BBC NEWS | Health | How the Spanish donor system works
Charismatic, driven and dedicated - Professor Jose Ramon Nunez works tirelessly as the transplant co-ordinator at the San Carlos hospital in Madrid.
This surgeon is part of an extraordinary national network of doctors trained to identify potential organ donors and speak to bereaved families in the midst of grieving.
It is their skill and focus which has helped create an organ donor system in Spain which is a world leader.
Wales could do this but prefers to wait for England and the oilt tanker in England to slowly turn to wake up. The number of people in Wales waiting for a transplant is at an all time high.