organ donation past, present and future next steps… sue duncalf professor arpan guha dr huw...

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Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

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Page 1: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

Organ Donation Past, Present and Future

Next Steps…

Sue Duncalf

Professor Arpan Guha

Dr Huw Twamley

Dr Paul Murphy

21st May 2013

Page 2: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

Next steps…Against 50% Goal: 9th Contribution to 50% Goal: 4th

NORTH WESTNORTH WEST

Page 3: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

Next steps…

DBDDCD

Against 50% Goal:Contribution to 50% Goal:

5th Referral 3rd 9th BSD Testing

6th Organs per donor 5th

6th Consent

2nd

3rd

Approach

8th

3rd

SN-OD Involvement 3rd

NORTH WEST9th

4th

Page 4: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

Referral

BSD Testing

Organs per donor

Consent

Approach

SN-OD Involvement

SMART steps…Specific, Measurable, Attainable, Relevant and Timely

Choose from the list and commit your hospital to 1-2:

Be SMART about it.

NORTH WEST

Page 5: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

...taking Organ Donation and Transplantation to

5

2020

Page 6: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

Organ Donation, Past Present and Future

The Organ Donation Taskforce report

Society Acute hospitals

Retrieval and transplantation

NHSBT and Commissioners

Aim: a 50% increase in organ donation

Page 7: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

Organ Donation, Past Present and Future

Taking Organ Donation and Transplantation to 2020

Society Acute hospitals

Retrieval and transplantation

NHSBT and Commissioners

Aim: to match world class performance in organ donation and transplantation

Page 8: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

Organ Donation, Past Present and Future

Taking Organ Donation and Transplantation to 2020

Aim: to match world class performance in organ donation and transplantation

NHSBT and Commissioners

• workforce strategy

• strengthen Regional Collaboratives

• streamline processes

• more effective commissioning of

retrieval and transplantation services

Page 9: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

Organ Donation, Past Present and Future

Taking Organ Donation and Transplantation to 2020

Aim: to match world class performance in organ donation and transplantation

Acute hospitals

• professional ‘standards’ document

• memorandum of understanding

• open publication of data

• improved family approach

Page 10: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

Organ Donation, Past Present and Future

Taking Organ Donation and Transplantation to 2020

Aim: to match world class performance in organ donation and transplantation

Retrieval and transplantation

• improved collaboration with ICUs

• peer review to promote greater

consistency in decision making

• review of pre-mortem interventions

• evaluation of post-mortem technologies

Page 11: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

Organ Donation, Past Present and Future

Taking Organ Donation and Transplantation to 2020

Aim: to match world class performance in organ donation and transplantation

Society

• more robust interpretation of ODR

• challenging debates, e.g. reciprocity

• legislative reform

• political accountability

• Impactful public promotion

Without donation there can be no transplantation

Page 12: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

Organ 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 22

Page 13: Organ Donation Past, Present and Future Next Steps… Sue Duncalf Professor Arpan Guha Dr Huw Twamley Dr Paul Murphy 21 st May 2013

Organ Donation, Past Present and Future