| Home | Coordination Office |
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| 06 Dec 2011 | |
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NCAT Bowel Cancer Awareness Campaign from 30th January 2012 |
The National Cancer Action Team for England is running a bowel awareness campaign in England from 30th January to the end of March 2012. The attached letter from Professor Sir Mike Richards, National Clinical Director for Cancer represents the briefing being supplied by GPs referring on symptomatic patients. Click to VIEW letter. Nigel Scott, President of the Association of Coloproctology comments: The letter stated that "In other words, we are not saying that every patient who presents to their GP with these symptoms should be referred on the urgent referral pathway for suspected bowel cancer. Standard outpatient referral and/or straight to test referrals may also be appropriate for some patients" The important point to be discussed with your local GPs is that the two week wait referrals system is not the only mechanism that they should use for these extra patients. (Dec 2011) |
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| 28 Nov 2011 | |
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66th Annual Meeting of the Japanese Society of Coloproctologists, 25th and 26th November 2011. |
Photo: JSCP President Professor Kameka to the right of Mark Coleman, Lapco National Clinical Lead.
Mark Coleman, National Clinical Lead for Lapco reports on his invitational visit to present on Lapco at the 66th Annual Meeting of the Japanese Society of Coloproctologists which was held in Tokyo, who comments;
"At the personal invitation of the President, Professor Kameoka, I travelled to Tokyo, Japan, to deliver a 1 hour lecture on the Lapco programme. In typical Japanese fashion, organisation was superb and the levels of respect and politeness unsurpassed. The hotel and conference were located in a hotel just near to central Tokyo, adjacent to the Imperial Palace, the size and grandeur of which make Buckingham Palace look like a 2 bed semi. It took me an hour to run around the moat each morning – perhaps in part a reflection of my running these days!
Most sessions were delivered in Japan but there were some very worthy overseas invited lecturers (apart from your truly of course!). Mike Solomon from Prince Alfred Hospital Sydney gave us a fascinating insight in to pelvic exenteration for advanced malignancy from which there were 2 startling take home messages; 1, they don’t believe in prone APER for most cases and think better access can be obtained to divide the sacrum in lithotomy; 2, they can take the sacrum up to the bottom of S1 and major part of the pubis and ischium and still preserve function such as walking and good long term quality of life. In over 250 cases they had a most impressive R0 resection rate in this most challenging area of colorectal surgery. Some of the wide excisions were literally jaw dropping. Finally, most had primary closure (yes) with acceptable outcomes and gluteal flaps for obese patients. Makes you stop, doesn’t it!? Get Prof. Solomons to Dublin next year, I say.
My own lecture was 1 hour including questions. The session was well attended and the questions reflected a critical understanding of what we are doing with Lapco. The Japanese have a video based summative assessment process like ours but this appears to come at the end of residency/fellowship, i.e. not whilst a staff surgeon (equivalent to consultant). The process has teeth with a pass rate of 35%!
The penetration rate in Japan is around 30%, similar to ours, so all in all it was great to share our experiences." Mark Coleman Lapco National Clinical Lead mcoleman1@nhs.net 28th November 2011 |
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| 28 Nov 2011 | |
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ALS Conference: Poster Prize for Nottingham Team |
At the Association of Laparoscopic Surgery (ALS) Conference in Cardiff held on 17/18th November the 'Poster Prize' (Ref P57) was awared to the Nottingham training team and colleagues which includes Lapco NTP Trainers, and Lapco NTP Consultant Trainees. The poster was entitled 'Medium Term Results of Laparoscopic Colorectal Surgery From a National Training Centre' R Maitra, A Acheson, J Smith, C Gornall, J Scholefield, J Williams, Charles Maxwell Armstrong. In summary, this presented as follows: |
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| 24 Nov 2011 | |
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Latest HES Data |
Slide: Laparosopic HES Data |
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| 19 Oct 2011 | |
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Mark Coleman - Appointed to Chair of External Affairs Board of ACP |
October 2011 - Mark Coleman, National Clinical Lead for Lapco has been appointed as Chair of External Affairs Board of Association of Coloproctology (ACP).
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| 09 Sep 2011 | |
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New Appointment to NTP Steering Group |
The National Training Programme has appointed Melanie Feldman, Consultant and NTP South West NTP Trainee to the Lapco Steering Group as an NTP Trainee Representative. This is an important role which will provide the trainees perspective on the running of the programme, along with the implementation of any proposed changes to the set up and approach of training. If any Lapco trainees wish to raise any points to Melanie Feldman for her to raise at the meeting or highlight as agenda items please let her know by email: melanie.feldman@rcht.cornwall.nhs.uk The Steering Group meetings are held quarterly rotated around the training centres, and comprise Lead Trainers from each centre, along with stakeholders and Department of Health National Cancer Action Team. The most recent Steering Group meeting took place on Monday 5th September at ICENI Centre, Colchester which was well attending with 25 NTP Trainers and Stakeholders including an International invited Guest Professor Hiro Hasegawa Head of Colorectal Surgery, Keio University, Tokyo who was attending the ISLCRS Conference at Colchester. The next Steering Group meeting is taking place on Monday 20th February 2012 at The Christie Hospital, Manchester, which is followed by a NTP Education Masterclass Day on Tuesday 21st February further details are available on the Lapco web site.
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| 10 Aug 2011 | |
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National Clinical Lead Mark Coleman reports on his presentations at recent International Meetings |
Photo: Mark Coleman at Cairns for the Colorectal Tripartite Meeting in July.
NTP National Clinical Lead Mark Coleman has had a busy schedule presenting his Lapco lectures at a range of international meetings, with attendance at further meetings planned for later in 2011/2012.
Report on recent and planned Lapco lectures abroad
Advanced Course in Laparoscopic Colorectal Surgery, May 25-27th 2011
Department of Surgery, Sahlgrenska University Hospital, Ostra, Gothenburg, Sweden
Local organiser Goran Kurlberg
Other Speakers: Chris Cunningham (UK), Hendrik Schimmelpenning (Germany), Andre D’Hoore (Belgium)
After dodging ash clouds from the second Icelandic Volcano I spent a day at this meeting attended by surgeons from Sweden, Norway and Finland. I gave 2 lectures on the ‘Role and Indications for laparoscopic colorectal surgery’ (1hr) and ‘Training in laparoscopic colorectal surgery’ (1hr) which were both well received in terms of the number and range of follow up questions.
I then flew from Gothenburg via Munich to Ancona the next day to a meeting of the Italian Association of Colorectal Surgeons (ACOI, 25-27th May 2011) at Ascoli Piceno, Italy. ACOI is one of the largest surgical societies in Italy. I hosted a one hour closed discussion round table with around a dozen Italian laparoscopic colorectal experts with an interest in training. I then gave a 20 minute lecture to conference chaired by the President of ACOI who is also President of SIC (The other main Italian Surgical Society). The subject of both groups was, of course, Lapco. There was much interest in how the organisation started, the types of training provided, the clinical outcome data and the educational assessment.
A year ago most European surgeons anecdotally were under the impression that the rate of uptake of laparoscopic colorectal surgery in Great Britain was poor with little or no training. I have been quoted the figure of 5% uptake on more than one occasion for the UK. Given we now have a situation where 33% elective resections are now laparoscopic in England (HES data) and have arguably the world’s most substantial consultant training programme, many surgeons in Europe are now showing great interest in the possibilities for a similar system to Lapco in their country.
Having lectured to a diverse audience already of Asia-Pacific surgeons in December 2011, interest in the success of the programme is increasing worldwide.
Tripartite Meeting Cairns , Austrailia 4-7th July 2011
This meeting occurs 3 yearly between the ASCRS (American Colorectal Society), CSSANZ (Colorectal Soc of Australia and New Zealand), The Section of Coloproctology of the RSM and the ACP. I presented an oral paper on behalf of Danilo Miskovic entitled ‘Clinical and Educational Outcomes of the English National Training programme in laparoscopic colorectal surgery’, 2 poster presentations on behalf of Susannah Wyles on the STTAR system and a plenary lecture on ‘Credentialing in laparoscopic surgery’. There was much interested in the transformative nature of the Lapco programme and the possibilities of the Lapco TT course in other countries.
At all my presentations I continue to personally acknowledge all those involved in the delivery of this successful programme.
Other future Lapco presentation dates:
Other recent Lapco presentations:
For any further information contact NTP National Clinical Lead Mark Coleman by email mark.coleman@lapco.nhs.uk
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| 10 Aug 2011 | |
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Over 1,300 Training Sessions now recorded with LAPCO |
Photo: NTP Trainer Austin Acheson (Nottingham) with NTP Trainee Julian Williams who has completed his Lapco training. As at August 2011, over 1,300 training sessions have now been recorded on line at the Lapco web site www.lapco.nhs.uk. The web site went live in April 2009, and the number of GAS forms have increased month on month since it was launched. A total of 59 trainers are now providing training sessions through our 11 training centres.
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| 14 Jun 2011 | |
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NTP Trainer Amjad Parvaiz Appointment as Professor of Surgery at University of Portsmouth UK |
Appointment as Professor of Surgery at University of Portsmouth UK.
Photo: Professor Amjad Parvaiz The National Training Programme would like to congratulate NTP Trainer Amjad Parvaiz who has been appointed as Professor of Surgery at Faculty of Science University of Portsmouth. His new role commenced on 1st June 2011. Amjad has been working as consultant surgeon at Queen Alexandra Hospital Portsmouth since September 2006. He has been actively involved in research and teaching. His clinical work have been widely presented and published in peer review journals. His role within National training programme for lap colorectal surgery have seen him to be the most active lap co trainer with well over 200 training cases being done during the last two years. Amjad’s main area of interest is teaching & training in laparoscopic colorectal surgery, laparoscopic TME surgery for rectal cancer and Lap pouch surgery.
NTP Trainers Amjad Parvaiz and Jim Khan will be running the NTP Education Masterclass Day on Thursday 16th June at Portsmouth with over 140 delegates registered which makes this the largest education day that Lapco have run, well done to all involved with this event.
Laura Stapleton National Programme Manager |
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| 07 Jun 2011 | |
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New Trainer Registrations - Lapco now has 59 registered trainers |
Photo: NTP Training Sessions being delivered at Portsmouth Lapco now has 59 registered trainers providing training throughout our 11 National Training centres, the most recent appointments include: Tas Qureshi (Portsmouth Training Centre) Sharmilia Gupta (Colchester Training Centre)
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| 07 Jun 2011 | |
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Lapco TT Course - Bradford June 2011 |
The fourth Lapco TT was run at Bradford Royal Infirmary on 1st/2nd June 2011, which was hosted by NTP Trainer John Griffith. The course was lead by NTP Trainer Facilitators Nader Francis and Mark Coleman, along with other Faculty members which included NTP Trainers Ian Jenkins, Tom Cecil, Andy Miller, Amjad Parviaz and Matthew Clarke. For further information contact NTP Programme Manager Laura Stapleton 01752 439845, laura.stapleton@nhs.net
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| 16 Mar 2011 | |
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Lapco TT Course - Nottingham March 2011 |
Photo: Day 1 NTP Trainers Role Play Exercise The third Lapco TT (Train the Laparoscopic Colorectal Trainer) Course was held at Nottingham on 8/9th March 2011. This is a 2 day course which provides an interactive 'dry skills' classroom based Day 1, followed by live theatre on Day 2 as part of a structured programme. The Nottingham Lapco TT Course was attended by 8 NTP trainer delegates which included: The host faculty at Nottingham included NTP Trainers Austin Acheson, and Charles Maxwell Armstrong, who along with their colleagues assisted with the set up, and running of a successful course which is particularly important for the running of live theatre on Day 2 of the course.
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| 24 Feb 2011 | |
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Latest National HES Data on Elective Laparoscopic Colorectal Activity |
The latest HES data which tracks national progress has just been published for the period April to October 2010 which shows that the proportion of elective colorectal resections undertaken in England is at 33%. This shows continual improvement since the benchmark figure of 5% was published in 2006/07, which was the point at which the Lapco National Training Programme commenced. |
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| 27 Jan 2011 | |
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NTP Steering Group Meetings |
The National Training Programme meet on a quarterly basis to review the progress and activities of Lapco. The meetings are rotated around the country and are generally held at one of our training centres or in conjunction alongside a surgical meeting. We seek to ensure that there is a clinical lead representation from each of our centres at each meeting, which are Chaired by Mark Coleman, National Clinical Lead, and Andy McMeeking, National Cancer Action Team (NCAT).
The first Steering Group meeting this year was held at St Marys Hospital in Portsmouth on Wednesday 26th January 2011. Further Steering Group meetings are scheduled to take place in May (date to be confirmed) to coincide with ASGBI Bournemouth, and Colchester on Monday 5th September 2011.
Photo Shows left to right: Melody Ni (Imperial College), Vivek Datta (KGST), Prof George Hanna (Imperial College), Jim Khan (Portsmouth), Andy McMeeking (NCAT), Roger Motson (Colchester), Austin Acheson (Nottingham), Nader Francis (South West), Tom Cecil (Basingstoke), Mark Coleman (National Clinical Lead), Lorraine Waugh (Newcastle), Selva Sekar (North West), Amjad Parviaz (Portsmouth), Laura Stapleton (NTP Programme Manager), Ian Jenkins (St Marks), Naomi Sheeter (KGST), Susannah Wyles (Imperial College), Savvas Papagrigoriadis (KGST). |
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| 20 Jan 2011 | |
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Imperial College Education Update |
The Lapco Education team at Imperial College London is headed by Professor George Hanna. Although Professor Hanna is an upper gastro-intestinal surgeon and hence his involvement in the programme may seem curious, he has had a strong interest in educational research and has previously been extensively involved in work with Professor Sir Alfred Cuschieri at Ninewells Hospital in Dundee.
The research team is managed by Dr Melody Ni, a post-doctorate decision analyst. Melody’s key role is ensuring the administrative fluency for the sign-off procedure from the programme, and to manage the research team. She is also a gifted statistician and checks that the analytical methods used throughout the research are appropriate. She has recently written a statistical programme from first principles that will have an important role in the proficiency gain curve analysis.
Danilo Miskovic is a consultant gastro-intestinal surgeon. Having completed his training in Switzerland, Danilo worked as a laparoscopic fellow at Frimley Park for a year before joining Imperial College. His PhD research has focussed on assessment. Through the Lapco steering group the GAS form was created, with input from the programme educationalist, Dr Fiona Carter. This has now been validated and forms a crucial part of the programme. Danilo also developed and validated the L-CAT form, a structured assessment form for videoed operation assessment. This form is used by the assessors in the sign-off procedure and allows for a blinded critique both of trainees’ generic and specific laparoscopic skills. This is again vital for the running of the programme.
Susannah Wyles is a surgical trainee, and on completion of her PhD will return to higher surgical training in London. The focus of her research for the programme is training. She has analysed the different training courses within the programme, and is now looking more specifically at the trainers themselves. An overall opinion of trainees enrolled thus far within the programme has been determined. The mini-STTAR (Structured Training Trainer Assessment Report) has been developed to allow the programme trainees to provide Lapco with regular feedback regarding the quality of each training session. The main aim of this work is to ensure a standard of training is maintained throughout the different Lapco training centres across England. The team have recently won awards for the GAS form research - both the prestigious John Arderne medal from the Colorectal section of the Royal Society of Medicine, and the David Dunn medal from the Association of Laparoscopic Surgery (ALS) – and for the training research – best poster Association of Laparoscopic Surgery (ALS).
For further information on publications and papers produced by the Imperial Team and full contact details please go to ‘NTP Publications’ on the Lapco web site home page. |
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| 11 Nov 2010 | |
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Lapco TT Course - St Marks |
Photo: Lapco TT Faculty and Delegates The second Lapco TT (train the trainer) 2 day course took place at St Marks, London on Tuesday 9th and Wednesday 11th November. The course is designed for 8 NTP Trainer delegates who are currently active trainers in our training centres throughout the country. A total of 8 NTP Trainer delegates attended who currently provide training at the following centres, Hull, North West, Bradford, Nottingham, Oxford, Basinsgtoke and the South West. Many thanks go to the team at St Marks for kindly hosting the 2 day course, along with the team from the Academic Institute who were extremely helpful with course arrangements.
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| 21 Sep 2010 | |
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NTP North West Education Day |
The NTP held a laparoscopic education day at The Mayo Building, Salford, Manchester on Tuesday 14th September which was hosted by the North West Training Centre lead by David Watson and Selva Sekar and their respective teams. The programme for this event included an update on the NTP by National Clinical Lead Mark Coleman, followed by a series of technical DVD presentations by NTP trainers. The afternoon commenced with a debate between surgeons Marcel Gatt and Ian Jenkins entitled 'Laparoscopic Surgery is no better than open surgery in an Enhanced Recovery Programme (ERAS?). The session was mediated by Mark Coleman, and produced an interesting hour of debate and discussion, with data presentations from a cross section of enhanced recovery studies including early feedback from the LaFa study. The day concluded with presentations from individuals that had received Colorectal Laparoscopic Training including perspectives from SpRs, Fellowship Training, In Reach Training and Training through the National Training Programme. The North West day attracted 150 delegate registrations, with a cross section of attendees including theatre staff, SpRs and Consultants mainly from around the region. This was a successful well attended event, and thanks go to the North West team for their support and organisation, along with the industry sponsors who supported this meeting. It is anticipated that the next NTP Education Masterclass day will be held in September 2011, Colchester, further information will be circulated in due course. Laura Stapleton
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| 21 Sep 2010 | |
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SpR Section - Now Live! |
Following widespread demand from SpRs we have developed a dedicated section of the web site to allow SpR Trainees to record their laparoscopic colorectal cases by way of a bespoke Global Assessment Score (GAS) form. The same facility also exists for registered SpR Trainers who are required to fill in a GAS form after each procedure. Working with Imperial College, we will be incorporating a learning curve analysis for each SpR as their training activity develops. All SpRs and SpR Trainers are required to register - follow the link on the home page of the Lapco web site to undertake this. Once registered, all SpRs/Trainers will recieve a password and access to their account to add assessments and review their development. For further information contact Laura Stapleton, NTP Programme Manager
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| 16 Aug 2010 | |
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LoReC Development Programme |
The team at LAPCO look forward to working with the LoRec Development Programme which will be lead by Conultant Brendan Moran (see photo) who has recently been appointed as National Lead, we take this opportunity to outline his introductory summary below:
Dear Friends and Colleagues,
I know that you have all been aware of, and involved in, the Department of Health project initially entitled extralevator abdomino perineal (ELAPE) programme and subsequently evolving into what is now a Low Rectal Cancer National Pilot Programme.
I am delighted to have been offered the position of Clinical Lead for this project, commencing in October 2010. Over the past week of so I have been working with Sarah Crane (CEO Pelican Cancer Foundation, Basingstoke) and we are starting to make provisional plans on how and where to deliver the programme. In essence we feel it will be a multi disciplinary, mulit centre programme delivered locally at a number of centres across England.
We have settled on 'LoReC' as a good abbreviation for Low Rectal Cancer and hope that the LoReC National Development Programme will be launched in the autumn. Due to summer holidays we cannot confirm any details until after a meeting with Andy McMeeking at the National Cancer Action Team in early September.
We hope to have a relatively small steering committee with a wider faculty to deliver the different stages of the programme.
This is a great opportunity for us to develop low rectal cancer care in England and I hope that you will continue to support me in the coming months. If you would like to talk about this further please do contact me on the numbers below (although I am away from now until August 30th) or contact Sarah Crane on 01256 314746.
Yours sincerely,
Brendan Moran
Work: 01256 414709
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| 27 Jul 2010 | |
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Appointment of New NTP Trainers |
The growth of training activity nationally has resulted in the appointment of additional trainers over the last few months to assist training centres with their training delivery on both an in reach, and out reach basis. In total, the NTP now has 47 active trainers delivering training through its 11 centres in England which supported by new appointments is on track to deliver in excess of 600 seperate training sessions over a 12 month period. The recent NTP Trainer appointments include: North West Bradford Basingstoke/Frimley Park For further information contact Laura Stapleton, National Training Programme Manager: laura.stapleton@lapco.nhs.uk
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| 14 Jul 2010 | |
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Equality and Excellence: Liberating the NHS (July 2010) - Key Challenges for Cancer |
On July 13th at 'Spreading the Winning Principles' Annual National Transforming Inpatient Care Conference was held in London, and attended by NTP Programme Manager Laura Stapleton. The programme for this event included a presentation from Sir Mike Richards (National Clinical Director for Cancer and End of Life Care) who provided a summary overview from the published Government White paper of key challenges for cancer as follows: 1.Rising Incidence
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| 05 Jul 2010 | |
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NTP Train the LCS Trainer (TT) – First Course Held at Portsmouth |
Following on from the pilot 2 day course in March this year, the first TT course was held in Portsmouth on 9th/10th June. The course is structured with 6 NTP Trainer delegates, along with a faculty of 4 NTP Trainers, and other supporting members. |
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| 29 Mar 2010 | |
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Trainer records his 100th GAS Form to the National Training Programme |
A milestone of training activity has been acheived on the National Training Programme with NTP Trainer Amjad Parvaiz who has now recorded a total of 100 training sessions at Portsmouth. Amjad has been actively delivering training sessions since the programme began in mid 2008. He has already had 2 trainees that have completed the 'sign off' including Daniel O Leary and Richard Payne, and there are currently 2 further trainees in the sign off process that have received their training at Portsmouth. The 100th NTP training case was recorded with Basil Fozard who commenced his training with Amjad Parvaiz at Portsmouth earlier in 2010, and this was his 4th recorded training case. A total of 10 trainees are in training at Portsmouth, and the continued progress of training episodes is a credit to Amjad and his training team. Well done - onto the next 100 now! Photo: Amjad Parvaiz (left), Portsmouth Training Centre
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| 22 Mar 2010 | |
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NTP Train the Trainer Pilot Course |
There are now 35 active trainers delivering training in the National Training Programme, with further additional formality of trainer appointments that will increase this number towards 40. The NTP would like to role out a course to support all their trainers with the expansion of the number of trainers and volume of clinical sessions being delivered across the Programme. The National Training Programme held a 2 day ‘Train the Trainer’ (TTT) Course on 18th/19th March in Day 1 provided an opportunity for classroom based role play training discussions and engagement with training aides. This included trainers taking it in turn to act as trainer or trainee delivering different training styles and techniques. Day 2 was a ‘live theatre’ day which involved some of the trainers working through a clinical procedure, with input from other trainers on assessment of training delivery. An updated structured programme model is now being created which is proposed to be rolled out to other training centre locations with ease of access for trainers in different parts of the Country. Further feedback will be presented by Course Convenor Nader Francis in the lead up to the next NTP Steering Group meeting. In the interim, any initial queries should be directed to Laura Stapleton, NTP Programme Manager by email: laura.stapleton@phnt.swest.nhs.uk |
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| 08 Feb 2010 | |
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New Trainer appointed to expand team at Colchester |
We are pleased to report that a new trainer is now registered and has joined the National Training Programme to support the activities of the Colchester Training Centre. We take this opportunity to welcome Colorectal Consultant, Mr Zulfiqar Khan into his new role who is based at The Queen Elizabeth Hospital, Kings Lynn, Norfolk.
The NTP now has 31 registered active trainers providing training throughout the 11 training centres in the Country. There are now 107 trainees at Consultant level registered within Lapco, with a further 20 registrations currently being formalised. This takes the trainees numbers up to just under 130 and rising, which reflects substantial growth in terms of both trainees and clinical activity which is being recorded.
Mr Khan has developed a functional laparoscopic colorectal service at The Queen Elizabeth Hospital, King’s Lynn since his appointment in 2002. The team includes 3 Colorectal Consultants, along with a dedicated theatre team consisting of 6 staff nurses who have become an integral part of the service. Mr Khan has secured a number of high definition video systems for his Department which are ideally suited to the NTP training requirements, and he has further ambitions to deliver an integrated laparoscopic theatre.
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To contact Mr Zaj Khan email him at: zaj.khan@qehkl.nhs.uk |
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| 20 Nov 2009 | |
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NICE Guidance Waiver Review |
Letter from Mike Richards, DH National Cancer Director informs how the three month funding direction to implement the programme to train colorectal surgeons in laparoscopic surgery has been waived until October 2010, after which suitable patients should be given this choice of treatment. Click "Letter" to view - LETTER Link NOV 09. |
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| 18 Nov 2009 | |
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North West Training Centre |
The North West training centre represents the newest training centre within the network for the National Training Programme, and it will be able to take on trainees with effect from January 2010. A dedicated launch of the training centre will be taking place at Salford Royal on Friday 8th January 2010, and all prospective trainees and stakeholders are welcome to attend this day and meet with the training and administrative team. For more information on this event please contact either of the NTP North West Trainers.
There are two separate hospitals that will form the North West Consortium and include Salford Royal NHS Foundation Trust lead by Trainer David Watson (david.watson@srft.nhs.uk) and Mid Cheshire Hospital Foundation NHS Trust lead by Trainer Selva Sekar (selva.sekar@mcht.nhs.uk). The North West Training Centre is able to provide training sessions which are structured with both ‘in reach’ (training at the trainers hospital) and ‘out reach’ (trainer travelling to the trainees hospital) sessions, and structured training plans will be required to be entered into scheduling these before training commences. Both the locations which form the North West training centre have the benefit of stack systems with DVD recording media for all training episodes. In addition, Royal Salford has access to the supporting surgical skills training on site at ‘The Mayo Centre’ (reference photo) and Mid Cheshire will offer access to a Laparoscopic Skills Laboratory for use by its trainees. PROGRAMME - Northwest (Click "Programme" Link) MAP - Salford Royal (Click "Map" Link) For more information on accessing training with the ‘North West’ training centre please contact the trainers as outlined above, or make contact with the Coordination Office of the National Training Programme on 01752 439844. |
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| 22 Oct 2009 | |
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Education Day – 19th January 2010, Imperial College London |
A dedicated ‘Education Day’ for the National Training Programme will be hosted by Imperial College, St Marys Hospital on Tuesday 19th January.
1. Training
2 Becoming an expert 3. Assessing Performance 4. Clinical Quality.
A range of international speakers will be presenting during the course of the day, which runs from 9.30am to 4.30pm. This event will also provide an opportunity for Imperial College to showcase their recent work with surgical information provided through the National Training Programme. For further information please see attached preliminary programme, there are no costs associated with attendance at this event.
Please register with Joanne Foley at: joanne.foley@lapco.nhs.co.uk
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| 30 Sep 2009 | |
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New Trainer appointed to expand team at Portsmouth |
We are pleased to report that a new trainer is now registered and has joined the National Training Programme to support the activities of Amjad Parvaiz at Portsmouth. We take this opportunity to welcome Jim Khan into his new role who is also based at Queen Alexandra Hospital, Portsmouth.
The NTP now has 22 registered active trainers providing training throughout the 10 training centres in the Country. There are now 84 trainees at Consultant level registered within Lapco, with a further 26 registrations currently being formalised. This takes the trainees numbers up to 110 and rising, which reflects substantial growth over the last 12 months.
Jim was appointed as a laparoscopic colorectal surgeon at Portsmouth last year. He completed his specialist registrar training in colorectal surgery in the Wessex, while working with Bill Heald & Brendan Moran at Basingstoke and received laparoscopic training at Winchester and Portsmouth. His specialist colorectal training included the UK national laparoscopic fellowship with Roger Motson at Colchester, and a travelling clinical fellowship at Mayo Clinic Rochester US. Jim has performed over 200 laparoscopic colorectal resections following a standardised technique. His research interests include clinical research in laparoscopic colorectal cancer surgery and training in laparoscopic surgery.
Portsmouth now has 9 registered trainees and is one of the most active centres within the NTP in terms of delivering clinical activity. With the ever growing development of the National Training Programme, there is an increasing demand for access to training. With the combined skills of the Portsmouth Team lead by Amjad Parvaiz, this alliance will no doubt further underpin the quality and volume of training which can be provided in this location. |
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| 24 Sep 2009 | |
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‘Live Theatre Laparoscopic Masterclass’, Plymouth, Friday 4th December 2009 |
Registrations are now being taken for a 1 day masterclass event which will be taking place in Plymouth on Friday 4th December 2009. The event will include two live theatre procedures including a laparoscopic colorectal procedure from NTP Trainer Tony Dixon, along with a laparoscopic Nephrectomy by leading Urologist Peter Rimington. For more details please see attached.
Registration
Please confirm registration to Joanne Foley at Lapco:
Email: joanne.foley@lapco.nhs.uk
or Telephone: 01752 439845 This event is supported by industry, there is no cost with attendance. Programme - Southwest Masterclass 4th December 2009 |
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| 17 Sep 2009 | |
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National Training Programme Overview and Live Masterclass - Basingstoke September 2009 |
A successful 1 day event was held in early September in Basingstoke by the National Training Programme in Laparoscopic Colorectal Surgery. The day involved a series of presentations on the approach and feedback to the training progress, along with a master class of live theatre which took place on Tuesday 8th September at Basingstoke.
The event was at its capacity with 65 delegates, which included a balanced mix of National Training Programme trainees, trainers, and potential new entrants to the programme. The audience presented a wide geographical mix of attendees, and there was a broad representation that was a reflection of the interest in the programme and event.
The presentations included an overview of Educational Assessment by Prof George Hanna and Danilo Miskovic from Imperial College, London. This was followed by ‘the trainees perspective’ which was presented by Dan O’Leary who has recently completed the ‘sign off’ of the National Training Programme through the Portsmouth Training Centre. Chris Cunningham, from Oxford presented on the ‘Trainers Perspective’, which was followed up with an overview of the training progress in Wales from Jared Torkington.
We were delighted to welcome Janine Roberts, and Kerri Houghton from Department of Health who presented on the structure and development of the National Enhanced Recovery Partnership Programme. A number of test sites were identified throughout the Country which will be leading on establishing principles of ‘best practice’ for Colorectal, Muscular Skeletal, Urological and Gynaecological specialism’s.
The afternoon provided a live link theatre masterclass lead in theatre by NTP Trainer Tom Cecil from Basingstoke, with NTP Trainee Panna Patel undertaking elements of the procedure. Interactive questions were lead by Jared Torkington and Ian Jenkins from the seminar room at The Pelican Centre. This provided a unique opportunity for trainees to interact with the trainer and trainee involved in the theatre session, which received extremely positive feedback from all.
Mark Coleman, National Clinical Lead comments, ‘We were delighted with this event, and thanks all the speakers, and attendees that made this event so successful. We look forward to holding similar events in other parts of the country in conjunction with the spread of our 10 training centres’. |
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| 16 Jul 2009 | |
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DEVELOPMENTS AT NEWSCASTLE TRAINING CENTRE WITH GATESHEAD |
We are pleased to report that a new trainer is now registered and has joined the National Training Programme, and we take this opportunity to welcome Mark Katory into his new role from Gateshead which has had a long history of surgical training in the Northeast. Mark was initially trained in North Trent, completed his laparoscopic colorectal fellowship at Singapore General Hospital and has an interest in laparoscopic pelvic surgery. He was appointed as an Association of Laparoscopic Surgeons Preceptor in colorectal surgery in 2008.
With the success of trainee activity at Newcastle Training Centre, there was an identified need for further trainer assistance with preceptoring within the surrounding environs. With the combined skills of the Newcastle Team lead by Alan Horgan and Hugh Gallagher, this will no doubt further develop the quality and access to training in this area.
As a result, the Newcastle and Gateshead alliance will be now be known as 'Newcastle Training Programme in association with Gateshead Colorectal Unit'.
We all look forward to meeting with Mark Katory with his National Training Programme involvement, and if you would like to contact him directly his email address is 'mark.katory@ghnt.nhs.uk'
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| 13 Jul 2009 | |
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National Training Programme - Next Educational and Steering Group Meeting |
Meeting
The next Educational and Steering Group meeting will be taking place at The Pelican Centre in The Ark, at Basingstoke on Monday 7th September. There will be two separate elements to the afternoon meeting which are as follows:
2.00pm – Educational Meeting (Imperial College/DOH/MC)
4.00pm – Steering Group Meeting (All Steering Group Members)
Agenda
The agenda will be circulated to all Steering Group members in advance of the meeting, but if there are any key items that you wish to raise for inclusion at this stage please advise the Programme Manager by email: laura.stapleton@phnt.swest.nhs.uk or telephone 01752 439844
Location
Full details on the location, and contact information for the meeting venue at ‘The Pelican Centre’ are on www.pelicancancer.org, or telephone the Pelican Cancer Foundation administration team on 01256 314746.
Evening Meal
A sponsored evening meal will be taking place at an Italian Restaurant in Basingstoke on the 7th September which has been reserved, early confirmation of numbers is required for the booking.
Attendance
Confirmation of attendance is required for all of the above as soon as possible please, for those who have not yet responded please confirm to Programme Administrator Joanne Foley by email: joanne.foley@phnt.swest.nhs.uk or telephone 01752 439844.
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| 08 Jul 2009 | |
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NHS Improvement – ‘Transforming Care for Cancer Patients’ |
Laura Stapleton, Programme Manager attended theNHS Improvement team launch of their ‘Transforming Care for Cancer Patients’ at their seminar on 7th July in London, and exhibited the Lapco stand within the exhibition area. The target for the day was clearly presented by Professor Mike Richards, National Cancer Director which is to ‘Save a million bed days’ in relation to cancer patient stay. In 2007/08 this figure was at 4.8m bed days, which is aimed to be reduced by 1 million, by just under 20%. The approach to ‘Enhanced Recovery’ and spread of best practice across into other cancer treatments clearly forms an important part of achieving this. Alan Horgan from our Newcastle Training Centre, presented on the role of Enhanced Recovery in relation to Colorectal Surgery, many of the approaches could clearly be seen to be positively replicated across other areas of cancer treatment that were also presented during the day. Further representation was also provided by Colorectal Consultant Celia Ingham Clark, National Clinical Lead for Transforming In Patient Care. A key note speaker was Professor Lord Darzi, Parliamentary Under Secretary of State at the Department of Health, and by background a laparoscopic colorectal surgeon. The National Training Programme received notable support and reference in his presentation, which underpins the role which laparoscopic surgery has to play in assisting and achieving the NHS Improvement objectives. The event promoted the identification of 4 key winning principles which we will no doubt be hearing much more about which are summarised as follows: 1 Assessment prior to admission
Unscheduled emergency patients should be assessed prior to the decision to admit – emergency should be the exception, not the norm. 2.Defined Inpatient Pathways
All patients should be on an ‘in patient’ pathway. 3.Daily Decision Making
Clinical decisions should be made on a daily basis – 7 day ward rounds. 4.Encourage self Management
Put patient and carers back in control of the system, emphasis on ‘at home’ education. A good cross section of attendance was had during the day from many of the cancer networks, clinical and managerial representation – a follow up email on Lapco will be sent to all attendees. All presentations during the day were recorded, for further information: www.improvement.nhs.uk |
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| 17 Jun 2009 | |
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ACPGBI Conference |
Mark Coleman, and Laura Stapleton Programme Manager from the National Training Programme Coordination Office attended the ACPGBI Conference in |
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| 04 Jun 2009 | |
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Update from South West Laparoscopic Colorectal Consortium |
Preceptees: Our numbers have now risen to 10, all of whom are receiving in/out-reach preceptoring Forthcoming Courses: Laparoscopic Colorectal Masterclass - 7 October 2009, Yeovil District Hosital 2nd Bristol Cadaveric Course - 28/29 October 2009, Bristol University Anatomy Department Details of both available from |
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| 29 May 2009 | |
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Live Operating Day - Training Masterclass in Basingstoke |
We take this opportunity to make you aware of the pending "Live Operating Day" training masterclass which will be held at The Pelican Centre, Basingstoke on 8th September. This will be a day whereby trainers will be assessing trainers which will provide a unique opportunity to interact with leading surgeons in a theatre environment. Please see the attached literature for registration and further information on the event. Basingstoke Day Page 1 Basingstoke Day Page 2 |
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| 23 Apr 2009 | |
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Enhanced Recovery Advisor |
Mark Coleman has been appointed as an advisor from the Lapco National Training Programme on the newly formed Department of Health Enhanced Recovery Partnership. As such, he will represent the NTP at meetings on the 2nd June and 21st July. |
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| 26 Mar 2009 | |
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ACPGBI Link |
A link to the lapco.nhs.uk website is now a featured item on the home page of the Association of Coloproctology of Great Britain and Ireland website (www.acpgbi.org.uk), by kind permission of the ACPGBI President, Mr Nick Carr
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| 04 Feb 2009 | |
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National Coordination Office |
Laura Stapleton, Programme Manager, is now in post and will be hoping to visit each of the training centres in the coming months. Click on Coordination Office for contact details. |
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| 21 Jan 2009 | |
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The Association of Laparoscopic Surgeons Council meeting |
The Association of Laparoscopic Surgeons Council meeting met on 21st January 2009 and voted to reinstate the ALS Laparoscopic Colorectal Surgery Preceptorship Programme in Scotland and Wales who do not have as yet a substantial programme of their own. A newsletter written by Robin Kennedy will shortly appear on the ALSGBI website. |
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| 18 Jan 2009 | |
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ACPGBI Member’s questionnaire |
This has achieved returns of just over 20% in England. Extrapolating the data gives a calculated figure of ~ 200 colorectal consultants who are interested in the Programme. We are continuing to receive and analyse returns |
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| 18 Dec 2008 | |
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Letter from Mike Richards |
At the end of December 2008, Professor Michael Richards, National Cancer Director and Mark Coleman, Lead Clinician for the Programme wrote to all Trust Chief Executives in England. Link to letter |
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