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Doctors split on organ donation Doctors split on organ donation
(30 minutes later)
Intensive care doctors have told the BBC they are deeply concerned about any radical change to the law on organ donation.Intensive care doctors have told the BBC they are deeply concerned about any radical change to the law on organ donation.
Prime Minister Gordon Brown has called for a change to an opt out system called presumed consent.Prime Minister Gordon Brown has called for a change to an opt out system called presumed consent.
A UK-wide government taskforce is due to report in the next few months.A UK-wide government taskforce is due to report in the next few months.
A poll of adults across the UK for the BBC shows two thirds of the public now support the idea - but intensive care doctors are more divided.A poll of adults across the UK for the BBC shows two thirds of the public now support the idea - but intensive care doctors are more divided.
The Intensive Care Society says its research suggests many specialists are worried such a move could damage the trust between patients, their families and doctors.The Intensive Care Society says its research suggests many specialists are worried such a move could damage the trust between patients, their families and doctors.
It is very important in this situation that we have their trust, that we are doing is going to be in the best interests of that patient Kevin GunningIntensive Care SocietyIt is very important in this situation that we have their trust, that we are doing is going to be in the best interests of that patient Kevin GunningIntensive Care Society
Kevin Gunning, a consultant at Addenbrooke's hospital in Cambridge, has carried out a survey of specialists for the society.Kevin Gunning, a consultant at Addenbrooke's hospital in Cambridge, has carried out a survey of specialists for the society.
The 125 responses from doctors around the UK shows opinion divided almost down the middle.The 125 responses from doctors around the UK shows opinion divided almost down the middle.
Instilling doubtInstilling doubt
Some doctors are concerned presumed consent might instil doubts in patients and relatives about a potential conflict of interest.Some doctors are concerned presumed consent might instil doubts in patients and relatives about a potential conflict of interest.
Mr Gunning said: "In intensive care patients are often admitted suddenly and the families have to comes to terms very quickly with the fact that someone may not survive.Mr Gunning said: "In intensive care patients are often admitted suddenly and the families have to comes to terms very quickly with the fact that someone may not survive.
"It is very important in this situation that we have their trust, that we are doing is going to be in the best interests of that patient.""It is very important in this situation that we have their trust, that we are doing is going to be in the best interests of that patient."
While he strongly supports the principle of organ donation, he believes any consideration of presumed consent is premature.While he strongly supports the principle of organ donation, he believes any consideration of presumed consent is premature.
"The trouble is we live in a society where people are very much worried about the interference of the state."The trouble is we live in a society where people are very much worried about the interference of the state.
"I think you would find that families would view this as taking the organs - and that would create a tension.""I think you would find that families would view this as taking the organs - and that would create a tension."
Around 30% of patients admitted to intensive care die before leaving hospital.Around 30% of patients admitted to intensive care die before leaving hospital.
Their deaths have the potential to benefit patients on the transplant waiting list.Their deaths have the potential to benefit patients on the transplant waiting list.
Long waiting listsLong waiting lists
The UK has a low rate of organ donation compared to some European countries.The UK has a low rate of organ donation compared to some European countries.
Barry and Elizabeth Jenkins had to make a tough decision Elizabeth and Barry Jenkins had to make a tough decision
There are just over 7,000 people currently on the active waiting list, and that number is growing by around 8% each year.There are just over 7,000 people currently on the active waiting list, and that number is growing by around 8% each year.
Every year almost 1,000 people die either while on the list, or having become so ill they are no longer able to withstand transplant surgery.Every year almost 1,000 people die either while on the list, or having become so ill they are no longer able to withstand transplant surgery.
Rod Lenette is one of the many whose lives are on hold while they wait.Rod Lenette is one of the many whose lives are on hold while they wait.
Now 41, has spent more than four years on dialysis, making an hour long trip each way to the unit at Addenbrookes.Now 41, has spent more than four years on dialysis, making an hour long trip each way to the unit at Addenbrookes.
"The problem is when you are on this machine you can't see beyond it," he said."The problem is when you are on this machine you can't see beyond it," he said.
"I would be a proper dad to my children - I'd be a proper husband to my wife."I would be a proper dad to my children - I'd be a proper husband to my wife.
"I used to be the cornerstone of my family I kept everyone together and I haven't been able to do that.""I used to be the cornerstone of my family I kept everyone together and I haven't been able to do that."
The British Medical Association and the Royal College of Nursing have both backed the idea of presumed consent.The British Medical Association and the Royal College of Nursing have both backed the idea of presumed consent.
And an ICM poll for the BBC of adults across the UK reveals 66% now support presumed consent.And an ICM poll for the BBC of adults across the UK reveals 66% now support presumed consent.
In January the government appointed taskforce proposed an overhaul of the organ donation system in the UK which all the health departments are committed to implementing.In January the government appointed taskforce proposed an overhaul of the organ donation system in the UK which all the health departments are committed to implementing.
Many believe those changes should be given a chance to make a difference before any change to the law is considered.Many believe those changes should be given a chance to make a difference before any change to the law is considered.
Donor familyDonor family
Opinion is even divided among donor families, reflecting the often intensely personal nature of views around organ donation for transplant.Opinion is even divided among donor families, reflecting the often intensely personal nature of views around organ donation for transplant.
Barry and Elizabeth Jenkins have lived through making an organ donation decision.Barry and Elizabeth Jenkins have lived through making an organ donation decision.
Their son Richard was at home when pins and needles took him to the family doctor for a check up.Their son Richard was at home when pins and needles took him to the family doctor for a check up.
Just 17 days later Richard was dead at the age of 24 from a rare brain tumour and his parents agreed to donate his kidneys and corneas.Just 17 days later Richard was dead at the age of 24 from a rare brain tumour and his parents agreed to donate his kidneys and corneas.
They waited for him to die in a room next to the operating theatre to allow organ retrieval.They waited for him to die in a room next to the operating theatre to allow organ retrieval.
Both Barry and Elizabeth are passionately in favour of organ donation but just as strongly opposed to presumed consent.Both Barry and Elizabeth are passionately in favour of organ donation but just as strongly opposed to presumed consent.
The taskforce has run focus groups to explore some of the complex issues around presumed consent before writing its report.The taskforce has run focus groups to explore some of the complex issues around presumed consent before writing its report.
They may well have revealed some of the wide range of views this debate can provoke.They may well have revealed some of the wide range of views this debate can provoke.
Without a strong consensus they may find it difficult to conclude that changing the law is the most urgent priority in improving the rate of organ donation in the UK.Without a strong consensus they may find it difficult to conclude that changing the law is the most urgent priority in improving the rate of organ donation in the UK.