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South East Critical Care - Our Work

South East Critical Care Conference - 11th June 2019

This year’s Critical Care Conference will be held at the Crown Plaza in Crawley on 11 June 2019.

Attached is our updated draft programme which, you will see, has some excellent speakers and subjects including John Haslam from Salisbury NHSFT who gave such a successful talk at ICS in December and a live demonstration of Lung Ultrasound.

POSTERS

We are hoping you will bring posters for our competition and we are especially looking for posters about:

  • Shared learning from incidents
  • Post registration ICU course students project summaries
  • Local research initiatives

Please let us know if you are bringing a poster – the best one will win a prize!

We have organised some great sponsors and stands for you and will again be running our quiz for you to get to know their products and for them to introduce themselves to you!

To Register:  Please use the on-line form here REGISTRATION FORM or let me know if you have any difficulty with it.

For any questions or if you would like more details, please contact Caroline or Sue on met-tr.secccn@nhs.net

draft 2019 SECCN Critical Care Conference Programme 21 02 19

South East Critical Care - Our Work

Useful Links

Evelina London Children’s Healthcare – South Thames Retrieval Service (STRS)

The South Thames Retrieval Service (STRS) is an intensive care service, transporting critically ill children from local hospitals to intensive care units (PICUs). The team is made up of doctors and nurses from their intensive care unit who are specially trained in stabilising and transferring critically ill children. The team give advice to staff at district general hospitals before their arrival to retrieve a child. They then provide intensive care to the child before they leave hospital, while they are travelling in an ambulance, helicopter or plane and when they are settling in to a PICU. Two teams are available to transport children 24 hours, 7 days a week. When they are not transporting children, the team are working within the intensive care unit. For comprehensive advice on referrals; clinical guidelines and drug calculations; medical formulas; information for patients and relatives visit: https://www.evelinalondon.nhs.uk/our-services/hospital/south-thames-retrieval-service/overview.aspx

London and South East England Burn Network

The LSEBN serves a population of around 21 million people, living in London, the East of England, Kent Surrey and Sussex, Thames Valley and Wessex: http://www.lsebn.nhs.uk/

South West London and Surrey Trauma Network

Serves the population of South West London and Surrey.  The Major Trauma Centre is St. George’s Hospital which is supported by 7 Trauma Units: https://www.swlandstn.com/

South East London Kent and Medway Trauma Network

Serves the population of South East London and Kent and Medway. The Major Trauma Centre is King’s College Hospital which is supported by 7 Trauma Units.

Sussex Trauma Network

Serves the population of Sussex. The Major Trauma Centre is the Royal Sussex County Hospital which is supported by 4 Trauma Units: http://sussextrauma.org/

 

South East Critical Care - Our Work

Rehabilitation

The optimisation of recovery from critical illness, rather than mere survival, has developed increasing prominence as the physical and psychological ramifications of a stay in critical care have become widely acknowledged. Research on the longer term consequences of critical illness has shown that significant numbers of patients surviving critical illness have important continuing problems.

“For many, discharge from Critical Care is the start of an uncertain journey to recovery characterised by, among other problems, weakness, loss of energy and physical difficulties, anxiety, depression, post-traumatic stress (PTS) phenomena and, for some, a loss of mental faculty (termed cognitive function). Family members become informal care givers, and that itself can exert a secondary toll of ill-health; family relationships can become altered and financial security impaired.” (NICE 2009)

Information for patients and relatives

SECCN Critical Illness Poster – Information for patients and relatives

FPH Anxiety Resource 2015

FPH Depression Resource 2015

National Institute for Health and Care Excellence (NICE)

Recognition of the unmet clinical needs of patients surviving critical illness prompted NICE to publish guidelines for rehabilitation – Clinical Guidelines 83 and Quality Standards 158:

NICE CG83

NICE QS158

SECCN guidance documents to support critical care units to deliver rehabilitation throughout the critical illness pathway

SECCN Rehabilitation Summary Document September 18

SECCN Rehabilitation Pathway Standards September 18

SECCN Short Clinical Assessment September 18

SECCN Patient Diary Guidelines

Useful links

Link to Frimley Park Hospital on line training for patient diaries:   http://www.frimleypark.nhs.uk/e-learning/PatientDiaryTraining/launch.html

ICU Steps – Intensive Care Patient Support Charity: http://www.icusteps.org

 

 

 

 

 

South East Critical Care - Our Work

SECCN About Us

The South East (formerly South East Coast) Critical Care Network was established in April 2013 as a result of the merger between the critical care networks of Kent & Medway; Surrey and Sussex.

The role of the network is to enable Critical Care Services to work together to promote the highest quality of care for people in the South East of England. Critical Care is a vital hospital service for people with life threatening injuries and illnesses. Critical Care encompasses intensive care and high dependency care units and is where the sickest patients in hospitals are treated. Critical Care staff also provide support to ward areas to ensure the early recognition and response to acutely ill patients wherever they are in the hospital.

The SECCN promotes clinical engagement and collaboration across the South East region to ensure the delivery of safe and effective services for critically ill patients throughout the patient pathway. It provides guidance on service standards to ensure equity of the care patients and their families and loved ones receive. Critical care pathways are audited and best practice identified to serve as a benchmark for service improvement.

The SECCN provides a link between commissioners and providers of critical care to promote integration and coordination of services. The SECCN assists commissioners and providers to coordinate resources to secure the best outcomes for patients. Critical Care activity is monitored across the region to assist capacity planning and to forecast demand, to ensure that supply and demand of Critical Care services are matched even at times of peak activity.

Members of the SECCN work collaboratively to share learning, experience, knowledge and skills; to enable staff to have the skills and confidence to develop Critical Care services in line with initiatives and progress in medical practice and to meet the expectations of commissioners and the public.

Our network hospitals:

Hospital Lead Clinician Lead Nurse
Darent Valley Hospital Dr Mike Protopapas Maria Crowley
Kent & Canterbury Hospital Dr Martin Mayall Julie Cristall
Maidstone General Hospital Dr Dan Moult Angali Clifton-Fearnside
Medway Maritime Hospital Dr Paul Hayden Jane Westhead
Queen Elizabeth the
Queen Mother Hospital
Dr Craig Guest Deirdre McFarlane
Tunbridge Wells Hospital
at Pembury
Dr Dan Moult Jane Sansom
William Harvey Hospital Dr Mark Snazelle Jane Kirk-Smith
East Surrey Hospital Dr Claire Mearns Caroline Allison/
Chris Beevers
Frimley Park Hospital Dr Mark Blackmore Mary Virtue
Royal Surrey Hospital  Dr Amish Patel Jackie Yeruva
St Peter’s Hospital Dr Tony Parsons Denise Hallet
Eastbourne General Hospital Dr Alex Trimmings Sylvia Harris
Princess Royal Hospital Dr Owen Boyd/
Dr John Kilic
Clare Hebditch
Queen Victoria Hospital Dr Matt Lees Claire Tait
Royal Sussex Hospital Dr Owen Boyd/
Dr John Kilic
Clare McGregor
St Richards’s Hospital Dr Justin Dickens Emma D’arcy
The Conquest Hospital Dr Alex Trimmings Caroline Ellis
Worthing Hospital Dr James Nicholson Adam Rogers

 

 

 

 

 

 

 

 

 

 

 

 

 

South East Critical Care - Our Work

SECCN Transfer of the critically ill

Patients who are critically ill in hospital may, during the course of their care, require transfer to another hospital or to another department within the same hospital.
Indications for transfer include specialist investigation or treatment; lack of availability of a staffed critical care bed, repatriation to a local hospital from a specialist center and transfer back to a local critical care unit from a more distant hospital.
Transferring a critically ill patient evokes risks but having a clear pathway of referral, risk assessment and clinical protocol the risk is minimised.

Transfer and Handover Forms

The SECCN transfer form and checklist for inter hospital ensure appropriate risk assessment prior to and preparation for transfer.

For ordering details: SECCN transfer charts ordering details

To view: Transfer form 1.0 FINAL2

To view: Checklist 1.0 FINAL2

 

 

 

The principles of safe transfer are applicable to patients transferred between hospital departments. The SECCN intra hospital risk assessment and transfer form is available for printing in A4:

SECCN Intrahospital transfer form V2 September 2018

 

 

 

Safe handover of care from one team to another is promoted by a standardize controlled process.

The SECCN standard operating procedure for handover is available for printing in A4:

SECCN Handover Form September 2018

 

 

Transfer guidelines

The SECCN transfer guidelines are currently being updated and will be uploaded as soon as possible. In the interim, please contact caroline.wilson2@nhs.net for any information or access the Intensive Care Society guidelines for the critically ill adult: ICS transport_of_the_critically_ill_adult

Transfer Training

Each critical care unit runs transfer training for staff. An Intensive Care Society accredited simulation based transfer course (STricT) has been developed by St Peter’s Hospital and Royal Surrey County Hospital critical care units supported by SECCN and Health Education Kent, Surrey & Sussex. This course is also run at East Sussex Hospitals. For further information on STricT please visit https://strictcourse.co.uk or contact strictcourse@gmail.com,

Useful Links

The North West London Critical Care Network website contains comprehensive critical care transfer information and can be found at: www.londonccn.nhs.uk

South East Critical Care - Our Work

SECCN Annual Critical Care Conference

SECCN has held a critical care conference annually since 2014 and the event continues to go from strength to strength, attracting renowned speakers from within and outside the network and is attended by members of all health professional groups working in critical care. The event is kindly sponsored by a variety of companies which ensures that the event is free to delegates. A poster competition is held each year as well as a short quiz and each has a small prize for the winner.

The 2018 conference was held on 16th May

SEC Critical Care Conference Programme 2018

Speaker notes

Presentations

CRRT with Regional Citrate Anticoagulation on ESHT ICU – The first 8 years

Respiratory Weaning in Spinal Injury Rehabilitation

Sarcopenia and Muscle Wasting on ICU – a dietetic perspective

The Physiotherapy Role in Critical Care Outreach – stretching professional boundaries (2)

We’ve always doen it this way – Is it time to explore new ways of sharing information

Posters

The use of high-flow nasal oxygen therapy (HFNOT) outside critical care – a deanery wide survey
Dr P T Thorburn, Dr I Francis and Dr F Baldwin (Brighton & Sussex University Hospital)

 

 

 

Use of Simulation Based Learning in Critical Care Transfer Training
R.Mody, P. Wilder (Frimley Health)

 

 

 

Audit: Use of stress ulcer prophylaxis in critically ill patients
Dr. Sinan Bahlool, Dr. Krushna Patel, Dr. Andrew Baigey (East Kent Hospitals)

2017

SECCN Conference List of Speakers 2017

SECCN Critical Care Conference Programme 2017

2016

SECCN Conference List of Speakers 2016

SECCN Critical Care Conference Programme 2016

 

 

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