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Next Steps…. Lesley Logan Angus Vincent Paul Murphy 3 rd July 2013. NORTHERN. Next steps…. NORTHERN. 5 th. Against 50% Goal:. Joint 5 th. Contribution to 50% Goal:. Next steps…. NORTHERN. 5 th. Against 50% Goal:. Joint 5 th. Contribution to 50% Goal:. 1 st. Referral. 1 st. - PowerPoint PPT Presentation

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Donor Family Experience

Next Steps

Lesley LoganAngus VincentPaul Murphy3rd July 2013

NORTHERNOrgan Donation Past, Present and Future

Organ Donation Past, Present and Future

RM to do thank yous, final goodbyes, talk about CPD1Next stepsAgainst 50% Goal:5thContribution to 50% Goal:Joint 5thNORTHERNMalcolm to show these slides2Next stepsDBDDCDAgainst 50% Goal:Contribution to 50% Goal:1stReferral1st2nd BSD Testing1st Organs per donor12th 1st Consent12th 3rdApproach1st7th SN-OD Involvement9th 5thJoint 5thNORTHERNCan we improve our DBD organs per donor, DCD performance involving SN-ODs3ReferralBSD TestingOrgans per donorConsentApproachSN-OD InvolvementSMART stepsSpecific, Measurable, Attainable, Relevant and TimelyChoose from the list and commit your hospital to 1-2:Be SMART about it.NORTHERNChoose one area and take to your next ODC4

...taking Organ Donation and Transplantation to5

20205Good afternoon

Thank you for this opportunity to talk to you about the porgress that has been made in organ donation and transplantation in the UK and share with you some insight into the future work that will be requiredOrgan Donation, Past Present and FutureThe Organ Donation Taskforce reportAim: a 50% increase in organ donationSocietyAcute hospitalsRetrieval and transplantationNHSBT and Commissioners6The Taskforce report was largely about what happened in hospitals how donors were identified and referred and how clinical teams worked with transplant coordinators to support donors and their families.

Similarly its primary outcome was about the number of donors in this instance a 50% increase the number of deceased donors.Organ Donation, Past Present and FutureTaking Organ Donation and Transplantation to 2020SocietyAcute hospitalsRetrieval and transplantationNHSBT and CommissionersAim: to match world class performance in organ donation and transplantation7But we are really about transplantation.

And so, as the epoch of the ODTF report has come to an end, NHSBT has worked with a vast array of stakeholders, including yourselves, to develop a new strategy for the next seven years.

A strategy that is bolder and broader

Bolder because it is a strategy that aims to put the UK into the very top group of transplanting countries in the industrialised world.

Broader because we will only be able to do this if we look at the whole of the donation and transplantation pathway, if we look at all groups who are involved.Organ Donation, Past Present and FutureTaking Organ Donation and Transplantation to 2020Aim: to match world class performance in organ donation and transplantationNHSBT and Commissionersworkforce strategystrengthen Regional Collaborativesstreamline processesmore effective commissioning of retrieval and transplantation services

8We will critically re-appraise how NHSBT supports donation and transplantation

are our staff particularly our transplant coordinators deployed in the most effective way?

are our regional collaboratives becoming the local powerhouses that we need them to be?

are our operational processes offering and allocation as streamlined as possible, is the IT fit for purpose?

do our current commissioning arrangements deliver all of their intended benefits?

Organ Donation, Past Present and FutureTaking Organ Donation and Transplantation to 2020Aim: to match world class performance in organ donation and transplantationAcute hospitalsprofessional standards document memorandum of understandingopen publication of dataimproved family approach

9Acute hospitals have come a long, and indeed one of our messages is that they have done their bit, now its time for everyone else, but they can do more, and to support this

we will work with the professional bodies to develop a standards document to which clinicians will be expected to comply we will underpin this expectation with a more robust contractual relationship with acute hospitals we will de-anonymise the publication of the PDA data but most of all we will continue to improve the support that we give to the families of potential donorsOrgan Donation, Past Present and FutureTaking Organ Donation and Transplantation to 2020Aim: to match world class performance in organ donation and transplantationRetrieval and transplantationimproved collaboration with ICUspeer review to promote greater consistency in decision makingreview of pre-mortem interventionsevaluation of post-mortem technologies

10As I have said, many critical care teams have done their bit, and we expect the same from everyone

we need more effective cooperation between critical care and retrieval, particularly with regards to donor optimisation and DCD

we will assess whether peer review and support can improve processes and decision making

we will explore whether there is the scope to improve donation and transplantation outcomes through different approaches to care both before and immediately after the diagnosis of deathOrgan Donation, Past Present and FutureTaking Organ Donation and Transplantation to 2020Aim: to match world class performance in organ donation and transplantationSocietymore robust interpretation of ODRchallenging debates, e.g. reciprocitylegislative reformpolitical accountabilityImpactful public promotion

Without donation there can be no transplantation11But most of all, this is a strategy for society and those in a position to influence societys beliefs and actions. The message will be clear without donation there can be no transplantation. Specifically, we will explore to what extent we can be more robust in acting upon the ODR because last year 125 families objected to donation even though consent had been given in life

we will test whether the principle of reciprocity can be more than an academic debate

we will follow the impact of the introduction of presumed consent legislation in Wales

we will continue to expect health departments to support our objectives in whatever we think appropriate, particularly with regards to promotional campaigns that are impactful and change behavioursOrgan Donation, Past Present and Future

These issues should not be particularly difficult, or even that costly to resolve. Overcoming them will require leadership, boldness and willingness to change established practice. The prize for doing so is considerable.

Mary Hand, cystic fibrosis sufferer. Died aged 2212The era of the Taskforce report has come to end. But I will continue to use at least one passage from the ODTF report because it continues to be relevant, indeed possibly more so

These issues should not be particularly difficult, or even that costly to resolve. Overcoming them will require leadership, boldness and willingness to change established practice. The prize for doing so is considerable.

More leaders than we could possibly have hoped for have come through over the last five years, and there will be a need for more in the years to come.Organ Donation, Past Present and Future

13The era of the Taskforce report has come to end. But I will continue to use at least one passage from the ODTF report because it continues to be relevant, indeed possibly more so

These issues should not be particularly difficult, or even that costly to resolve. Overcoming them will require leadership, boldness and willingness to change established practice. The prize for doing so is considerable.

More leaders than we could possibly have hoped for have come through over the last five years, and there will be a need for more in the years to come.