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Organ donations over the last five years

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WRITTEN QUESTION TO THE MINISTER FOR HEALTH AND SOCIAL SERVICES BY DEPUTY R.G. LE HÉRISSIER OF ST. SAVIOUR.

ANSWER TO BE TABLED ON TUESDAY 18th MARCH 2014

Question

In terms of numbers and percentages, how many of the eligible population have, over the last 5 years, signified their wish to donate organs upon death and, at the time of death, how many relatives have agreed to the making of organ donations and how does this compare to the percentages and numbers for England?

Answer

There are two main issues -

  1. Ensuring that everyone on the Island has given active consideration to organ donation and made their wishes known.

There is no Island wide donor register and people register with NHS Blood and Transplant (NHSBT) i.e. on their Boots advantage card or by visiting NHSBT's website.

Preliminary estimates from NHSBT are that approximately 30% of the English population is on the ODR (Organ donation register) and 10% of the Jersey population. It is pleasing to note there has been a four-fold increase in new donor registrations, from 418 registrations in 2012 to 1884 registrations in 2013 that may reflect national and local publicity in 2013.

  1. The process of organ donation.

It is important to realise that there are two very different groups of organ donor. Donation following circulatory death (DCD) and donation after brain stem death (DBD). HSSD actively support DBD and are moving towards a DCD programme which is the area that is leading to the greatest increase in potential organs and is relatively new. DCD is however fraught with potential difficulties for example theatre availability and our geographical isolation

All deaths in ITU are actively audited by UK transplant and in the last year we have not missed any potential DBD or DCD donors.

In the last 5 years from 13th March 2009 we have

Performed brain stem death tests 15 times Confirmed brain stem death 13 times Organ donation was requested 11 times Organs were donated from 7 individuals

Overall we compare favourably with regard to DBD and the rest of the UK.