Strategy
Donor Management
Bundles and Guidance
FICM & ICS endorsed:
Brain-stem Death
Forms
www.odt.nhs.uk
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