Delighted to deliver the citation for alistair mcnarry at #anaesthesia2024 on receipt of Royal College of Anaesthetists College Medal . Honoured for his tremendous work as inaugural AIRWAY Lead Advisor Royal College of Anaesthetists over last 7 yrs Difficult Airway Society (DAS) Trainees Difficult Airway Society (DAS) College of Anaesthesiologists of Ireland Imran Ahmad Tim Cook

College VP Dr Helgi presenting the Dudley Buxton prize for ‘meritorious work in anaesthesia or in a science contributing to the progress of anaesthesia' to Kariem. Congratulations Kariem! #Anaesthesia2024

@[email protected] David Chan Sajay Bill Kilvington 💙 FCODP, FRCA College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson That applies equally depending on who my surgeon is…..

Delegates from low and middle income countries have a highly subsidised fee of £15/day.
Please email [email protected] with your details to avail this rate.

WFSA Dr Rakesh Garg AIIMS New Delhi Jay Dasan Claire Davies Paulo San Pedro, MD Shiv Kumar Singh INDIAN SOCIETY OF ANAESTHESIOLOGISTS EVALaclasa SACH

Sajay Bill Kilvington 💙 FCODP, FRCA College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson @[email protected] There are two things that really matter - effective scheduling and reducing cancellations. Start times / turnaround times etc don’t create enough time for more operations.

Suggest reading this paper (or Pandit’s book on operating theatres) - bjssjournals.onlinelibrary.wiley.com/doi/full/10.10…

Sajay Bill Kilvington 💙 FCODP, FRCA College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson @[email protected] In NHS England we cancel around 80k case each year at the last minute. Some places are sitting at nearly 10% on the day cancellation rate. Forget 6-4-2, capped utilisation etc etc. Virtually all late cancellations can be avoided

Sajay Bill Kilvington 💙 FCODP, FRCA College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson @[email protected] The question is 'being efficient for the patient'
vs 'seen to be efficient for the management' by theatre utilisation time??
A procedure can be done by some in 1 hr vs 4 hrs.
4 in a day vs 2 in a day.. both are equally safe
but 4 procedure list will be perceived as inefficient

Sajay College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson @[email protected] Agree theatre lists in advance, accommodate staff with caring responsibilities etc, but then aim to finish the list, no cancellations.
Pay staff overtime for agreeing to stay on, not time back they'll never see!

Sajay Bill Kilvington 💙 FCODP, FRCA College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson @[email protected] Start measuring theatre capacity and patient journey accurately and then implement effective scheduling.

Qualified, knowledgable staff as per Bill Kilvington 💙 FCODP, FRCA comments and sufficient staffing

Bill Kilvington 💙 FCODP, FRCA Sajay College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson @[email protected] And equally let theatre staff go home early if they finish the list early (instead of having to take annual leave to go early)

Sajay Bill Kilvington 💙 FCODP, FRCA College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson @[email protected] Surgeons to control their own lists with their secs as they did for years with no mention of theatre efficiency as they know the patients, no pooling, no middle man.

Sajay Bill Kilvington 💙 FCODP, FRCA College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson @[email protected] Incentivise efficiency! Allow staff to take time back once the list is finished, ring fence beds for surgical patients and encourage positive feedback and recognition!

Bill Kilvington 💙 FCODP, FRCA Sajay College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson @[email protected] No one thing will improve it. There are issues at every step on the journey from the carpark, to the ward, to getting to theatre, to staff, to equipment, to discharge.

Sajay Bill Kilvington 💙 FCODP, FRCA College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson @[email protected] Improve ward staffing levels, increase beds, decrease paper work (asked same questions many times).
Theatre: increase staffing levels, tell staff once the list has finished=home time (amazing+free motivator), more prep the day before (oh I need this..in WHO)

Sajay College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson @[email protected] Appropriate numbers of staff, qualified in Perioperative Practice.
Not only more effective but better patient safety also.
Too many corners cut to save money.

Sajay Bill Kilvington 💙 FCODP, FRCA College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson Put staff first. Not patients. Staff.

If people feel safe, cared for and valued, they will work harder and more efficiently

Reward hard work.

At the moment, if you work efficiently & finish early, you get rewarded with more work! That's not an incentive for rational people.

What's the one thing that you would do to improve theatre efficiency in the NHS?

@SaferSurgeryU Bill Kilvington 💙 FCODP, FRCA College Of Operating Department Practitioners Dr Sethina Watson Imran Ahmad Kariem Jan Hansel Tim Cook Dr Rachel Clarke Mike Henley 🤨 Dr Helgi JP Lomas Tom Lawson @[email protected]

Only two days left for the joint 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 and Difficult Airway Society (DAS) webinar

Exploring Airway Excellence

🗓️ 13th May Monday
🕕 18:00pm BST

Register here

bookcpd.com/course/Anaesth…
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Free for DAS members and non-members get one year free membership and access to all upcoming

𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 Matt Wiles Kariem 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 𝘙𝘦𝘱𝘰𝘳𝘵𝘴 Difficult Airway Society (DAS) Difficult Airway Society (DAS) Trainees Here is the registration link

bookcpd.com/node/570

ESAIC Trainee Network Scottish Society of Anaesthetists Aberdeen Anaesthesia Airway Society Kochi #AirwayHub WA Airway Group Hans Huitink

Don't forget to register for the Exploring Airway Excellence Webinar!

With Matt Wiles Kariem Dr Sneh Shah, Dr Navniel Kaur (LMIC Editorial Fellow, Anaesthesia) & Dr Craig Lyons (Editor, 𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 𝘙𝘦𝘱𝘰𝘳𝘵𝘴)

Difficult Airway Society (DAS) Difficult Airway Society (DAS) Trainees

13 May 1800 BST