Fortunately, anaesthesia related deaths are extremely rare. However, there is good evidence that over 80% of preventable critical incidents are caused by human error. The most frequently associated factors are

failures to check, inexperience and lack of atten-tiveness.

Caring for patients in this modern era is complex. Patients place tremendous trust in us. A serious in-cident could be devastating not only for a patient, but also, for their carers on a personal and profes-sional level. It is crucial to adopt reliable systems that could minimise adverse incidents (AI’s).

A robust governance structure should include regu-lar reviews of AI’s, learning from good practice, meaningful audits and defined standards of care.

I am proud to work in a department that has taken on these challenges.

There are many examples of good practice - regular M&M meetings, a monthly governance report, ex-cellent clinical governance half days and hopefully, the ACSA accreditation. These are important steps to improve our services.

We must commit to continuous learning, reflection and attention to detail. We must treat our patients with the utmost care and continue to foster a cul-ture where mistakes can be openly discussed and colleagues feel well supported.

“He who learns but does not think is lost. He who thinks but does not learn is in great danger.”- Confucius

Dr Renate WendlerAssociate Medical Director

7 DAYS TO

GO

ACSA NEWS

Update1 June 2015Issue 19

Learning from Serious Inci-dents, Audits and Confucius.

St George’s

Anaesthesia

Anaesthesia Clinical Services Accreditation (ACSA) is a voluntary scheme that offers quality improvement through peer review. The scheme has been developed by the Royal College of Anaesthetists and is approved by the CQC.

The accreditation process is an opportunity to review all of our policies and processes and raise standards for patients. It is seen as a mark of good governance and safety .

When is it going to happen?

The team from ACSA will visit us on the 8th and 9th June 2015.

Where will they go? The reviewers will want to look around all of the areas where anaesthetists commonly work. They are not there to examine you. They wish to see the working environment and clinical standards.

Who will be showing them around?

The anaesthetic department team will be led by Drs Elisabeth Wiliams (ACSA Implementation Lead) and Mark Edsell (Care Group Lead for Anaesthetics). They will be assisted by local anaesthetic leads that should be well known to you.

• Dr Paul Quinton (Clinical Director, Anaesthetics & Theatres)

• Dr Mark Hamilton (Clinical Director ICU and Pre-assessment Lead)

• Lt Col Guy Sanders (Emergency Anaesthesia Lead)

• Dr Emma Evans (Obstetric Anaesthesia Lead)

Want to know more?

You can follow our departmental updates on Twitter @STGgas or have a look around the new anaesthesia homepage.

ACSA REVIEW DATE: 8 JUNE 2015

“When you see a good person, think of becoming like them. When you see someone not so good, reflect on your own weak

points.” - Confucius.

08:00ACSA - the Final ChapterDr Liz Williams

2

08:00M&MDr Paul Quinton

ACSA ReviewALL DAY

ACSA ReviewALL DAY

08:00 Lessons from ESA 2015, Berlin.TBA

08:00QI Teaching

08:00 Lessons from LeadershipSecondment, (II) & Safer Staffing Levels – way forward.Drs Hammond / Edsell

28 08:00Trust’s Clinical Governance half day

17:00 SDU meeting

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Clinical Governance Lead

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Learning from SI’s

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Department News

INTERVIEW

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EVENTS CALENDARJune / July

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@DrEdebates

1. What does your role involve?

As Clinical Governance Lead for Anaes-thetics, I do the following:

• investigate all adverse incidents involving anaesthetics and thea-tres

• escalate more serious incidents to the Serious Incident Declaration Panel

• write a monthly clinical gov-ernance report which includes departmental news, AI’s and their

The Rank Lecture

Professor John Eichhorn delivering the Rank Lecture at St George’s University Hospitals NHS Foundation Trust -

20 May 2015

Dr Fiona Peer

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investigation and outcomes, national safety reports and alerts, NCEPOD reports, new clinical guidelines.

• help organise and chair monthly morbidity and mortality meetings.

• organise four half day clinical gov-ernance meetings a year.

2. What is your experience so far?

I have found the role as Deputy and then Lead a fabulous opportunity for me. I have learnt so much that has improved and made my own clinical practice safer. It has also has given me a better un-derstanding of the issues we face as a hospital.The main things I have learnt are;• Mistakes happen to everyone• However good you are there is al-

ways room to improve

CLINICAL GOVERNANCE LEAD

• Face to face is much more effective than email.

3. What are your priorities for the next 12 months?

• Organise some good meetings that attendees find useful and enjoy.

• Improve how the lessons learned from incidents are shared with staff so that the information is more digestible.

• Try and ensure that we act on the learning points from incidents.

4. What do you do to relax?

• Go out and run 6 miles.• Have parties in my kitchen!• Cuddle my girls Lucy (5) & Mimi (3)

The origin and evolution of patient safetyJohn H. Eichhorn, MD

Professor of Anesthesiology, College of Medicine, andProvost’s Distinguished Service Professor, University of Kentucky

The Rank Fund pays for overseas lec-turers to speak at major Royal College of Anaesthetists meetings and visit

other parts of the country to give formal lectures, undertake informal teaching and/or to discuss research visits. Visits would normally last at least a week and would include visits to at least three centres. Rank Lectureships are only awarded fol-lowing approval by the RCoA Nominations Committee and are strictly on merit. Lec-tureships are not awarded every year. Professor Eichhorn has been included on the list “Best Doctors in America” since it

was created in 1992. A Provost’s Distin-guished Service Professor at the Univer-sity of Kentucky, Eichhorn is a nationally and internationally recognized leader in patient safety and standards of practice. In 2010, he received the prestigious Eisen-berg Award for Individual Achievement in Patient Safety and Quality from the Joint Commission-National Quality Forum.

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Dr Sohini SenguptaConsultant Anaesthetist

SLIDES FROM ST GEORGE’S DAY

ANAESTHESIA FORUM

Results from electronic patient questionnaire in Day Surgery Unit (DSU)

I have confidence in the ability of the anaesthetist to provide safe care 94.8%The anaesthetist explained my treatment and involved me in the decisions about my care 94.6%

The anaesthetist treated me with dignity and respect and provided me with privacy 95.4%

Reference: 1st December 2014 to 31st March 2015

E Williams

Provide women with epidural and CSE pain relief quicklyMeasure 2012 2013 2014 January -

March 2015 Target

Response time within 1 hour 97% 95.9% 97.9% 96.1% >90%Response time within 30 min-utes 81% 87.8% 88.7% 86.2% >80%

Reference: Royal College of Anaesthetists | Raising the Standard: a compendium of audit recipes | 3rd Edition 2012

According to national standards <10 in every 100 requests should be attended to after 1 hour.Our continuous audit shows that our performance is much better i.e. < 4 in every 100

requests are attended to after 1 hourA Addei

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(SHARES)SHare your Audit RESults

6th National Audit Project: Perioperative AnaphylaxisProject lead: A Walton

National Emergency Laparotomy Audit.Project leads: R. Hartopp, D Melville and A Gandavadi

National Obstetric Anaesthetic Database (NOAD)Project lead: A Addei

Perioperative fastingProject lead: R Thurairatnam, S Hall and C Luong

Theatre and Anaesthetic Record Docu-mentation audit Project lead: C Luong

• Theatre dashboard• WHO checklist compliance• Antibiotic prophylaxis• Normothermia• Hair removal• Hand hygiene• Surgical site marking• Delayed discharge in recovery • Patient privacy and dignity audit• Theatre Practice Audit• DSU admission rates• Documentation/compliance with

theatre ICP• Accuracy of theatre lists• Human tissue authority regulations• Patient experience audit

2015 Audit of Patient Blood Manage-ment in Scheduled Surgery Project Lead: R Devanhalli

Patient satisfaction surveyProject lead: M Shaw

Post-operative Nausea and Vomiting in patients undergoing craniotomyProject Lead: J Dinsmore

Post-operative nausea and vomitingProject lead: M Shaw

Postoperative nausea and vomiting in renal patients. Project lead: C Adams and N Fossati

Dr Chan Luong - Audit Lead

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Current Analgesic Measures for Fractured Neck of Femur - Re-AuditProject lead: J Jeyanathan& G McAnulty

Timing of neurosurgical emergencies on the 24hour clockProject lead: J Dinsmore

NELA project: Management of Emergency LaparotomyProject lead: R Hartopp

6111/7647 activitiesProject lead: S Jones and H DeZoysa

Retrospective audit of Fracture NOF pa-tients admitted to St George’s hospitalProject leads: A Lone and P Waikar

28-day mortalityProject lead: H Robertshaw

Postoperative audit of ASA3 - 5 Orthopae-dic trauma patients seen by PTA preopera-tively between Dec 2013-May 2014Project lead: P Waikar

DSU admissionsProject lead: C Luong

Compliance with anaesthesia provision in remote site anaesthesiaProject lead: R Devanhalli

Introduction of a Rapid Sequence Induc-tion Checklist in A & EProject lead: F Peer

Use of EWS in cardiac arrest patients No-vember 2013Project leads: N Kennea and R Ramal

Other audit projects currently on-going, un-dertaken by the resuscitation team include:• DNA CPR Audit• NCAA - National cardiac arrest audit-

continuous• Resuscitation trolley Audit - Compli-

ance with daily checks- monthly• Resuscitation Trolley Audit - Full con-

tents audit- quarterly• Cardiac and peri arrest audit- continu-

ous

Anaesthetic Audits - May 2015

Maternity Trigger ToolProject lead: R Hartopp

South West Thames Regional Obstetric Anaesthetic AuditProject Lead: A Addei

Response times for epidural pain relief in labourProject Lead: A Addei

Continuous individual anaesthetic pa-tient feedbackProject lead: C Johnston

Parental survey evaluating opinions of providing a drug chart for analgesia administration at HomeProject Lead: E Monahan

Chronic pain referrals to the acute pain serviceProject leads: L Ng

Do inpatients discharged on strong opi-oids discontinue them as expected?Project lead: A Moss and L Ng

Conference Proceedings

Obstetric Anaesthetists Association two day Scientific Meeting (Torquay 2015)

[oral + IJOA] Epidural fixation devices in labour: a randomised controlled trial. Odor P M, Bampoe S, Evans E

[poster] Opiate requirements following elective caesarean sections - The effect of MHRA guidelines Fleet M, Whitefield L,Evans E

[poster] Survey of obstetricians, mid-wives and anaesthetists about the safe use of local anaesthetic drugs on delivery suite.Biswas S, Malik M, Evans E

[poster] Obstetric critical care: what it takes to get it right. Lantz-Dretnik S, Romer C, Evans E

ResearchNIHR adopted studies

• IOS WEAN - PI Dr Leaver• SPICE III - PI Dr Ball• ACCUPASS - PI Dr Cecconi• RELIEF - PI Dr Addei / Dr Cecconi • AKI study – PI Dr Philips• RESP 3288 (Faron ARDS)• ADRENAL

Non NIHR studies

• AEROGEN pilot• INVOS BISBook Chapters

Amarasekara A, Addei A (In Press 2015) Role of the anaesthetist in the manage-ment of fetal compromise during labour. In: Chandraharan E, Arulkumaran S (Eds) Handbook of CTG Intepretation. Cam-bridge; Cambridge University Press.

Law S, Cashman J (2014) Achieving acute pain control. In: Syme P, Jackson R, Cook T (Eds) Challenging Concepts in Anaes-thesia: A case-based approach with expert commentary. Oxford; Oxford University Press:201-216.

Addei A, Baskett TF (2014) Analgesia and Anaesthesia. In: Baskett TF, Calder AA, Arulkumaran S (Eds) Munro Kerr’s Opera-

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tive Obstetrics. London; Elsevier Health Sciences:236-241 (12th edition).

Addei A (2014) Anesthetic Considerations for Hypertensive Disease in Pregnancy. In: Arulkumaran S, Gupte S, Fernandez E (Eds) Hypertensive Disease in Pregnancy. New Delhi; Jaypee Brothers Medical Pub-lishers:121-129.

Editorials

Cecconi M, Rhodes A (2014) Goal-direct-ed therapy: time to move on? Anesthesia &Analgesia; 119(3):516-518.

Rubenfeld GD, Rhodes A (2014) How many intensive care beds are enough? In-tensive Care Medicine; 40(3):451-452.

Ball J, McAnulty G (2014) Ignoring our evolution: the ‘pandemic’ of over-nutrition and under-activity. Not simply a metabolic syndrome? Anaesthesia; 69(3):203-207.

Hooper C R, Breathnach A, Iqbal R (2014) Is there a case for mandating influenza vac-cination in healthcare workers? Anaesthe-sia; 69(2):95–100.

Review articles

Cecconi M, Aya HD (2014) Systematic review and meta-analysis: Central venous

SCHOLARLY ACTIVITIES

pressure cannot predict fluid-responsive-ness. Evidence-Based Medicine ; 19(2):63.

Gillies MA, Habicher M, Jhanji S, Sander M, Mythen M, Hamilton M, Pearse RM (2014) Incidence of postoperative death and acute kidney injury associated with i.v. 6% hydroxyethyl starch use: systematic review and meta-analysis. British Journal of Anaesthesia; 112(1): 25–34.

Arulkumaran N, Corredor C, Hamilton MA, Ball J, Grounds RM, Rhodes A, Cecconi M (2014) Cardiac complications associated with goal-directed therapy in high-risk surgical patients: a meta-analysis. British Journal of Anaesthesia; 112(4):648-659.

Academic Journal Papers

Fletcher N, Geisen M, Meeran H, Spray D, Cecconi M (2015) Initial Clinical Experi-ence With a Miniaturized Transesophageal Echocardiography Probe in a Cardiac In-tensive Care Unit. Journal of Cardiothoracic & Vascular Anesthesia; 29(3):582-587

Cecconi M, Monge García MI, Gracia Romero M, Mellinghoff J, Caliandro F, Grounds RM, Rhodes A (2015) The use of pulse pressure variation and stroke volume variation in spontaneously breathing patients to assess dynamic arterial elastance

Exciting and Rewarding OpportunityWe are looking for an individual to collect and maintain the publications folder for the anaesthetic depart-ment. Contact Tony Addei if you can help.

Research in AnaesthesiaCalling all consultants and trainees interested in research. For advice, support and opportunities contact> Maurizio Cecconi (peri-operative medicine and ICU)> Vivek Sharma (cardiothoracic anaesthesia)> Argyro Zoumprouli (neuroanaesthesia and ICU)> Andrzej Krol (regional anaesthesia).> Roopa Devanahalli and Jens Bolten (QuARC leads)

and to predict arterial pressure response to fluid administration. Anesthesia & Analge-sia;120(1):76-84.

Ackland GL, Iqbal S, Paredes LG, Toner A, Lyness C, Jenkins N, Bodger P, Karmali S, Whittle J, Reyes A, Singer M, Hamilton M, Cecconi M, Pearse RM, Mallett SV, Omar RZ; POM-O (PostOperative Morbidity-Oxygen delivery) study group (2015)Individualised oxygen delivery targeted haemodynamic therapy in high-risk surgi-cal patients: a multicentre, randomised, double-blind, controlled, mechanistic trial. The Lancet Respiratory Medicine; 3(1):33-41.

Biancofiore G, Cecconi M, Rocca GD. A web-based Italian survey of current trends, habits and beliefs in hemodynamic moni-toring and management (2014) Journal of Clinical Monitoring and Computing [Epub ahead of print] PubMed PMID: 25500761.

Corredor C, Arulkumaran N, Ball J, Grounds MR, Hamilton MA, Rhodes A, Cecconi M. Hemodynamic optimization in severe trauma: a systematic review and meta-analysis (2014) Revista Brasileira de Terapia Intensiva; 26(4):397-406. [English, Portuguese].

Monge García M, Gracia Romero M, Gil Cano A, Aya HD, Rhodes A, Grounds R, Cecconi M (2014) Dynamic arterial elastance as a predictor of arterial pressure response to fluid administration: a valida-tion study. Critical Care;18(6):626.

McAuley DF, Laffey JG, O’Kane CM, Per-kins GD, Mullan B, Trinder TJ, Johnston P, Hopkins PA, Johnston AJ, McDowell C, McNally C; HARP-2 Investigators; Irish Critical Care Trials Group (2014) Simvasta-tin in the acute respiratory distress syn-drome. New England Journal of Medicine. 371(18):1695-703.

Ebm C, Cecconi M, Sutton L, Rhodes AA cost-effectiveness analysis of postopera-tive goal-directed therapy for high-risk surgical patients (2014) Critical Care Medi-cine. 42(5):1194-203. Sivayoham N, Rhodes A, Cecconi M

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(2014) The MISSED score, a new scoring system to predict Mortality In Severe Sepsis in the Emergency Department: a derivation and validation study. European Journal of Emergency Medicine; 21(1):30-36.

Roberts JA, Paul SK, Akova M, Bassetti M, De Waele JJ, Dimopoulos G, Kaukonen KM, Koulenti D, Martin C, Montravers P, Rello J, Rhodes A, Starr T, Wallis SC, Lipman J DALI Study Authors. (2014) DALI: Defin-ing Antibiotic Levels in Intensive care unit patients: Are current beta-lactam antibiotic doses sufficient for critically ill patients? Clinical Infectious Diseases. 58(8):1072-1083.

Citerio G, Bakker J, Bassetti M, Benoit D, Cecconi M, Curtis JR, Hernandez G, Her-ridge M, Jaber S, Joannidis M, Papazian L, Peters M, Singer P, Smith M, Soares M, Torres A, Vieillard-Baron A, Timsit JF, Azoulay E (2014) Year in review in Intensive Care Medicine 2013: II. Sedation, invasive and noninvasive ventilation, airways, ARDS, ECMO, family satisfaction, end-of-life care, organ donation, informed consent, safety, hematological issues in critically ill patients. Intensive Care Medicine; 40(2):147-159.

Donati A, Carsetti A, Tondi S, Scorcella C, Domizi R, Damiani E, Gabbanelli V, Münch C, Adrario E, Pelaia P, Cecconi M (2014) Thermodilution vs pressure recording ana-lytical method in hemodynamic stabilized patients. Journal of Critical Care; 29(2):260-264.

Clau-Terré F, Sharma V, Cholley B, Gon-zalez-Alujas T, Galiñanes M, Evangelista A, Fletcher N (2014) Can simulation help answer the demand for echocardiography education? Anesthesiology; 120(1):32-41.

Le Bas A, Chandraharan E, Addei A, Arul-kumaran S (2014) Use of the “obstetric shock index” as an adjunct in identifying signifi-cant blood loss in patients with massive post-partum hemorrhage. International Journal of Gynecology and Obstetrics; 124(3):253-255.

Werndle MC, Saadoun S, Phang I, Czosnyka M, Varsos GV, Czosnyka ZH, Smielewski P, Jamous A, Bell BA, Zoumprouli A, Papa-dopoulos MC (2014) Monitoring of Spinal Cord Perfusion Pressure in Acute Spinal

Cord Injury: Initial Findings of the Injured Spinal Cord Pressure Evaluation Study. Critical Care Medicine; 42(3):646-655.

Garry DA, McKechnie SR, Culliford DJ, Ezra M, Garry PS, Loveland RC, Sharma VV, Walden AP, Keating LM (2014) A prospective multicentre observational study of adverse iatrogenic events and substandard care preceding intensive care unit admission (PREVENT). Anaesthesia; 69(2):137–142.

Philips BJ, Lane K, Dixon J, MacPhee I (2014) The effects of acute renal failure on drug metabolism. Expert Opinion on Drug Metabolism and Toxicology; 10(1):11-23.

Ussher M, Spatz A, Copland C, Nicolaou A, Cargill A, Amini-Tabrizi N, McCracken LM (2014) Immediate effects of a brief mindfulness-based body scan on patients with chronic pain. Journal of Behavioral Medicine; 37(1):127-134.

Case Report

Teare J, Evans E, Belli A, Wendler R (2014) Sciatic nerve ischaemia after iliac artery occlusion balloon catheter place-ment for placenta accrete. International Journal of Obstetric Anaesthesia; 23(2) 178–181.

Professional Journal Papers

Shuker K, Newman P (2015) End-of-life care Continuing Education in Anaesthesia, Critical Care & Pain Journal; 15(2): 73-77.

Pedley R, Whitehouse A, Hammond S (2014) Improving room layouts for venepuncture, cannulation and ABG equipment on surgical wards. BMJ Quality Improvement Reports; doi:10.1136/bmj-quality.u554.w477.

Crerar-Gilbert A, McGregor M (2014) Clinical Reflections from Australia. Anaes-thesia News; 317:21.

Gregory P, Edsell M (2014) Fatigue and the Anaesthetist. Continuing Education in Anaesthesia, Critical Care & Pain Journal; 14(1):18-22.

MACGILL FELLOWSHIPS

Miss Domini Macgill was the secretary to the Anaesthetic Department at St George’s Hyde Park Corner and St George’s Tooting. She retired in 1985 and died in November 2000. In her will she left a sum of money to the Anaesthetic Department and this is used to fund travel and visits to other anaesthetic departments or meetings that would not be eligible under standard study leave arrangements, e.g. to visit a specialist unit in this country and abroad.

Awards are available to junior and senior members of the Anaesthetic Department and will normally be funded up to £1,500.

Applications can be made to the Trustees of the fund, Dr Maryke Kraayenbrink and Dr Elaine Monahan on not more than 2 sides of A4 paper, stating:

1. Name and position of applicant

2. Unit or venue to be visited

3. Reasons for visiting

4. An estimate of the costs that would be incurred

At the completion of a visit, it is expected that a presentation be made to the Department.

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Thank you to everyone for giving me such a wonderful send-off. I am very thankful for everything this department has taught me.

Your presents and goodbye lunch was extremely well thought out and appreciated by me.

David M

Thank You

David MasonEx Speciality Manager

Theatres and Anaesthetics

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Dr Rene Suite has been appointed Regional Advisor for the St George’s School of Anaesthesia.

Consultant Appointments

The following trainees of the school have been appointed consultants:

• Dr Nick Courtney Evans- East Surrey Hospital

• Dr Sheetal Jafri – St George’s University Hospitals NHS Foun-dation Trust

• Dr Sam Huddart –Royal Surrey County Hospital NHS Foundation Trust

• Dr Will Birts – St George’s Univer-sity Hospitals NHS Foundation Trust

• Dr Magdeleine Butcher - Croydon University Hospital NHS Trust

DEPARTMENT NEWS

Dr Ashleigh Sherrington has been appointed Clinical Lead for Organ Donation (CLOD) for the Trust. Ashleigh is a consultant neuro-anaesthetist and will support the trust’s organ donation team and work closely with our second CLOD, Dr Caroline Davison.

The new Assistant Service Manager for the department is Annette Virgo.Annette has worked within St. George’s Hospital since 2001.

Aisha McLeary has joined the team of anaesthetic secretaries.

New Arrival

Jenson Benedict Maxted 7lb 8oz

Born 22nd April 2015[Baby Anne Garner]

All doing well.

Appointments

New Regional Advisor CLOD

Assistant Service Manager

The next sitting of the Final FRCA SOE (viva) is in the week beginning 22nd June. We have organised preparation as usual with evening viva practice on weekdays, Monday 18th May to Friday 12th June in the Anaesthetic seminar room.Please sign up for any sessions that you can help deliver.

Dr Rene Suite

Just a quick reminder - I am planning to run a session of quality im-provement (QI) teaching on 18th June, in the morning. I plan to go through some QI in a practical way, similar to the college QI workshops, but in a more bite sized form. Please let me know if you would like to come.Trainees: this will be covered in a more extended format on the Study Day planned for 2nd July. Please let Ivy know if you would like to attend.

Dr Carolyn Johnston

Viva Practice

QI Teaching

Dr Liban (L) receiving award

Dr Cleave Gass has won the National Association of Clinical Tutors (NACT )

2015 Annual Travelling Fellowship.

Cleave will be visiting various institu-tions in North America over the autumn, principally the North Carolina Academic Health Education Cluster.

The area is renowned for its innovative community based medical training initia-tives and use of the alternative work-force in hospital based settings

NACT Fellowship

Dr Pete Odor (L) & Dr Sam Bampoe pose with certificate of merit

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CONGRATULATIONS

RCoA President’s Commendation

Sam Bampoe delivered an impressive piece of work titled ‘Epidural fixation devices in labour: a randomised controlled trial [Odor P M, Bampoe S, Evans E]’ at the Obstetric Anaesthetists Association (OAA) two day Scientific Meeting (Torquay 2015).

They won second place in the new Felicity Reynolds Prize category. The Lockit plus device is in full use on the delivery suite and will soon be incorporated into our epidural packs.

Dr Platon Razis has received the Royal College of Anaesthetists President’s

Commendation (2015).

Introduced in 2011, this is awarded to those who have provided sustained or specific contribution to the Royal Col-lege .

Plat has made huge contributions to the examinations section of the college.

AAGBI Foundation Award

Dr Bernard Liban was presented with the AAGBI Foundation Award at the WSM 2015 in London.

This award is in recognition of his devel-opment of the innovation work stream within the Association of Anaesthetists of Great Britain and Ireland (AAGBI).

This is bestowed by the Board of Trustees of the AAGBI Foundation, the AAGBI’s char-ity, to those who have made significant contributions to the AAGBI Foundation, its objects and goals.

Bernie received the RCoA Humphry Davy Award in 2005.

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Contact

Please send your contributions and suggestions to the editor.

Publishing Editor: Tony Addei

The work to convert our department into a clean, green, relaxing yet productive area for us to use continues.

Redecoration is in progress to be followed byDEEP CLEAN & REFURBISHMENT.

We have been promised (in principle) some charitable funds for new furniture and staff related “stuff”. This could include big items such as reclining chairs or smaller stuff such as coffee machines etc…Please let me know if there is anything specific you would like and I’ll see if it could be funded.

- POSTERS / PICTURES / PHOTOS / PIXELSShort term 1) We would like to display evidence of the huge

amount of quality work we do in our department.Dr Aasifa Tredray has sent out an e-mail regarding this. We are looking for up to date high impact work to put in poster format.2) Dr Liban is organising a big screen to put in the main corridor. This will be used to display depart-mental information.

Long Term

Drs Cashman and Liban have very kindly agreed to set up an exhibition on the history of the department. Many thanks for “volunteering”!!That’s all for now. I will keep you updated and pro-vide feather dusters.

Dr Himala Dezoysa

DEPARTMENTAL MAKEOVER

Please visit our external (internet) website to

appreciate the excellent work that has taken

place. This is the work of Dr Puneet Ranote and

Dr Jens Bolten. Check out your profile and con-

tact Puneet & Jens if you want it updated.

Our internal (intranet) site is under construction.

Thank you for your patience whilst the site is

updated. The work is being done / coordinated

by Dr Adam Shonfeld.