Governance Committee Report
Organ Donation
Victoria Hospital, Kirkcaldy
January 2016
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Contents
NHS Blood and Transplant an overview…………………………………………………………………..Page 1
Organisational Structure of ODT……………………………………………………………………………..Page 2
Organisational Structure of the Scottish Team………………………………………………………..Page 3
Introduction……………………………………………………………………………………………………………Page 4
Taking Organ Donation to 2020……………………………………………………………………………..Page 5
NHS Fife Interim report Apr 2015-Sept 2015……………………………………………………………Page 6
Key Rates for Potential Organ Donation………………………………………………………………….Page 7
Key numbers, rates and comparison with national targets……………………………………..Page 8
Overview of stages where opportunities were lost…………………………………………………Page 9
Referral to Specialist Nurse…………………………………………………………………………………….Page 10
Family Approach…………………………………………………………………………………………………….Page 11
Authorisation and reasons for non proceeding donors……………….………………………….Page 12
Donation after Circulatory Death (DCD) flowchart………………………………………………….Page 13
Taking donation forward in NHS Fife……………………………………………………………………..Page 14
NHS Blood and Transplant (NHSBT)
NHSBT is a special health authority . It incorporates the organdonation service alongside NHS
Englands Blood Transfusion Service.
The Organ Donation Transplantation (ODT) directorate manage the National Transplant
Database which includes details of all donors and patients who are waiting for, or who have
received, a transplant, maintain the NHS Organ Donor Register (ODR), and provide a 24-hour
service for supporting donor families, and for matching and allocating donated organs in a fair
and unbiased way, including the transport arrangements to get the organs to patients.
It is a UK wide service working across the four healthcare administrations. Each Specialist
Nurse Organ Donation (SNOD) has an honorary contract in the Health Board/s where they are
based. They work along side Clinical Lead Organ Donation (CLOD) who are usually Consultant
Intensivists. NHSBT pays four sessions for the CLOD to take forward work on behalf on NHSBT.
This includes the potential donor audit and implementing NHSBT strategy.
Each health board has an organ donation committee of which the SNOD and CLOD are
members. The role of the Organ Donation Committee is to ensure that the appropriate
policies and resources are in place to promote and facilitate organ donation.
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2
Scottish Donating Hospitals
Organ Donation: Clinical Leads, Specialist Nurses and Committee Chairs
NHS Blood and Transplant,
Unit 7, The Courtyard,
Callendar Business Park,
Falkirk, FK1 1XR
Tel: 0300 123 9209 Fax: 01324 625 856
Lesley Logan
Regional Manager
[email protected]
Susan Hannah
Team Manager
[email protected].
uk
Liz Waite
Team Manager
[email protected]
Scott Cormack
[email protected]
QEUV and GRI
Carolyn Reid
[email protected]
ARI
Rachel Seligman (training)
[email protected].
uk
WGH
Claire Morphy
[email protected]
k
ARI
SC & Megan Reid (training)
[email protected]
RAH & Inverclyde
Alison Mitchell
[email protected]
QEUH & GJNH
Lisa MacKinnon
(starting 04.01.16)
RIE
[email protected]
Jill Adhikari
VHK & Borders General
Anne Sorley
Office Manager
Ann McKenzie
Administrator
Donna Gray
Administrator
Practice Dev Specialist
Cara Murdoch
[email protected]
Lynne Malley
[email protected]
Ninewells & Perth
Claire McNab
[email protected]
ARI
Magnus Corkish (training)
[email protected]
k
Ninewells & Perth
Ailsa Lyttle
[email protected]
Forth Valley & Monklands
Lesley Howard
[email protected]
WGH & St John’s
Irene Young
[email protected]
RIE
William Murray
[email protected]
Ayr & Crosshouse
Neil Healy
[email protected]
RHC QEUH & RHSC
Edinburgh
Colin Faichnie
[email protected]
QEUH and D&G
Andrew Topping
[email protected]
k
Hairmyres & Wishaw
Central
Belt
North of
Scotland
Version 26 – November 2015
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Introduction:
Five years of progress
The Organ Donation Taskforce published its report Organs for Transplant in January 2008,
and made 14 specific recommendations that covered various aspects of donor identification
and referral, donor coordination and organ retrieval. The five-year implementation
programme for these recommendations, supported by all four health administrations, NHS
Blood and Transplant (NHSBT) and representatives of all relevant professional societies and
Royal Colleges, has established a coherent UK-wide framework for deceased donation, and
delivered the 50% increase in deceased organ donors and a 30.5% increase in transplants.
We are now working to deliver the UK Strategy: Taking Organ Donation to 2020
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Taking Organ Transplantation to 2020
In 2013 both NHS Blood and Transplant1 and the Scottish Government2 published their
strategies on taking the next steps to increase organ donation and transplantation to 2020.
This Scottish plan is very much in line with, and intended to complement, the UK Strategy
document. Where the UK document sets out general principles and considers those elements
of organ donation and transplantation which are managed or can best be addressed across
the UK as a whole, the Scottish plan focuses specifically on the devolved health infrastructure
in Scotland and those activities which may be unique to Scotland, or delivered differently. The
two documents are inter-related and inter-dependent.
While both strategies target widely similar outcomes and objectives, there are some
additional national variations which the Scottish Organ Donation Services Team will have a
specific remit to address to meet both sets of recommendations.
Combining the similarities and differences into one single document will facilitate forward
planning, indentify responsibilities and outcomes which will ensure the success of both
strategies. This document therefore should be considered an effective adjunct to both of the
aforementioned strategies.
As the format and focus of both documents are significantly different, the SNOD Strategy
Group decided to concentrate of the 5 priorities listed in “A donation and transplantation plan
for Scotland 2013-2020”2
Priority 1: We should continue to increase the number of people in Scotland who have
made their wishes about donation known
Priority 2: We should increase the availability of organs for transplantation
Priority 3: We should make sure that every donation counts
Priority 4: We should ensure that all parts of NHS Scotland are knowledgeable about and
support donation and transplantation
Priority 5: We should ensure that the public in Scotland is informed and engaged about
organ donation and transplantation.
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2
NHS Blood & Transplant.2013. Taking Organ Transplantation to 2020: A UK Strategy
Scottish Government. 2013. A Donation and Transplantation Plan for Scotland 2013-2020
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Organ Donation in NHS Fife April to September 2015
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Key Rates for Potential Organ Donation
7
Key numbers, rates and comparison with national targets
8
Overview of stages where opportunities were lost
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Taking donation forward in NHS Fife
Required referral – all patients who meet the triggers for referral should be referred and
discussed with the Specialist Nurse Organ Donation (SNOD)
DBD referral criteria- A patient with suspected neurological death (A patient who meets all of
the following criteria: Apnoea, coma from known aetiology and unresponsive, ventilated,
fixed pupils.)
DCD referral criteria- A patient in whom imminent death is anticipated (A patient, not
confirmed dead using neurological criteria, receiving assisted ventilation, a clinical decision to
withdraw treatment has been made and death is anticipated within 4 hours)

Maintain increased SNOD involvement in family approach.

On going teaching with medical and nursing staff including the introduction of
LearnPro module.

NHS Fife and Fife Council awareness campaign in collaboration with the Scottish
Government.

Finalising the Hospital Organ Donation Policy
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