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MTRs and MSFs

The new Multiple Trainer Report and the established Multi-Source Feedback

Patient safety strategy

Find out more about the RCoA patient safety strategy and ongoing programmes which covers five key areas.

EU friends – don't worry, we haven't left!

Despite Brexit, Dr Ted Rees tells us how the College still plays an active role in setting and improving standards of anaesthetic training and clinical practice in Europe.

Had your head buried very deeply in the sand for most of the last decade? Then it may have escaped your attention that the UK has cleaved itself away from the European Union. But fear not! The College and the Association of Anaesthetists are both still represented on the European Board of Anaesthesiology (EBA), the Anaesthesia section of the European Union of Medical Specialists.

Known by its French acronym, UEMS is a non-governmental organisation created in 1958 in the same year as the European parliament. The aims of UEMS are to improve patient care throughout Europe by developing and supporting excellence in specialist medical training and practice and, as a by-product, to promote free movement of medical specialists around the EU.

The UEMS represents more than 1.6 million specialist doctors from 41 countries:

  • full UEMS members – EU countries plus Iceland, Norway, Switzerland, UK
  • associate members – Armenia, Israel, Serbia, Turkey, Ukraine
  • observer countries – Georgia, Iraq, Lebanon, Morocco, Tunisia.

Continuous morbidity monitoring to improve postoperative outcomes

This article looks at the Perioperative Quality Improvement Programme's new postoperative morbidity variable life adjusted display charts (pomVLAD) for all sites recruiting patients undergoing colorectal surgery and launching in 2023.

Authors:

  • Dr Rachael Brooks and Dr Eleanor Warwick, PQIP Fellows and Anaesthetic Registrars, University College London Hospital
  • Dr James Bedford, former PQIP fellow and Consultant Anaesthetist, University College Hospital NHS Foundation Trust
  • Professor Ramani Moonesinghe, PQIP Chief Investigator

In 2023, the Perioperative Quality Improvement Programme (PQIP) is launching new postoperative morbidity variable life adjusted display charts (pomVLAD) for all sites recruiting patients undergoing colorectal surgery. Having previously been run as a pilot study in 10 hospitals, the quality-improvement dashboard has been refined and will now provide all sites with near-real time, risk-adjusted morbidity monitoring accompanied by the display of a number of key enhanced-recovery quality-improvement (QI) targets. 

For sites recruiting patients of other surgical specialties, there is also a newly developed QI dashboard which does not incorporate risk-adjustment. Dr James Bedford explains how they can be used to stimulate QI initiatives in your local hospital.