PAEDIATRIC ANAESTHETIC NETWORK (PAN) Minutes of meeting held Thursday, 9 th June 2016 Post Graduate Medical Centre, Stafford DGH Present: Abigail Akita Rob Alcock (Co-chair) Chandra Bhimarasetty Nuala Bywater (Co-chair) Suja Chari Richard Crombie Lesley Hines Rahul Kumar Lucy Leong Anil Rao Royal Wolverhampton Hosp NHS Trust Robert Jones & Agnes Hunt Hosp NHS Trust Royal Orthopaedic Hospital Wye Valley NHS Trust University Hospital Coventry & Warwickshire Heart of England NHS FT University Hosp North Midlands NHS Trust Worcestershire Acute Hospitals NHS Trust Royal Orthopaedic Hospital Apologies: Jana Bellin Alistair Cranston Simon Crighton Bernhard Freitag Julia Greensall Paul Innes Simon Leach Annadurai Saiprasad (Sai) Mreena Singh Alison Thwaites Sandwell & West Birmingham Birmingham Children s Hospital NHS FT South Warwickshire NHS FT Walsall Healthcare NHS Trust Dudley Group NHS FT Shrewsbury and Telford Hospital NHS Trust (RSH) Shrewsbury and Telford Hospital NHS Trust (PRH) Burton Hospitals Sandwell & West Birmingham Nuala Bywater chaired the meeting. 1
1. Minutes of the last meeting The Minutes from the meeting held on the 8 th January 2016 were accepted as a true record. 2. Introductions and welcome to Rahul Kumar who has replaced Simon Mills from UHNM (done later in the meeting) 3. Matters Arising General Paediatric Surgery Project - Richard gave an overview of the GPS project: o The sum of @ 100K had been received for the project. A Project Manager and Joint Clinical Leads were appointed - Doug Bowley from HEFT and Oliver Bagshaw from BCH (both have 1 PA each for GPS). Doug is in the Army and has undertaken a number of postings over the last 2 years, so time to support the project has been limited o The first Project Manager went on maternity leave, and there was a period when there was no dedicated Project Management support. Juliet Brown has now been appointed, as Clinical Network Development Co-ordinator, to support the Project o It is understood that there has been one ½ day study event over the last 2 years o Initially the project wanted to develop their own set of Standards but have decided to adopt the Royal College Standards. They have previously decided not to work with the WMQRS to develop local ones o Self-Assessment forms have been sent to all WM Trusts to complete o Richard Is the Anaesthetist/PAN rep on the GPS group. - Richard said that he had, without success, tried to contact Doug Bowley to get an update on the project. Richard had been contacted previously in September 2015 with regards to the possibility of overlapping a GPS event with the PAN study day (scheduled for 26 th February 2016) and for an anaesthetic representative to present a talk on Blocks & Analgesia. Richard felt that this was a non-starter, as the GPS group had not booked a room at Maple House and it was not clear how many surgical delegates would attend. Agreed: Richard will continue to try and speak to Doug Bowley. - PiP had been notified that a Clinical Network Development Coordinator had been recruited to work on the GPS and Neurosciences projects Juliet Brown, (Juliet.brown@bch.nhs.uk) - It was noted that UHNM now have good links with Liverpool for Daycase Surgery. PART Following discussion it is still strongly felt by members of the PAN that this is a worthwhile project to take forward. Nuala Bywater fed back the work that has been undertaken to date and where she is on the current status of the aim and Objectives and the Topics to be covered. It was agreed that taking the work forward with the support from one of the Universities was not achievable, due to the complexity of their requirements and the cost involved (discussions had previously taken place with Birmingham City and Coventry Universities). Abigail asked about the status and recognition of the course and it was agreed that it would not have any national or professional recognition but if PiP and the PAN endorsed it then it 2
was better than what is currently in place. It was felt that there should be a supporting Booklet which would have the overview and then there would be the Competencies which would be documents that individuals would complete and get signed-off when they have been achieved. It was felt that if all the WM Trusts adopted the system then this should be acceptable if people are applying for jobs within the West Midlands. Discussion also took place on how the Booklet and Competency documents would be made available to Trusts / individuals both within the WM but also maybe wider afield. It was agreed that funding from the 25K could be used for printing Richard Crombie had recently had a discussion with Julia Greensall regarding the 25K that had been given by the old West Midlands Health Authority; this sum has been ring-fenced within the PiP budget for about 10 years but there had been no expenditure. Julia had explained that PiP needed to become more business like and it is unlikely that ring-fencing arrangements would be able to continue. The monies could be used to support other work streams, for example, the development and printing of the Paediatric Guidelines. Lesley Hines supported this argument but also said that if PAN felt that they wanted to take the PART work forward then a formal plan need to be worked up, with timescales and costings, to be presented to the Core Group. It was agreed this will be undertaken. There was further discussion about copyright issues- particularly Universities taking the work and using it as their own and then selling it as a course; it was pointed out that it could have a similar status as the Clinical Guidelines PiP would encourage it to be available as a tool for good practice which is one of their objectives. We could apply for an ISBN number and it could be sold in the same as the Guidelines. In the discussion about the 25K, dividing the money between PART and PIP was explored; but it was requested that until we know how much will be needed to support the work needed, plus the admin support and printing, the PAN would request to PiP that the whole 25K remain ring-fenced for the PART work - Lesley Hines to feedback to Julia Greensall and PiP Core Group - Nuala Bywater to draft the booklet and work on the Aims she had written previously; these will be circulated to PAN members for comment - Chandra Bhimarasetty to look at the Amazon option for selling - When there is a draft document Lesley to get costs for printing - Nuala Bywater & Lesley Hines to work up the Plan for PiP Core Group Simulation Training Richard Crombie participated in a MEPA course at Russells Hall Hospital which was run for Consultants. Feedback from other PAN members was that it was excellent and the best Simulation Training they had received. Simon Crighton was a participant on this course but unfortunately had sent his apologies to this meeting, so we will get feedback at next meeting. - Ask Simon Crighton for feedback on the course WMQRS Quality Standards for Care of Critically Ill & Injured Children Richard & Abigail are job sharing their involvement on the WMQRS group both have attended 1 meeting each It has been agreed that Anaesthetics will remain in the Critically Ill Children standard 3
The WMQRS are currently undertaking reviews at Trusts with planned visits to County Hospital, Stafford and the ROH shortly and Wye Valley, Hereford in due course. Paediatric Guidelines NICE Accreditation Revision of the Paediatric Guidelines is underway for the next edition (2017-19), the Anaesthesia related have been circulated a couple of times with limited feedback from the PAN. Kathryn McCarron, BCGP Co-ordinator at UHNM has reported that to publish the Wong-Baker Pain FACES in the Guidelines is going to cost (amount not known); following discussion with PAN it was agreed that we should not incur a charge as there were examples that could be used FOC. NB: Nuala is currently developing Intralipid for local toxicity guideline in paediatrics. If anyone has already done one can they share please?? - All to forward FOC Pain FACES / links to Lesley - done - If anyone has a Intralipid for local toxicity guideline in paediatrics please share with Nuala 4. Study Day 2017 The feedback once again was very positive, most people enjoyed and thought the case presentations in the afternoon were a good idea and opportunity for people who do not usually get the chance to present. Most people thought the use of additional screens worked well. Agreed that the 2017 event to be booked for Friday, 24 th February 2017 at Maple House Quite a few suggestions for future talks were ones that had been done before, obviously there are a lot of new people now coming to the event and it is directed at Anaesthetists who work in DGHs. Agreed to review list of topics covered in last 5 years. The working group who met to review/agree programme for this year s event to meet again to take forward Alison, Richard, Alistair and Lesley. Some initial thoughts: Epilepsy?case study Suja KIDS update Sepsis in compromised child Radiology?case study Children with cerebral palsy / Downs syndrome / special needs - Lesley to make reservation at Maple House - Done - Lesley to list topics covered at study days in last 5 years - Done - Lesley to convene working group to draft programme Richard taking forward 5. Election of new Chair for PAN Rob Alcock announced that he was not able to attend the October PAN meeting therefore this would be his last meeting both as Co-chair and RJAH representative. The PAN wished to minute their gratitude to Rob for his support and input to the Network for many years. Rob responded by saying it had been a lot of fun and a privilege to part of the group. Nominations were now required to replace Rob as soon as possible to work alongside Nuala as the other new Co-chair. The term of office will be three years but can be re-elected for a further term (maximum of 2 terms) 4
Richard and Rob reiterated that there is not a massive workload involved in the PAN group with three meetings plus the study day per year. It involves checking the minutes, responding to papers etc on behalf of the PAN and is the link to PiP. - Lesley/Julia to email out asking for nominations - Done - Rob to seek replacement Anaesthetist to represent RJAH on the PAN Done James Maybin 6. AOB PiP website Noted that information on the PAN was slightly out of date, most recent minutes not on etc. Lesley will review but asked for the PAN members to give some feedback on what was required / what they would like to see. Chandra agreed to have a look and feedback. Minutes are only put on after they have been agreed at the next meeting, so they will always be a bit behind. - Lesley to add on minutes, review current information - Chandra to review the PAN section and come back with suggestions - Lesley to send link to the PAN so everyone can have a look and give some feedback Discussion not minuted 7. Dates and times of meetings 2016/17 Wednesday, 5 th October 2016 Friday, 24 th February 2017 all day Next PAN study day All meetings are from 9.30am 12.00pm and will include a sandwich lunch for confirmed attendees and will be held at the Post Graduate Medical Centre at County Hospital, Stafford. Minutes prepared by: Lesley Hines June 2016 MINS_PAN_09.06.16 5