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Conference guide: Programme

46pm

Early registration and welcome drinks Main reception


Pick up your badge and delegate bag in advance and meet your colleagues over drinks.

Tuesday 15 March 2016


89am

Registration, coffee and exhibition Hall D

7.458.55am

Breakfast workshops
>W
 orkshop 1 Mentoring for doctors Queens Suite 1
Facilitators: Dr Chris James, Withybush General Hospital; and Tom Baker, Royal College of Physicians (RCP)
Limited places pre-booked delegates only
> Workshop 2 Successful leadership of clinical teams Queens Suite 4
Facilitators: Dr Alistair Thomson, Health Education North West (HENW); and Michael Page, RCP
Limited places pre-booked delegates only

910.35am

Opening plenary session Auditorium


Chair: Elisabeth Davies, chair of Patient and Carer Network, RCP

Harrogate International Centre 1516 March 2016

9am

>P
 residents welcome address
Professor Jane Dacre, President, RCP (PRCP)

9.15am

> The health gap: the challenge of an unequal world


Professor Sir Michael Marmot, University College London (UCL) Institute of Health Equity

9.55am

> Delivering devolution: lessons from Greater Manchester


Warren Heppolette, Greater Manchester

10.3511am

Coffee and exhibition Hall D


*NB. Timeslots for keynote speaker sessions may be subject to change.

@RCPLondon

Monday 14 March 2016

Medicine 2016: RCP annual conference

11am12.30pm

Concurrent sessions A
A1 (Clinical)
Auditorium

Future practice, new frontiers


Chair: Professor Linda Luxon,
RCP
> Imaging services of
the future
Dr Giles Maskell, Royal College
of Radiologists
> PET/CT: clinical update and
implications for patient
care
Dr Deborah Pencharz, Royal
Free London NHS Foundation
Trust
> Perioperative medicine the
pathway to better care for
surgical patients
Dr Mark Hamilton,
St Georges Hospital and
Medical School
> How trainees can make a
safer hospital
Dr Giles Major, Trainees
Committee, RCP

A2 (Health services
and policy)
Queens Suite 3

A3 (Research and innovation)


Queens Suite 2

A4 (Education, training and


medical professionalism)
Queens Suite 1

A5 (Short papers)
Queens Suite 4

A6 (Big conversations)
Queens Suite 5

Working with patients


to meet all their needs

Big data in the NHS improving care, saving money


and increasing research
potential

Quality and physicianly


education

Service redesign

Chair: Dr Gerrard Phillips, RCP

> An analysis of ambulatory


emergency care (AEC)
performance following
participation by specialty
consultants with general
internal medical skills
Dr Pradeep Mallisetty, Heartlands
Hospital

What role do physician associates play in building


stronger medical teams and
improving care for patients?

Chair: John Oldham, Patient


and Carer Network (PCN)
> Physicians and patients
working in partnership
Dr Nick Lewis-Barned, RCP
> Integrating medical and
mental health
Dr Celia Bielawski, The Whittington Hospital and Dr
Munira Blacking, Highgate
Mental Health Centre
> Physical activity a missed
opportunity?
Dr Roger Wolman, Royal
National Orthopaedic Hospital NHS Trust
> Why employment is an
important clinical outcome
Dr Justin Varney, Public
Health England

Chair: Professor John Wass,


University of Oxford
 etting big data from the
>G
NHS
Professor John Williams, RCP
Health Informatics Unit and
Swansea University Medical
School
> Databases and the interface between primary and
secondary care
Dr Tanya Pankhurst, University of Birmingham
> Large-scale research and
electronic health records
the future
Professor Harry Hemingway,
UCL Institute of Health Informatics and Farr Institute of
Health Informatics Research
> Challenges of a smarter
health system
Dr Niels Peek, University of
Manchester

> Evidence-based simulation


in CMT update and next
steps
Dr Makani Purva, Hull Institute of Learning and Simulation, and Winnie Wade, RCP
> The state of physicianly
education introduction to
the new report
Dr James Adams, JRCPTB

Facilitator: Teresa Dowsing,


Faculty of Physician Associates

> Comprehensive geriatric


assessment in emergency
department by OPAL (Older
People Assessment and
Liaison) can prevent admissions
Dr Ray Keelan, University Hospital
South Manchester
> Reducing turnaround time for
inpatient plain film imaging
Dr Camus Nimmo and Dr Amy
Nelson, University College London
Hospitals NHS Foundation Trust
>T
 he Future Hospital: integrated
working and respiratory virtual
clinics as a means of delivering
high-value care for a population
Dr Irem Patel, Kings Health
Partners
> Increasing the acuity of
community services: rapid
response
Dr Christopher Bell, Croydon
Health Services NHS Trust, London
> Measuring the patient
experience on an acute
medical unit using a validated
tool and identifying areas for
improvement
Dr Christopher Asplin, Grantham
and District General Hospital

Conference guide: Programme

#Medicine2016

Follow a trainee pathway through the programme


Look out for this symbol for sessions particularly suitable for trainees

>C
 ore medical training
(CMT) quality criteria update and impact
Dr Emma Vaux, Joint Royal
Colleges of Physicians Training Board (JRCPTB)

Chair: Professor Margaret Johnson,


RCP

10

Conference guide: Programme

Move between rooms

12.351.15pm

Lunchtime plenary session Auditorium


Chair: Elisabeth Davies, Patient and Carer Network, RCP
>A
 question of intent Sir Bruce Keogh, NHS England

1.152.15pm

Lunch and exhibition Hall D

@RCPLondon

12.3012.35pm

Harrogate International Centre 1516 March 2016

Medicine 2016: RCP annual conference

2.153.45pm

Concurrent sessions B
B1 (Clinical)
Auditorium

B2 (Health services
and policy)
Queens Suite 4

Wise up reducing waste,


improving practice

Medicine outside the


comfort zone

Chair: Dr Anita Donley, RCP

Chair: Bella Milroy, PCN, RCP

> Do less, do it better


a local perspective
Dr Lucy Pollock, Taunton and
Somerset NHS Foundation
Trust

> Homeless health


Dr Pippa Medcalf,
Gloucestershire Hospitals
NHS Foundation Trust

> Headache does my patient really need a scan?


How Birmingham neurologists chose wisely
Dr David Nicholl and Julie
Edwards, Sandwell and West
Birmingham Hospitals NHS
Trust and University of Birmingham
> Wise prescribing the safe
and effective use of medicines to enable the best
possible outcomes?
Professor Robin Ferner, University of Birmingham
> Antimicrobial resistance
Professor Mark Wilcox, Leeds
Teaching Hospitals NHS Trust
and University of Leeds
> Panel discussion

> Adolescents and young


adults
Dr Helena Gleeson, University
Hospitals of Leicester NHS
Trust
> LGBT
Dr Justin Varney, Public
Health England
> Assessing patients with
impairments of aging
Dr David Cohen, Northwick
Park Hospital
> Panel discussion

B3 (Research and innovation)


Queens Suite 1

Evidence-based medicine
to inform clinical guideline
development
Interactive workshop covering:

B4 (Education, training and


medical professionalism)
Queens Suite 2

B5 (Short papers)
Queens Suite 3

Medical professionalism
in action

Quality and safety

Trainees discussion forum

Chair: Professor John Wass,


University of Oxford

Facilitated session for trainees


to discuss important issues and
engage with college officers

Interactive workshop covering:


>V
 aluing the professional
>T
 eam work

>W
 hat is evidence-based
medicine debunking the
myths

>P
 romoting professional behaviours and challenging
unprofessional behaviours

>R
 ole of guideline committee members

Facilitators: Winnie Wade,


RCP. Dr Olivia Jagger, University Hospital Southampton
NHS Foundation Trust.
Nick Cork, Clinical Medicine.
Dr Judith Tweedie, RCP.

> Practical session from


evidence to the recommendation
> Making an impact guidelines in practice
Facilitators: Dr Serena Carville,
Dr Caroline Farmer, Dr Kate
Kelley and Dr Andreas Freitag,
National Clinical Guideline
Centre, RCP.

B6 (Facilitated
networking session)
Queens Suite 5

> Huddle up for Safer Healthcare: how frontline teams


can work together to improve patient safety
Dr Alison Cracknell, Leeds
Teaching Hospitals NHS Trust

Facilitators: Dr Carol
Postlethwaite, chair of Trainees
Committee, RCP and Dr Alistair
Thomson, Health Education
North West (HENW)

> The effect of blended front


door on condition-specific
length of spell in hospital:
Dr Pradeep Mallisetty, Heartlands Hospital
> Improving safety and quality of care for the local care
home population through
integrated working in
the community between
primary
Dr Katie Athorn, Hull and East
Yorkshire Hospitals NHS Trust
> Quality improvement
programmes: a model for
clinical leadership training
for foundation doctors Dr
Kimberley Tagle, University
College London Hospital

> Bridging the frailty gap:


introducing the inpatient
Older Persons Advice and
Liaison Service (OPALS)
Dr James Adams, Royal Surrey County Hospital

11

Conference guide: Programme

#Medicine2016

> Learning from total 2222


calls and leading to an improvement work for quality
patient care:
Dr Sanjay Kumar, Leeds
Teaching Hospitals NHS Trust,

12

Conference guide: Programme

Tea, exhibition and attended posters session Hall D and Queens Suite foyer

4.105.40pm

Concurrent sessions C
C1 (Clinical)
Auditorium

C2 (Health services
and policy)
Queens Suite 2

C3 (Research and innovation)


Queens Suite 3

C4 (Education, training and


medical professionalism)
Queens Suite 4

C5 Hot topics
Queens Suite 1

Common challenges in the


acute medical unit (AMU)

How to get your department


working

The science and practice


of biologic therapies

The future of internal medicine

Chair: Professor John Wass,


University of Oxford

Chair: Dr Peter Belfield, RCP

Chair: Professor Robin Ferner,


University of Birmingham

Chair: Dr John Firth, Cambridge


University Hospitals NHS Foundation Trust

Interactive workshop:
Learning to Make a
Difference (LTMD) how to
drive quality improvement
and patient safety projects
on the frontline
An interactive workshop on
practical approaches to making
improvement change happen
in working lives.
> Introduction
Dr Emma Vaux, JRCPTB

> The pregnant patient


in the AMU
Dr Lucy Mackillop, Oxford University Hospitals NHS Trust
> Delirium in the AMU
Dr Liz Sampson, UCL Mental
Health Sciences Unit, University College Medical School
> Oncological emergencies in
the AMU
Dr Thomas Newsom-Davies,
Chelsea and Westminster
Hospital

Harrogate International Centre 1516 March 2016

> Difficult conversations in


the AMU
Dr Elin Roddy, The Shrewsbury and Telford Hospitals
NHS Trust

> What not to do lessons


from invited service reviews
Dr Peter Belfield, RCP
> Job planning a 7-day
service
Dr Matthew Lewis, Sandwell
and West Birmingham NHS
Trust
> How to get people working
together
Dr Peter Thomond, Clever
Together
> Panel discussion

> Naming of biologics relevance to medication errors


Dr Jeffrey Aronson, University
of Oxford
> Monoclonals, microRNAs
and biosimilars
Dr John Warren, Medicines
Assessment Ltd
> Interleukens and dermatology
Dr Richard Warren, Salford
Royal NHS Foundation Trust
and The University of Manchester
> CD receptors and haematology
Professor Anthony Goldstone,
University College London
Hospitals NHS Foundation Trust
> Epidermal Growth Factor Receptor (EGFR) and oncology
Professor Helmout Modjtahedi,
Kingston University
> TNF alpha and rheumatology
Professor Karim Raza,
University of Birmingham

 hape of Training and the


>S
current state of play
Professor Ian Curran, General
Medical Council (GMC)
> The new internal medicine
curriculum what is internal medicine?
Dr John Firth, Cambridge
University Hospitals NHS
Foundation Trust
> Innovation in assessment
~ The competent
physician
~ SCEs next steps
Dr Alastair Miller, JRCPTB
Professor Andrew Elder,
MRCP(UK) and
Winnie Wade, RCP

> World caf rounds (3x20


minute rounds)
Facilitator: Dr Emma Vaux,
JRCPTB, Dr Ann Tweddel,
consultant QI lead; Dr Samah
Alimam, trainee QI lead
~ How to get started ideas
into action
~ What and who do you need
to make QI happen
~ Measuring your impact
> Winners of the CMT LTMD
project of 2015: Oxybands
the use of oxygen therapy
on a respiratory ward
Dr Katie Hoyles, Sheffield
Teaching Hospitals NHS
Foundation Trust and Dr
Melissa Pinder, South Tees
Hospital NHS Foundation
Trust

C6 (Big conversations)
Queens Suite 5

Leading service improvement: Learning from the


Future Hospital development sites
Chair: Dr Chris Subbe, Betsi
Cadwaladr University Health
Board
A practically-focused session
with representatives from the
Future Hospital development
sites. Put your questions to the
teams about the successes and
challenges of their projects,
share your own experiences,
and be inspired to lead quality
improvement projects in your
own area.
Panel
East Lancashire Hospital NHS
Trust (Dr John Dean)
Mid Yorkshire Hospitals NHS
Trust (Dr Zuzanna Sawicka and
Lynne Quinney)
Worthing Hospital
(Dr Roger Duckitt)
Betsi Cadwaladr University
Health Board (Dr Olwen
Williams and Carol Caporn)

@RCPLondon

3.454.10pm

>W
 elcome reception Hall D
Join us for informal drinks in the exhibition, including the launch of the Future Hospital Partners Network at the RCP communications hub

6.30pm

Close of first day

Medicine 2016: RCP annual conference

5.406.30pm

RCP e-learning
packages

#Medicine2016

The RCP offers a range of e-learning packages, suitable


for any secondary care doctor and with discounts
available for RCP fellows and members.
Ideal for CPD or revalidation needs, these include:
>P
 reparing for revalidation focusing on the
annual appraisal and helping doctors prepare for the
revalidation process.
>D
 eveloping an effective PDP helping doctors
to update and develop their PDP and set SMART
objectives.
>A
 ssessing trainees in the workplace aimed at any
doctor who is responsible for assessing other trainees,
and covers feedback, supervised learning events (SLEs)
and workplace-based assessments (WPBAs).
For further information
Visit: rcplondon.ac.uk/education-practice/courses
or call: +44 (0)20 3075 1422

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Conference guide: Programme

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Conference guide: Programme

89am

Registration, coffee and exhibition Hall D

7.458.55am

Breakfast workshops
>W
 orkshop 1 Getting the most out of 360 feedback Queens Suite 1
Facilitators: Dr Peter Belfield, RCP; and David Parry, RCP
Limited places pre-booked delegates only
> Workshop 2 Quality improvement Queens Suite 4
Facilitators: Dr James Calvert, North Bristol Lung Centre; and Michael Page, RCP
Limited places pre-booked delegates only

910.40am

Plenary session Auditorium


Chair: Elisabeth Davies, Patient and Carer Network, RCP

Harrogate International Centre 1516 March 2016

9am

>T
 he state of healthcare
Professor Jane Dacre, PRCP

9.20am

> Can physicians take the lead?


Professor Don Berwick, Institute for Healthcare Improvement and former administrator of the Center for Medicare and Medicaid Services, USA

10am

> RCP officer question time put your questions to the RCPs president and senior officers
Professor Jane Dacre, president; Professor Margaret Johnson, academic vice president; Dr Anita Donley, clinical vice president;
Dr Gerrard Phillips, education and training vice president; Dr Andrew Goddard, registrar; and Professor Linda Luxon, treasurer.

@RCPLondon

Wednesday 16 March 2016

Medicine 2016: RCP annual conference

10.4011am

Coffee and exhibition Hall D

11am12.30pm

Concurrent sessions D
D1 (Clinical)
Queens Suite 4

D2 (Health services
and policy)
Auditorium

D3 (Research and innovation)


Queens Suite 2

D4 (Education, training and


medical professionalism)
Queens Suite 1

Senior care services for


older people

Providing high-quality care


7-days a week

Making the most of the clinical assessment

Trainees

Chair: Dr Anita Donley, RCP

Chair: Suzie Shepherd, PCN,


RCP

Integration of genomic data


into mainstream medical
specialties

Chair: Dr Tim Ballard, Royal College of General Practitioners

> Peer mentorship in medicine: a scheme for foundation trainees


Dr Celine Lakra, Dr Katharine
Elliot, Dr Naina McCann, and
Dr Abigail Masding, Royal Free
NHS Foundation Trust

> Preventing future fractures


implementing a fracture
liaison service
Sonya Stephenson, National
Osteoporosis Society
> Developing a rapid access
clinic for the older person
Dr Tom Hutchinson, Brighton
and Sussex University Hospitals and Michelle Smith,
Brighton and Sussex University Hospitals
> Falls prevention what
really works
Dr Shelagh ORiordan
> Care home medicine
Dr Eileen Burns, British Geriatrics Society

> Challenges facing physicians in 2016


Dr Andrew Goddard, RCP
> How should we provide
cancer care in smaller hospitals?
Dr Michael Crawford, Airedale
NHS Foundation Trust
> Neurology services in the
future
Dr Paul Morrish, North Bristol
NHS Trust
> Panel discussion

Chair: Professor Margaret Johnson, RCP


>E
 ducating the medical
workforce in the genomic
area
Dr Hilary Burton, PHG Foundation

 edical errors, misdiagno>M


sis and malpractice when
clinical evaluation
goes wrong
Dr Gordon Caldwell, Western
Sussex Hospitals NHS Trust

> Involving the medical specialties in rolling out education in genomics


Dr Sarah Smithson, University
of Bristol

> 21st century physical examination what to teach


and how to teach it
Professor Andrew Elder,
MRCP(UK)

> The 100,000 genome


project
Dr Clare Turnbull, The Institute of Cancer Research

> Clinical judgement and reasoning can it be taught?


Dr David Nicholl, Sandwell
and West Birmingham Hospitals NHS Trust, and University
of Birmingham

> Interpretation of clinical


genomes
Professor Michael Simpson,
Kings College London

> Panel discussion

D5 (Short papers)
Queens Suite 3

Chair: Professor Jane Dacre, RCP

> The medical registrars


experience of acute medicine on-call:
Dr Emma Harker, University of
Durham
> Engaging, empowering and
educating junior doctors in
Quality Improvement (QI)
to improve patient safety:
Dr Anna Winfield, Leeds
Teaching Hospitals NHS Trust,
and Sofia Arkhipkina, University of Leeds
> CMTs working in a District
General Hospital find
Entrustable Professional
Activities (EPAS) useful as a
means of curriculum development
Dr Clifford Lisk, Royal Free London NHS Foundation Trust

Your RCP how to get involved


Meet RCP council members, college tutors and regional advisers and find out more about
their roles.
> Regional advisors
Dr Ash Soliman, regional advisor, South Yorkshire.
> College tutors
Dr Tharani
Thirugnanachandran, Leeds
Teaching Hospitals NHS
Trust, and Dr Omar Pirzada
Sheffield Teaching Hospitals
NHS Foundation Trust
> Council
Dr David Cohen, Northwick
Park Hospital and Dr Rowan
Hillson
> Committee member
Dr Tom Cozens
> International director
Dr Peter Trewby, associate
international director for international medical graduates
> College officer
Professor Linda Luxon, RCP,
and Dr Gerrard Phillips, RCP

> Factors affecting recruitment to higher specialty


training:
Dr Chris Gibbins, Health Education North East

15

Conference guide: Programme

#Medicine2016

> An hour on-call simulated


medical education
Dr Natasha Ramsden,
The Lister Hospital

D6 (Facilitated networking)
Queens Suite 5

16

Conference guide: Programme

Move between rooms

12.351.15pm

Lunchtime plenary Auditorium

@RCPLondon

12.3012.35pm

Chair: Victoria Macdonald, health and social care correspondent, Channel 4 News
Debate To integrate primary and secondary care, the NHS needs to radically change Panel: Professor Rodger Charlton, University of Nottingham;
Professor Jane Dacre, PRCP; Dr Tim Ballard, RCGP; Elisabeth Davies, chair of Patient and Carer Network, RCP; Dr Frank Joseph, Countess of Chester Hospital NHS
Foundation Trust.

1.152.15pm

Lunch and exhibition

2.153.45pm

Concurrent sessions E
E1 (Clinical)
Auditorium

E2 (Health services
and policy)
Queens Suite 2

Essential clinical updates


from diabetes, neurology
and respiratory medicine
Updates and latest developments from the specialties

Keeping doctors healthy

Chair: Dr Anita Donley, RCP

Harrogate International Centre 1516 March 2016

> Diabetic emergencies


Dr Rustam Rea, Oxford University Hospitals NHS Trust
> Common neurological
emergencies
Dr Geraint Fuller, Gloucestershire Royal Hospital
> Management of respiratory emergencies
Dr Paul Walker, Aintree University Hospital NHS Foundation Trust

Chair: Dr Richard Heron, Faculty


of Occupational Medicine
> Understanding morale
from warship to hospital
Dr Richard Jones, Portsmouth
Hospitals NHS Trust and NHS
England
> Occupational health in a
7-day NHS
Dr Richard Heron, Faculty of
Occupational Medicine
> Burnout what it is and
how to avoid it
Dr Juline Smit, Wirral University Teaching Hospital
> Panel discussion

E3 (Research and
innovation)
Queens Suite 3
Research in the NHS practical advice for aspiring
researchers
Chair: Professor John Wass,
University of Oxford
> Trainees
Dr Olivia Jagger, University
Hospital Southampton NHS
Foundation Trust; and Ella
Edginton, RCP
> National Institute for
Health Research (NIHR)
Dr Lisa Cotterill, NIHR
> Implementing research
and innovation in the NHS
Professor Gary Ford, Oxford
Academic Health Science
Network
> Research for new consultants
Professor David Wynick, University Hospitals Bristol NHS
Foundation Trust and North
Bristol NHS Trust
> Getting into and succeeding in research my personal story
Professor Colin Rees, South
Tyneside NHS Foundation
Trust

E4 (Education, training and


medical professionalism)
Queens Suite 4

E5 (Hot topic)
Queens Suite 1

E6 (Big conversations)
Queens Suite 5

How to create a positive


culture in hospitals learning
from examples

Future physicians: delivering


integrated care

SAS doctors how can the


RCP better meet their needs?

Chair: Dr Frank Joseph, Countess Of Chester Hospital NHS


Foundation Trust

Facilitators: Dr Katherine Finucane, North Bristol NHS Trust;


Dr Amer Jafar, Royal Gwent
Hospital; and Dr Peter Tun,
Royal Berkshire NHS Foundation Trust.

Professor Linda Luxon, RCP


> Leading improvement
at scale
Dr Amar Shah, East London
NHS Foundation Trust (By
Skype)
> Supporting compassionate care learning from
Schwartz Rounds
Dr Peter Wilkinson
> Building a positive culture
for trainees learning from
the north east
Dr Mohsin Choudry, RCP

> Preparing the future physician for integrated working


Professor Martyn Partridge,
Imperial College London
> How much different could
life be if we shared information across traditional
boundaries
Dr Mark Pugh, St Marys Hospital, Isle of Wight
> Healthcare productivity
and performance to
2020: what the Carter report tells us
Professor Tim Evans, Department of Health

Medicine 2016: RCP annual conference

3.453.50pm

Move between rooms

3.504.45pm

Closing plenary Auditorium


Chair: Elisabeth Davies, Patient and Carer Network, RCP

3.50pm

 resentation of research poster prizes


>P
Professor Jane Dacre, PRCP

4.00pm

> Internal medicine in the United States lessons for the UK


Dr Steven Weinberger, American College of Physicians

4.40pm

> Presidents closing remarks

4.45pm

Close of conference

#Medicine2016

17

Conference guide: Programme

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