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Living Donor Kidney Transplantation

Living Donor Kidney Transplantation. Lisa Burnapp. Renal Transplant Services Meeting, March 2016. Living Donor Transplantation Activity. Actual Numbers. Per million population ( pmp ). 2015/16 targets: 102 per month 19.0 pm p. Monthly Average: 90. 1 6 . 7 pmp.

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Living Donor Kidney Transplantation

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  1. Living Donor Kidney Transplantation Lisa Burnapp Renal Transplant Services Meeting, March 2016

  2. Living Donor Transplantation Activity Actual Numbers Per million population (pmp) 2015/16 targets: 102 per month 19.0 pmp Monthly Average: 90 16.7 pmp

  3. Key Priorities – address shortfall Commissioning- Transplant Tariff development in England National Living Donor Kidney Sharing Schemes Barriers to LDKT: survey to transplant and referring centres Healthcare professional education programme (UK MET) Public engagement initiative

  4. National Living Donor Kidney Sharing Schemes Performance Figures • Note: each reason may account for multiple transplants

  5. Non-Directed Altruistic Donors Long Chains December 2015 463 Donations 544 Transplants 12% of activity Short Chains

  6. Transplants in Highly Sensitised Patients – By Donor Source 341 321 287 289 228 217 KPD = kidney paired donation RTSM, 2016

  7. NLDKSS- Summary 80% (range 70-93%) of identified transplants converted to actual transplants 68% (from 39%) of transplants proceeding within dedicated shared weeks of surgery for each quarterly matching run Quarterly activity increased from Q1 (255) to Q3 (278) 29% fall in non-directed altruistic donors but 28% (from 16%) ‘opt in’ to an altruistic donor chain

  8. Commissioning Challenge Shared responsibility to deliver LDKT 2020 NHSBT is accountable for the target Commissioners responsible for funding NHSBT has partial investment in LDKT

  9. Priorities for 2016/17 Collaborate with NHS E to implement Transplant Tariff Roll out UK MET NLDKSS Sustain improvements Electronic offering and allocation Increase uptake of altruistic donor chains Modelling ABOi LDKT for highly sensitised HLAi pairs Public, patient and family engagement Donor reported outcome measures; EU Registry

  10. Thank you Colleagues in transplant centres and referring units LDKT 2020 Strategy Implementation Group NHSBT Statistical studies and audit Information services LKD Schemes co-ordinators Commissioning team University of Glasgow Dr David Manlove, Dr Gregg O’Malley RTSM, 2016

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