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The Faculty of Perioperative Care Annual Conference 2020

The Perioperative Practitioner: What are the future developments for the extended surgical team?

Friday 20th November 2020 - 13:30 to 17:00 GMT

Overview

This year’s Faculty of Perioperative Care Conference will be delivered virtually and in-keeping with this technology, it was felt important to address two other important recent developments, one in surgical intervention and the other in practice. The part played by the non-medical practitioners in the modern surgical team becomes increasingly important in both.

In relation to surgical intervention, the introduction of minimally invasive surgery using laparoscopic and endoscopic techniques and robotic assisted surgery have seen many advantages for the surgical patient. In robotic surgery, however, who should be assisting the surgeon, what can they do and how should they be trained? It is likely that the advanced practitioner such as the Surgical Care Practitioner (SCP) and the Surgical First Assistant (SFA) will have an important part to play. We are fortunate to have two internationally recognised speakers from Colorectal Surgery and Urology to address this today.

In relation to surgical practice, the COVID-19 pandemic has generated many challenges but there are many reports of the benefits of having experienced practitioners such as SCPs and Advanced Clinical Practitioners (ACP) in the team. Their background and experience have allowed flexibility in employment in the role with redeployment and incorporation in surgical rotas being two examples. With over six months of COVID-19 now, how can this experience be utilised and developed for the future? We are pleased to have speakers from Trauma and Orthopaedics, Cardiothoracic Surgery and General/Colorectal Surgery who have first-hand knowledge of working with them.

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Welcome and Introduction

  • Charlie Auld

    RCSEd Faculty of Perioperative Care Lead

Session 1 - Robotic Surgery: Assisting the surgeon

Speakers

  • Charles Evans

    Charles Evans is Consultant Colorectal Surgeon at UHCW NHS Trust and Head of Gastrointestinal Surgery.

    Charles trained in London at St Georges and has a post graduate research MD from the University of London in minimally invasive colorectal surgery and colorectal cancer. He has completed surgical training in London, with higher training within the Oxford deanery. In 2013, he was ALS ASGBI Laparoscopic colorectal fellow in Frimley Park, followed by RSO at St Marks Hospital London in 2014.

    Charles has performed robotic colorectal surgery since February 2015 and is now a certified trainer in robotic colorectal surgery, proctoring across the UK and in Europe. He is a member of the RCS England Robotics group and the ACPGBI robotics committee.

  • Professor Alan McNeill

    Professor McNeill is a Consultant Urological Surgeon. He has been at the forefront of minimally invasive laparoscopic renal and prostate surgery in Scotland over the last 15 years. Having received training in laparoscopy as a Specialist Registrar he was abe to to increase the application of laparoscopic radical nephrectomy within the department at the Western General Hospital in Edinburgh. Professor McNeill successfully introduced Robotics to NHS Lothian and has performed over 500 cases of Robotic prostatectomy.

    He helped setup Prostate Scotland, a prostate charity based in Scotland to help men in Scotland better understand what they are going through. He has been heavily involved in improving patient understanding and introduced audiorecording of pre-operative prostate cancer clinics into routine practice. His subspecialty interest is in prostate and kidney cancer and minimal access surgery and his research interests are in mechanical palpation of tissue.

Session 2 - Covid-19: Lessons from the specialties

Speakers

  • Adrian Jones

    Adrian commenced his perioperative career in 1982 while serving in the Queen Alexandra's Royal Naval Nursing Service as the Falklands War began.

    In 1996, returned to his home cities, Norfolk and Norwich University Hospital (NNUH) to become first UK Orthopaedic Surgical Care Practitioners trainee (SCP). Orthopaedic department now has a team of 6 SCP’s and 14 Nurse Practitioners, supporting patient care, surgical training, consultant’s well being and emerging elective service Covid 19 challenges.

    As a past President of the Association for Perioperative Practice & Chair of Perioperative Care Collaborative, he is passionate about SCP education, development and role recognition in UK.

  • Joel Dunning

    Consultant Thoracic Surgeon, Dept of Cardiothoracic Surgery, James Cook University Hospital Middlesbrough.

    Joel graduated in Medicine from Oxford University in 1997 and did his PhD at Manchester University in 2002. Currently Chairman of the STS workforce on resuscitation after arrest following cardiac surgery and Deputy Editor of CTSNET.org, the world’s largest cardiothoracic surgery website, Joel’s key passion is to promote the implementation of his guideline in all cardiac surgical centres worldwide to improve the quality of care patients receive after heart surgery.

    Joel has a particular interest in novel forms of VATS Lobectomy and Robotic thoracic surgery. Highly experienced in anterior and posterior approach VATS Lobectomy, Uniportal Lobectomy and Subxiphoid Uniportal Lobectomy, he has developed the Microlobectomy - a novel version of Lobectomy. He is lead thoracic surgeon for Cambridge Medics Robotics in the development of the platform VERSIUS. 

  • Ray Delicata

    Mr Delicata is a Consultant Colorectal Surgeon working in Aneurin Bevan University Health Board, South Wales. He qualified as a doctor from Guy’s Hospital, London and trained in Surgery in London, South Wales and The University Hospitals of Leuven in Belgium.

    Mr Delicata is Clinical and Educational Supervisor for Surgical trainees in the Welsh Deanery and is a Member of the Faculty of Surgical Trainers of the Royal College of Surgeons of Edinburgh.

    He has for a long time been active in the training of Surgical Care Practitioners as well as Physician Associates. He is an Examiner for the MRCS and is Regional Surgical Advisor for RCSEd. He also serves on the Faculty of Perioperative Care’s Advisory Committee.

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