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Save the Date: 15 May 2025 Confirmed for Next NOA Annual Members’ Conference and NOA Excellence in Orthopaedics Awards ceremony
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PROGRAMME 2021

Room Plan- for details of the room locations please see the map at the bottom of the page

This page will be subject to updates, please check regularly. 

Grab some coffee and join us in Syndicate Room 1 (in the Ashtead Suite) to register your attendance and celebrate the NOA!

  • Meet the NOA Board members and NOA Admin team.
  • Find out about what NOA have been up to, and what’s planned for the future.
  • Meet the Leads for NOA’s activities
  • Chat with other NOA members about how they have been involved in NOA activities. 

Plus, your chance to have your say about the NOA by taking part in our annual evaluation.

Theatre 1

Live streaming across all rooms

The Conference will be opened by NOA Lead CEO, and Chief Executive of the Royal Orthopaedic Hospital, Jo Williams

Theatre 1

Live streaming across all rooms

Enabling Best MSK health: an overview of the NHSEI MSK strategy
  • the response to the Coronavirus pandemic
  • the restoration of services
  • improving performance through whole pathway transformation to reduce variation in access and outcomes

Best MSK Health programme resources can be found via the Future NHS Collaboration platform:  https://future.nhs.uk/NationalMSKHealth/grouphome

Theatre 1
10:45- 11:10am

High Intensity Theatre (HIT) Lists

Mr Adil Ajuied, Consultant Orthopaedic Surgeon, Guy’s and St Thomas’ NHS Foundation Trust

In response to the surge of post COVID elective surgical demand, the health service has to find new and innovative means of leveraging it’s resources to benefit as many of our patients as possible.

The aim of the HIT list is to bring together a multi-disciplinary team to work together as seamlessly and efficiently as possible to ultimately deliver a zero minutes theatre turnaround time. As a result, a more than 150% increase in operational throughput is achieved.

The expectation is to minimise downtime and have the surgeon(s) operate for >90% of the list. Once done on a regular basis a reduction in waiting list is achievable.

Guy’s and St Thomas’ would like to share lessons learnt, the pitfalls and successes.

11:10-11:35am
ORIF  trimalleolar ankle fractures – the serendipitous learning curve of a non-foot and ankle consultant surgeon amidst the COVID pandemic

Pregash Ellapparadja , Consultant Knee Surgeon, Tameside & Glossop Integrated Care Foundation NHS Trust

This is a case series of 25 trimalleolar ankle fractures that Pregash fixed using posterolateral approach at Tameside and Glossop in the last 15 months, having never done this surgery during training. The procedure was learnt during his consultancy, and he had the opportunity to rapidly improvise this skill during the COVID pandemic when a foot and ankle colleague was shielding. This led to Pregash carrying out the majority of these procedures whilst learning the procedure at the same time. Pregash says “the COVID scenario has serendipitously provided me with an opportunity to expand my surgical skills. It has made me realise that learning is a life-long process and it does not stop with consultancy further, I have also taught my 3 of my other consultant colleagues to perform this procedure“.

Pregash is the latest contributor to the NOA blog.

Theatre 2
10:45-11:30am

Integrated Care Systems and Orthopaedic Care- panel discussion

With a particular emphasis about the financial aspects of ICS’s this discussion will be led by Cormac Kelly, Consultant Orthopaedic Surgeon from Robert Jones and Agnes Hunt Orthopaedic Hospital NHS FT, and NOA Webinar Programme Lead

Featuring:

  • Rob Hurd, Senior Responsible Officer for NHS North Central London ICS
  • Jill Robinson, Strategic Finance Development Lead, NHS Shropshire, Telford and Wrekin ICS
Syndicate Room 1
10:45-11:30am

Who, or what are OQICAN? 

For those interested or involved in Clinical Audits and Quality Improvement, come and meet the team from the Orthopaedic Quality Improvement and Clinical Audit Network.

Recently set up, this network has been striving to provide opportunities for sharing and collaboration across NOA member trusts. 

  • Find out about their aims and set up
  • Hear all about the Learning Forums, workshops and projects
  • What are their plans for 2022?
  • Chat to them about ways to get involved.
  • OQICAN Chair- Claire McKenchie-Mason (Clinical Audit Lead, RJAH)
  • Deputy Chair- Leky Parveen (Clinical Effectiveness Manager, ROH)
  • Programme Lead- John Bateson (Deputy Director of Strategy and Improvement, RNOH)

The OQICAN webpage is in the NOA Members Activities pages.

Refreshments will be available in the Breakout Areas.

Syndicate Room 1 is available for extra seating and the chance to catch NOA Board Members and Activity Leads

Syndicate Room 2 is available as a quiet seating area

Theatre 1
12:00-1:00pm

Mr Peter Kay and the Orthopaedic Societies- Panel discussion: What’s in store for 2022?

To help NOA members fully understand the challenges and issues Orthopaedics may face in the coming years NOA have brought together Presidents and representatives from the Orthopaedic Societies including:

Mr Peter Kay, Consultant Orthopaedic Surgeon, Wrightington, Wigan and Leigh Teaching Hospitals NHS FT, will facilitate this insightful and informative session.

Theatre 2
12:00-1:00pm

Sustainability in the Healthcare Setting

Led by Vipin Asopa, Consultant Orthopaedic Surgeon, South West London Orthopaedic Centre (SWLEOC)

So what does Sustainability mean in the Healthcare Industry?

Sustainable development is meeting the needs of the present without compromising the ability of future generations to meet their own needs. All dimensions must be considered together to find lasting prosperity.

One of the key challenges that the healthcare Industry is currently facing is healthcare sustainability. Increased spending in the NHS is becoming unsustainable due to increasing patient expectations, increase in population size and life expectancy, growing burden of diseases, rising unit costs of care and sub-optimal allocation of resources. Developments in medical technology also mean increases in the costs of providing care. Hence there is a need to address the challenges of healthcare sustainability.

The NOA is committed to bring together member Trusts to discuss key challenges and share best practices to promote sustainable initiatives within the Orthopaedic services. Ahead of the Conference we asked Trusts to complete our  Sustainable Healthcare questionnaire to understand what sustainability initiatives  Trusts already have in place (if any). 

  • Financial sustainability: SWLEOC Procurement – Vipul Patel, Medical Director, SWLEOC
  • Social sustainability: three different initiatives at the ROH that link to the community and highlight social sustainability – Clare Mare, Head of OD and Inclusion, ROH
  • Environmental Sustainability and what are people currently doing – Summary of the NOA survey and opportunities – Panos Gikas, Consultant Orthopaedic Surgeon, RNOH

Discussions continue at 2pm, Theatre 2

Syndicate Room 1
12:00-1:00pm

From Clinical Audit to Quality Improvement in Streamlining the Discharge Process

Priya Patel-Lakhu, Specialist  Pharmacist, Medicine, Royal National Orthopaedic Hospital NHS Trust shares her experience of working with the RNOH Improvement Team on streamlining the Discharge Process.

A must-listen for anyone that has been frustrated by clinical audits that do not result in actual improvements.

This presentation will describe how quality improvement methods were used to drive advances in discharge planning and the supply of discharge medicines in an elective orthopaedic hospital.  

Topics covered include initial audit design and the use of improvement tools to prioritise change and analyse the impact of improvements.

Lunch will be served in the Breakout Areas.

Syndicate Room 1 is available for extra seating and the chance to catch NOA Board Members and Activity Leads

Syndicate Room 2 is available as a quiet seating area

Theatre 1
2:00-3:00pm

How Technology is Transforming Knee Surgery in Orthopaedics

Dr Nadine Hachcach Haram FRCS (Plastics), British Empire Medal, Guys and St Thomas’s NHSFT, CEO & Founder of Proximie

Dr Stefan Kreuzer M.D. Orthopaedic Surgeon, Houston, TX, USA

With the proliferation of robotic knee surgery upon us, we discuss the future landscape of the technological advancements in this area, and ask:

  • Can you accelerate the learning of TKRs and reduce variation with digital adjuncts?
  • Will there ever be a truly autonomous robotic TKR? 
  • What does this mean for surgeons, patients and the healthcare system as a whole?

This session includes surgery to demonstrate virtual tele-mentoring.

Theatre 2
2:00- 3:00pm

Sustainability Continuation Session

led by Vipin Asopa, Consultant Orthopaedic Surgeon, South West London Orthopaedic Centre

This further session follows on from the Sustainability in Healthcare presentation held 12-1pm in Theatre 2, and will focus on generating new ideas of how to create sustainability in healthcare.

Examples of Bringing About Change:

  • Social Change: example – Clare Mare, Head of OD and Inclusion, ROH
  • Opportunities in theatre – Irrum Afzal, Research & Outcomes Manager, SWLEOC
  • Waste disposal and education in the operating theatre – Kar Phoon, Clinical Research Fellow, SWLEOC
  • Challenges to introducing re-useable gowns – Mihaela Gramescu, Customer Relationship Manager, Elis
Syndicate Room 1
2:00-3:00pm

A Patient perspective

and the Lived Experience Ambassadors for the MSK Lived Experience Group

  • Cristina Serrao, Lived Experience Ambassador, Experience of Care Team NHS England and NHS Improvement
  • Mark Agathangelou, Lived Experience Partner, Experience of Care Team NHS England and NHS Improvement

With increasing number of people waiting for elective care due to the pandemic, this presentation looks at the patient perspective on longer waits. What impact does waiting have on individuals? What do patients want to support them while they wait?

The MSK Lived Experience Group includes people and organisations representing the patient voice. It aims to be at the heart of the MSK decision-making process for NHS England and Improvement. To deliver this vision, co-production is key – providers of MSK services, people who have relevant lived experience as patients, service users or carers and are able to  share “what matters to me” need to work together to give a voice to the people and populations affected. These are the tangible evidence-based components of the Universal Comprehensive Model of Personalised Care.

Theatre 1
3:00-4:00pm

The case for day case– panel discussion

Hip replacement surgery is generally associated with an inpatient stay of 3-5 nights. The COVID pandemic has led to an increased interest in shortening inpatient stays to minimize social contact and increase bed utilization.

Meet 3 surgeons experienced in day case surgery:

  • Dr Stefan Kreuzer M.D. Orthopaedic Surgeon, Houston, TX, USA

    Running a successful day case centre for hip and knee replacements in Texas- 1,000 day case joints, 85% of replacements day cases (90% during the pandemic), only 6 patients have ever stayed overnight. Dr Kreuzer shares his expertise.

  • Professor Mike Reed, Consultant Orthopaedic Surgeon, Northumbria Healthcare NHS FT

    Professor Reed is a prominent lead for day case hip and knee surgery in the UK. 400 day cases, about 10% of their work.

  • Mr Simon Newman, Consultant Orthopaedic Surgeon, Oxford University Hospitals NHS FT. In Oxford, in response to the pandemic, a hip replacement pathway was developed to enable selected patients to go home without an overnight stay in hospital. Over 40 patients have been discharged same-day using this pathway. This accounts for 20% of all hip replacements performed in Oxford since the start of the pandemic.
Theatre 2
3:00-3:30pm

“There’s a hole in my bucket…”

Matt Revell, Medical Director, Royal Orthopaedic Hospital NHS FT

How does change really happen? The true meaning of the Hawthorn effect; getting data that clinicians can use to drive improvement.

A demonstration of dashboard capabilities, data sharing opportunities and benchmarking tools that can improve feedback at surgeon level and unit level.

3:30-4:00pm

Outcomes Spotlight reporting using HES and Hospital informatics dataset

Kirti Moholkar, Consultant Orthopaedic surgeon, Royal Orthopaedic Hospital NHS FT

I have been working as a clinical outcomes Lead at the Royal Orthopaedic Hospital since 2016 and have produced a number of reports for the Hospital Outcomes meetings. I would like to present my findings of DNA rates, Complaints, Incident reporting, In-theatre incidents, PROMS and related items to showcase how the HES tool and in-hospital data set can be used to understand the individual hospital outcomes.

Syndicate Room 1
3:00-4:00pm

Let’s Talk About Involving Patients! Co-Production in practice

Ruth Adam, Senior Improvement Advisor, Royal National Orthopaedic Hospital NHS

Ruth is joined by members of the RNOH Patient Co-Production group

The session will start with a short presentation by those from RNOH who have led on co-producing an exciting new patient charter. This will be followed by facilitated group discussion. What can make meaning engagement difficult? What has worked well for you? How did you start? 

This session is suitable for anyone with a passion for involving patients meaningfully in service development – whether you are just starting out or are an expert in this field, come join the discussion and let’s learn from each other!

 
Streaming across all rooms

Narrowing Health Inequalities – A Legacy from the Pandemic

The pandemic has shone a stark light on inequalities in health and healthcare. The twin challenges of recovering NHS services in an inclusive way, and realising our Long Term Plan ambitions, require focus and drive at every level in the NHS.
And during the pandemic we have seen disproportionate deaths from COVID-19 between those living in the most deprived areas and those living in the least deprived areas. These mirror higher mortality due to other causes, in line with social gradient.
Several reports through the course of the pandemic provide compelling evidence that our greatest legacy must be narrowing health inequalities and achieving our vision of ‘exceptional quality healthcare for all, ensuring equitable access, excellent experience and optimal outcomes’.

You can read Dr Bola Owolabi’s blog on Tackling health inequalities in the NHS here 

More resources and useful information on equality and health inequalities can be found on the NHS England’s Equality and Health Inequalities Hub page

Last chance to ask any colleagues those burning questions and enjoy a quick coffee before the journey home.

We hope you have enjoyed your day and look forward to seeing you at the NOA Annual Members Conference 2022.

ROOM PLAN