Doctor, who?– shaping a vision for 2040

27th February 2020

www.thecfom.org.uk

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BADGESPlease wear your name badge during the meeting and return it to the registration desk at the end of the day.

CATERINGGluten free and vegan options will be available on the day. The King’s Fund catering team handle a range of ingredients, including nuts, in its dishes, so while all reasonable controls are in place to ensure food is free from specific allergens, this cannot be guaranteed. If you have any queries, please email: secretariat.cfm@aomrc.org.uk.

FIRE EVACUATIONThe Chairperson will inform you of the fire evacuation procedure.

MOBILE PHONESWe ask that mobile phones are switched off or on silent during the meeting.

WIFILog on to: 11cavendishsq Password: alabaster (lower case)

INDUCTION LOOPSInduction loop system in King’s Fund main reception and three larger theatres, together with access to a Text Relay service for use by deaf or hard of hearing participants.

General Information

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The Changing Face of Medicine is delighted to welcome you to the King’s Fund for our 2020 conference. Bringing together a year of working group discussion at the Academy of Medical Royal Colleges, this meeting aims to develop a vision of how clinicians and medical practice might evolve over the next 20 years.

Medicine and society are evolving fast. We appear to be at a turning point and it’s clear that our prevailing paradigms of medical training, professional practice and relationships with patients need to evolve too. As leaders in the field, we must demonstrate to our colleagues that we are thinking not only about the problems that exist now but also how medicine and the environment might develop further and how things might look in the future.

Building on the BMA Presidential Report of 2017, the Changing Face of Medicine project has attempted to take into consideration the following key areas:

• The impact of fast-moving technological advances• The shifting role of the doctor as a professional as well as in patient and societal interactions• Whether medical education is sufficiently prepared for the future• The nature of public and patient expectations of the doctor • The need for visionary medical leadership • The wellbeing of the clinicians themselves

The purpose of the meeting is to catalyse a discussion about the future to help prepare for what is in the pipeline, hopefully providing an antidote to some of our present difficulties in the way medicine and health are delivered. Over the course of the conference, our working groups will present their findings, with participants encouraged to add their thoughts.

We are also privileged to have a number of prestigious thought leaders to deliver their own insights into how the future might pan out, importantly including the public and patients in our discussions.

Placing ourselves into the future is not easy. We can see where we are at the moment, recognise our current difficulties and problems, indicate how things need to change, but visualising a picture twenty years hence is challenging. So many variables apply, many of which are difficult to predict. Depending on your viewpoint, things may get worse, not better.

As convenor of this commission under the auspicious of the AoMRC, I am honoured to have worked alongside so many brilliant participants, many from the next generation of future medical leaders. We hope that this meeting will open the way to a formal, long-term process, embracing social, clinical and technological contributors. We need such a process.

Professor Pali Hungin Convenor and Lead, CFM Commission

Welcome

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Coffee / tea + registration 09:00

WelcomeProf Michael Farthing

09:30

Intro and aimsProf Pali Hungin

09:40

Keynote“Surgeons and surgery: a vision for the future”Prof Derek Alderson

10:00

Medical education – a vision for the futurePerspective“Medical Education - what’s in the pipeline?” Prof Sheona MacLeod

10:30

Medical Education co-leadDr Charlie Bell

10:45

Table discussion 10:55

Coffee / tea + networking 11:25

Patients, the public and doctors in the futureGuest speaker“Patients, the public and medicine: a vision of the future”Dr Jocelyn Cornwell

11:45

Patient-Doctor co-leadDr Patricia Wilkie

12:15

Patient-Doctor co-leadDr Gursharan Johal

12:25

Table discussion 12:35

LUNCH + networking 13:05

Morning Session Agenda

CHAIR: Professor Michael Farthing

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The impact of technological changes on the future of medicine and clinician wellbeingGuest speaker“Genomics, medicine and the public - a vision for the future”Sir Mark Caulfield

13:45

Wellbeing leadDr Joseph Butler

14:15

Technology leadProf Mark Wilson

14:25

The Wesleyan’s perspectivePeter Laycock

14:35

Table discussion 14:45

Coffee / tea + networking 15:15

Visionary leadershipVisionary leadership

Dr Sunny Raju and Dr Lily Lamb15:35

Table discussion 15:50

Bringing it all together / next stepsProf Hungin and workstream leads

16:15

Guest speaker“A future vision of health and the role of doctors”Prof Chris Whitty

16:35

Questions, discussions, reflectionsProf Whitty and Prof Hungin

17:05

Key messages / closeProf Michael Farthing

17:15

Close 17:30

Afternoon Session Agenda

CHAIR: Professor Debbie Cohen

CHAIR: Professor Pali Hungin

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Professor Pali HunginLead, the Changing Face of Medicine commission at the Academy of Medical Royal Colleges.

Pali Hungin, Emeritus Professor in the Faculty of Medical Sciences at Newcastle University, was formerly the Dean of Medicine at Durham University. As the President of the BMA in 2017, he initiated the Changing Face of Medicine project, bringing together an international faculty of clinicians and lay people to consider the present strains in medicine and to invite projections about the future. As well as a GP in NE England, he worked in secondary care gastroenterology and much of his research is based on achieving earlier diagnoses and understanding barriers to good care.

Professor Michael FarthingChair of the Faculty Group

Michael Farthing is Honorary Professor of Medicine at UCL. He was formerly Vice-Chancellor of the University of Sussex and Principal of St George’s, University of London. As President of UEG, he initiated a scenario planning exercise for gastroenterology in Europe.

He Chairs the Board of Trustees of The Royal Medical Benevolent Fund.

Dr Richard StevensCo-convenor, The Changing Face of Medicine

Richard Stevens was a GP in Oxford for 30 years before retiring from clinical work in 2013. He was chairman of the Primary Care Society for Gastroenterology for many years and editor-in-chief of The Digest. He is currently a coach and the Associate Director of the Thames Valley Professional Support Unit, and co-convenor of the Changing Face of Medicine project.

Dr Simon CooperCo-convenor, The Changing Face of Medicine

A biochemist by training , Simon has run innovation projects across healthcare for retailers, pharmaceutical companies, healthcare providers, third sector organisations and communications companies around the world. He has previously worked in drug development, health and beauty retail and led healthcare communications and branding agencies. He is currently co-convenor for the Changing Face of Medicine Project and a director of Punktuate!

Ms Charlotte PhillipsProject Manager

The Project Team

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Professor Derek Alderson

Derek Alderson is an emeritus Professor of Surgery at the University of Birmingham. He was Professor of Surgery at the University of Bristol from 1997-2005 before becoming the Barling Professor of Surgery and Head of Department in Birmingham, a post he held until October 2015. A former President of the Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland, his main clinical interest is in oesophago-gastric cancer surgery. He has a long association with the British Journal of Surgery. He was Editor in Chief from 2010 to 2016 and is now the Editor in Chief of BJS Open. In 2017, he was elected President of the Royal College of Surgeons of England.

Dr Charlie Bell

Dr Charlie Bell is a junior doctor, currently undertaking a secondment as the National Medical Director’s Clinical Fellow for the Health and Social Care Committee in the House of Commons, and at the National Audit Office. He is John Marks Fellow, Director of Studies, Praelector and College Lecturer at Girton College, Cambridge, a Senior Fellow of the Higher Education Academy, a Fellow at the Royal Society of Arts, an Honorary Senior Clinical Teaching Fellow at UCL, and a module author on their MBA in health. He holds a PhD in immunology and is soon to be an Academic Clinical Fellow at King’s College, London.

Dr Joseph ButlerConvenor of the Clinician’s Wellbeing Workstream Group

Dr Joseph Butler is a junior doctor, currently taking time out of medical training in academic psychiatry. He works jointly with the Oxford Department of Psychiatry and Oxford Health NHS Foundation Trust, clinically evaluating new technologies that aim to improve the physical healthcare of those with severe mental illness.

Sir Mark CaulfieldChief Scientist for Genomics England and Co-Director of the William Harvey Research Institute

Sir Mark Caulfield is clinical pharmacologist who co-directs the William Harvey Research Institute at Queen Mary where 90% of the research was rated as world-leading or internationally excellent in 2014. Between 2011 and 2015, he was academic lead for creation of the Barts Heart Centre. In 2013 he became Chief Scientist for Genomics England and he was knighted in 2019 for services to the 100,000 Genomes Project.

Dr Jocelyn CornwellFounder of The Point of Care Foundation

Jocelyn Cornwell is the founder of The Point of Care Foundation, an independent charity that aims to humanise health and care services, and improve the experiences of patients and staff.

Jocelyn was originally a medical sociologist and anthropologist. In the course of her career she has worked in academic research and teaching; NHS management; and in regulation at the Audit Commission, the Department of Health and the Commission for Health Improvement (CHI).

She is a trustee of the Nuffield Trust.

Speakers

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Dr Gursharan JohalCo-Convenor Patient/Public-Doctor Workstream

Gursh is currently an NIHR Academic Clinical Fellow in Psychiatry, based at the Centre for Suicide Prevention at The University of Manchester. She is also currently Chair of the British Medical Association’s Junior Doctor Conference, and a medical examiner at The University of Manchester.

Dr Lily LambCo-convener of the Leadership workstream

Lily is a General Practitioner in Northumberland and National Institute of Health Research In Practice Fellow, based at the School of Medical Education at Newcastle University. She is Chair of the Royal College of GPs in the North East of England.

Peter LaycockWesleyan Financial Services

Peter has been working at Wesleyan for 12 years in a variety of roles. He currently leads a team of financial consultants who specialise in providing financial advice to medical professionals in London and the South East. His specialisms include understanding the NHS pension scheme and inheritance tax planning. He previously worked as a learning and development consultant in Wales where he originates from.

Professor Sheona MacLeod

Professor Sheona MacLeod is Health Education England’s Deputy Medical Director for Medical Education Reform; Chair of Health Education England’s Deans and Chair of the UK Conference of Postgraduate Medical Deans (COPMED).

She is an Honorary Professor of the University of Nottingham and the University of Leicester. Sheona was a GP for 26 years, an Occupational Health Advisor, Clinical Assistant in the local community hospital, and a Medical Officer for HMP service. She has been involved in healthcare education since 1987. She was appointed GP Dean in 2009, Postgraduate Dean in September 2012 and has been Deputy Medical Director in Health Education England since 2017. Sheona chairs a number of national working groups and committees, including the HEE working group on Enhancing Junior Doctors Working Lives and leads HEE’s national work on the Role of the Future Doctor.

Dr Sunny RajuAcademic Clinical Fellow in Gastroenterology at The University of Sheffield, UK. Co-convenor, Leadership Workstream Group, The Changing Face of Medicine

Sunny is an Academic Clinical Fellow in Research working in South Yorkshire. He divides his time between clinical and research interests. He is passionate about providing the best care possible and believes the way to do this is through a happy healthcare team. He is the Yorkshire and Humber British Society of Gastroenterology Trainee Representative, Trainee Associate Editor at Frontline Gastroenterology, South Yorkshire Clinical Academic Society President and sits on the BSG Clinical Services and Standards Committee”.

Speakers

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Professor Chris WhittyProfessor Chris Whitty, Chief Medical Officer for England and Chief Scientific Adviser for the Department of Health and Social Care

Professor Chris Whitty is England’s Chief Medical Officer (CMO) and the UK Government’s Chief Medical Adviser. Chris is also the Chief Scientific Adviser (CSA) for the Department of Health and Social Care (DHSC) with overall responsibility for the department’s research and development, including the National Institute for Health Research (NIHR).

Chris is a practicing NHS Consultant Physician at University College London Hospitals (UCLH) and the Hospital for Tropical Diseases, and Gresham Professor of Physic at Gresham College.

Chris is an epidemiologist and has undertaken research in the UK, Africa and Asia. He was Professor of Public and International Health at the London School of Hygiene & Tropical Medicine (LSHTM) before becoming CMO.

Previously Chris was the interim Government Chief Scientific Adviser (2017 to 2018) and prior to that, the Chief Scientific Adviser at the Department for International Development (DFID).

Professor Mark WilsonConvenor of the Technology and Informatics Workstream Group

Mark Wilson is a Consultant Neurosurgeon and Pre-Hospital Care Specialist working at both Imperial College (St Mary’s Major Trauma Centre) and as an Air Ambulance Doctor (Kent, Surry, Sussex Air Ambulance).

He is a Clinical Professor of Brain Injury at Imperial and Honorary Professor of Pre-Hospital Care (the Gibson Chair) at the Faculty of Pre-Hospital Care, Royal College of Surgeons, Edinburgh. His specialist areas are acute brain injury (mostly traumatic brain injury) and its very early management. He is co-director of the Imperial Neurotrauma Centre and sits on multiple national bodies governing traumatic brain injury care.

He is co-founder of GoodSAM (www.goodsamapp.org), a revolutionary platform that alerts doctors, nurses, paramedic and those trained in basic life support to emergencies around them. It is integrated in most of the Ambulance services in the UK and across New Zealand and Australia. The platform is also using instant on-scene video to revolutionise the world of triage and hyper-acute management of patients.

He has worked extensively overseas (India, Nepal, South Africa, as a GP in Australia, Researcher for NASA and as an expedition doctor on Arctic and Everest expeditions). He wrote The Medics Guide to Work and Electives Around the World. His research is mainly into the brain in trauma and in hypoxia (using it as an injury model) in humans.

Dr Patricia WilkieCo-convenor Patient/Doctor workstream

Social scientist, researcher, author, and lifelong patient activist. Currently President, National Association for Patient Participation (N.A.P.P.) the umbrella organisation for patient groups (PPGs) in general practice reaching out to hundreds of PPGs and millions of UK patients.

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The work of The Changing Face of Medicine project has been kindly supported through the funding of unconditional grant from The Wesleyan Foundation, the charitable arm of The Wesleyan.

With thanks to the Academy of Medical Royal Colleges under whose auspices this project was convened and hosted. The Academy of Medical Royal Colleges is the coordinating body for the UK and Ireland’s 23 medical Royal Colleges and Faculties. They ensure that patients are safely and properly cared for by setting standards for the way doctors are educated, trained and monitored throughout their careers.

We would also like to thank the Oxford Health Policy Forum team for providing medical and technical writing expertise and challenging the team to develop effective policy thinking in the face of future medical needs and scenarios.

We would also like to recognise members of those organisations who have contributed to the project Faculty Group, Governance Group, Project Workstreams and the running of this conference. These include - BMA, GMC, NHS England, NHS Scotland, NHS Wales, NHS NI, the Royal Colleges, The Wesleyan and The Wesleyan Foundation, Google Deepmind, IBM Watson, Satellite PR, Punktuate!, KPMG, The King’s Fund and many others.

Thank you

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Dr John Chisholm Professor Debbie Cohen Mr David Cole Dr Jocelyn Cornwell Dr Paul Darragh Professor Carrie MacEwenProfessor Michael FarthingProfessor John Gillies Dr Fiona Godlee Mr Alastair Henderson Dr Gary Howsam Professor David J. Hunter Mr Alan Karthikesalingam Professor Mayur Lakhani Mr Phil Martin Dr Anthea Mowat Dr Zaid Al-Najjar Mr Andy Wilkins Mr Chris Walker

LEADERSHIP GROUPDr Bea Bakshi Dr Suneil Raju Dr Claire Greszczuk Dr Lily Lamb Dr Rachel Chall Professor Dean Fathers Mr Peter Lees Dr Katie Petty-Saphon Dr Judith Tweedie Mr Dan Wellings Dr Jeeves Wijesuriya

PATIENT/PUBLIC GROUP Dr Gursh Johal Dr Patricia Wilkie Dr Shehla Baig Professor Dinesh Bhugra Dr Robert Carter Ms Amanda Cool Mr Paul Devlin Ms Sandra Gower Ms Gemma Jackson Ms Olivia King Mr Gurdas Singh

MEDICAL EDUCATION Dr Dominic Johnson Dr Charlie Bell Mr Richard Gold Professor Jane Metcalf

CLINICIANS’ WELLBEING Dr Joseph Butler Dr Pallavi Bradshaw Dr Zoe Norris Ms Henrietta Wallace Dr Caroline Walker

TECHNOLOGY GROUPProfessor Mark Wilson Mr Ed Godber Dr Guy Yeomans

Thank you

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Notes

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"Imagination is more important than knowledge. For knowledge is limited, whereas imagination embraces the entire world, stimulating progress, giving birth to evolution."

Albert Einstein, 1929.

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