Introduction: Inequalities in organ donation and transplantation exist in the UK. Systemic approaches are required to ensure that all dimensions of organ donation and transplantation are addressed to ensure there is diversity and inclusion. The UK has developed the Meeting the Need 2030 strategy to progress this important agenda.
Methods: The UK Meeting the Need 2030 strategy has 6 pillars to their diversity and inclusion approach –
People of all backgrounds and circumstances will have timely access to the organ they need
Action Plans and Partnerships
Promotion organ donation
Diversity and Inclusion in the workplace
Listing and outcomes
Improving the collection analysis and publication of data
Results: Significant progress has been made -
People of all backgrounds and circumstances will have timely access to the organ they need
ODR registrations from ethnic minority 7.1 to 11.1%
Transplants in people from ethnic minority groups 1,129 (22/23) to 1,232 (23/24)
Action Plans and Partnerships
NBTA & NHSBT joint conference 2024
NBTA & NHSBT collaboration:
Marketing
Faith Based Messaging/engagement
Community grants Publication
Chaplaincy engagement
Organ Donation Committee engagement with faith groups
Specialist Nurse Training
Commonwealth Tribute to Life – Advocating ethical Organ Donation & transplantation and sharing best practice Worldwide
Specialist Nurse Training
SNOD experience survey  in approaching Global Majority families
Findings: Religion & Culture main barrier. The legislation made no difference when approaching. Faith leader and wider families can sometimes be barriers.
Recommendations:
Ensuring SNODs are supported with the right resources to approach
Ensure EDI is incorporated in all training platforms
Information Digital Videos to help conversations with families
Promotion organ donation
External –
Marketing/comms: Paid/un-paid Media
Digital information videos
https://www.organdonation.nhs.uk/
NHSBT Government Community Grants Scheme/Ambassador programme:
28 Projects
11 Living Kidney
10 deceased organ
7 combined blood & organs
Internal –
Video/films by internal staff
SNODs representing NHSBT @ media/events
Team Diversity & Inclusion days
Webinars 
Up to date & accessible resources on the D&I intranet page 
Conclusion: Achieving diversity and inclusion requires a multi-dimensional approach to ensure progress across the whole organ donation and transplant care pathway.