Your Society Update - March 2024

YourSociety Update

WithaGeneralElectionduetotakeplacebeforetheendofJanuary2025,wefeelit’simportanttosetoutourprioritiesforthenextgovernmentof the UK As the home of intensive care since 1970, our manifesto represents the priorities of the intensive care community, encompassing working conditions patientcare andambitiousgoalsforthewiderNationalHealthService

We wanttoseethenextgovernmentprioritisethefollowingfiveareastobuildastrongandsustainableintensivecareservice,properlyresourced tocareforcriticallyillpatients

Invest inintensivecarestaff

Weneedmajorinvestmentin retaining,recruiting,and developingintensivecarestaff whocareforthesickestpatients bothinintensivecareandontheir recoveryjourney

Prioritiserehabilitationfor intensivecaresurvivors

Weneedrapidexpansionofthe provisionofpatientrehabilitation servicestoensureallpatientshave thebestchanceofreturningtolife beforecriticalillness

Enablelife-savingresearch

Weneedring-fencedfundingto enableintensivecareprofessionals toinvolvemorepatientsinstructured researchstudiesandimprove outcomes

Supportadiverseworkforce

Weneedstructuralchangewithin thehealthservicetofosteradiverse, inclusiveandpsychologicallysafe workingenvironmentforallstaff.

DeliveraCarbonZero intensivecare

Wemustacceleratethemovetoa CarbonZeroNHS

AmessagefromourCEO,SandyMather andPresident,SteveMathieu

Democracyiscoming……………

2024isgearinguptobeaninterestingyearandwereonlyinMarch!

WeareallawareoftheopensecretthatthenextGeneralElectionfortheUKParliamentislikely tobeannouncedintheAutumntobeheldinOctober

In preparation for this, we have developed a General Election manifesto This has been written withtheadviceofourCouncil ProfessionalAdvisoryGroups(PAGs)andourothermember-led groups including our EDI and Sustainability Working Groups We have also benefitted by advice from our Patients, Relatives and Public Advisory Group and our All Party Parliamentary Group (APPG)

When you read our manifesto, we encourage you to share it and discuss it with your local parliamentary candidates and MPs We have shared it with youthisweekandareplanningtoformallylaunchitduringIntensiveCareWeekinJunewiththesupportofourAPPGonIntensiveCare

WehavecalledtheSocietysGEmanifesto“BuildingBetterIntensiveCare”andhavedevelopedittoreflectyourideasandaddressyourconcerns

We propose five priority areas for any future government to take action on to provide long term solutions to enable every member of the multiprofessionalintensivecareteamtobeabletodeliverthebestqualitycareforthosewhoneedit,whentheyneedit

1Investinintensivecarestaff

2Prioritiserehabilitationforintensivecaresurvivors

3Enablelife-savingresearch

4Supportadiverseworkforce

5Deliveracarbonzerointensivecare

WearealsoinelectionyearattheSocietyandweareplanningourownCouncilandPAGelections Ifyouhavewonderedaboutstandingforelectionin pastyearsandhaven’ttakenthestepthenthisistheyeartodoit

You could speak to one of the Society’s Council or one of our PAGs or contact either of us directly You can always speak to an existing PAG or Councilmembertogettheirfirsthandexperienceorcontactustofindoutmore

Democracyunderpinshowweworkandhowwerepresentyourvoice Towhetyourappetiteevenmoreinthismonth’seditionwehaveincludedsome greatarticlesbyourPAGsshiningaspotlightontheamazingworktheydoonyourbehalf

This week, we finally completed and submitted our witness statement along with a wide range of evidence to the COVID19 Inquiry Many thanks to our Council,PAGchairsandourtrusteesfortheiradviceasthestatementwasdeveloping

WearealsogratefultotheSocietysmanagementteamwhospentasignificantamountoftimetrawlingthroughrelevantemails,WhatsAppmessages, documents,minutesandguidancethattheInquiryhadaskedustoinvestigateandincludeinoursubmission

NowwewaituntiltheInquiryconsidersourwitnessstatement-ifwearecalledtogiveoralevidenceitislikelytobeinAutumn

WelookforwardtoseeingandtalkingwithasmanyofyouaspossibleatSOA24inLiverpool

Remember,democracyiscomingthisyearandyourvoicemattersineachandeveryelectioninwhichyouhaveavote Useitwisely

There’s a lot to be excited about at our #SOA24 Congress in Liverpool this year As well as three streams across three days with multi-professional speakersfromallovertheworld,wevegotopportunitiesfornetworkingandsocialisingwithyourpeers,plentyofchancestoshowcaseyourwork,or celebratecolleaguespresentingtheirs andfourpre-congresseventssoyoucanmaximiseyourlearning

Weresoexcitedtoseeyouthere!

OurProgramme

Were currently busy finalising our programme but were excited to share some sneak peeks with you in the meantime so you can start thinking aboutwhichsessionsyoumightwanttoattend

Eachyearwelookforwardtopresentinganexcitingopeningplenary Thisyearwellbelookingatthephysiologicalbasisofconsciousnessandhow its affected by disease, such as critical illness We’ll then be asking, what will AI offer us in the future of healthcare? What are the legal and ethical implications?Youwontwanttomissit!

During Death, Dilemmas and Decisions Chair Julie Highfield will be joined by Sam Clark, Jenny Kitzinger and Polly Fitch to discuss differing beliefs aboutlifeanddeath,medicaldecisionmakinginthepatientsbestinterests,andadvanceddirectivesandwhatpeoplewantindeath They’lldiscuss howthisshapesendoflifecareandtheabilitytomakedecisionsthatareinthebestinterestsofourpatients

Jon Coles will chair our Neurosciences session covering Brain injury assessment at the bedside and neuroprognostication He’ll be joined by Manni Waraich and Virginia Newcombe to focus on the difficulty of neuroprognostication in ICU in patients with various causes of brain injury Theyll also exploredevelopmentsinthetoolsusedforprognosticationsuchasMRIandbiomarkers

OurSpeakers

SamClark ConsultantIntensivist

JennyKitzinger Co-Director,Comaand Disordersof ConsciousnessResearch Centre

PollyFitch LeadPsychologist

ManniWaraich Consultantin Neurocriticalcare& Neuroanaesthesia

JonColes Consultantin Neuroanaesthesiaand CriticalCare

VirginiaNewcombe ClinicianScientist Fellow

OurPre-Congressevents

Weve got four pre-Congress events taking place at State of the Art this year so whynotaddonetoyourticketwhenyoubook?

FUSIC®Heart

During our morning FUSIC® Heart workshop youll learn about all things heart ultrasound with a faculty of national experts from a range a clinical specialities andbackgrounds

They’llbeonhandtofacilitatevariousstationsfocusedon:

Leftventricularassessment

Rightventricularassessment

Fluidstatusandeffusions

FTOEandFUSIC®HDtasters

FUSIC®Lung

Thisafternoonoftrainingisaboutlearningtolookatthelungsusingultrasound

It will be delivered by national experts from a range of medical specialities wholl combine lecture-based material to show you where to start and show you myriad potential pathologies to diagnose, hands-on scanning to get your skills into practice realistic simulation to make your diagnoses and some interactive case-basedpathologydiscussionstohelpintegrateyourskillsintopractice

Pathologiescoveredthatcanbediagnosedwithlungultrasoundinclude:

Pneumonia

Pleuraleffusion

Pneumothorax

Pulmonoedema

Lungfibrosis

Leadershipworkshop

Some of the most successful and personally impactful people took steps to address their own leadership development, before progressing onwards in their leadershipjourney

Personal development has helped to prepare many to lead It is for this reason thattheIntensiveCareSocietyhaswelcomedDrPhilipStilestoleadanengaging, insightful interactive and highly applicable SOA24 pre-congress workshop entitled“developmentofselfinleadership”

LegalandEthicalSymposium

During this full-day symposium, well be learning about do-not-attempt resuscitationandtreatmentescalationplanninginICULegalandEthicalissues

BytheendoftheSymposium,theyoullbeableto:

recognise the challenges around DNACPR and treatment escalation planning inareal-worldsituationorpractice identify situations which may lead to disagreements with colleagues and/or families demonstrateknowledgeonhowtoapproachdifferingopinions identify the multiple ethical interests at stake when making treatment-limiting decisions

OurSocialEvent

Were very excited to be able to share the venue for our annual State of the Art socialevent–OhMeOhMy!

JustoppositetheiconicThreeGraces intheheartofhistoricdowntownLiverpool

Oh Me Oh My’s home was built in the 1920s by Briggs, Wolstenholme and Thorley, andwasoncetheformerbankofWestAfrica

A tea house during the week and gorgeous events space in the evenings and on weekends,it’stheperfectplacetohostoursocialevent

AnupdatefromourAPPCProfessional AdvisoryGroup

The APCC Professional Advisory Group (PAG) consists of eight elected members led by Chair Hannah ConwayandDeputyChair BrigittaFazzini

The PAG members are experienced practitioners in critical care at an advanced level and our PAG is made up of professionals from various healthcare fields which ensures a diverse and inclusive strategic vision

Our main purpose is to provide advice and expertise on issues related to advanced practitioners nationwideandweactasadvocatesforalladvancedpractitionersincriticalcare

To effectively accomplish this, our chair sits on the ICS Council, allowing us to have a voice in influencing nationalpolicy,guidelines,positionstatements,andeducationforUKAPCCs

Currently, our PAG members are involved in various active workstreams and committees including the FUSIC Committee, Standard and Guidelines Committee, Education Committee, Research Committee, Equality and Diversity Inclusion Working Group Journal of Intensive Care Society State of the Art ConferencePlanningCommitteeandGPICSV3Authorship

Furthermore we have established a partnership with the Faculty of Intensive Care Medicine ACCP subcommitteewhichwillenhancecollaborationandfutureprojectsbetweenourtwoorganisations

Lastly we are seeking two new members to join our PAG bringing the total number of active members to ten

Ifyouareinterested pleasestaytunedforfurtherupdatesontheelectionprocess

#Snap4SOA

WhobettertoguideusthroughtheICUthanthosewholiveandworkiniteveryday?

ForSOA24,wewantyousendinyourphotosofyouatwork-abusyday,aquietdayandeverythinginbetween Wewanttoseethemultiprofessionalteamontheunit,workingtogethertocelebratethediversityofwhatmakestheICUtick

Sendyourpicturesintousdirectlyatcommunicationsteam@icsacukortagusonsocialmedia-eitherway,wewanttoseethem! ThebestpictureswillfindtheirwayontoourSOA24stand-displayedforallofSOA24tosee

Ifpatientsareincludedinyourphotos,makesuretogetconsent-getincontactwithusforconsentformsandwedbehappytoprovide

Showusyouinactionwithfriendsandcolleagues-wecantwaittoshowintensivecarefromyourside

HannahConway,APPCPAG Chair

BrigittaFazzini,APPCPAGChair

AlookbackatourInfectiousDiseaseandAntimicrobial StewardshipstudydaybyHeadofCPD,MaryahTafri

On Thursday 29th of February 2024, the Society ran a study day on Infectious Disease and Antimicrobial Stewardship

ChairedbySekinaBakare,longtimeSocietymember,ChairoftheTraineeAdvisoryGroupandmember ofourEDIworkinggroup-Sekinahelpedpulltogetheranamazinglineupofexpertspeakers,deliveringa multiprofessionallookatantimicrobialstewardship

SupportedbyBiomerieux,theSocietywereabletoprovideplacesatadiscountedrate

Thestudydaywasvirtual,with79joiningusonlinebutwithanaddedtwist

11 delegates attended in person at our London office This group watched the presentations on a large screen while seated together with Intensive Care professionals from other trusts They talked and networked during breaks and benefited from a special face-to-face lecture from one of our expertpanellists,JimBuckley,whorana lunchandlearn session,focusedonthetopicofviralhaemorrhagicfever(VHF)

Id personally like to thank all of the expert panellists who supported this study day as so much time and dedication goes into creating these educationalofferings

This particular study day was a bit of an experiment that allowed the Society to try something a little different The feedback was very good encouragingandIbelieve;honesttoo

AsHeadofCPDandalsooneofthenewermembersoftheICSteamwhohasntyetexperiencedtheSociety'sStateoftheArt(SOA)annualcongress it was the first time that I had met some of the societys Intensive Care professional community offline, so it was also a great opportunity for me to meet,talktoandlearnfromthem

As SOA24 is fast approaching, we have the best opportunity to connect with you all and as an SOA first-timer, I am probably more excited than anyone How could I not be when we have so many educational opportunities across 3 work streams over 3 days (4 if we count pre congress workshops)! I also want to do a special shout out to our fantastic FUSIC National Leads; many of whom will be offering their expertise to deliver the FUSICHeartandLungpreCongressworkshops

As for running another hybrid event if we do we now have the recipe to deliver something even better so I might end with a cheeky little watch this space 'and leaveitatthat!

DontforgettocheckourwebsitesoonforsomegreatstudydayswehavelineduptorunintheAutumnandWinter

MaryahTafri

SumitaPai

ThomasHellyer

AliceWort

GregBarton

AndrewConway-Morris

JimBuckley

ManuShankarHari

SekinaBakare

RichardBellamy

RajekaLazarus

RobertHorne

YoannPersonne

Our2024updateondigitaldevelopments

HereattheSociety,weworkforyouandareconstantlyfindingnewwaystoinnovateandimproveyourcoredigitalexperiencewithustoensureyour membershipjourneyisassmoothandsimpleaspossible

Alreadyin2024,wehaveupdatedyourdashboard-nowyouareableto:

ReactivateexpiredmembershipswithouthavingtorejointheSociety

Storemultipleaddresses carddetailsandpaymentsmethodstomakethepaymentprocessallthemorequicker

AbrandnewMySubscriptionspagewhereyoucanfindyourmembershipnumberandpreferredpaymentmethodandbillingaddress

Billingaddressnoweasilyeditable!

Subscriptiondiscountcodes ifyouareatrustorprofessionalbody youcanusethesetopayforanumberofsubscriptionsforyourmembers Thesearejustafewofthebigchangeswehavemadetomakeyourlifeeasieronlyacoupleofmonthsintotheyear-staytunedformore!

AnupdatefromourPharmacyProfessionalAdvisory Group

MynameisReenaMehtaandaschairofthePharmacyProfessionalAdvisoryGroup(PAG),Iwantedtosharesomeof ourgreatachievementsoverthelastyear

The PAG consists of 9 pharmacists representing pharmacy across key ICS work streams and also hold positions within nationalprofessionalbodies-trueprofessionalleaders!

Since 2022, we have contributed to the Adult Critical Care Planning Programme We published the ‘Adult Critical Care PharmacyWorkforceStrategy alongsideNHSE describingnewmodelsofworkingtosupportcriticalcare

We proposed innovative roles utilising pharmacy technicians and pharmacy assistants within critical care units optimisingskillmix benefitingmultipleprofessionalgroupsandpatients Availableonthe FutureNHS platform including examplejobdescriptions

CollaboratingwithNHSEeducationandtrainingresultedinnationallyfundedtraininganddevelopmentopportunitiesfor criticalcarepharmacistsinEnglandduring2022/2023

Following this success further funding was allocated for 2023/2024 As a result we are in the process of finalising a nationally recognised training programme to formalise and standardise training offered to critical care pharmacy professionals Thisisaveryexcitingtimesopleasewatchthisspace

Wehadexcellentpharmacyspeakersandrepresentationat#SOA23,raisingtheprofileofpharmacywithinthesociety andtoawideraudience Themulti-professionalvibefeelsstrongerthanever!

JustbeforeChristmas,werecordedapodcastintroducingthePAG,gavesomeofourinsightsofdaytodayworkingas critical care pharmacists and our predictions for the future It was a fun experience chatting and learning from and aboutourpeers

ThepharmacyPAGhasbeenpivotalinprogressingthepharmacyagenda Ouraimsaretonurtureexcellentcareand provideexpertiseinshapingthefuture

Ifyouwouldliketoknowmore pleasecontactusatcommunicationsteam@icsacuk

ReenaMehta PharmacyPAG Chair

Leadingthroughuncertainty

Joinintensivecareleadersrecountingtheirexperienceof leadingthroughuncertainty

17April2024

NationalClinicalImpactAwards

ApplicationsfortheNationalClinicalImpactAwardsarenowopen!

If you are a NHS consultant who goes above and beyond and who has a positive impact on the NHS at a national level then ACCIA (Advisory CommitteeonClincialImpactAwards)wantstohearfromyou

We were joined by Stuart Dollow, Chair of the Advisory Committee on Clinical Excellence Awards for a look at how to submit the best application as heguidedusthroughtheapplicationprocessandtookquestions

Youcanwatchthewebinaronthebelowlink-bitly/nciaweb

ForthoseconsideringanapplicationtothisyearsNCIA werecommendyoureadthroughtheguidanceforapplicants-bitly/NCIAguidance Applicationswillcloseon5pm,15Aprilandyoucanapplybelow

AnupdatefromourPhysiotherapyProfessionalAdvisory Group

ThePhysiotherapyPAGhadaproductivestarttotheyear!

We were pleased to see the publication of our workforce commentary - this joint project with Clair ACPRC critical care champion discusses the difficultiesphysiotherapyservicesfacedevelopingandmaintainingtheirICUworkforceandexploreswheresolutionsmaylie

Youcanreadthecommentaryhere-bitly/physioworkforcecommentary

In another publication Becky outlines the importance of functional milestones being achieved in ICU refocusing physiotherapy interventions to goalorientatedindividualisedrehabilitation-bitly/mobilityphysio

PAGmembersalsocontinuetoinnovate!

Zoeledthedevelopmentofnovelroles-anewpilotclinicaleducatorphysiotherapistroleenhancedstaffeducationthoughsimulationtraining,1:1clinical supervision andMDTsessions

TwiceasmanyICUphysiosarenowskilledinrespiratoryweaning,andithasdeliveredanindicationtowardsreducedventilatordays

APhysiotherapistinOrganDonation(POD)rolehasbegun,fundedbyNHSBT

It aims to raise the profile of physiotherapy for patients on organ donation pathways and provide education to the MDT and on-call physiotherapistswatchthisspace!

Wehopetosupportyourpracticeinseveralways

Building on the highly successful short course on airway clearance delivered by Ema, Clare, and Allaina, there are several short courses and webinars planned

Keepaneyeoutforeventsandmakesureyousignup!

Planning for SOA24 is ongoing, aiming to build on the fantastic physiotherapy representation last year and deliver excellent multiprofessional sessions andnetworking Highlightswillbesessionsontracheostomymanagementandrehabilitation Takealookatthewebsiteandgetyourticket!

Wealsorepresentyouonavarietyofgroups

Mostrecently wehavebeencloselyinvolvedwiththecreationofanationalcapabilityframeworkforAHPs alongsideNHSElect Werereallykeentomake thisahighlyvaluableprojecttosupportAHPdevelopment

Ifyouhaveanyquestionsorideaspleasegetintouch–PhysioPAG@icsacuk

AbiOliver AllainaEden

BeckyHaylett

ClareWade

DebDykes

EmaSwingwood

HelenSanger LauraJenions

NicolaMorgan ZoevanWilligen

ThrivingatWork

WehavehadagreatfirstquarterfortheThrivingatWorkproject

We started off with an incredibly successful study day on delirium - Delirium Revolution This was a well attended event with 3 patient stories and lots of multiprofessionalresearchandpracticaltoptips Thankstoallwhoattended!

WehadourfirstcohortofPeerSupporterstrainfor2024inMarch aseveralively day of training learning key skills to support your peers and set up a local programme

If youd like to register for one of our three training dates across 2024, get in touchviawellbeing@icsacuk

Detailscanbefound-bitly/peersupport2024

Registrations are open for our one day online event - Response after Incidentwhere we will be talking about incidents at work and what team members need shorttermandlongterm

Wellbeexploringhotandcolddebriefingskillsandlinkingthistopeersupport

Tosecureyourplace gotobitly/traumaticeventsatwork

We had an excellent calibre of candidates apply for this years ’ leadership course: LeaP3 and begin training on 20th March If you are interested in expanding your leadershipskillsandknowledge wehavethreeonedayeventsthatyoucanattend:

Wed 17 April - Leading through Uncertainty A one day online workshop with a range of speakers exploring leadership in uncertain times To find out more and register pleasegotobitly/leading uncertainty

Wed17June-DevelopmentofSelfinLeadershipwithPhilStiles Thisisafacetoface event as an SoA pre-congress workshop To find out more and register, please go to bitly/SOA24

Wed 6 November - Systems Leadership with Ian Macdonald This is a face to face event at our headquarters in Breams Buildings London Ian will help us to consider leadershipfromawholesystemsperspective Registrationwillbeopensoon 179

YourSocietyUpdate

ZermatttoVerbier2024

Zermatt to Verbier is nearly in sight - our six challengers set off on 9 April for a once in a lifetime challenge- all in the name of raising money for our ThrivingatWorkprogramme

One of the toughest courses in the world, the team are battling extreme weather conditions and terrains to provide support to those who working in intensivecare-givingthemthevitalpsychologicalsupportneededforthejob

Tosupportourchallengersandfindoutmoreabouttheupsanddownsaheadofthem,gotobitly/ZtoV2024

AmessagefromourfundraisersLukeStephensandSeanBennett

LukeStephens

With the final couple of weeks upon us our team is gearing up to embark on our 4-day ski mountaineeringexpeditionfromZermatttoVerbier

Yet this journey began a year ago when each of us committed to tackling this immense challenge It has been a busy year dedicated to raising awareness for the Thriving at Work Projectandtirelesslyfundraisingtosupportitsgrowth

Countless hours have been spent in the gym scaling mountains and on multiple ski touring trips in Scotland and abroad, all in pursuit of the fitness necessary to conquer one of the world'smostchallengingroutes:ThePatrouilledesGlaciers

Allow me to introduce myself, I am Luke, a Trainee Advanced Clinical Practitioner in EmergencyMedicine

My background encompasses extensive experience as a physiotherapist in neurotrauma and criticalcare aswellasinglobalhealthandhumanitarianresponserolesoverseas

Throughmywork,Iwitnessfirsthandtheprofoundimpactthatworkcanhaveonthewellbeing andmentalhealthofstaff

The Thriving at Work Project aims to address this issue by providing support at an individual levelwhilealsochallengingworkplaceculturestofosterpositivechangeandpromotenational self-careinitiatives

I would like to take this opportunity to thank everyone that has supported us this far and I would like to encourage you all to donate a little to this amazing cause, collectively we can startmakingthechangeweneed

SeanBennett

Ithasbeenayearsinceweallsigned-upfortheZermatttoVerbierChallenge

With21daystogotheresolveofthegroupisasstrongasever!

Thehardtraininginthegymandinthemountainsisshowingresultsinourfitnesslevels

Everyone is now keener than ever to raise as much sponsorship as possible towards the wellbeing ofourICUstaffandmaketheselastweekscount

DavidSapsford HannahSwann

JimWalmsley RobWarr

LukeStephens

SeanBennett

DrBruceLindsayTaylor1955-2013

Bruce Lindsay Taylor was an excellent and resourceful clinician, and a consummate problem-solver His practice was founded on a vast clinical knowledge, outstanding practical and communication skills, timeliness of action, empathyforpatientsandtheirfamilies fairnessand aboveall extremekindness

Brucewasbornon14April1955atBroughtyFerry,Dundee,ScotlandtoStanleyLindsayandHildaMayTaylor(nee Lindley) brothertoIslaandLindsay AftereducationatPerthJuniorAcademyandBrechinHighSchool hestudied medicineattheUniversitiesofStAndrewsandManchesterbetween1973and1979

Ongraduating BruceundertookHouseOfficerpostsatManchesterRoyalInfirmaryandBuryGeneralHospital Initially heplannedasurgicalcareer passingpart1oftheFellowshipoftheRoyalCollegeofSurgeons(FRCS)examinationinApril1981whilstworkinginBristolasAnatomyDemonstrator and Senior House Officer (SHO) in Orthopaedics and Accident & Emergency However, following a chance discussion with the Professor of Anaesthesiathere hiscareerfocuschanged andhebegananaesthetictrainingasSHOatGloucestershireRoyalHospitalinOctober1981

He completed specialist training in Anaesthesia and Intensive Care in Southampton, Cambridge, Bristol and Exeter between 1982 and 1989, gaining FellowshipoftheFacultyofAnaesthetistsoftheRoyalCollegeofSurgeons(FFARCS laterFRCA)in1984 Hethenacceptedtheopportunitytoworkin Australia for fifteen months as Registrar in Anaesthetics in Brisbane and Medical Practitioner to the Flying Surgeon Service at its Queensland Longreach base In the latter role, he rapidly developed significant versatility and confidence, anaesthetising patients from the very extremes of life in isolated locations and high ambient temperatures sometimes with the aircraft pilot acting as anaesthetic assistant! During this time Bruce gainedhispilot’slicence

Priorto1992 structuredIntensiveCareMedicine(ICM)trainingintheUKwaspoorlydevelopedand whilstinAustralia Brucerecognisedthebenefits of the Australasian ICM training system Consequently, he returned to Australia in February 1989 to undertake additional specialist training in ICM, working for twelve months as a Senior Registrar in Intensive Care at the Royal Children's Hospital, Melbourne and, later, for six months as a Locum StaffSpecialistinIntensiveCareinBrisbane

In 1990, he was awarded Fellowship of the Australia & New Zealand College of Anaesthetists (FANZCA) and Fellowship of the Joint Faculty of IntensiveCareMedicine(FJFICM) subsequentlybecomingaFoundationMemberofthenewlyformedAustralia&NewZealandCollegeofIntensive CareMedicine(FCICM) BrucewouldlaterusehisexperienceoftheAustralianICMtrainingsystemtobenefittheUKsownICMtrainingprogramme, inhisroleasamemberofboththeBoardoftheUKFacultyofIntensiveCareMedicine(2005-2009)andtheUKIntercollegiateBoardforTrainingin Paediatric Intensive Care Medicine (2005-2013) Bruce was eventually awarded Fellowship of the UK College of Intensive Care Medicine at its creationin2011

In June 1990 Bruce was persuaded to return from Australia to a UK consultant post by a long-term friend who was developing intensive care services in Portsmouth Initially, Bruce was responsible for the management of patients in the intensive care unit (ICU) at St Mary’s Hospital, Portsmouth and for others requiring mechanical ventilation on the Wessex Renal and Transplant Unit Inevitably he also offered his paediatric intensive care expertise to the paediatric department in the hospital As a result several critically ill children were admitted to the St Mary’s ICU ratherthanbeingtransferredtoSouthampton,whichhadnodedicatedregionalgeneralpaediatricICUatthetime,orfurtherafield TheICUservice in Portsmouth became recognised for its expertise in caring for very sick children and was often referred critically ill children from surrounding hospitals This necessitated the development of a reliable, high quality transfer system in which a fully equipped transfer team was despatched fromPortsmouthbyambulanceand/orHMCoastguardhelicoptertostabiliseandtransferthechildren

Bruces passion for ensuring excellent intensive care services for children led to him being invited to serve on national groups working to structure paediatric intensive care services around the UK Locally, he worked closely with staff at Southampton General Hospital to develop the regional paediatric ICU (PICU) service there Eventually Portsmouths two ICUs no longer admitted the youngest and sickest children but acted in a supportivewaytoSouthampton’sPICUservicetoensuresafeandeffectivecare,therebyemphasisingBrucesperpetualbeliefthatapatientsbest interests, rather than local medical politics, were paramount Bruce’s efforts were rewarded with Honorary Consultant status in the Southampton PICU

Bruces approach to all intensive care, whether for adults or children, was to always do the simple things well, attend to the details and, above all, ensure patients were safe His philosophy hard work dedication and genuine willingness to help were an inspiration to all who worked alongside him Whilstheopenlyacknowledgedthelimitationsofintensivecaresupportandwasnotafraidtoremovetreatmentwhenitappearedineffective, he often fought to continue treatment when other hospital staff felt that all reasonable measures had been implemented Because of Bruces tenacityandpersuasiveadvocacy severalpatientswhowouldotherwisehavediedarealiveandwelltoday

Bruce was a motivating and enthusiastic teacher In the ICU and operating theatre, he was keen to pass on knowledge, skills and practical tips to anyonewhowouldlisten Intheclassroom hetaughtonnumerouscourses includingthosecoveringtheprinciplesofAdultandPaediatricIntensive Care Nursing He became the Director of the Wessex Advanced Paediatric Life Support Course (APLS) and developed two multi-professional courses - Paediatric Emergency and Resuscitation Seminars (PEARS) and Surgical Paediatric Emergency & Resuscitation Seminars (SPEARS) – to teach non-paediatric staff the basics of caring for sick children From an early age Bruce had shown great practical prowess for repairing items especially cars, employing the motto that ‘nothing existed that couldnt be fixed eventually He put these talents to good use on several courses to construct unique task-specific mannikins, where none existed Bruce was also a trainer on the Royal College of Surgeons Care of the Critically Ill SurgicalPatient(CCrISP)courseandExaminerinCriticalCare&AppliedPhysiologyattheRoyalCollegeofSurgeons

DrBruceLindsayTaylor1955-2013

Continuedfrom

In March 2005 Bruce raised awareness that the UK Department of Healths draft influenza pandemic contingency plan predicted over 50000 UK deaths,yetcruciallycontainednomentionofICUrequirementsortheimpactofapandemiconcriticalcareservices Consequently,hewasinvitedto ChairtheUKDepartmentofHealthsCriticalCareContingencyPlanningGroupconsideringstrategiesformanagingemergencieswherethenumberof patients significantly exceeded normal critical care capacity During the H1N1 Swine Flu outbreak in 2009 he gave a presentation to the Science and Technology Committee at the House of Lords in which he “ expressed with some force his concern about provision for critical care in the event of a pandemicandalsoabouttheethicalguidancegiventohealthcareworkerstoassistthemwhenpresentedwithdifficultchoicesarisingfromscarcity of intensive care unit resources Bruces concerns proved prescient eleven years later during the SARS-Cov-2 pandemic yet he would never know howhispersistenceinraisingtheseissueshadhelpedtheUKinitsresponsetotheCOVIDpandemic(videinfra)

Bruce was a humble Scotsman who failed to recognise the magnitude of his influence on medicine He often felt an imposter on committees even those he chaired, and expressed surprise that he could hold his own with those he regarded as superior intellects Nevertheless, Bruce held several majorpositionsintheUKIntensiveCareSociety–Councilmember;ChairoftheICSStandards,Safety&QualityCommittee;EditoroftheJournalofthe ICS;ICSHonorarySecretaryandICSPresident In2012 BrucescontributionstomedicinewererecognisedwiththeawardofaNHSConsultants Clinical ExcellenceGoldAward,HonoraryFellowshipofTheRoyalCollegeofPhysiciansandHonoraryMembershipoftheIntensiveCareSociety

Brucecamefromamusicalfamily;heplayedviolin guitarand maybeinevitablyforsomeonewhospenttimeinAustralia didgeridoo Heplayedbass guitar in the band EMD – Emergency Manoeuvres in the Dark’ - and relished writing material for and participating in hospital revues, his tour de force beingarewriteofthelyricsofPaulSimon’s‘TheSoundofSilence’as TheSoundofSuction

Bruce met Claire Rogers, an ICU nurse at the Royal Devon and Exeter Hospital, in 1986 They married in 1994 and had two sons, Alex and Christopher, and a daughter Lily Cruelly much of the family’s life especially the children’s upbringing and memories of their father was scarred by his developmentofthesymptomsoffrontotemporaldementia finallydiagnosedin2012asSemanticVariantPrimaryProgressiveAphasia Eventually this robbedBruceofmanyoftheessentialcomponentsofhispersonality–hisdry,wittyhumour,eloquence,originalityandabilitytocomprehend

Aftermanyyearsofslowdeterioration BrucediedofpneumoniaatStMagnusHospital Haslemereon22January2024

Obituaryprovidedbyfriendandcolleague GaryBSmith

OurJICShighlight

This edition of JICS we want to highlight Creating a smart classroom in intensive care using assistedrealitytechnology’,writtenbyCharlotteWillis,JessicaDaweandChristopherLeng

Exacerbated by the COVID-19 pandemic medical students have received little exposure to intensivecaremedicinethroughouttheirundergraduatetraining

Thisstudyexploredtheuseofassistedrealitytechnologytocreateasmartclassroominintensive care with six intensive care teaching sessions live streamed to groups of medical students (n= 33) using wearable assisted reality glasses, and the results were collected for analysis with feedback from students and educators on the evaluation of technology-enhanced learning materials(ETELM)

Studentsstronglyagreedthatthesessionwaswellorganised relevantandthatthenavigationof technology-based components was logical and efficient Students strongly disagreed that their learningwasnegativelyaffectedbytechnologyissues

Educators reported some difficulties with balancing teaching delivery alongside the clinical demandsoftheICUandsomeminortechnologicalissues

The conclusion was met that there is potential for smart classrooms to revolutionise intensive careeducation

The main limitations included the cost of the technology and risk of technology issues There is a significantroleforsmartclassroomstocontinueinthepost-pandemicperiodastheyprovidean open and safe platform for students to explore intensive care medicine and ask questions that theymayfeellessabletoraiseinthebusyclinicalenvironment

Toreadmore findthelatestJICSinyourinbox!

AnupdatefromourAHPProfessionalAdvisoryGroup

After welcoming two new members at the Annual Members Meeting the AHP PAG now consists of 8 members; two dietitians, two occupational therapists and four speechandlanguagetherapists

This gives us a wide breath of knowledge and skills enabling us to represent multipleprofessionswithintheIntensiveCareSociety

Over the last year we have been working hard on multiple projects including the State of the Art Programme and the overall education programme, delivering content on multiple topics throughout the year Our role is focused on making sure thattheAHPvoiceisheardwithineachsession–weareamulti-professionalteam afterall

OneofthebiggestpiecesofworkthattheAHPPAGhasbeeninvolvedinisthecodevelopmentoftheadultcriticalcareAHPcapabilityframeworkwithNHSElect Ifyou havent heard about this already this framework is being developed to support the five allied health professional groups working within critical care, across 7 levels of practice

Our PAG members are involved with the project both as members of the Clinical Advisory Panel (CAP) for each profession and the ICS core AHP group, having strategicoversightoftheproject

Our in-person meeting, hosted at the ICS office, was a great opportunity to meet the team and engage in discussion about the framework Currently the draft capability statements, both profession-specific and cross-professional, are undergoingqualityreviewbyCAPs

Thefocusofthenextcoupleofmonthswillbeintegratingandrefiningfeedbackon the statements from CAPs and Professional Bodies and preparing the narrative whichsetsoutthecontextofthisframeworkforpublicconsultation

Public consultation is expected to take place in spring, with a preview of the final frameworkat#SOA24

We are looking forward to another busy year in 2024 and look forward to sharing moreofwhatwedowithyou

DanielleBear

SarahWallace

GemmaJones

JamesBruce

CarmelRichardson

EileenKelly

JamesJackson

SharonBarker

Thankyoufromallofus Findoutmoreanddonateat bit.ly/ZtoV2024

Thankyouforjoiningusforourfirsteditionof2024-thisedition,wereallywantedtogiveyouapreviewofwhatwehaveinstoreforyouforSOA24 andaninsightintoourPAGS-writtenbythePAGS,takingyouthroughwhattheirprioritiesare

Pleasedogetintouchifyouhavesomethingyouwouldliketocontributetoournewsletter Youcancontactusatcommunicationsteam@icsacuk atanytime

GetthesedatesinyourdiaryforSpring2024

LeadingThroughUncertaintyworkshop-17April

SOA24-17-20June2024

Youcanbookyouspotonanyorallofthese eventsaticsacuk/events

We’llmeetagaininJunetotakestockontheyearwe’vehadandwhatwehaveahead!

TheIntensiveCareSociety