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Northern England Strategic Clinical Networks
Annual Conference
Friday 15 May 2015
Evaluation Report
Introduction
The Northern England Strategic Clinical Networks held their inaugural Annual Conference on Friday 15 May 2015 at the Stadium of Light, Sunderland.
The event was chaired by Mike Prentice, Medical Director for Cumbria and North East, NHS England and was well attended with an audience of 191 delegates. The keynote speaker for the morning session was Richard Barker, North Regional Director for NHS England who talked about the scale of health issues and opportunities in the North Region. Professor Richard Thomson from the Institute of Health and Society gave a presentation on Shared Decision Making.
Mr Seamus O’Neill, CEO, Academic Health Science Network spoke about spreading best practice and partnership working. He explained the structure of the AHSN, its membership and its remit to support projects in two categories, Improving Health and Creating Wealth.
Delegates could choose to attend any of the four individual network breakout sessions in the morning and afternoon. The breakout sessions included updates on what work the networks are doing locally and two of the National Clinical Directors gave their national perspective on cancer and maternity and child health.
Feedback from the event has been very positive and it is our intention that we will hold another Annual Conference in September 2016.
The programme for the day is available in Appendix 1.
Evaluation
The number of completed evaluation forms received totalled 84 and the results have been summarised within this report.
1. What was your overall impression of the presentation given by Richard Barker, North Regional Director for NHS England
Poor Average Good Excellent0
10
20
30
40
50
60
2%
10%
57%
31%
Mr Richard Barker, Regional Director for NHS England North described the scale of health issues and opportunities in the North region, within the context of the current environment in the NHS. He went on to discuss the devolution agenda unfolding across the UK and the opportunities that exist for better patient care. Finally he outlined changes happening within NHS England and priorities for the future.
Comments:“Interesting and honest,very refreshing indeed!”
“Good to get a national overview”
“Good that he brought a personal story!”
2. What was your overall impression of the presentation given by the
Professor Richard Thomson on Shared Decision Making?
Poor Average Good Excellent0
10
20
30
40
50
60
3%
13%
56%
28%
Professor Richard Thomson from the Institute of Health and Society gave a presentation about Shared Decision Making and true accountability in healthcare, including patient videos. The audience responded with questions about resources, current practice and supporting patients. Potential solutions Professor Thomson suggested included using decision aids and improved training.
Comments:“Very good delivery”
“Informative, clearly explained and featured patient/s on film”
“More time for questions needed”
3. Please select the network breakout session you attended in the morning.
Cancer Maternity & Child Health
Mental Health, Dementia & Neurological Conditions
Cardiovascular0
5
10
15
20
25
3023%
29%
23%25%
Cancer
The Chairs of the Network Site Specific Groups for Head and Neck, Skin and Thyroid all gave an update on the acitvity that each group have been undertaking. There was also an update on progress of the new haemosys system which is a central information respository for the region’s leukemia and lymphoma patients. The system is being implemented in Foundation Trusts across the region.
Mental Health, Dementia and Neurological Conditions
Dr Mike Prentice talked about the challenge of bringing together such a range of complex conditions under one network but this had been embraced by the clinical leads and members of the network. He also talked about the important role that the network has in delivering the Five Year Foreward View with an increased focus on both physical and mental wellbeing. Each of the clinical leads then spent time describing their achievements to date and the challenges they face.
Maternity and Child Health
Members of the Child Health Network gave updates on the work currently being done. The 3 key areas for the network were primary care service, long term conditions and transition to adult care. Work is currently being undertaken around paediatric surgery and anaesthetics and the adoption of the Standards for Children’s Surgery. There was an update on the priorities for the Paediatric Palliative Care group around 24 hour specialist advice service, clear pathways and a directory service.
Members from the Maternity Group provided information on the work that the group are currently looking at which included the Five Year Forward View, induction of labour at 41 weeks and the still birth care bundle. There was a group discussion on the maternity challenges for the future.
Cardiovascular
The Clinical Leads for each of the Cardiovascular Network groups gave updated on work that has been carried out. Each lead talked about the key achievements each group had made to date and described their 3 priorties for going forward.
4. Please rate the updates provided in the Network session you attended.
Poor Average Good Excellent0
10
20
30
40
50
60
70
1%8%
67%
24%
5. Please select the network breakout session you attended in the afternoon?
21.522.523.524.525.5
26%25%
26%
23%
6. What was your impression of the discussion “the National Perspective” that was given by Sean Duffy, National Clinical Director for Cancer?
Poor Average Good Excellent0
10
20
30
40
50
60
70
0%
10%
67%
24%
Mr Duffy confirmed that cancer remains a priority in the Five Year Forward View and the New Models of Care agenda is being moved forward with the option for patients to refer themselves to specialists and have access to urgent investigations. The focus is still around prevention, early diagnosis and survivorship. Mr Duffy advised that the new “cancer task force” strategy is due to be published late June/early July. Discussions were around ensuring cancer is aligned to long term conditions which should translate to better care and diagnostic centres where patients would have all relevant diagnostic tests carried out the same day.
Comments:“Could have improved with prior notice, it was an interactive question session”
“Difficult to improve on excellence. Shame the politicians can’t see through their bubble of sheer ignorance”
“I thought there would be more discussion on targets and achievements”
7. What was your impression of the presentation “The Secret Antidote toWork Pressures” given by Dr Angela Kennedy, CBT in Palliative care
Poor Average Good Excellent0
10
20
30
40
50
60
70
0%
28%
28%
44%
Angela Kennedy, Consultant Clinical Psychologist, from Tees, Esk and Wear Valleys NHS Foundation Trust, presented on compassion. Compassion was defined as ‘noticing suffering, and taking action to lessen suffering’. The presentation focused on the application and impact of compassion in a number of contexts, including individual wellbeing, quality of care delivery and how it can be applied in a leadership capacity. This was set against the background of current challenges within NHS organisations, and demonstrated through a local project example.
Comments:“More time to consider application”
“Excellent session”
“Worth coming for this alone, this has affected me – in a good way!”
8. What was your impression of the presentation “Wellbeing and recovery – are they synonymous” given by Malcolm Bass
Poor Average Good Excellent0
5
10
15
20
25
30
35
40
45
50
0%
14%
48%
38%
Malcolm Bass, Consultant Clinical Psychologist and Head of Adult Mental Health Psychology at Tees, Esk and Wear Valleys NHS Foundation Trust, gave a presentation on positive psychology. Malcolm outlined the three pillars of positive psychology – positive experiences, individual traits and institutions - and how these influence mental wellbeing. The presentation highlighted how positive psychology interventions can achieve good outcomes in the treatment of mental ill health, and can also prevent deterioration in mental wellbeing.
Comments:“Excellent session”
“Very relevant, unusual perspective which has been inspirational”
“Longer session by about 15 minutes would have been great”
9. What was your impression of the presentation NHS England’s Strategic Direction for Maternity, Children and Young People’s Services given by Dr Jacqueline Cornish
Poor Average Good Excellent0
10
20
30
40
50
60
10%15%
60%
15%
Dr Jackie Cornish described the current state for children and young people and their outcomes comparable to neighbouring European countries. Dr Cornish went on to describe the national drivers and priorities and alignment with the NHS England outcomes framework. The maternity care bundle saving babies lives was iterated along with trends in still birth rates and the four components of the bundle; smoking cessation, fetal growth restriction, reduced fetal movements and effective fetal monitoring. Dr Cornish proceeded to present a thorough and informative reflection on progress to date against national priorities and the challenges that still lay ahead.
Comments: “More interaction/involvement with the group”
“More time for questions needed”
10.What was your impression of the presentation on Diabetes Prevention given by Dr Rahul Nayar?
Poor Average Good Excellent0
10
20
30
40
50
60
70
0% 0%
67%
33%
Dr Nayar explained the work that is being doing locally in supporting and recommending the diabetes calculator and how this is being promoted by visits to GP practices. There was discussion on the importance of making links with mental health. The future of bariatric surgery was also discussed and how it does apply to some but not all patients.
11.What was your impression of the presentations on Genetics and Cardiovascular Disease given by Dr Paul Brennan and Dr Peter Carey?
Poor Average Good Excellent0
10
20
30
40
50
60
70
0% 0%
33%
67%
Dr Brennan and Dr Carey talked about the work being done locally with the genetics service around familial coronary artery disease and familial hypercholesterolaemia and how lipid clinics will be set up across the region.
Comments:
“Always been interested in the familial cholesterol problem, have had personal experience of same”
12.What was your impression of the presentation “The Future Challenge and Management of Chronic Kidney Disease” given by Dr Nigel Rowell & Dr Gerald Tompkins
Poor Average Good Excellent0
10
20
30
40
50
60
70
0%
5%
56%
39%
Dr Rowell and Dr Tompkins confirmed that there is a huge amount of variation across the network and there was discussion that GFR is not a great indicator and that the incidences of CKD has been overestimated. It was acknowledged that good diabetic control and maintenance of good blood pressure can reduce the risk of CKD.
13.What was your impression of the presentation “Population Health and Primary Care” given by Ms Pam Lee
Poor Average Good Excellent0
10
20
30
40
50
60
70
0%
11%
61%
28%
Ms Lee talked about current challenges facing primary care especially the inequalities to access to GPs. The key challenges are tobacco, alcohol and BMI and more work needs to be done in offering a 1-1 service for people wanting to give up smoking, lose weight etc. It was acknowledged that there also needs to be better links between primary and secondary care.
14.What was your impression of the presentation on the Northern England Clinical Senate given by Dr Suresh Joseph?
Poor Average Good Excellent0
10
20
30
40
50
60
70
3%
24%
61%
12%
Dr Suresh Joseph, a Clinical Senate Member in the Northern England Clinical Senate, gave details of their recent history, current work and future developments. The senate provides unbiased clinical advice to commissioners and providers. This is due to continue under the newly reorganised NHS England so they will retain and build on current local arrangements.
Comments:“I did not really get a sense of the value of the Senate or how and what they really did differently to say the Academic Sciences, I got the impression they are changing from the earlier speaker so will be good to see how that shapes up”
“Cost implications of the Senate members to the NHS?”
15.What was your impression of the presentation “Are Sleep Problems the Pandemic of the 21st Century?” given by Jason Ellis
Poor Average Good Excellent0
10
20
30
40
50
60
70
0%
8%
25%
67%
Jason Ellis gave the last presentation of the event on ‘Sleep and Health’. Mr Ellis started by asking the question: Are sleep problems the pandemic of the 21st century? His entertaining speech covered the latest understanding of sleep problems, the scale of the problem and the links between sleep and other health problems including obesity, depression and more. He finished with practical advice in response to audience questions.
Comments:“Could have listened to this speaker all afternoon- excellent presentation and relevant topic”
“So very funny and entertaining, great way to end the day, anyone who did not stay, missed a treat!”
“Very good presentation to finish on, an excellent speaker”
“Great way to end the conference - keep people engaged!”
16.Do you have any comments regarding the food, venue etc.
“Thank you for the opportunity to attend the Conference. As always, I found the topics pertinent and enlightening”.
“Venue excellent, food very good, all the speakers were very approachable”
“Good Networking opportunities - majority of workshops were informative and updated on what was happening in their own area. Large conference room should of had the TV screens on so we were able to both see and hear the speakers as some of the viewing was restricted due to large columns in the room and seating was limited so unable to move”.
“excellent conference”
“The venue was excellent, large and airy rooms with good seating arrangement, very interesting and informative talks, really enjoyed the day. The food was good and plenty of tea and coffee available throughout the day”
“Venue and food always good. First conference of 'all 4'--brilliant!”
Appendix 1
Northern England Strategic Clinical Networks & SenateAnnual Conference
Friday 15 May 2015Stadium of Light, Sunderland
9.00 Registration
9.30Welcome and Introduction Dr Mike Prentice
Medical Director, Cumbria and North EastNHS England
9.45 Keynote Speaker Mr Richard BarkerRegional DirectorNHS England - North
10.15“Shared Decision Making – true
accountability in healthcare”Professor Richard ThomsonInstitute of Health and Society
11.00 Network Breakout Sessions/Coffee and Tea
Cancer Network
11.30 Update - Head and Neck Site Specific Group
Dr Eleanor Aynsley, Chair
11.45 Update – Haemosys System
Mr David Bottoms, Diagnostics Project Manager
12.00 Update – Skin Site Specific Group
Dr Paul Barrett, Chair
12.15 Update – Thyroid Site Specific Group
Dr Sath Nag, Chair
Mental Health, Dementia and Neurological Conditions Network
11.30
Five Year Forward View and Mental Health, Dementia and Neurological
Conditions
Challenges and Opportunities
Dr Mike PrenticeMedical Director - North (Cumbria and the North East)NHS England
11.40Short presentation by each of the Mental
Health, Dementia and Neurological Conditions Clinical Leads
Dr Angus Bell, and Dr Philippa Bolton Clinical Leads for Mental Health
Dr Paul Goldsmith & Dr Nicola Chater, Clinical Leads for Neurological Conditions
Dr Louise Allan, Clinical Lead for Dementia
Maternity and Child Health Network11.15 Child Health
Five Year Vision/Five Year Forward View
Surgery and Anaesthetics
Dr Geoff Lawson, Network Clinical Lead for Child Health
Mr Gareth Hosie, Network Clinical Lead for
Transition
Acute Pathways
Palliative Care
First 1001 days – Conception to Early Years
Questions
Paediatric Surgery
Mike McKean, Consultant in Respiratory Paediatrics
Dr Geoff Lawson, Network Clinical Lead for Child Health
Dr Yifan Liang, Network Clinical Lead for Paediatric Palliative Care
Ms Debbie Wade, Network Clinical Lead for Maternal and Child Health (Community)
11.30Maternity
Five Year Forward View and Maternity
Induction of Labour at 41 weeks
Still Birth Care Bundle
Maternity Challenges for the Future
Dr Stephen Sturgiss, Network Clinical Lead for Maternity
Dr Helen Simpson, Consultant Obstetrician
Dr Stephen Sturgiss, Network Clinical lead for Maternity
Group Discussion
Cardiovascular Network
11.30FYFV and CVD
The burden of CVD in North EastChallenges and Opportunities
Dr Robin Mitchell, Clinical Director, Northern England Strategic Clinical Networks
11.40 Short Presentations from each of the Cardiovascular Disease Network Clinical
Leads
Dr John Bourke/Dr Douglas Muir, Network Clinical Leads for Cardiology
Dr Rahul Nayar, Network Clinical Lead for Diabetes
Prof Gerry Stansby, Network Clinical Lead for Vascular Disease
Dr Stephen Kardasz, Network Clinical Lead for Renal
Mrs Elizabeth Morris, Representative from the Stroke Group
Dr Nigel Rowell, Network Lead for Primary Care
12.30Lunch
13.30Partnership working to spread best practice across organisations and
regions
Dr Sèamus O’NeillChief Executive Officer,Academic Health Science Network
14.00 Network Breakout Sessions
Cancer Network
14.00 National Perspective Dr Sean DuffyNational Clinical Director - Cancer, NHS England
Mental Health, Dementia and Neurological Conditions Network
14.00The Secret Antidote to Work Pressures
and Ineffective Services
Wellbeing and recovery – are they synonymous
Dr Angela Kennedy, Consultant Psychologist, TEWV
Mr Malcolm Bass, Head of Adult Mental Health, Psychology, TEWV
Maternity and Child Health Network
14.00NHS England’s Strategic Direction for
Maternity, Children and Young People’s Services.
Dr Jacqueline Cornish, National Clinical Director, Children, Young People and Transition to Adulthood, NHS England
Cardiovascular Network
14.00 Diabetes Prevention Dr Rahul Nayar, Network Clinical Lead for Diabetes.
14.20
Cardiovascular Workshop
Genetics and Cardiovascular Disease
The Future Challenge and Management of Chronic Kidney Disease
Population Health and Primary Care
Questions to the Panel
Dr Paul Brennan, Consultant in Clinical Genetics & Dr Peter Carey, Consultant in Endocrinology/Diabetes
Dr Nigel Rowell, Network Primary Care Clinical Lead & Dr Gerald Tompkins, Public Health Registrar
Ms Pam Lee, Public Health Consultant
15.15 Coffee – Conference Room
15.30NE Clinical Senate: current work and
future developments.Dr Suresh JosephNorthern England ClinicalSenate Member
15.50 Are Sleep Problems the Pandemic of the 21st Century?
Jason Ellis, Professor of Sleep ScienceNorthumbria University
16.10 Closing Remarks
Dr Mike PrenticeMedical Director – North (Cumbria and North East)NHS England
16.15 Close
