Dr Rebecca Anthony, Leeds
Talk: Vascular perioperative medicine clinic in Leeds
Tuesday 10th September 2024 - 11:00 to 11:20
Rebecca qualified from St Bartholomew’s and The Royal London School of Medicine and Dentistry in 2005. After her Foundation programme she decided to re-acquaint herself with her Yorkshire roots and completed general medical and then speciality training in Yorkshire. She is a consultant in older persons medicine at Leeds teaching hospitals NHS Trust (LTHT) and developed an interest in perioperative medicine as an SpR. Since becoming a consultant she has led the development of perioperative medicine services at LTHT and delivers these clinically within vascular surgery, elective spinal surgery and orthogeriatrics. She also maintains a commitment to the acute older person admission unit at St James’s hospital. In her spare time she enjoys gardening.
Dr John Carlisle, Torbay
Talk: Pre-op Assessment Clinic, CPX and risk scoring for vascular patients
Tuesday 10th September 2024 - 11:40 to 12:00
I work at Torbay hospital, which is in Devon. I am 57 years old (survived, hurray!) My median life expectancy is about another 37 years.
I have sessions as an intensivist, anaesthetist and perioperative physician. My clinical work has led to my academic interests: long-term survival, including my own; perioperative probabilities of harm and benefit; cardiopulmonary exercise testing; evidence-based medicine including systematic reviews; and the detection of data fabrication and fraudulent research. I have published on these subjects in journal papers and book chapters. I have talked about these topics at meetings. I am an editor for the journal Anaesthesia, in which I wrote about fraud by Fujii and his co-author Saitoh. I have detected false data in many other papers, often after an Editor-in-Chief asked me to look at a submission or publication. Hedge fund managers and other investors have asked me to look at data published by companies they are interested in, whether to go long or short.
A Nature profile summarises some of this, www.nature.com/articles/d41586-019-02241-z, and a more light-hearted BMJ profile www.bmj.com/content/364/bmj.k5318.full. The Economist also recently published an article www.economist.com/science-and-technology/2023/02/22/there-is-a-worrying-amount-of-fraud-in-medical-research accompanied by a podcast podcasts.apple.com/us/podcast/babbage-the-scandal-of-scientific-fraud/id508376907?i=1000602363899.
I am very happy to try to answer any questions you may have, via john.carlisle@nhs.net.
Dr Trevor Cleveland, Plymouth
Talk: Carotid stenting; indication and pitfalls
Monday 9th September 2024 - 13:30 to 13:50
Trevor qualified from Nottingham University, and after House Jobs was Demonstrator in Anatomy at Nottingham University Medical School. Following basic surgical training and having obtained FRCS (Eng) he trained in radiology and subsequently Interventional Radiology in Sheffield. Following 5 years as Senior Lecturer at Sheffield University and Sheffield Teaching Hospitals he transferred into full-time NHS practice. He left STH in 2022, and after a year at Doncaster Teaching Hospitals commenced as Interventional Radiology and Transformational Lead at University Hospitals Plymouth in January 2024. He was one of the early investigators in the CAVATAS Trial, and subsequently a trainer for the ICSS Trial. He has extensive experience of carotid artery intervention dating back to angioplasty in 1995.
Mrs Rosie Darwood, Leeds
Talk: Development of human factors in surgical training
Monday 9th September 2024 - 14:30 to 14:50
Rosie Darwood qualified from the University of Bristol in 1997. After Basic Surgical Training in Yorkshire she undertook an MD in Endovenous Laser Ablation for Varicose Veins. She completed her Higher Surgical Training in the Severn Deanery, followed by an overseas fellowship in Australia. She was appointed as a Vascular Consultant in Leeds in 2015 and has been Clinical Lead for Vascular Surgery since 2021.
Rosie has always been interested in teaching and training. She has served on the STC and FRCS exam writing committee as well as teaching on numerous courses.
As a consultant she has developed her interest in human factors and has been running RCS Edinburgh “Non-Technical Skills for Surgeons” courses in Leeds since 2017 and sits on the RCS Edinburgh NOTSS committee.
Her clinical interests include diabetes limb salvage and aortic disease. In collaboration with Care of the Elderly colleagues she has set up a “Proactive Care of the Older Surgical Patient” (POPS) service in Vascular Surgery in Leeds and is Surgical Lead for the Vascular Hybrid Theatre.
Outside of work she is a paraglider pilot and enjoys outdoor sports in general.
Mr Rhys Davey, Leeds
Talk: How to train and why it works; elite performance training at Leeds Triathlon Centre
Tuesday 10th September 2024 - 09:00 to 09:20
TBC
Mr Andrew Garnham, London
Talk: Development of patient decision aids
Monday 9th September 2024 - 16:30 to 16:50
Andrew Garnham has served on the council of the Vascular Society of Great Britain and Ireland since 2012 as a council member, the Treasurer and was the President 2023-24. He has served as the chair of the RCS Ed vascular board over a 5 year period and is the current JSF exam lead for vascular surgery. He has a long standing interest in medical education and as TPD has developed the vascular training programme within the West Midlands and is currently the Head of School of surgery. He has been intimately involved with the development of the national ASPIRE programme for Vascular Trainees. As a member of the vascular SAC he led the development of a separate vascular national selection process for 2021-23. He is a member of the court of examiners for the intercollegiate FRCS. He practices across the breadth of vascular surgery with a particular interest in thoracic outlet surgery.
Dr Simon Howell, Leeds
Talk: Post-op cardiac complications, the role of troponins and other biomarkers
Monday 9th September 2024 - 11:50 to 12:10
Simon Howell is a clinical academic in the University of Leeds and is Lead of the Division of Gastroenterology and Surgical Sciences. He is Chairman of the British Journal of Anaesthesia. He is a past Chairman of the Vascular Anaesthesia Society of Great Britain and Ireland. He is an investigator on active research grants totalling over £3 million. His research interests include perioperative myocardial injury, implementation science, the perioperative management of frailty, and perioperative glycaemic lability. Dr Howell led the ESAIC OBTAIN study of perioperative anti-platelet agent management and is a collaborator on the ESAIC MET-REPAIR, MOPED and EuPreCHO studies.
Dr Alwyn Kotze, Leeds
Talk: Effects of alcohol excess on the peri-operative period
Tuesday 10th September 2024 - 14:10 to 14:30
Alwyn is a Consultant Anaesthetist at Leeds Teaching Hospitals and Honorary Senior Lecturer at the University of Leeds. His clinical commitments include anaesthesia for liver transplantation as well as preoperative assessment & perioperative medicine. He co-supervised PhD students in health psychology, whose work included systematic reviews of interventions to support smoking, alcohol and illicit drug cessation during the perioperative period. He has an ongoing interest in the use of big data & linked health records to support perioperative care.
Dr Andrew Lewington, Leeds
Talk: Post-op renal dysfunction and how to manage it
Monday 9th September 2024 - 11:30 to 11:50
Dr Andrew Lewington is a Consultant Renal Physician and Honorary Clinical Associate Professor at Leeds Teaching Hospitals Trust (LTHT). He is the Clinical Director of the Renal Department and Head of Renal Research, acting as PI for several national NIHR portfolio studies. He has a specialist interest in acute kidney injury (AKI) and kidney transplant medicine. He is currently supporting the American Society of Nephrology AKI Now! education initiative and working with the International Society of Nephrology (ISN) on an AKI advocacy project with the World Health Organisation (WHO).
Dr Lewington is a member of the Expert Advisers Panel for the National Institute for Health and Care Excellence (NICE) Centre for Guidelines. He was Vice-Chair for the recent Chronic kidney Disease: Assessment and management guideline, August 2021 (NG203) and is a current NICE AKI Quality Standard committee member. Dr Lewington is Chair of Kidney Research UK (KRUK) Grants Committee and a member of the KRUK Research Strategy Committee.
Dr Lewington is the NIHR Leeds In Vitro Diagnostics Lead for kidney disease and infection. He is the LTHT clinical lead for AKI and Sepsis and the NHS England Renal Strategy Transformation Project AKI lead for Yorkshire and Humber. He has authored more than 110 publications and over the last 4 years has been a co-applicant on grants funded for £2.48M.
Dr Andy Lumb, Leeds
Talk: Post-op pulmonary complications and how to avoid them
Monday 9th September 2024 - 11:10 to 11:30
Dr Andrew B Lumb, MB BS, FRCA
Consultant Anaesthetist, St James’s University Hospital, Leeds, UK
Honorary Clinical Associate Professor, University of Leeds, Leeds, UK.
Andy is consultant anaesthetist in Leeds. Research interests are applied respiratory physiology and intraoperative lung function. Andy teaches at all levels from 1st year students to senior trainees, including on national and international courses. As a former FRCA examiner Andy came out of exam retirement for the online FRCA during covid. Andy is Associate Professor in Leeds and was the 2019 Jobson Professor, University of Sydney, Australia. He has written many book chapters and reviews, including five editions of Nunn & Lumb’s Applied Respiratory Physiology and is an Associate Editor for the BJA.
Ms Janet Moss, Leeds
Talk: Advocating for patients at the RCoA
Monday 9th September 2024 - 15:50 to 16:10
After graduating from Leeds University with a degree in Mathematics, Janet joined the Government Statistical Service where she worked on RPI development. She left the Civil Service to train as an Actuary, qualifying as a Fellow of the Institute of Actuaries in 2003. She was elected to the Institute and Faculty of Actuaries Council in 2023.
With an interest in education and maintaining standards she served as an examiner for the Actuarial profession exams and a member of the profession’s adjudication and disciplinary panels.
She is a volunteer PatientVoice @RCoA
Dr Ruth Newton, Sheffield
Talk: Perioperative care of the patient with pulmonary hypertension
Tuesday 10th September 2024 - 14:50 to 15:10
I am a consultant anaesthetist in Sheffield Teaching Hospitals with a specialist interest in perioperative care of patients with pulmonary hypertension. I developed this interest and expertise initially working as an obstetric anaesthetist. Over the last 10 years we have had an increasing cohort of patients with pulmonary hypertension presenting for surgery. I work very closely with the pulmonary vascular disease unit in Sheffield planning perioperative care for our patients and advising colleagues anaesthetising patients with pulmonary hypertension locally, nationally and internationally.
Mr Sean Pymer, Hull
Talk: Exercise therapy for peripheral arterial disease
Tuesday 10th September 2024 - 09:40 to 10:00
Sean Pymer is an academic clinical exercise physiologist at the Hull York Medical School. His background is in clinical exercise physiology having undertaken a PhD at Hull York Medical School and an MSc at the University of Hull. His research interests are based around the non-invasive treatment of peripheral arterial disease, with a specific focus on exercise interventions.
Sean’s PhD project considered the role of alternative exercise programmes for the treatment of intermittent claudication - ranging from home-based exercise to high-intensity exercise. The first study considered the evidence for home-based exercise programmes via a systematic review and meta-analysis. However, the main focus of his thesis was to consider the role of high-intensity interval training (HIIT) in patients with intermittent claudication. His systematic review, published in the Journal of Vascular Surgery, demonstrated that the evidence for HIIT in this patient group was limited. However, it did suggest that low-volume, short-duration HIIT could be beneficial. This led to an observational cohort study, published in the Journal of Cardiopulmonary Rehabilitation and Prevention, considering HIIT for patients with IC. The findings allowed for refinement of the HIIT intervention, considered in an NIHR funded multi-centre, mixed methods proof-of-concept study. Sean led this study and the results have been published in the Journal of Vascular Surgery and the Annals of Vascular Surgery.
Sean’s current research focus is the delivery of MAXIMISE, a component network meta-analysis, designed to identify the most clinically effective exercise prescription for patients with intermittent claudication which also includes a concurrent cost effectiveness analysis. This study is funded by the NIHR HTA programme, with Sean as chief investigator.
From an NHS perspective, Sean oversees a nurse-led claudication clinic, a supervised exercise programme for patients with intermittent claudication and leads pre-operative cardiopulmonary exercise testing for patients with abdominal aortic aneurysms being considered for repair.
Mr Les Ruffell, Leeds
Talk: My AAA journey - A patient view
Monday 9th September 2024 - 16:10 to 16:30
I am, a 75 year old, divorced retired ex teacher and Building Society manager, living in Leeds. MY AAA experience started by being screened in October 2014 which resulted in Open Surgery in January 2015. This was completely successful with me living a completely normal life since discharge in March 2015.
Following my operation I was invited to join the nearly formed Vascular Patients Interest Group at Leeds General Infirmary. This led me to become a Lay Member on the NICE Guideline Committee and Patient Representative on the Leeds AAA Screening MDT. I also sit on the NHS AAA Research, Innovation and Development Advisory Committee. I sit as a Patient Representative on the Community of Practice for Patients with AAA (health-shared.com) led by Usman Jaffer, ICL.
I was recently a Patient Representative on the NICE AAA Decision Aid programme and a Leeds University project entitled Understanding Variations in AAA repair practice. I am currently Patient Representative on the Rival RCT (awaiting NIHR funding) led by Alun Davies ICL and a programme led by Matt Bown (University of Leicester) looking at Improving AAA Screening Efficiency.
Dr Rob Sapsford, Leeds
Talk: Utility of pre-op cardiac investigations
Tuesday 10th September 2024 - 14:30 to 14:50
Dr RJ Sapsford, Consultant Cardiologist, Leeds Teaching Hospitals NHS Trust
Qualified (MB BS BSc) from Charing Cross and Westminster Medical School (London 1990). MD thesis, University of Leeds (2001) on the mortality effects of secondary prevention treatments in ACS population. Appointed consultant cardiologist Leeds teaching Hospitals NHS trust - St James’s University Hospital and Leeds General Infirmary (2001). FRCP London (2004). Cardiology Training Programme Director for the Yorkshire Deanery (2028-2024).
Continued clinical focus on primary and secondary risk stratification. Current areas of practice include heart failure, devices and pre-operative cardiac risk assessment. Research interests include risk stratification in heart failure and cardiovascular risk assessment and peri-operative risk assessment.
Mr Max Troxler, Leeds
Talk: Modern vascular access for haemodialysis
Monday 9th September 2024 - 13:50 to 14:10
I have been a consultant Vascular and Resuscitative Surgeon working at Leeds Teaching Hospitals since 2009.
I have a particular interest in providing good vascular access for our haemodialysis patients.
I'm also an enthusiastic trainer and have organised regional and national access training meetings and have taught regularly on access courses for the Royal College of Surgeons, the Vascular Access Society of Britain & Ireland and the Vascular Society of Great Britain & Ireland.
Mr Tom Wallace, Leeds
Talk: Non-operative AAA management - an ADAPTive approach
Tuesday 10th September 2024 - 11:20 to 11:40
Tom Wallace is a Consultant Vascular and Resuscitative Trauma Surgeon at Leeds Teaching Hospitals NHS Trust, and Honorary Senior Lecturer at the University of Leeds.
He graduated with Honours from Leeds School of Medicine in 2006 and went on to complete surgical training in Yorkshire and the Humber. This included an NIHR Academic Clinical Lectureship at HYMS after his MD, and he maintains a strong clinical academic interest. He has an interest in surgical training, teaching on several national courses, and serves on the Y&H Vascular STC.
He is the Vascular Surgery lead for the Leeds Aortic Service.
Ms Jenny Westaway, Leeds
Talk: What are the risks Doc? Communicating risk with patients
Monday 9th September 2024 - 15:30 to 15:50
Chair of PatientsVoices@RCoA
Jenny started her career in communications, working in local newspapers; charity policy and campaigns on issues such as gender equality and homelessness; in public involvement engagement to enable people to influence decision makers. Jenny moved into the health and care sector through working on media and public understanding of how data can be used to improve health, care and services in ways that are safe, in line with public expectation and demonstrably trustworthy.
This led her to work for the National Data Guardian for Health and Social Care, where she headed up the office supporting this statutory post until 2021. Jenny has also worked for the Department of Health and Social Care leading on strategy and ethics for its information risk management directorate.
Dr David Yates, York
Talk: How to prehabilitate patients - What works and why?
Tuesday 10th September 2024 - 09:20 to 09:40
Consultant Anaesthetist and Intensivist in York and Scarborough Hospitals. Long-term interest, both clinically and academically, in improving perioperative outcomes. This work has involved the introduction of protocolised perioperative pathways, enhanced preassessment, post-op critical care and Level-1 care and prehabilitation. I will give an overview of the state of the literature surrounding prehabilitation in vascular surgery.
Mr Hany Zayed, London
Talk: Percutaneous deep venous arterialisation: A new hope for no-option patients with critical limb ischaemia
Monday 9th September 2024 - 14:10 to 14:30
Mr Hany Zayed qualified from medical school in 1994 and completed a master degree (MSc) in 1999 before going on to complete his MD in 2004. Mr Zayed was appointed as a vascular and endo-vascular consultant surgeon at Guy's and St Thomas' NHS Foundation Trust in 2008. He went on to lead the vascular service in the trust between 2016 - 2018. Mr Zayed has a wide range of peer-reviewed publications in his specialised areas of interest and has been invited regularly to speak nationally and internationally at vascular conferences.
Dr Manik Chandra, Leeds
Dr Vanessa Fludder, Brighton
Dr Rajiv Malhotra, Liverpool
Dr Beth Perritt, Chester
Dr Dan Taylor, London
Ms Helen Horton, Leeds
Dr Tom Lawrence, Leeds
Dr Max Ridley, Leeds
Dr Richard Stoddart, Brighton
Dr Manoj Wickramasinghe, Leeds
