ODT Performance Report

Transcription

1 ODT Performance Report Monthly November 18 Data production date: December 1, 18 Publication date: December 14, 18

2 1. EXECUTIVE SUMMARY FOR DECEMBER ODT SMT MEETING DECEASED DONORS AND TRANSPLANTS November was a strong month for deceased organ donation activity. There were 148 deceased (89 DBD and 59 DCD) in November, bringing the total to 148. This is a 5% increase on the same eight months last year and the number of deceased per million population (pmp) remains on track. (For information: there were 153 fewer eligible when comparing the eight-month periods.) o With a target of 1632 deceased for the whole year and 148 proceeding, 584 are needed for the rest of the year to achieve the target, equating to an average of 146 per month for the remaining 4 months of. Although we continue to see an increase in deceased when compared with the equivalent period last year, the same cannot be said for deceased donor transplants. There were 357 such transplants in November, meaning that 2577 patients have received a deceased donor transplant in the eight months from April to November 18. This is 9 fewer transplant recipients than the same period last year (<1% decrease). The number of deceased donor transplants per million population is now red. MISSED OPPORTUNITIES AND IMPACT ON CONSENT/AUTHORISATION In the eight-month period from April to November there were 256 missed referral opportunities. This is 197 fewer (-194 DCD) than the same period last year, equating to a 43% decrease. The DBD referral rate remains at 99% and the DCD referral rate has increased by 4 percentage points (pp) from 89% to 93% when comparing the eight-month periods. There were 196 occasions where a SNOD was not present for the formal organ donation discussion. This is 34 fewer (+2 DBD, - 36 DCD) than the same period last year, equating to a 15% decrease. The DBD SNOD presence rate remains at 95% and the DCD SNOD presence rate has increased by 2 pp from 85% to 87% when comparing the eight-month periods. o From the 196 occasions where a SNOD was not present, there were just 59 consents, equating to a 3 consent rate. When looking at the consent rates for the various combinations of ODR status and SNOD presence : Opt-in and SNOD: 95%; Opt-in, no SNOD: 71%; No opt-in, SNOD: 58%; No opt-in, no SNOD: 22%. IT DISRUPTION AND IMPACT ON ALLOCATION There was eleven hours of unplanned IT system disruption in November. This resulted in an occasion where the cardiac and liver allocation could not be followed as offers had to be made as per the unplanned outage SOP. The incident has been reported to IT to investigate. ABSENCE AND TURNOVER Absence is now at 2.8%, the lowest rate for over a year. The majority is short term absence. Annual turnover is now 1.9%. This is the first time since April 15 that the annual turnover has been less than 11%. ODT SMT Monthly Performance Report (November 18) Page 2 of 17

3 2. ODT STRATEGIC OBJECTIVES Strategic Objectives Final Target Final Target Date Performance Performance 15/16 16/17 17/18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov Consent / authorisation 2. Donors pmp 26 pmp 3. % of consented with organ(s) accepted but no organ(s) transplanted* 4. Transplants pmp 74 pmp March March March March 61.9% 62.8% 65.5% 7.7% 66.1% % 69.6% 66.5% 69.8% 66.1% 67.1% % 5.1% 8.9% 9.9% 8.5% 5.6% 1.2% 5.3% 7.3% 9.8% 1.7% 8.5% % Living pmp 26 pmp * Excluding DCDs who did not die within the timeframe to become an organ donor March #N/A Objective 1 Consent^ for organ donation aim for consent rate above. End of year target for is 75%. Objective 2 Deceased organ donation aim for 26 deceased per million population (pmp) #. End of year targets for are 1,632 deceased and 24.5 pmp. Objective 3 % of consented '' with organ(s) accepted but no organ(s) transplanted. Note that the data excludes DCDs who did not die within the timeframe to become an organ donor. Objective 4 Patients transplanted aim for a deceased donor transplant rate of 74 pmp #. End of year targets for are 4,548 transplants and 68.4 pmp. Objective 5 Living Donation aim for 26 living pmp #. End of year targets for are 1,524 transplants and 23. pmp. Note: # Based on rolling 12 month period. ^ Please read consent as consent/authorisation throughout the report. * Excluding DCDs who did not die within the timeframe to become an organ donor ODT SMT Monthly Performance Report (November 18) Page 3 of 17

4 3. SUMMARY OF DECEASED DONOR PATHWAY November 18 Potential Patients referred Eligible Families approached Families consenting Utilised Conversion rate* Consented patients who did not proceed to donation where no organs were transplanted Total consented patients from whom no organs were transplanted Total consented patients from whom no organs were transplanted % DBD % % DCD % % Total % Potential Patients referred Eligible Families approached Families consenting Utilised Conversion rate* Consented patients who did not proceed to donation where no organs were transplanted Total consented patients from whom no organs were transplanted Total consented patients from whom no organs were transplanted % DBD 1,325 1,38 1, % % DCD 3,795 3,542 2,648 1, % % Total 5,1 4,85 3,718 2,1 1,49 1, % % % 1 Conversion rate* DBD DCD * The conversion rate represents the proportion of eligible from whom at least one organ was transplanted (utilised ). ODT SMT Monthly Performance Report (November 18) Page 4 of 17

5 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Number of patients/families Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Nov-16 Dec-16 Jan-17 Feb-17 Mar-17 Apr-17 May-17 Jun-17 Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Number of patients/families Summary of potential for DBD donation Non-proceeding consented DBD N % 1 % No. of patients neurological death suspected No. of patients referred (DBD) No. of patients tested No. of families approached (DBD) No. of eligible DBD No. of families consenting (DBD) Consented patients who did not proceed to donation where no organs were transplanted DBD (UKTR data) Utilised DBD (UKTR data) Consented patients from whom no organs were transplanted % Summary of potential DCD donation Non-proceeding consented DCD N % 1 % No. of patients death anticipated No. of eligible DCD No. of families consenting (DCD) Utilised DCD (UKTR data) No. of patients referred (DCD) No. of families approached (DCD) DCD (UKTR data) Consented patients who did not proceed to donation where no organs were transplanted Consented patients from whom no organs were transplanted % ODT SMT Monthly Performance Report (November 18) Page 5 of 17

6 Customer Deliver more 4. ODT BALANCED SCORECARD Balanced Scorecard: ODT - as at the end of November 18 Number of new opt-in registrants on the ODR (million) 17/ Target The number of new opt-in registrations remain on track Number of new opt-out registrants on the ODR, 1, #N/A #N/A Target #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 34,857 12,289 2,16 2,915 19,292 96,662 17,82 64,24 18,557 4,161 2,747 5,394 3,571 2,19 1,726 Number of missed referral opportunities (DBD and DCD) Target In the eight month period from April to November there were 256 missed referral opportunities. This is 197 fewer (-194 DCD) than the same period last year, equating to a 43% decrease DBD DCD The DBD referral rate remains at 99% and the DCD referral rate has increased by 4 percentage points (pp) from 89% to 93% when comparing the eight month periods. 11 of the 33 occasions in November had donation potential, but donation was not considered in these cases; all are being followed up with either formal letters to the CLOD or via the RCLODs & TMs. Number of occasions where a SNOD was not present for formal organ donation discussion (DBD and DCD) DBD DCD Target In the eight month period from April to November there were 196 occasions where a SNOD was not present for the formal organ donation discussion. This is 34 fewer (+2 DBD, - 36 DCD) than the same period last year, equating to a 15% decrease. The DBD SNOD presence rate remains at 95% and the DCD SNOD presence rate has increased by 2 pp from 85% to 87% when comparing the eight month periods. Four Trusts/Boards account for nearly a third of occasions. A supplementary paper has been provided with this month's performance report. ODT SMT Monthly Performance Report (November 18) Page 6 of 17

7 Customer Deliver more Balanced Scorecard: ODT - as at the end of November 18 Overall consent rate * 5 DBD consent rate 1 9 DCD consent rate / Target % 67.1% 68.6% 62.7% 67.8% 63.4% 69.5% 7.7% 66.1% % 69.6% 66.5% 69.8% 66.1% Target % 72.9% 78.9% 71.3% 73.4% 67.8% % % 69.7% 78.5% 72.8% 71.3% 74.6% Target % % 63.3% 59.6% % 62.1% 65.2% 57.8% 61.4% 6.9% 68.6% 59.2% In the eight month period from April to November there were 21 formal organ donation discussions. Although this is 54 fewer occasions than the same period last year, there have been six more consents. This means we achieved a 2 pp increase in the overall consent rate when comparing the eight month periods, from 65% to 67%. When breaking this down, there have been 4 more DBD approaches and 25 more DBD consents. However, there have been 94 fewer DCD approaches and 19 fewer consents. The DBD consent rate remains at 73% when comparing the eight month periods and the DCD consent rate has increased by 3 pp from 59% to 62%. (For information: there were 153 fewer eligible when comparing the eight month periods (+69 DBD, -222 DCD). The regions that have experienced a reduction are working with local units to identify the reasons.) From the 196 occasions where a SNOD was not present, there were just 59 consents, equating to a 3 consent rate. Although this is higher than the 17% consent rate in the same period last year when a SNOD was not present, it is far from the 71% consent rate achieved when a SNOD is present. When this is broken down further into ODR status : * Opt-in and SNOD: 95% * Opt-in, no SNOD: 71% * No opt-in, SNOD: 58% * No opt-in, no SNOD: 22% Specialist Requester / SNOD consent rate (Quarterly in arrears) #N/A #N/A SR #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A This metric is reported quarterly, a month in arrears. 1 4 % SR SNOD No SR / SNOD (for info) 7.9% 68.3% #N/A 69.3% #N/A #N/A 68.1% #N/A #N/A 67.4% #N/A #N/A 69. #N/A #N/A #N/A #N/A SNOD #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 7.1% 71.9% #N/A 72.3% #N/A #N/A 71.8% #N/A #N/A 72.6% #N/A #N/A 7.9% #N/A #N/A #N/A #N/A No SR / SNOD (for info) #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 21.9% 28.8% #N/A.7% #N/A #N/A 34.5% #N/A #N/A 3.3% #N/A #N/A 26.6% #N/A #N/A ODT SMT Monthly Performance Report (November 18) Page 7 of 17

8 Ensure reflect society Customer Deliver more Balanced Scorecard: ODT - as at the end of November 18 Number of families overruling patient consent /18 #N/A #N/A Target #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A There have been 1 fewer occasions where an opt-in decision has been overruled. This equates to a 19% decrease when compared with the same eight months last year. Number of deceased (DBD/DCD) * Deceased pmp * ,524 1,88 Target ,574 1, Target November was a strong month for deceased organ donation activity. There were 148 deceased (89 DBD and 59 DCD) in November, bringing the total to 148. This a 5% increase on the same eight months last year and the number of deceased per million population (pmp) remains on track. For the remaining 4 months of the year, the new monthly averages needed for various milestones are as follows: With 1574 deceased in 17/18 and 148 in Apr-Nov 18, 526 are needed for the rest of the year to match last year, equating to an average of 131 to 132 per month for the remaining 4 months of. To achieve the 1618 double the taskforce baseline goal, with 148 in Apr- Nov 18, 57 are needed for the rest of the year, equating to an average of 142 to 143 per month for the remaining 4 months of. With a target of 1632 deceased and 148 in Apr-Nov 18, 584 are needed for the rest of the year to achieve the target, equating to an average of 146 per month for the remaining 4 months of. Consent rate for patients from black and Asian communities Target During April to September 18 the consent rate for patients from black and Asian communities was 38% (78/6). This is 5 pp lower than the 43% (1/232) achieved in the same eight months last year % 37.9% % 51.9% 43.8% 26.7% 3.3% 36.4% % 57.1% % 27.3% 1 ODT SMT Monthly Performance Report (November 18) Page 8 of 17

9 Customer Deliver products patients need Balanced Scorecard: ODT - as at the end of November 18 % of consented with organ(s) accepted but no organ(s) transplanted^ % 15% 1 5% 17/18 #N/A #N/A Target #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 8.9% 8.5% 1.3% 8.7% 9.3% 11.4% % 8.5% 5.6% 1.2% 5.3% 7.3% 9.8% 1.7% 8.5% of consented with at least one organ accepted resulted in no transplants. This is the same rate as the eight month period from April to November last year. A detailed paper on organ utilisation has been provided with this month's performance report. The ideal donor kidney project continues and plans to increase across all abdominal groups are in place. The kidney imaging project has been delayed in its implementation due to IT issues and also the volume of change planned for the SNODs this winter. The pancreas imaging project will be developed shortly and will either accompany or follow the kidney imaging project training. The first London Kidney and Pancreas collaborative meeting was held in November, positive feedback was received from all attendees, it was agreed following discussions that 3 working groups would be set up to achieve 3 potential quick wins: sharing, declines and staffing. A steering group has been convened to lead this work and the next London Kidney and Pancreas collaborative meeting will be held in Spring 19. The UK will host the 19 European Day for Organ Donation and Transplantation (EODD); the UK will also host the 23rd meeting of the European Committee (Partial Agreement) on Transplantation (CD- P- TO). Number of deceased donor transplants * Deceased donor transplants pmp * ,116 3,32 Target ,4 2, Target Although we continue to see an increase in deceased when compared with the equivalent period last year (5% increase), the same cannot be said for deceased donor transplants. There were 357 such transplants in November, meaning that 2577 patients have received a deceased donor transplant in the eight months from April to November 18. This is 9 fewer transplant recipients than the same period last year (<1% decrease). Deceased donor transplants per million population is now red because the number of transplants in November 18 is slightly lower than the number of transplants in November 17 (NB pmp calculations are based on a rolling 12 month period). Growth in total (active and suspended) transplant list (^at end of month) Target ^ Excluding DCDs who did not die within the timeframe to become an organ donor Growth At the end of November there were 6177 patients on the active transplant list. This is 34 fewer patients than at the end of November last year. There are 19 more suspended patients when comparing the end of November active lists for this and last year. In total, at the end of November 18 there were 9457 patients on the transplant list (6177 active and 328 suspended). ODT SMT Monthly Performance Report (November 18) Page 9 of 17

10 Reduce net tax-payer burden Resources Reduce net tax-payer burden Deliver better VFM for the NHS Balanced Scorecard: ODT - as at the end of November 18 Cost per transplant ( s) - Annual forecast * 15 17/ Target See separate finance report. 1 Quarterly average number of organs retrieved per abdominal team (Qtrly in arrears) Target #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 167 #N/A #N/A 184 #N/A #N/A 163 #N/A #N/A 154 #N/A #N/A We continue to see a decrease in the quarterly average number of organs retrieved per abdominal and cardiothoracic team. The commissioning team monitors organ damage rates on a monthly basis and NORS centres receive a monthly list of all organs retrieved, transplanted and discarded so that any issues can be addressed in a timely way. Quarterly average number of organs retrieved per cardiothoracic team (Qtrly in arrears) Target #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A 5 #N/A #N/A 67 #N/A #N/A 47 #N/A #N/A 42 #N/A #N/A % of days abdominal teams attended >=1 potential donor when on call (Qtrly in arrears) 1 4 % 3-3- Target 3-59% #N/A 62% #N/A #N/A 67% #N/A #N/A 63% #N/A #N/A 56% #N/A Although the overall performance for abdominal teams is 56%, several teams regularly exceed of donor attendances when on call. The Demand and capacity evaluation has recommended increasing to eight abdominal teams on call. Modelling to establish the best mix of teams is currently being undertaken, and the increase is likely to happen by Q2 19/. There is no immediate need to increase cardiothoracic capacity. % of days cardiothoracic teams attended >=1 potential donor when on call (Qtrly in arrears) 3-3- Target % 47% 43% #N/A 44% #N/A #N/A 53% #N/A #N/A 42% #N/A #N/A 44% #N/A ODT SMT Monthly Performance Report (November 18) Page 1 of 17

11 Operations Operate in a timely manner Balanced Scorecard: ODT - as at the end of November 18 DBD: Median time from formal family approach to operation start time (month in arrears) / Target the median time from the formal organ donation discussion to the DBD operation start time is 21 hours 6 minutes. The equivalent time for DCD is 19 hours from formal discussion to withdrawal of life sustaining treatment. Proportion of occasions where DBD retrieval operation ended between midnight and 7am (2 months in arrears) 4 3 % 1 DCD: Median time from formal family approach to withdrawal of life sustaining treatment (month in arrears) 4 Target 25.1% 22.7% 28.9% 26.5% 25.3% % 21.6% 17.8% 27.8% % Target ODT SMT Monthly Performance Report (November 18) Page 11 of 17

12 Maintain a complete and accurate database Operate safely Operations Operate a single 24/7 business Balanced Scorecard: ODT - as at the end of November 18 Number of occasions where ODT did not offer organs in accordance with allocation policy 5 17/18 Target There were three occasions in November where organs were not offered in accordance with the allocation policy. One occasion was due to an IT outage, where the cardiac and liver allocation could not be followed as offers had to be made as per the unplanned outage SOP. The incident has been reported to IT to investigate. The other two occurrences in November were where the kidney allocation policy was not followed due to errors in the process when allocating. The incidents are under investigation to identify preventative actions to avoid recurrence. Total hour(s) of unplanned IT system disruption <7 <7 Target <7 <7 <7 <7 <7 <7 <7 <7 <7 <7 <7 <7 <7 #N/A There was eleven hours of unplanned IT system disruption in November. There was a period of just under an hour when users were unable to authenticate to EOS Web following a backup of the application servers in preparation for DRA Release. Users were unable to authenticate to NTx on BPMS to carry out matching runs for just over 1 hours due to an expired security certificate which was required for single sign-on to the BPMS platform. Total hour(s) of planned IT system maintenance/upgrade #N/A #N/A Target #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A New software releases to support Donor Referral Assessment functionality in DonorPath resulted in outages of 4 hours 1 minutes for each of the following services: NTxD V25.5 EOS Web V3.1.6 DonorPath Mobile V & DonorPath Web V2..75 Number of serious incidents Target There have been no serious incidents Number of ODR registrations with an unknown NHS/CHI number #N/A #N/A Target #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A The proportion of ODR registrations with an unknown NHS/CHI number remains in range. 5,, 4,, 3,, 2,, 1,, 4,656,519 2,74,3 4,9,29 4,955,488 4,461,532 4,385,797 4,656,519 3,98,896 3,938,956 4,17,585 3,292,7 2,628,287 2,648,456 2,681,13 2,74,3 ODR registrations with an unknown NHS/CHI number (%) 1 1 Target % % 1.1% 19.6% 19.8% 17.7% 17.3% 18.1% 15.4% 15.2% 15.4% 12.6% % 1.1% ODT SMT Monthly Performance Report (November 18) Page 12 of 17

13 People Lead motivated employees Balanced Scorecard: ODT - as at the end of November 18 Sickness absence 6% 4% 2% 17/ Target % 3.9% 3.7% 3.9% 3.2% 3.1% 3.1% 3.5% 3.6% 3.5% 3.3% % 2.8% Absence is now at 2.8%, the lowest rate for over a year. The majority is short term absence. As expected with the season, 15 absences were due to cold/flu, with 21 periods of absence related to gastro reasons. % annual turnover % 16% 12% Target % 1.9% 13.6% 13.4% 13.1% 13.5% 13.1% 13.9% 13.3% 12.4% 12.1% 11.9% 12.1% % Annual turnover is now 1.9%. This is the first time since April 15 that the annual turnover has been less than 11%. Eastern team is highest with 28.14% (one new starter in November), South Central is at 21.24% but had 3 new starters in October with a further new starter in the new year, and ODR is at 24.83%. 8% % mandatory training compliance (Qtrly) 12-months rolling period Target % #N/A 91.3% #N/A #N/A 9. #N/A #N/A 9.1% #N/A #N/A 92.6% #N/A #N/A Mandatory training compliance is now 92.3%. Nine out of 25 departments within ODT are achieving 95% or over. The lowest teams are Eastern with 81% and Yorkshire with 86.3%, however they have experienced levels of absence. Eleven out of the 23 MT courses are at 95% or over. Safeguarding has a low compliance rate of 78.6% however this is due to 3 out of 14 individuals being non compliant in OD Services only. Adult Basic Life Support again shows the lowest compliance rate of 72.8% overall, with Yorkshire at 47.4% (1 out of 19 individuals non compliant), and South Wales at 38.5% (8 out of 13 individuals non compliant). PDPR (Qtrly) 12-months rolling period Target % 94.1% #N/A 94.8% #N/A #N/A 93.3% #N/A #N/A 8.5% #N/A #N/A 94.9% #N/A #N/A The PDPR compliance rate is now 94.1%. Thirteen departments out of 25 have 1 compliance. Yorkshire team have a low compliance rate at 77.3% (5 out of 22 not completed) however there has been absence on the team. South East team is at 81% completion (4 individuals out of 22 not completed). Support Services has the lowest PDPR completion rate at 69.2% (4 out of 13 individuals not completed). Focus on PDPR completion is expected in the early part of 19 once more information is available on completion requirement for pay point progression. ODT SMT Monthly Performance Report (November 18) Page 13 of 17

14 People Recruit and Retain Expert, Caring Employees Create Flexible Employee Base Balanced Scorecard: ODT - as at the end of November 18 Proportion of SNOD establishment competent on the rota 1 17/ Target % 79.2% % 82.9% 83.3% 82.3% 83.8% 8.4% 85.9% 82.9% 8.8% 82.6% 79.6% 79.2% There are a total of 21 SNODs currently supervised on the rota. These include two supervised SNODs remaining from Cohort 8 but both are anticipated to be signed off within 7 months. There are 15 supervised SNODs from Cohort 9 who commenced in teams on 15th October and have completed Module 1. South East, South Central and Yorkshire each have three Cohort SNODs which may be difficult to manage in terms of adequate exposure. H&S near misses (month in arrears) #N/A #N/A Target #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A #N/A There were no near misses reported in October, with the total therefore remaining at Number of BAME managers 1 1 Target 1 This metric is reported quarterly. 4 2 Number of BAME staff #N/A 1 #N/A #N/A 1 #N/A #N/A 1 #N/A #N/A 1 #N/A #N/A Target #N/A #N/A #N/A 21 #N/A #N/A 22 #N/A #N/A 21 #N/A #N/A ODT SMT Monthly Performance Report (November 18) Page 14 of 17

15 OD KEY PERFORMANCE MEASURES: MONTHLY AND SUMMARIES Targets Eastern London Midlands North West Northern Northern Ireland Scotland South Central South East South Wales South West Yorkshire National Deceased Approx^ donor target Utilised November 18 (in-mth) Number of Number of missed occasions referral where a opportunities SNOD was * not present** BSD testing Referral SNOD Present Consent / Authorisatio n Competent SNODs on the rota Change in eligible compared with last year Deceased pmp*** Deceased Approx^ donor target Change in deceased compared with last year Utilised Number of Number of missed occasions referral where a opportunities SNOD was * not present** Combined DBD DCD Combined % 71.7% % DBD % 71.4% % 99.3% 89.7% 76.6% DCD % 78.3% 78.3% % Combined % 67.3% % DBD % % % % 6. DCD % 92.3% 53.8% % % Combined % 85.3% % DBD % % 97.2% 92.6% 72.1% DCD % % 83.1% 59.6% Combined % 79.5% % DBD % 96.2% % % 97.6% % DCD % 95.7% 69.6% % 94.3% 57.4% Combined % % DBD % % % % 76.1% DCD % % 92.3% 58.5% Combined % % DBD % 64.7% DCD % Combined % 87.8% % DBD % 85.7% % 98.8% 85.5% 71. DCD % 85.7% 52.4% % % Combined % % DBD % % % 83.1% DCD % 91.7% 58.3% % 61.5% Combined % 84.2% % DBD % 93.3% % % 96.9% 89.5% 72.4% DCD % % 92.5% 63.4% Combined % 91.7% DBD % 86.5% DCD % % 76.5% 8.4% Combined % % DBD % % 71.4% % % 86. DCD % 84.2% 67.1% Combined % 7.5% % DBD % % 97.8% % DCD % % % 56.9% Combined % 79.2% % DBD % 98.9% 95.1% 74.6% % 98.7% 94.7% 72.9% DCD % 89.5% 59.2% % 87.2% 62.1% ^ Rounded to the nearest integer Data Production Date: 1/12/18 * Patients who met the referral criteria for both DBD and DCD are counted in both the DBD and DCD data but are counted once in the total ** Number of occasions where a SNOD was not present for the formal organ donation discussion with the family *** Per million population (pmp) calculations are always based on a rolling 12 month period, ie the latest 12 months, not. BSD testing Referral SNOD Present Consent / Authorisatio n ODT SMT Monthly Performance Report (November 18) Page 15 of 17

16 Customer Deliver more LIVING DONATION ACTIVITY FOR INFORMATION Balanced Scorecard: ODT - as at the end of November 18 Number of living * (month in arrears) 17/18 1, Target These metrics are provided for information, with commentary provided on a quarterly basis. 11 1, Living pmp * (month in arrears) Target ODT SMT Monthly Performance Report (November 18) Page 16 of 17

17 UTILISATION OF UK RETRIEVED DBD AND DCD KIDNEYS FOR INFORMATION ODT SMT Monthly Performance Report (November 18) Page 17 of 17