Your Society Update - July 2023 - Mobile Version

YourSociety Update

HappyIntensiveCareWeek2023!

Thisyear5JunemarkedthebeginningofIntensiveCareWeek,ourannualweekaimedat celebratingalltheworkyouandyourteamsdoeverydayinICU.

It coincided with our 53rd birthday on 8 June, and we couldn’t think of any better way to marktheoccasionthantorecogniseandcelebrateourincrediblecommunity!

EachyearduringIntensiveCareWeek,weaskyoutotellandshowuswhatyoulovebest aboutworkinginICU,andthisyear,youreallydelivered

Almost150ofourcolleaguesorderedourcelebrationpack,fulloftoolstohelpprovidethe perfect start to a team celebration. These packs made their way into units all over the countryandit’sbeengreattoseehowyougottogethertomarktheoccasion.We’veloved seeingallyourpicturesfromtheweekrollinginonsocialmediaandintoourinbox!

We’vehadpicturesofteamswhosetupourbuntingandposterstodisplayintheirunits, reports of team meetings where you shared your favourite things about working in ICU, and plenty of great shots of the whole team getting together to celebrate their work. We evensawateammorningtea,andwe’dlikeaninvitenexttime!

We’reveryproudtorepresentyouandallthebrilliantworkyoudo,soIntensiveCareWeek isoneoffavouriteweeksoftheyear.

During the week we also ran a picture competition, where we asked you to send us your images to go into the draw to win a ticket to one of our 2023 study days. We had lots of submissions, so check back in on our next newsletter to see who were our first, second and third place winners! You’ll also be able to find them on our website, so you may see somefamiliarfaces.

WealsodisplayedlotsatourStateoftheArtCongressfrom27June,soifyou’rejoinedus in Birmingham we hoped you stopped by our stand in the exhibition hall to check out all thefantasticpictureswe’collected.

ThankyoutoeveryonewhomadethisIntensiveCareWeeksospecial,it’sbeenaprivilege to see all your celebrations and hear about what makes you so proud to work in critical care We’re already looking forward to being back next year with Intensive Care Week 2024, so keep an eye out to learn how you and your team can get involved But in the meantime,wehopeyouenjoythepicturesofyourcelebrationsthroughoutthisnewsletter asmuchaswehave.

Amessage fromourCEO, SandyMather

andPresident, SteveMathieu

It’stwoweekssincewespentthreeactionpackeddaystogetherinBirminghamatSOA23 and its fair to say that we ’ re still feeling the impact! We were all energised by spending time together. Time was spent catching up with old friends, making new connections, linking back up with our industry partners and starting new collaborations with others. Together we learnt about the latest cutting edge science, new applications in clinical practice, patient stories, quality improvement and the latest technologies and research. We learnt together, laughed together as a multi-professional intensive care community andrenewedournetworks.

We came away from SOA23 enthused and refreshed and noting the dates for Liverpool SOA24 in our diaries (its 18-20 June 2024 in case you want to put it in your diary too!). After opening SOA23 with a multi-professional plenary session on Workforce which involvedrepresentationfromeachofourProfessionalAdvisoryGroupsandotherkeynote speakers, we felt poised and ready to review the much anticipated NHS Long Term Workforce Plan https://www.england.nhs.uk/publication/nhs-long-term-workforceplan/. We had our arms open wide waiting for it to land and were planning to celebrate its publication while we ate our 75th NHS anniversary cupcakes Unfortunately, we were not privy to an advance copy of the plan, so five years after it was due to be published wewerewaitingwithbatedbreathtoreaditscontents.

There is a welcomed expansion of the multi-professional workforce planned but detail is lacking particularly around the medical workforce, consultants, trainees and SAS and locally employed doctors. We need clarity on how many training and additional substantive posts will be available for our professions across Intensive Care. We also need to understand how educators and training time will be protected. Without trainers today,thereisnoworkforcetomorrow

Whilstrecruitmentisessential,weknowthatretentionisagrowingconcernandarguably even more important. The longer-term impact of COVID-19 without any respite during a period of significant operational and financial pressure on the NHS and the cumulative impact (and underlying rationale relating to pay, terms and conditions) of industrial action has not helped. We risk running the bath without putting the plug in first if we do not ensure that retention and the solutions to address this problem are not quickly addressed.

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Amessage fromourCEO, SandyMather andPresident, SteveMathieu

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The workforce plan is funded for 5 years with a commitment of 2.4 billion pounds until 2028/29. It is unclear what happens financially beyond this time but at the least there is sometransparency(reviewprogressandgoalsevery2years)eventhoughit’snotreally offering‘longterm’costedsolutions.Let’shopethatthedetailwillfollow,andwecanlook forwardtoabrighterperiodintheNHSwhichprovidesadequatenumbersoftrainedstaff to deliver timely and optimal patient care and staff who always feel valued with opportunitiesforpersonalandprofessionalcareerdevelopment.

ItisdisappointingthattheIntensiveCareSocietywasnotrepresentedasastakeholderin the Workforce Plan. It perhaps reflects a continued lack of understanding of the important role that critical care provides to both our acute and elective pathways and the wide reach and influence we have for patient experience and outcomes. We will continuetoworkwithourmembers,keystrategicpartnersandparliamentariansthrough our All-Party Parliamentary Group to help raise the profile and needs of intensive care professionalsandourpatients.

On a final note, the Society has been called as a witness to the COVID-19 inquiry. We welcome this opportunity to act on your behalf We are your Society - we are here to representyourvoice.

Inside...NorthManchesterGeneralHospitalon IntensiveCareWeek

ICUs across the country celebrated Intensive Care Week with us and we were lucky to see somanydifferentcelebrations.

We spoke to Alison Keegan who hosted a wonderful staff buffet and wrote a few words for us.

Alison'sstory

I’veworkedinICUfornearly33years(!)andhavebeenveryluckythatmostoftheseyears havebeeninoneunit–NorthManchesterGeneralHospital.

I’m very proud of our ICU which always strives for the highest quality, patient-centred care despite few resources. Our team of doctors, nurses and AHPs are integral to this, and we arealwayskeentoholdeventsthatbringustogetherandimproveourwell-being.

The theme of ICU week this year was pictures of non-clinical things that help you get throughtheday-aftersomediscussion(itwasachoiceoffoodvscoffee!),weagreedon abuffettoshowcaseourdiverseteamandthefoodweliketocookandeat!

Our team has a wonderful mix of nationalities and so we had a great selection of dishes from India (Chicken Methis masala, Parval fry, various dals, stuffed peppers, Libya (tea biscuits&Mbattan),Egypt(khahk&ghorayebabiscuits),Greece(Pita),Manchester(tart!), Bury (corned beef hash), Bolton (Carrs pasties) plus some vegan Fritatta & plantains I definitelyatetoomanybiscuits!

Theeventwasadefinitesuccessenjoyedbyeveryone–we’renowplanningournextone–which will combine our teams’ love of food with our wonderful outdoor space - in an ICU GardenParty!

L-R: Aya (Acute Medicine Reg), Nupur (ICU Specialty Reg), Patrick (PBE), Rob (ICU SpecialtyReg)

L-R:Evangelos (ICU Cons), Beth (Pharmacist), Sunil (ICU Speciality Reg), Beth (CCOT), Danielle (Lead Nurse), David (ICU Nurse), Mark (Resp Cons),Sam(CCOT),Tracy(ICUClinicalLead)

AllisonKeegan ACCP NMGH

LatestfromourAHPPAG

My name ’ s Danni Bear, and as the Chair of the AHP Professional Advisory Group (PAG) Iwantedtointroduceyoutothegroup,and tell you a bit about what we ’ re up to this year.

The current AHP PAG includes 7 members; four Speech and Language Therapists (Sarah Wallace, Eileen Kelly, Gemma Jones and Carmel Richardson), two Occupational Therapists (James Bruce and Claire Rock) andoneDietitian(Me!)

‘Where are the Physiotherapists?!’ I hear you ask… do not fear, they have a separate PAG and you can read all about the great worktheyaredoingonourblog

WeareinclosecontactwiththePhysioPAG to ensure that we have well rounded discussions and are as inclusive as possible in the decisions that we make on behalfofallAHPs.

The majority of the current PAG were electedin2021andwehavebeenverybusy since

One of our main priorities was to secure representation from Occupational Therapy and we were very fortunate to have coopted James and Claire into the PAG early this year. As we provide insight, advice and guidance to the Intensive Care Society (ICS) for all things to do with AHPs working in Critical Care, it’s very important for us to be able to fairly and accurately represent all professions working in critical care under the AHP umbrella so this was a great achievement for us. We're also very excited to have elected three new members which youcanreadaboutonpage13and14.

We have had a really busy year contributing to multiple streams within the ICS We are really proud to have provided significant input into the strategy for 20232027 to ensure that AHPs are represented throughout.Thiswasaninterestingexercise where we had some time with Sandy Mather, Society Chief Executive to talk through priorities and rank them. It led to some excellent discussions and was a great way to begin to understand more aboutthevaluestheSocietyholds.

Besides contributing to the strategy, we were heavily involved in the State of Art Congressin2022andarebusyplanningfor 2023whichiscomingaroundveryfast!Our PAG session on multi-professional careers was really well received last year so there will be a similarly themed session for this year

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LatestfromourAHPPAG

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We also contributed to sessions on workforce, management of high flow nasal oxygen, nutrition and helped with chairing duties and abstract/poster judging as always. SOA is a great way to really showcase the multi-professional team so thisisanimportantyearlyeventforus.

Contributing to the wider education programme for the Society is high on our AHP PAG agenda and we have Eileen and James representing us on the Education committee. Our aim is to ensure that there is multi-professional representation on each of the education events (where appropriate)andyou’llseesomegreatAHP speakers at most of the upcoming educationaleventsthisyear.

Our biggest piece of work for the coming year will be contributing to the AHP Capability Framework which is a project in partnership with NHS Elect and NHSE. At present, interviews are underway for the professional lead posts for each profession and following that, the clinical groups will beformed.Thisisareallygreatopportunity for us to build on AHP professional developmentframeworkandtheprofession specificpillarsthatsomuchworkwentinto. Onthisnote,Ican’tendwithoutmentioning that the OT pillar was published last year, completing the four main AHP groups (dietetics,SLT,physioandOT)forthispiece of work We’re looking forward to seeing where this wider piece of work leads and hopethatitisbeneficialtoallofusworking incriticalcare.

Overall, I can say that being the Chair of the AHP PAG gives me a lot of professional satisfactionasIgettoworkcloselywithmy AHP colleagues and learn from them as we aim to ensure we have strong voice within the UK critical care landscape. The Intensive Care Society is a truly multiprofessionalsocietyandit’samazingtofeel that our voices are heard and that we are supported in our endeavours. We would love to hear from you so feel free to reach out and say hi and let us know if there is anything that you think we could do to betterrepresentyou.

That'sawraponSOA23!

StillfeelingtheSOAbuzz?-Wearetoo!

Thank you to all who came to SOA23 whether online or in person - it was such a great opportunitytomeetup,connect,learnandcelebrateintensivecareandallourhardwork overthepastyear!

Kicking off the Congress, our wide ranging workshops on the Monday explored FUSIC, airways and leadership, all designed to bolster your skillset and ignite your passion for intensivecare S

During our 3 day main programme, we packed out the halls from Acute Cardiology in ICU allthewaytoTrauma:prehospitalinICU.

SOA23 was yet again another fantastic opportunity to network with colleagues and find new friends- with networking drinks in the exhibition hall on day 1 and seeing off the congressinstylewithourpartyattheJamHouseaccompaniedbyagreatband

Our exhibition hall was a fantastic space to explore our sponsors, the latest cutting edge developments and research- a communal space to hang out with colleagues and new friends.

Wealsosawafantasticarrayofepostersthisyearwitharecordbreaking203-thankyou toallthosewhosubmittedaposterandtoourbrilliantjudges

Don't forget that you are able to catch up on all sessions at SOA23 on the app, relive your favouriteonesormakeupforthosethoseannoyingclashesfromthecomfortofyourown screen.

CheckbackagaininSeptemberforafullrecaponafantasticSOA!

Wecan'twaittoseeallofyouagainnextyearfor#2024!

EasyFundraising

We now have a fantastic new way to fundraise for us- we havepartneredwithEasyFundraising.

Easy Fundraising isn alternative to Amazon Smile turns your internet shopping into free donations for the Intensive Care Society.

Easy Fundraising are working with 190k charities and 7,500 of the UK's leading businesses and with a quick plugin, they donate a percentage of what you spent to us- don't need to changeyourhabits.

Turn your shopping , your holidays, or any utilities or business purchases,intoweeklydonations,

Jointoday!

Our2023AutumnEducation Programme

Dipintoourstudydayprogramme,startinginSeptember,aimedatengagingour communityonavarietyoftopicsrelatingtoyourworkinICU.

We'll be joined by expert speakers throughout these sessions, to maximise your intensivecareknowledge.

Thursday7September2023

Thursday21September2023

OurStepChallenge

TocelebrateIntensiveCareWeek,weaskedoursupporterstogetwalkingandmatchthe stepsofintensivecarestaffinamonth.

To kick off, we asked for the average steps for a variety of intensive care professionals fromAdvancedPractionersinCriticalCare,toPhysiotherapistswhichyoucanseebelow.

All taking part were asked to log their steps on Fitbit or Strava,or their walking app of choice!

We also asked those taking part to spread the word, share their Justgiving page and enlist their support network- family, friends, colleagues- in this show of solidarity for intensivecarestaff.

It was a fantastic opportunity for everyone to stay active in the glorious June weather, challengeourselvesandgetoutintotheworld.

FundraisingmilestoneswererewardedwithIntensiveCareSocietyshoelacesandwalking kit-arewardforstickingwiththe Societythroughoursteppingmonth.

OurJICShighlight Clinical illness aspects of heatstroke: ahottopic

Each quarter, we spotlight an article of interest in the latest edition of JICS -up this timeinthemidstofsummerisanimportantarticleonheatstroke.

Heatstroke represents the most severe end of the heat illness spectrum, and is increasingly seen in those undergoing exercise or exertion (‘exertional heatstroke’) andthoseexposedtohighambienttemperatures,forexampleinheatwaves(‘classical heatstroke’). Both forms may be associated with significant thermal injury, leading to organdysfunctionandtheneedforadmissiontoanintensivecareunit

This narrative review highlights the importance of early diagnosis, rapid cooling and effective management of complications. It discusses the incidence, clinical features andtreatmentofheatstroke,anddiscussesthepossibleroleofintestinalpermeability and advances in follow-up and recovery of this condition Optimum treatment involves an integrated input from prehospital, emergency department and critical careteams,alongwithfollow-upbyrehabilitationteamsand,ifappropriate,sportsor clinicalphysiologists.

With thanks to Jesal Patel, Naomi Boyer, Kwabena Mensah, Syeda Haider, Oliver Gibson,DanielMartinandEdwardWalter.

GlovesOffinCriticalCare!

Each day, more than 100 gloves are used per patient in intensive care. While some of this glove use is important for the safety of both staff and patients, there are many instances in ICU where gloves aren’t necessary and avoiding them can be good for the planet and promote more opportunitiesforgoodhandhygiene.

With all this in mind, our Sustainability Working Group set about creating a set of posters to help spread the message. You can download and display these in your unit to encourage the whole team to stop and consider when they do or do not need to wear gloves The posters were endorsed by both the British Association of Critical Care Nurses and the Infection Prevention Society, and were released in the first week ofMaytomarkWorldHandHygieneDayon

5May

The posters have been very well received sofar,andwe’vehadsomegreatreportsof them being adopted by units as a tool for changing behaviour and practice They may even be on their way to a unit near you!

We’ve also been spotlighting some excellent posters and materials created by Sam Clark, one of our Trainee Advisory Group members, and the team at Warrington University Teaching Hospitals. Their work focuses on the same message, that gloves aren’t always necessary in intensivecare.

These posters are part of the wider work our Sustainability Group is taking on relatingtowasteandpollutionproducedby critical care, so we’ll have lots more to share with you in the coming months, including tools to help you segregate and reduce waste in your unit. We’re making great progress towards our commitment to helping make our specialty sustainable, so there’splentyofprojectsonthehorizon!

You can find our posters, or learn about all theothersustainabilityprojectsgoingonat theSocietyatics.ac.uk/sustainability.

TraineeandAHPelections

OurProfessionalAdvisoryGroups(PAGs)areanimportantpartoftheSociety,helpingto shape our work in all areas and providing expertise to our Council. This year, we ’ ve held electionstotwoofourPAGsandareveryexcitedtobewelcomingnewmemberstothose groups.

In March, we opened elections for our Trainee Advisory Group (TAG), to add new memberstotheTAG.Wehadsevenexcellentnominations,sothecompetitionwasfierce, but after three weeks of elections open to all our multi-professional members we ’ re thrilledtohavefivenewmembersjoiningthegroup.

We’regladtobewelcomingCatherineChallifour,JudithMcCartney,KyronChambers,Ben LoweandAndrewDavidson totheTAG.

Butthisisn’ttheonlygroupwe’veaddedtothisyear,withelectionsclosinginJuneforour AHPPAG.WerantwoconcurrentelectionsforthisgrouptofindonenewDietitianmember andtwonewOccupationalTherapists

Again,wewereluckyenoughtohavesomefantasticcandidates,andwe’rereallypleased to announce James Bruce and Sharon Barker will be joining the team as our new OT members,whileJamesJacksonisournewDietitiangroupmember.

All our new PAG members will officially take up their posts at our Annual Members MeetinginDecember.

Untilthen,they’llbeshadowingthemembersoftheirrespectivegroupsandgettingafeel fortheirrolessotheycanhitthegroundrunningattheendoftheyear.

We’re very glad to have them all on board, and we ’ re really looking forward to working withthemin2024andbeyond

FindoutmoreaboutourPAGsatbit.ly/ICS_PAGs

CheckoutallournewPAGmembersonpage16

OurnewTAGmembers

OurnewAHPPAGmembers

CatherineChallifour

JudithMcCartney

KyronChambers

BenLowe

AndrewDavidson

JamesBruce Occupational Therapist

SharonBarker Occupational Therapist

JamesJackson Dietitian

ApplyfortheICSNewInvestigatorAward2023

The Society is pleased to announce there is £15,000 available for the 2023 Intensive CareSocietyNewInvestigatorAward.

Whocanapply?

This award is open to UK Members of the Intensive Care Society; you must be working within a UK trust or institution to apply for this award. Equal weighting will be given to quality clinical research projects and laboratory-based projects that have a relevance to the field of intensive care. Priority for funding will go to those distinct small projects where the “New Investigator” plays a principal role and where the project will build researchcapacity

Whyshouldyouapply?

Whenasked,previousawardwinnerssaidthebelowaboutreceivinganICSNIA.

“The award has facilitated the opportunity for me to run a multi-centre observational study for the first time. As a result of the study I’ve had offers to collaborate with other researchers and am involved with the set up of another multi-centre study. I have also been fortunate enough to win the NIHR/FICM Early Careers Clinician Award, for work relatedtothesamestudyAssuch,thefundingofferedthroughtheawardhasopeneda lotofdoorsandundoubtedlyhelpedwithmycareerprogression.Iammostgrateful.“

“ThisisthefirststudywhereIhavebeennamedasChiefInvestigator,whichstrengthens myresearchexperienceandshouldhelpwithfuturefundingapplications”

“I have attained an NHS Clinical Fellowship in Intensive Care Medicine in part through myhavingbeenawardedthisgrant,andtheresearchoutputitledto.”

Weareveryproudtoofferthisawardandtoseethecrucialimpactithashadonmany overtheyears.

We truly hope you consider applying for this award, applications are open now and will close4thSeptember2023.

OurFUSICaccreditation

LatestfromourNursePAG

As we celebrate International Nurses’ Day, we wanted to share some of the work and achievements our Nurse Professional Advisory Group (NPAG) have contributed to in the lastyear,aswellasouraimsfortheyearahead.

The NPAG team is involved in numerous national working groups and Society workstreams. Our contributions have been diverse, ranging from the State of the Art (SOA) Congress; NHSE Adult Critical Care workforce models; UK Critical Care Nursing Alliance workforce working group; CC3N workforce and establishment expert panel; and an HEE “Scrutiny Group” for a pilot project in SW region to explore the role of critical care TraineeNursingAssociates.

NPAG members of the Society’s Standards & Guidelines Committee have variously reviewed, co-authored, and provided endorsement for publications such as GPICs v2.1; thePalliativeandEndofLifeCareInformationStandard;Thetransferofcriticallyilladults to an outdoor space during end of life care; the Intensive Care Society and British Thoracic Society Guidance on a Model of Care for Specialised Weaning Units; the Critical Care Outreach Practitioner Framework; an HSIB report on the use of an appropriate flush fluidwitharterialline,andanHSIBworkinggroupinvestigatingtheimpactofstafffatigue onpatientsafetyandhowwemanagetherisk.

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The All-Party Parliamentary Group (APPG) meets regularly with parliamentarians to discuss issues affecting intensive care and this year ’ s focus is workforce. As Chair of the NPAG, I attended an interactive meeting at Westminster in January with Paul Dean (consultant intensivist and the Society’s elected Honorary Secretary). We both gave a presentation related to GPICS standards, compliance and workforce challenges. I would never have imagined sitting in Westminster talking to parliamentarians about our workforcechallengeswithoutthesupportoftheSociety.FollowingthisAPPGmeeting,eight parliamentary questions about critical care workforce were tabled at Parliament, a really positivestarttotheyear!

We represent the many different roles and faces of intensive care from sister, to nurse consultant, and all the way to professor of critical care nursing. Our NPAG has members that sit in other national roles, Liz is the Vice Chair of the National Outreach forum (NOrF), and Graham is the deputy chair of the Critical Care National Network Nurse Leads Forum (CC3N) and previously was co-chair of the national ODN Directors group These roles furtherenhanceourabilitytoinfluencethenationaldirectionforintensivecareandensure ourmessageisconsistent.

WewerealsoproudtohearthefantasticnewsthatProfessorLouiseRose,ourdeputychair, was awarded an MBE for Life Lines and services to the NHS during the pandemic She was alsorecentlyelectedasthechairoftheSociety’sResearchDivision.

The UK Critical Care Nursing Alliance (UKCCNA) was formed in 2013 and our NPAG chair and deputy chair attend UKCCNA meetings and we aim to represent the Society, to be proactive and visionary about service requirements and provide quality assurance, enhancingtheservice,qualityofcare,patientexperienceandoutcomes.

A major project for the UKCCNA is the Adult Critical Care Registered Nurse Staffing Standards: Restoration & Recovery, which will be presented to NHS England this month. No spoiler alerts except to say that it is ambitious! It aims to reduce variation across the country in terms of RNs per level 3 bed, the proportion of band 5, 6 and 7, and the percentage of staff with a post registration critical care award -a significant milestone for criticalcarenursing.

For 2023, we want to build on the success of SOA, actively contributing to the different working groups and committees. Work is about to begin on Version 3 of the Guidelines for the Provision of Intensive Care Services (GPICS), and I am proud to say that I am the sectioneditorforworkforce.

We would love to see an increase in nurse membership in the Society and want to hear fromyou.Yourvoiceisourvoice,andourvoiceisyourvoice,andweneedtobelouder!

Our2023AutumnEducationProgramme

The Society has a long history of providing members and non-members alike with topical, relevant and insightful study days. Now online only, attendance remains high for these full dayevents.

The most recent series ran from October to March, covering topics as clinically focused as Medicine for Intensive Care (so popular we are doing another one this year), to the less clinical issues of legal and ethical affairs. Over 520 people tuned in to hear high calibre speakerssuchasmaternalcriticalcareexpertVirginiaBeckett,liverspecialistWilliamBernal andMelanieHingoraifromtheMoorfieldsEyeHospital.

Our autumn series of study days is up and running; we ’ re already seeing an influx of registrations for a diverse range of topics from September; Neuroprognostication, Paediatric ICU,Palliativecare,AirwayclearanceandasecondMedicineforIntensiveCare.

Onefortraineesinparticulartolookoutforisourfirstface-to-faceeventinalmost4years.

Kindly funded by an educational grant from in vitro diagnostics and microbiology experts bioMérieux, this study day will be in the beautiful city of York on 9 November, with the emphasisbeingonantimicrobialresistanceandstewardship-it’sopenforregistrationnow.

And that’s not all; the education committee is currently considering the topics for next year, sodokeepaneyeonoureventspagefordatesandsubjectsthroughout2024.

As organisers of the study days, we are immensely grateful to the Chairs and speakers who givetheirtimeandexpertisetohelpmakethemasuccess.

If you have any suggestions for future subjects or speakers for a study day, please do just emaillearning@ics.ac.uk,aswe’dlovetohaveyourinput.

Programmes and speakers are being added all the time; you can sign up at https://bit.ly/ICSEvents

PaediatrictoAdult CriticalCareTransition

In March 2022, the Intensive Care Society and the Paediatric Critical Care Society published joint guidance for patients transitioning from paediatric to adult intensive care. The guidance is designed to facilitate working pathways applicable in all hospital trusts as many more children with complex medical and social needs requirethemoveintoadultcriticalcare.

Formal work on the guidance’s development began with a kick off meeting in February 2020 Council member Clare Windsor’sworkinherregionalongsideRum Thomas from the paediatric perspective was crucial to the work. “These guidelines provide an important and positive step in the care of this group of young persons It aims to improve their overall care and the experienceofallinvolved,astheytransition totheadultcriticalcareenvironment”.

The guidance was released alongside two appendices, which are fully editable. Appendix one is a checklist which aids in assuring that the key transition steps are met, whilst Appendix two provides an example of the document and communicationwhichmusttakeplace.

It has now been over a year since its release, and a survey has been developed toconsiderhowtheguidanceisbeingused in practice, as well as to review its early impact on patient care and clinical practice.

The survey can be accessed atbit.ly/ICS Paeds

You can find the full Paediatric Transition guidance on our website at https://ics.ac.uk/resource/paediatric-toadult-c-c.html

Spotlightonwellbeingat#SOA23

Wellbeingtookcentrestageatanumberofsessionsacross#SOA23.

Firstandforemost,JulieappearedonthepanelforDemystifyingDeliriumon27June

This session highlighted the real consequences of delirium through a patient’s story and looked at its long-term effects. It explored the biology and pharmacology of the condition and aimed to come up with a framework to manage the condition based on the latest evidencebasepresentedbyinternationalexperts

On the Wednesday, she wias part of the panel for Clinical Debriefing and the art of supportingyourteam.

ThepanelalsoconsistedofFionaKelly,ConsultantAnaesthetistandIntensivistandCatrin Jones, Consultant Intensivist and Anaesthetist for Health Education and Improvement Wales.

This panel explored the topics of hot and cold debriefing, clinical debriefing vs emotional debriefingandthelatestevidenceonhowtosupportteamsinlearningafteraction.

Thesesessionsareallavailabletocatchuponpost-CongressonyourSOAapp.

We were even focused on wellbeing pre-Congress with our leadership workshop ran by Julie with Sandy Mather, CEO of the Society and guest Helen Stokes Lampard, Professor of GPEducationandChairofAoMRCon26Junekickedofffestivities!

This session investigated core leadership lessons like reciprocity, examining your