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Biography of Dr Harold William Charles Griffiths
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One of the key findings is the substantial growth in locally employed doctors across all specialties. This mirrors the large and growing bottleneck between foundation and core training highlighted in our recent State of the Nation report.
This article looks at how a preoperative assessment network was created to feed into the national networks and membership bodies promoting perioperative care/medicine.
I started working part-time for GIRFT (Getting it Right First Time) as a POA (Preoperative Assessment) national advisor in September 2022. Most POA non-medical leads will recognise that you are often working in a silo in a POA department. While we have a number of expert multidisciplinary-team (MDT) professionals who feed into and out of the department, the core ‘everyday’ team are predominantly non-medical staff.
It’s an area that has seen significant variation across the country, but for many POA will be the sole job for the staff who work there. The reason? They absolutely LOVE IT! Highly skilled and hugely rewarding, this area brings a huge amount of satisfaction and unity to identify potential challenges for our patients undergoing elective surgery, and is an opportunity to help educate and inform on perioperative risk.
Post pandemic, we have seen pivotal changes to the perioperative pathway with a focus on early assessment and optimisation for patients ‘while they wait’.1 Working for GIRFT and NHS England (NHSE) colleagues, specifically in elective recovery, has brought a new dimension to my role and, I hope, skills of influence, engagement and innovation to help drive forward the importance of all POA clinics, everywhere.
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This leaflet is about having a sore throat after a general anaesthetic. This is a side effect that you might experience if you have a general anaesthetic. It explains the causes of a sore throat and what can be done about it.
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Lives of the Fellows
The latest news from the third week of the public hearings for Module 3 of the UK Covid-19 Inquiry. The RCoA, FICM and Association of Anaesthetists are jointly a Core Participant.
This article provides a practical guide to getting your nitrous oxide project off the ground and, captures everything learnt so far at the Royal Bolton Hospital.
When English chemist Joseph Priestley discovered ‘dephlogisticated nitrous air’, or nitrous oxide in 1772, he unknowingly revolutionised medical practice. What Mr Priestley didn’t know was the significant impact that N2O would have on the environment.
With a lifetime of 150 years in the atmosphere and a 100-year global warming potential 10 times that of carbon dioxide, N2O poses a significant problem.
Are we regularly bulk-buying N2O just to leak it straight into the sky? This is not a new idea. The Nitrous Oxide Project, started in NHS Lothian in 2021 by Alifia Chakera, found that usage of N2O in the theatre setting was much lower than anticipated, with significant wastage in the supply chain. In fact, hospitals that have undertaken similar analyses report that 95–99% of the N2O that’s bought is wasted due to leaks in both outdated manifold systems and in piped N2O supplies.
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Lives of the Fellows
We are in the midst of a climate emergency. With record-breaking heat waves and flooding over the last few years, the danger to our patients’ health is undeniable. Even the World Health Organization described climate change as ‘the single biggest health threat facing humanity’.
Authors:
- Dr Sangita Kindred, Anaesthetic Trainee, North Central School of Anaesthesia
- Dr Tim Jackson, Anaesthetic Trainee, North Central School of Anaesthesia
- Dr Kate Sherratt, Consultant Anaesthetist and North Central London Training Programme Director,
Royal Free Hospital
We are in the midst of a climate emergency. With record-breaking heat waves and flooding over the last few years, the danger to our patients’ health is undeniable. Even the World Health Organization described climate change as ‘the single biggest health threat facing humanity’.1 Therefore, we have a duty as healthcare practitioners to change our practice to protect our future patients. Even the GMC has changed its guidance on ‘Outcomes for Graduates’ to reflect this need.2
Anaesthetic gases make up more than 2 per cent of the NHS’s carbon footprint, and reduction in their use is central to the NHS long-term plan to reach carbon net zero by 2045.3 Desflurane is a particularly harmful greenhouse gas, with a global warming potential over 100 years (GWP100) which is 2,540 times greater than carbon dioxide.4