Edition three | October 2023
Your Society Update
A look back at SOA23
A huge thank you to everyone who attended the State of the Art Congress in Birmingham this June and made it such a fun and educational networking event. We were so pleased to welcome over 1000 healthcare professionals from 18 different countries. The three day, multi-streamed, congress featured great talks, plenary sessions, panel discussions, poster presentations and sold-out interactive workshops. There was also a packed exhibition hall featuring more than 50 exhibitors and lots of opportunities for networking, including a drinks reception and a fun social night with a live band at the Jam House. We would like to thank all our speakers for sharing their expertise and giving such excellent talks. The plenary sessions explored the challenges in workforce planning, the state of rehabilitation in the UK and new concepts and explorations in lung physiology in collaboration with the Physiological Society. Our other sessions over the three days covered some of the latest science in infection and inflammation, acute cardiology, ARDS, ECMO, liver failure, delirium, trauma, neurosciences (in collaboration with NACCS), shared decision making in perioperative care and High Flow Nasal Oxygen. Other sessions looked at building tomorrow’s ICUs, and workshops on clinical debriefing and developing multi-professional careers, as well as an outstanding session on a Shakespearean approach to breaking bad news in the ICU hosted by the team from NHSBT. Sustainability was another major theme for the congress with a session on greening the NHS and the infamous Cauldron session featuring lots of ideas on how to make our ICUs and hospitals greener presented by trainee doctors. Legal and ethical challenges at end of life were also explored by our LEAG team, and managing disabilities was highlighted in a brilliant thought-provoking session. We were also delighted to host the JICS editorial team presenting their choice publications. But most importantly the abstract sessions saw you, the multi-professional clinical and research community, present your fantastic work being carried out across the country and beyond. We had everything from basic sciences to clinical pearls impacting patient care, ultrasound ninjas to basics of critical care. And for the first time we hosted excellent sessions by the Specialty Doctors Professional Advisory Group (SAS PAG) and Trainee Research in Intensive Care network (TRIC). So, If you missed any of the presentations, remember that they are available to watch on-demand until December. We are now busy planning next year’s event which will take place at the ACC on the banks of Liverpool’s world heritage waterfront. We hope to be showcasing yet more of the exciting work going on across the country and the globe and discussing and debating the controversial subjects affecting everyday life in our hospitals and beyond. The interactive workshops will take place on 17 June 2024 and the main Congress from 18 – 20 June 2024. If you would like to exhibit, sponsor or participate as a speaker, please contact mani@ics.ac.uk. More information including abstract submission and conference registration will be appear on the main SOA24 website soon. See you at SOA24! @ics_updates
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Your Society Update
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Edition three | October 2023
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Your Society Update
Edition three | October 2023
A message from our CEO, Sandy Mather and President, Steve Mathieu
Never break the chain of knowledge and experience. Sometimes it’s difficult to see the wood for the trees particularly when we’re in the midst of such a difficult period of time for the NHS. Once again, as we write this blog, more strikes are taking place and there is still no sign from the Government that they are prepared to sit down and negotiate. A stalemate. But we need to keep going, we need to remind ourselves about what is good about our work and why we do it. We need to retain intensive care staff with many years of knowledge and experience to continue doing what only you can do and remember that what you do makes a difference to our patients and their loved ones. We need to make sure that we never break the chain of our collective knowledge and experience. When things are going well, we enjoy the teamwork and camaraderie with the people we work with day in day out. But when they’re not going well, the day feels longer and decisions more difficult and work is harder. People often join an organisation with optimism but then some leave but not for career progression. They leave because of a break down in individual relationships or a negative culture. It’s hard to change a culture and sometimes we just aren’t in a position to affect major change but what we can do is make incremental changes by managing our own reactions and behaviours. Whilst we may not agree with what is going on around us, we can raise our objections in a respectful way. Everyone has something else going on in their lives besides work and the patient or complex situation in front of them. We all have many layers to our personality and our experiences. Some we reveal to others, some we keep hidden from others, some we aren’t fully aware of ourselves. But, the important thing is to stay true to who we are and do what we believe is right in a respectful way. If we can’t control the situation we’re in, we can focus on controlling our reactions to it by staying true to our values. Our values as a Society define our culture and are at the very heart of everything we do. They define who we are, what we do and how we do it. This year, as we launched our new 5 year strategy, we reviewed and re-confirmed our original three core values of: collaboration; freedom of expression; accept and respect; and additionally added a new 4th value of quality. This 1st year of our new strategy has been about going back to basics and strengthening our foundations as a Society. We have been through a growth spurt over the last 6 years as our membership and activities have expanded delivering more impact year on year. This is thanks to the many members, trustees, Honorary Officers and Presidents giving up their personal time to work collaboratively with our Society’s management and wider staff team. Each of these people are a key link in our chain of knowledge transfer and experience keeping us focused on our goals as a Society. We deliver more together than we could separately. We rely on the experiences and wisdom of those who have gone before us and often call upon them for a sense check about our current direction. They knew we needed to change and grow as a Society to become more fleet of foot and agile to change and they are key part of the chain of knowledge and experience that keeps our Society thriving.
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Your Society Update
Edition three | October 2023
Towards an Inclusive Future During October, we published our equality, diversity and inclusion report: Towards an Inclusive Future, A look inside our community. Led by Council Member and Intensivist, Aoife Abbey and a team of professionals, this report is focused on improving and embedding substantive and sustainable change to make the working lives of professionals from across the breath of the EDI landscape better. Using an anonymous EDI census, the EDI group set out on collecting data from our community through a broad range of experiences- questions were optional and open ended so respondents felt comfortable with any information they shared. Using a third party organisation, Eventure, the results were analysed using quantitative and qualitative methodologies and further scrutinised by our EDI team. This landmark publication is a summation of 18 months of work diving into our community to listen, learn and better understand those working within our profession and comprises the lived experiences of hundreds of healthcare professionals from all over the critical care community. It highlights some of their real-life stories and negative experiences – conclusions from the personal experiences of 352 members of critical care teams. This exercise is only the start of our mission and we thank these individuals who have helped us find a starting point to begin working on providing more education, better awareness and help influence sustainable change to encourage a better workforce of tomorrow. Whilst those who contributed to this report are just a fraction of our immense workforce, this work still represents the most expansive EDI project of its kind carried out in our multi-professional community to date. We believe each of the voices and their experiences shared not only ‘count’, but also represent a learning opportunity for both the Society and the teams we work with each day. The key recommendations for the Society’s next steps are found with the people outlined in this report and we encourage you to read this document in its entirety to acknowledge that it may not represent the experiences of everyone but for some, this is very much their reality. “I hope that we are all beginning to understand that the mere presence of diversity in a team, whether that is related to ethnic background, disability, sexuality, gender or anything else, does not automatically nurture inclusivity. We are prone to forgetting that it is inclusivity that is the goal and that getting there means listening, deliberate action and a commitment over time. Getting to know each other better and being open to considering how we can care for each other better can only strengthen our teams. Our patients deserve those strong and inclusive teams” -Aoife Abbey, Intensive Care Society's EDI Chair “Our workforce is built on diversity, uniting professionals from all walks of life, and it is by better understanding one another that we are able to build better relationships. Furthermore, it also enables us to apply this knowledge and respect to our patients who are members of the communities outlined in this report” - Steve Mathieu, Intensive Care Society President “This report holds a mirror up to the intensive care community and demonstrates that now more than ever, we need to understand the lived experiences of colleagues, friends and peers. They have the information we need to develop and implement resources, education and projects that make intensive care fit for the future. We take this report as a positive first step in helping us to begin this work” - Sandy Mather, Intensive Care Society Chief Executive You can read the report on our website at bit.ly/ICS-Future
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Your Society Update
Edition three | October 2023
A sustainability update UKHACC Biodiversity, climate change and health policy report On Friday 29 September, the UK Health Alliance on Climate Change released their Biodiversity, climate change and health policy report, and we were proud to endorse it. The report makes seven recommendations to the UK Government about preserving and protecting biodiversity and nature. These recommendations include prioritising sustainably sourced food, banning the production and sale of unnecessary plastic items, and restoring green spaces in urban environments. The climate and ecological crises are inextricably linked, and we must take immediate action to halt the loss of plant and animal species globally. You can find the full report on the UKHACC website.
Our carbon footprint As part of Your Society – Our Strategy 2023-27, we made a commitment to reduce our carbon footprint by 50% by 2030. The first step towards achieving this goal is to measure our carbon emissions so we can set a concrete target and make a plan for meeting it. We began this work in May this year and are almost ready to release our full report, which details our total footprint, what makes it up, and how we’ve reached these figures. It represents a detailed account of where we are now and where we think we can make reductions in our emissions to keep us on track to meet our 2030 goal. It also provides a guide for how other organisations can approach their own calculations. As a small society, we know our carbon emissions are low when compared to larger organisations but we still feel it’s important we work to improve our sustainability efforts at every opportunity. This carbon footprint calculation and report are important steps towards helping us operate sustainably and set an example for organisations like ours. We’re looking forward to releasing the report in the coming weeks, and hope it provides some insight for all our members into the areas in which we’re doing well, and where we can do better. We also hope it helps you consider your own footprint, and what actions you might consider taking at home and at work to reduce it. Keep an eye out for it in your inbox and on our social media channels. This is just one of the many projects our Sustainability Group are working on and as always you can learn more at ics.ac.uk/sustainability. If you’re interested in being part of our group and joining us in this important work, you can also get in touch with us at communicationsteam@ics.ac.uk.
Implementing Gloves Off in Critical Care You may have seen earlier this year that we launched a series of posters for World Hand Hygiene Day about glove use in Critical Care. We wanted to encourage everyone in our community to think twice before reaching for gloves and to ask themselves if they were really necessary. The posters were endorsed by the British Association of Critical Care Nurses (BACCN) and the Infection Prevention Society (IPS). We received some excellent feedback from members and your colleagues but we know that implementation can be difficult. So our Sustainability Working Group member, Sam Clark led the charge of creating an implementation guide to help you roll the change out in your own hospital. The guide covers everything from who you should speak to at what stages, to how you can combat some frequently encountered barriers. We’re getting ready to launch the guide very soon so stay tuned!
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Your Society Update
Edition three | October 2023
Making an impact with JICS The Journal of the Intensive Care Society (JICS) editorial board are pleased to announce that JICS has obtained an impact factor of 2.7. Obtaining an impact factor is a way of determining the importance of a journal and is calculated using data about the number of articles published and how often they are then cited. In essence, the higher the impact factor, the more times articles have been cited. The score reflects the average number of times each article has been cited during the time data was collected and the figure is regularly updated. It is an exciting development to have this impact factor as it means the journal is likely to attract more authors to submit their work, with the potential of further increasing the impact factor in the future. Given the humble beginnings of JICS and its relative small size to other medial journals, this is a phenomenal achievement and would not have been possible without many years of hard work from the journal’s founders, all the editors that have given their time freely to the journal, the peer reviewers, the authors that submit their work, and the Intensive Care Society and all our members.
Setting priorities for sepsis research Sepsis Research FEAT are undertaking a Priority Setting Partnership with the James Lind Alliance (JLA) on sepsis research. This will take 12-18 months and is a standard process within JLA and it will be run by joint clinical leads, Joanne McPeake, Bronwen Connolly, and Nazir Lone. The Sepsis priority setting partnership (PSP) will identify and prioritise 10 unanswered questions relating to sepsis that it is agreed are the most important. This will ensure that in future health research, funding bodies are aware of the issues that matter most to the people who need to use or benefit from the research in their everyday lives. The objectives of the Sepsis Priority Setting Partnership are to: bring patients, carers and clinicians together to identify uncertainties or unanswered questions about sepsis. agree by consensus a prioritised ‘Top 10′ list of those uncertainties for research. publicise the methods and results of the PSP,. draw the results to the attention of research funders. The intended audience is anyone who’s had sepsis or any healthcare professional who comes into contact with sepsis in clinical and social settings.
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Save the date!
LIVERPOOL ACC 18-20 JUNE 2024 See you at #SOA24
Your Society Update
Edition three | October 2023
APPG on Intensive Care The Summer meeting of the All Party Parliamentary Group on Intensive Care focused on Continuing Professional Development (CPD), the approach and investment needed to retain expert ICU staff and support their career progression. We were fortunate to have a multi-professional panel speak directly to key priorities for their professional cohort. While there was a variety of perspectives, all panel members underscored the urgency in ensuring staff have the core conditions to thrive at work. You can read the full minutes of the meeting for more information on the discussion on our website at bit.ly/APPGjuly Workforce remains central to our programme of work this year whilst we also champion improvements in rehabilitation post intensive care admission. ICU Rehabilitation Day saw APPG member, Baroness Ilora Finlay, pay a visit to her local ICU. Following the visit, she reflected that “the recognition of the importance of the patient pathway is really impressive, and the way the whole team works together to upskill each member of the team was very noticeable”. Additionally, as part of our work to educate and inform decision makers, we continue to engage with the Chartered Society of Physiotherapists and Royal College of Physicians who lead multi-stakeholder policy streams on workforce and investment in rehabilitation. So, how can you help? Find out more about how you can get involved at ics.ac.uk/policy-news/appg
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Newsletter name Your Society Update
Edition one | October March 2023 Edition three 2023
PICU for the District General Hospital ICU Team Join us on 16 November 2023 for an in depth look on the upskilling needed for PICU
Stabilisation of the sick child prior to transfer Logistics of transfer of the sick child Upskilling of an adult ICU team to look after children Care and intricacies of managing the child with congenital anomalies Care of the child with near drowning, burns and status epilepticus
A highlight from our August edition of JICS We recently released our August edition of JICS, Volume 23, Number 3 - another fantastic edition bringing together the best of intensive care research. This month, we are spotlighting ‘A thematic analysis of staff perspectives on the impact of a mental health nurse (RMN) in a critical care unit’ by Charlotte Hill, Sarah Sims, Magdalena ap Robert and Sarah Collier. The analysis follows a trial in an NHS Wales health board of the secondment of a mental health nurse to adhere to recent UK guidelines placing mental health needs of patients and staff wellbeing at the forefront of service provision. Critical care staff shared their experiences in focus groups and the following five themes were identified; smoother care pathways a holistic approach to care coproduction knowledge confidence and staff wellbeing. It was concluded that the RMN provided value to staff and patient outcomes with further measure needed for staff wellbeing. Their article makes recommendations for a permanent role of a RMN in intensive care units.
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Your Society Update
Edition three | October 2023
A look back to Bike to Birmingham Another SOA completed also means another successful cycling challenge! This year, we had three brave members take on the challenge of cycling to Birmingham for our State of the Art Congress. We were joined by Jolene Galbraith, Andy Bates and Stephen Webb, our Immediate Past President! Jolene set off from Bath for a 376km round trip and despite a Sunday night wobble, as evidenced below, she was more than prepared for every eventuality. The challenge was just the way to start her SOA23 experience. Andy set off from the Forest of Dean and took an incredible route through the Malvern Hills, followed by a sunny cycle along the canal towpath from Worcester into Birmingham. His route included, of course, a lovely picturesque stop for a coffee and some snacks! Finally, Stephen left from Cambridge, taking in the scenery as he went and crossing the river Ouse, the river Nene and the Grand Union Canal. On the way home he also had to stop for some sightseeing, and feels everyone should know about Brixworth Church, which he says is “one of the finest examples of Saxon architecture in England. Built in AD. 680 nearly 400 years before the Norman conquest!”. We promised we’d include some of his lovely picture below. Thank you to Jolene, Andy and Stephen for showing us how it’s done and kicking off SOA in style. It was a fantastic chance to support greener travel and greener conferences.
Stephen, Jolene and Andy celebrating reaching their hotel after finishing their rides
A couple of shots along Stephen’s route to and from Birmingham, including the all important Brixworth Church (left)
Jolene’s incredible efforts packing for three days and a cycle, and an all important lunch stop!
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The beautiful Worcester to Birmingham canal path on Andy’s route into the Congress venue
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Your Society Update
Edition three | October 2023
Win a copy of Hannah Wunsch’s new book The Autumn Ghost: How the Battle Against a Polio Epidemic Revolutionised Modern Medical Care in this edition, we are yet again spotlighting a fantastic book from within the intensive care community- Hannah Wunsch’s The Autumn Ghost – How the Battle against a Polio Epidemic Revolutionised Modern Medical Care. Hannah is a professor of anesthesiology and critical care medicine at the University of Toronto and in this, her debut book, she details how a polio epidemic in the Autumn of 1952 led to innovations that transformed critical care. Using testimony from doctors, nurses and patients in a hospital in Copenhagen battling respiratory failure - this fulcrum led to a rise of life support and the creation of intensive care units and rehab medicine. From the origins of mechanical ventilation all the way to the COVID pandemic - Hannah’s book details how quick thinking back in 1952 in the face of a polio wave led to the ICU’s we have today. We gave away a copy of Jim Down’s book earlier in the year and Jim recommends this book - “An extraordinary story beautifully told . . . Hannah Wunsch recounts this gripping and emotional tale with clarity and compassion from every perspective. An instant classic of medical history, I loved it.” We are offering a chance to win a copy of Hannah’s fantastic new book - just email communicationsteam@ics.ac.uk and we’ll draw a winner by the end of October. Enter to win your free copy today!
Our FUSIC accreditation pathways at a glance
215
New FUSIC Heart registrations from June to August 2023
91
New FUSIC Lung registrations from June to August 2023
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New fTOE registrations from June to August 2023
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Other new FUSIC registrations from June to August 2023
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Your Society Update
Edition three | October 2023
Disabilities in Critical Care Our SOA Congress is one of the largest multi-professional intensive care events in Europe making it the perfect place to highlight some of the ideas we don’t address as often in critical care. In the afternoon of day one, we hosted a session on disabilities in critical care, chaired by Jen Warren of our Equality, Diversity and Inclusion (EDI) working group which aimed to give intensive care professionals insight into what it’s like to live with a disability. Jen was joined on stage by moderator Aoife Abbey, Chair of our EDI group, Mike Dean, an ICU Consultant in London, Alice O’Dell, a former patient and patient advocate who is also deaf, Alastair O’Dell, her son, and Stephanie Raper, a British Sign Language interpreter. Mike, Alice and Alastair told the story of Alice’s admission to hospital in December 2020 with Covid-19, and of the way Alastair had to fight for his mum’s right to be able to communicate while being treated. As Alice was admitted during the peak of the 2020 Christmas Covid wave, hospital staff were reluctant to book a BSL interpreter for Alice, or to allow Alastair into the hospital, as families were not able to visit at the time. However, it quickly became apparent that Alice would be unable to communicate with the team caring for her without Alastair to act as interpreter and he was allowed to join her. During her 17 day stay in hospital, Alastair communicated updates from the team caring for Alice, delivering information to his mother which he would not normally have been privy to and helping her to ask questions and get the information she needed. But Alastair couldn’t be there at all hours and staff weren’t able to take their masks off, which meant the team resorted to writing notes to communicate with Alice, creating a significant information gap for both parties. The panel emphasised the importance of independent interpreters in a hospital setting, for the benefit of patients, healthcare professionals, and families. They were also joined via video link by former rugby union player Matt Hampson, who experienced a significant spinal injury in 2005 while playing for England under 21s during the Six Nations and now runs the Matt Hampson Foundation which supports young people who’ve been significantly injured through sport. Matt told our audience his story, and of his experience of waking up in intensive care following his accident. He spoke about his feelings of vulnerability and how a greater understanding of what was happening around him would have helped him in the early days of his hospitalisation. Both Matt and Alice spoke about the importance of honesty, and of clear and open conversations between intensive care professionals and patients, and of the value of humanity and compassion in those interactions. The session was an excellent one, and if you missed it at #SOA23, you can still catch up on our online platform.
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Your Society Update
Edition three | October 2023
Thriving at Work Following on from the success of our Leadership Workshop at SOA23, we are excited to be running a session this November on Systems Leadership with chartered psychologist, Ian Macdonald. In our leadership workshop at SOA23, our Chief Executive, Sandy Mather examined leadership including models of leadership, getting the best out of people, threats to relationships, people in difficulty vs difficult people, motivation, safety and fairness, and the important concept of transformational and transactional leadership. In a deepening of these themes, Sandy will be joined on 16 November as part of our LEAP course with Julie Highfield, Wellbeing Director to talk about their experience in leadership roles.
Julie Highfield
This study day, held at our office, will look at the concept of Systems Leadership and how it can help leaders to create the prime conditions for all employees to thrive. Ian is the co-author of Systems Leadership: Creating Positive Organisations (Macdonald, Burke and Stewart, Routledge 2018) which forms the basis of the work of Macdonald Associates Consultancy, where he is Director. Systems Leadership uses principles about human behaviour to create models of good leadership creating the conditions for staff to reach their potential – organisational strategy, systems design and social processes are all used to enable leaders to empower staff.
Sandy Mather
The day will provide you with the skillset to predict people's organisational behaviour and build effective systems We will look more in depth at: the three tools of leadership - systems, symbols and behaviours. the nature of systems including systems leadership. the values needed for social cohesion and the principles behind a socially cohesive organisation. Register today to explore how to flourish as a leader and lift everyone up with you.
Ian Macdonald
Explore our other Thriving at Work events below: Response After Incident- 13 October 2023 Understanding your teams wellbeing - a workshop for managers - 8 November 2023 Patient Wellbeing Workshop - 22 November 2023 Burnout Workshop - 15 December 2023
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Your Society Update
Edition three | October 2023
World Sepsis Day Webinar To mark World Sepsis Day, we hosted a webinar, supported by bioMérieux, with esteemed speakers, Mervyn Singer, Andy Breen, Julian Bion and Julia Wendon to explore the big topics in the world of sepsis. Mervyn Singer is a Clinical Professor of Intensive Care Medicine at University College London with a primary research interest in sepsis, multi organ failure, infection and shock. Mervyn joined us to chair the webinar and provide introductions. Andy Breen is a Consultuant Intensivist at St James’s University Hospital, Leeds. He is a clinical director for Adult Critical Care in Leeds and is a member of the Society’s FUSIC committee and our Council. Andy led on our thoughtful discussion of “30ml/kg – too much?”. Julian Bion is Professor of Intensive Care Medicine at the University of Birmingham and was the chair of the Academy of Medical Royal Colleges’ working group which developed the statement on the initial antimicrobial treatment of sepsis in May 2022. Julian spoke on the topic of antibiotic timing – how aggressive? Finally, we were joined by Julia Wendon, a Consultant in Intensive Care Medicine at Kings College Hospital NHS Foundation Trust whose focus is on liver disease. Julia closed the webinar focusing on the use of lactate and the question of how necessary it is. We would like to thank all our speakers for contributing to this session, the support from bioMérieux and everyone who attended.
Mervyn Singer
Andy Breen
Julian Bion
Julia Wendon
The 2023 Memcom Excellence Awards We are delighted to announce that we were shortlisted for a Memcom Excellence Award! Thanks to the Pixl8 group, who nominated us for Best Website in the digital category, and who spearheaded our website build - we are proud to be recognised for the collaboration that has led to our brand new website We were nominated alongside the British Psychological Society, Chartered Institute of Building,- Chartered Institution of Building Services Engineers, Chartered Institute of Patent Attorneys and European Society of Cataract and Refractive Surgeons, Royal College of General Practitioners and Royal Town Planning Institute. Our Communications and Operations team spent a fantastic night celebrating excellent membership organisations with our fellow nominees at the Hilton Bankside on 26 September! While we didn’t win our category - well done to European Society of Cataract and Refractive Surgeons - it was a great night with our peers recognising the achievements of membership organisations throughout the past year.
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Newsletter name Your Society Update
Edition one | October March 2023 Edition three 2023
Palliative & End of Life Care on the ICU Join us on 30 November 2023 to explore the importance of end of life care We will explore: breaking bad news taking patients home to die conversations and approaches around withdrawal of life sustaining treatment physiotherapy and pharmacy
Thank you from all of us Thank you for joining us in our October edition as the nights draw in and we start to look towards the end of 2023. Let’s not get ahead of ourselves though! We have been very busy since July as this update shows with our APPG, sustainability work, an award nomination and a massive achievement for JICS. Places are still available on our fantastic autumn Study Days and Thriving at Work programme - you can find all these on our website! We'd also love to hear from you! Your stories are our favourite things to read, so please do get in touch if you have something you would like to shout out about for December’s newsletter. You can contact us at communicationsteam@ics.ac.uk at any time. See you in December for a look back on 2023 and a look towards 2024! The Intensive Care Society
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