1. Seeking National Self-
sufficiency in Australia
Jeremy Chapman
Centre for Transplant and Renal Research,
Westmead Millennium Institute,
Sydney

2. •CKD
•CLD
•CARDIAC
•RESPIRATORY
SUFFICIENCY ACHIEVEMENTS RESPONSIBILITIES
•DIABETES
•LEGISLATION
•OTHER
•DATA REGISTRIES
NATIONAL
•HEALTHCARE ACCOUNTABILITIES
FACILITIES CAPACITY CONTROL •EDUCATION
•HUMAN RESOURCES REGULATORY CONTROL •VACCINATION
ETHICAL CONTEXT
•REGIONAL •SCREENING
COOPERATION •PREVENTION
•CULTURAL & OPPORTUNITIES •BRIDGING Rx
RELIGIOUS CAPACITIES FOR CARE •DONATION
ENVIRONMENT CAPACITIES •TRANSPLANT
•FUNDING •RESEARCH

3. The CKD problem in Australia
Dialysis (n = 10,062)
Listed (n = 1,310)
Deceased donor
organs
Transplant
(n=446)

4. Who should we list for deceased
organ transplantation?
? ? ? ? ANZDATA 2008
? report
?

5. “I wont be in for dialysis, I am leaving tonight
because they are shooting my donor
tomorrow.....” (july 2011)

7. WHA Resolution
WHO Guiding Principles

8. Professional Guidelines for care of donors
and recipients
www.tts.org
www.kdigo.org

10. Australian Organ and Tissue
Authority
1. New National Authority and network
2. Specialist Hospital Staff and Systems
3. New Funding for Hospitals
4. Professional Education
5. Community Awareness and Education
6. Support for Donor Families
7. Safe, Equitable and Transparent National
Transplantation Processes
8. National Eye and Tissue Donation and
Transplantation Network
9. Other Donor Initiatives including Living
Donation Programs

11. Consensus
statement
for recipient selection
and allocation of
donor organs
1. requested by the
Government in 2009
2. determined by the
transplant community
and public in 2010
www.tsanz.com.au

12. Organ Donation Rates in Australia
We are moving in the right direction

13. •CKD
•CLD
•CARDIAC
•RESPIRATORY
SUFFICIENCY ACHIEVEMENTS RESPONSIBILITIES
•DIABETES
•LEGISLATION
•OTHER
•DATA REGISTRIES
NATIONAL
•HEALTHCARE ACCOUNTABILITIES
FACILITIES CAPACITY CONTROL •EDUCATION
•HUMAN RESOURCES REGULATORY CONTROL •VACCINATION
ETHICAL CONTEXT
•REGIONAL •SCREENING
COOPERATION •PREVENTION
•CULTURAL & OPPORTUNITIES •BRIDGING Rx
RELIGIOUS CAPACITIES FOR CARE •DONATION
ENVIRONMENT CAPACITIES •TRANSPLANT
•FUNDING •RESEARCH