2010 Annual Report - Association of Surgeons of Great Britain and

Transcription

2010
ANNUAL REPORT
Association of Surgeons of Great Britain and Ireland
2010
ANNUAL REPORT
CONTENTS
page
Welcome from the President, Professor John MacFie
2
Document A
AGM Agenda
4
Document B
Minutes of the 90th Anniversary AGM held on Thursday 15th April 2010
11
Document C
President’s letter to all ASGBI Fellows, February 2011
19
Document D
Election of Fellows
24
Document E
Citations for Honorary Fellowship in support of:
• Surgeon Vice Admiral Philip Raffaelli
• Mr Keith Rowland
• Mr Philip Truskett
29
Document F
Summarised preliminary Financial Statements to 31st December 2010
32
Document G
Report from the Education and Training Board
33
Document H
Report from the Scientific Committee
34
Document I
Report from the International Development Committee
35
Document J
Report from the Nominations Committee
36
Document K
Report from Website Management Group
37
Document L
Report from the UEMS Monospecialist Committee in General Surgery
38
Document M
Report from the Federation of Surgical Specialty Associations
39
Document N
Report from the SAC in General Surgery
40
Document O
Report from CORESS
41
Document P
Report from The Surgical Foundation
42
1
WELCOME FROM THE PRESIDENT
Welcome to the Association’s 2010 Annual Report. The
2011 AGM marks an historic milestone: ASGBI is
embracing the modern electronic age!
We have developed an “app” for use with smart phones,
which will be operational from May this year. We will
continue to develop Surgical TV at the Bournemouth
Congress. We hope that our newsSCANNER epublication, which goes out on the first Friday of every
month, will be welcomed and valued by our members.
Many of our papers, such as those apposite to this year’s
AGB will no longer be circulated as hard copy, but will be
available on the website. We have streamlined submission and review of abstracts and e-publication,
through the BJS, of accepted abstracts. Lastly, and most importantly, our website under the direction
of Nick Markham and Emmanuel has had a major revamp. It is now extremely user friendly. Take a
look. All ASGBI publications, such as the Newsletter and the Issues in Professional Practice
booklets, are available there. The success of this website is manifest by the fact that we occasionally
receive up to 250,000 hits per month. We have truly entered the electronic age!
2010 saw a very successful 90th Anniversary Congress in Liverpool with over 1,000 delegates
despite volcanic ash and a global economic recession. We hope for even more registrants for 2011 in
Bournemouth. Our modest financial operating surplus as a membership company is gradually
growing and, as such, our ability to provide tangible membership benefits will increase. For details,
please see my letter which was sent out to all Fellows in February 2011, attached as Document C.
With our new status as a membership company, we are able to forge exciting and mutually beneficial
links with a wide range of Academic Partners, Professional Partners, Commercial Partners and Charity
Partners to compliment the positive and important relationships we have with the healthcare industry
through our Corporate Patrons; we are most grateful to them all for their on-going support.
2
So much positive activity, across so many fronts, would not be possible without the input of a large
number of people, and I would like to conclude by thanking, most sincerely, the Executive Board,
Council, members of all our committees and the Association’s dedicated team of staff for their
immense contributions during 2010. ASGBI is in extremely good health, and as relevant, exciting and
st
innovative for 21 Century Surgery as when the Association was founded in 1920!
Professor John MacFie
President
INTERNATIONAL SURGICAL CONGRESS
of the
Wednesday 11th to Friday 13th May 2011
Bournemouth International Centre
3
Document A
2011 ANNUAL GENERAL MEETING
8.00am to 9.00am, Friday 13th May 2011
Tregonwell Hall, Bournemouth International Centre
AGENDA
Document
1.
Introductory remarks from the President, Professor John MacFie
Fellows present are asked to declare any conflicts of interests or loyalties.
PART I:
2.
REPORT FROM THE PREVIOUS YEAR
DEATHS
To record, with deep regret, the deaths during the past year of the following Fellows:
Major General N C Rogers
Mr R C Shepherd
Mr H I Tankel
Mr S W Hosking
Mr M Abdel-Fattah
3.
Kidlington
Wareham
Glasgow
Poole
Dunfermline
MINUTES OF THE PREVIOUS ANNUAL GENERAL MEETING
Doc B
To receive the Minutes of the AGM held in Liverpool on Thursday 15th April 2010
PART II:
4.
ASGBI MEMBERSHIP COMPANY
PRESIDENT’S REPORT
Doc C
4
5.
HONORARY OFFICERS AND MEMBERS OF COUNCIL
5.1
Appointment of Officers to the Executive Board
To note that the following Officers have been appointed to the Executive Board of
Directors:
Professor J N Primrose
Mr H Ghadially
Mr I Anderson
Mr D Baker
5.2
Vice President (2011 and 2012)
Lay Finance Director
Director of Emergency General Surgery
Honorary Editorial Secretary
Officers demitting from the Executive Board
To note that the following Honorary Officers are demitting office, at the conclusion of
their term:
Mr M G Wyatt
Mr E Kiff
5.3
Honorary Membership Secretary
Members of Council demitting office
To note that the following Members of Council are demitting office, at the conclusion of
their term:
Mr R Bliss
Mr K Mitchell
5.4
Northern
Scotland
Members appointed or elected to Council
To note that the following have been appointed or elected to Council:
Mr F C T Smith
President
President
President
President
6.
CORESS Programme Director
Association of Surgeons in Primary Care
British Association of Day Surgery
British Association of Surgical Oncology
British Hernia Society
ELECTION OF FELLOWS
Doc D
To approve the election of the following as Fellows of the Association:
6.1
Full Fellows
6.2
1st Year Consultant Fellows
6.3
Associate Fellows
6.4
Affiliate Fellows
6.5
Corresponding Fellows
6.6
Non General Surgical/Related Fellows
5
7.
NOMINATIONS FOR HONORARY FELLOWSHIP
Doc E
To note the conferment of an Honorary Fellowship on:
Surgeon Vice Admiral Philip Raffaelli
Mr Philip Truskett
Mr Keith Rowland
8.
DESIGNATED SOCIETIES
To note the conferment of Designated Society status upon the Swedish Surgical Society
9.
10.
HONORARY TREASURER’S REPORT
9.1
Preliminary Financial Statements for 2010
9.2
To approve Ford Bentall LLP as the Association’s Auditors for 2011
9.3
Subscriptions for 2012
Doc F
HONORARY SECRETARY’S REPORT
10.1
To confirm the appointment of the following for a further year:
President:
Vice President:
Honorary Secretary:
Honorary Treasurer:
Director of the Scientific Programme:
Director of Emergency General Surgery:
Director of Informatics:
Lay Finance Director:
10.2
Professor John Primrose
Mr John Moorehead
Mr Paul H Rowe
Professor Lord Ajay K Kakkar
Mr Iain Anderson
Mr Nicholas I Markham
Mr Hoshang Ghadially
Reconfiguration of the Executive Board
To note that the roles and responsibilities of members of the Executive Board have
been revised to reflect the status of the Association as a membership company, and
that the new reconfiguration of the Executive Board would now be as follows:
President
Vice President
Honorary Secretary
Honorary Treasurer
Director of Education
Director of the Scientific Programme
Director of Informatics
Honorary Membership Secretary
Lay Finance Director
Chief Executive
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President
Vice President and
Director of Operations and
Company Secretary
Director of External Affairs
Director of Informatics
Director of Communications
Director of Professional Practice
Director of Emergency General Surgery
Director of Finance
Chief Executive
10.3
Term of office of members of the Executive Board
To note that current ‘best practice’ in the not-for-profit company sector is that all
Directors are equal and should, thus, serve identical terms of office.
That, therefore, the term of office for all members of the Executive Board has been
standardised at a maximum of four consecutive years.
The ‘Presidential’ term of office will remain unaltered at a total of four years; two as Vice
President followed by two as President.
10.4
Presidents of specialty associations and societies on ASGBI Council
To note that, to better reflect the Association’s function as an umbrella federation of
general surgical specialty associations and societies, the Presidents of the following
societies have been invited to become members of Council:
Association of Surgeons in Primary Care
British Association of Day Surgery
British Association of Surgical Oncology
British Hernia Society
11.
12.
REPORTS FROM COMMITTEES OF COUNCIL
11.1
Education and Training Board
Doc G
11.2
Scientific Committee
Doc H
11.3
International Development Committee
Doc I
11.4
Nominations Committee
Doc J
11.5
Website Management Group
Doc K
REPORTS FROM EXTERNAL COMMITTEES
12.1
UEMS Monospecialist Committee in General Surgery
Doc L
12.2
Federation of Surgical Specialty Associations
Doc M
12.3
SAC in General Surgery
Doc N
PART III: REPORT FROM CORESS
Doc O
PART IV: REPORT FROM THE SURGICAL FOUNDATION
13.
REPORT ON THE FOUNDATION’S ACTIVITIES
13.1
90th Anniversary Fellows
13.2
TSF Board of Trustees
Doc P
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13.3
14.
Knife Injury Project and Consensus Statement
PRIZES AND AWARDS
14.1
Moynihan Travelling Fellowship 2011
To note that the Moynihan Travelling Fellowship for 2011 has been awarded to:
Mr Graham MacKay (Glasgow)
14.2
Association of Surgeons of Great Britain and Ireland Prizes
To note that the Association Prizes for outstanding performance at the
Intercollegiate Examination in General Surgery have been awarded to:
Mr Jurgen Mulsow for June 2010
Mrs Deborah Jane Nicol for September 2010
Mr Timothy James Underwood for February 2011
14.3
John Farndon Prize 2010
To note that the John Farndon Prize for 2010 has been awarded to the following paper
published in the British Journal of Surgery:
M Gatt and J MacFie
Randomised clinical trial of gut-specific nutrients in critically ill surgical patients
Combined Gastroenterology Research Unit, Scarborough Hospital, and the
Postgraduate Medical Institute, University of Hull
14.4
Overseas Surgical Fellowships 2011
To note that the 2011 Overseas Surgical Fellowships have been awarded to:
Miss Kat Driscoll
Mr Andrew Stevenson
Mr Chris Houlden
Mr Rish Parmar
Miss Emma Stromer
Mr Kenneth Walker
14.5
Visit to Malawi
Visit to Malawi
Visit to Zambia
Visit to Malawi
Visit to Malawi
Visit to Burma
International Bursaries 2011
To note that the 2011 International Bursaries (for overseas surgical trainees to attend
the 2011 Congress) have been awarded to:
Dr Muleledhu Andrew
Dr Kumar Vaibhaw
Dr Sergiy Kharchenko
Dr Muma J.K. Nyagetuba
Dr Randima Nanayakkara
Dr JASB Jayasundara
Uganda
India
Ukraine
Kenya
Sri Lanka
Sri Lanka
8
Dr Grace Wafula
Dr David Linyama
Dr Rae Oranmore-Brown
Dr Ademola Tolulope
Adebanjo
Dr Justina Seyi-Olajide
Dr Japhet Ngerageza
Dr Oswald Harrison
Dr Joel Bikoroti
Dr Edmond Ntaganda
PART V:
15.
Liberia
Zambia
Zambia
Nigeria
Nigeria
Tanzania
Papua New Guinea
Rwanda
Rwanda
ANY OTHER BUSINESS
MOTIONS FROM THE FLOOR
Full and Associate Fellows are invited to submit any motions, by Friday 22nd April 2011,
to the Honorary Secretary at the Association’s offices.
16.
DATES OF THE NEXT INTERNATIONAL SURGICAL CONGRESS
To note that the next International Surgical Congress of the Association of Surgeons of
Great Britain and Ireland will be held in Liverpool from Wednesday 9th to Friday 11th May
2012, when the theme will be:
PART VI: IMPORTANT NOTES
17.
In accordance with the provisions in the Association’s Memorandum and Articles of
Association, notice of the 2011 Annual General Meeting has been distributed by email to
Full Fellows, Associate Fellows and Corresponding Fellows of ASGBI, being those eligible to
attend the AGM.
18.
This Agenda and all individual accompanying papers are available to view and download
from a restricted access area of the ASGBI website at:
www.asgbi.org.uk/agm
User name:
agm2011
Password:
moynihan (all lower case)
9
19.
Additionally, the Association’s 2010 Annual Report, which includes this Agenda and all
accompanying papers in one composite document, is available to view and download at:
www.asgbi.org.uk/en/publications/annual_reports.cfm
20.
A number of hard-copies of this Agenda and all accompanying papers will be available in the
Tregonwell Hall on Friday 13th May 2011 for Fellows attending the AGM.
Mr John Moorehead
Honorary Secretary
Professor Nicholas P Gair
Chief Executive
April 2011
35-43 Lincoln’s Inn Fields, London, WC2A 3PE
Tel: 020 7973 0300
Fax: 020 7430 9235
Email: admin@asgbi.org.uk
A Company limited by guarantee registered in England 6783090
10
VAT No. GB 944 3070 34
Document B
MINUTES
OF THE 90th ANNIVERSARY ANNUAL GENERAL MEETING
held at 4.00pm on Thursday 15th April 2010,
in Hall 2N at the BT Convention Centre, Liverpool
1.
Received:
A welcome from the Vice President, Professor John MacFie.
Noted:
That the President, Professor Michael Horrocks, was unable to attend the AGM, or the
2010 International Surgical Congress, due to the continuing serious illness of his wife.
Agreed:
That the AGM sent their thoughts, at this difficult time, to the President and Mrs Horrocks.
2.
REPORT FROM THE PRESIDENT
Received:
An oral report, in the absence of the President, from the Vice President.
Noted:
That this AGM marked an historic milestone, as it was ninety years since the inaugural
Annual General Meeting was held in London, at the Royal College of Surgeons of
England, under the Presidency of Sir John Bland-Sutton.
That 2009 had also been the Association’s first full year operating under the revised
governance structure which, as approved by the 2008 AGM, had seen a split of
activities into a membership association, able to provide tangible membership benefits
to Fellows, and a charitable foundation, delivering a range of public-benefit activities
relating to the provision of surgical education.
That, with the new status as a membership company, the Association was now able to
forge exciting and mutually beneficial links with a number of Academic Partners,
Professional Partners and Commercial Partners to compliment the positive
relationships already in place with the healthcare industry through the Corporate
Patrons, and that ASGBI was most grateful to them all for their on-going support.
That a very successful Patient Safety Consensus Conference had been held in October
2009, and the resulting Consensus Statement launched at this Congress.
11
That the Association had participated fully, through the Education and Training Board,
in the consultation around revalidation. That the Newsletter and website continue to
evolve apace and were both vital parts of the Association’s communications strategy to
ensure that Fellows are informed, educated and entertained. That a new series of
informational booklets, under the heading of Issues in Professional Practice, had
been initiated and that the next title in the series - produced in partnership with SARS had also been launched at the Congress.
Agreed:
That so much positive activity, across so many fronts, would not be possible without the
input of a large number of people, and that, on behalf of the President, the Vice
President thanked the Executive Board, Council, members of all committees and the
Association’s dedicated team of staff for their immense contributions during 2009.
That ASGBI was in very good health, and looked forward to the next ninety years.
3.
DEATHS
Noted:
With deep regret, the deaths, during the preceding year, of the following Fellows:
Professor M Allgower
Mr C J Cahill
Mr H A Haxton
Surgeon Vice Admiral I L Jenkins
Mr T S Matheson
Mr G Querci Della Rovere
Honorary Fellow, Switzerland
Surrey
Perthshire
London
York
London
Fellows stood in silence in memory of the deceased.
4.
MINUTES OF THE PREVIOUS ANNUAL GENERAL MEETING
Received:
The Minutes of the Association’s AGM held in held in Glasgow on Thursday 14th May
2009, distributed as Document A.
Noted:
Agreed that the Minutes were a true and accurate record of the 2009 AGM.
5.
HONORARY OFFICERS AND MEMBERS OF COUNCIL
Noted:
That the Honorary Secretary, Mr Jonathan Pye, was demitting office, at the conclusion
of his term of office, at the 2010 AGM:
Agreed:
That Mr Pye should be thanked for his contributions to the Association during his term
of office.
Noted:
That the following Members of Council were demitting office, at the conclusion of their
term of office, at the 2010 AGM:
Mr J Armitage
Mr R Blackett
Mr M Greaney
Mr M A Khan
Mr O Klimach
Mr F C T Smith
Affiliate Fellows Representative
Wales
Mersey
Associate Fellows Representative
Wales
South Western
12
Agreed:
That the above Elected Regional Representatives should be thanked for their
contributions to the Association during their term of office.
6.
ELECTION OF FELLOWS
Received:
A list of all those Full Fellows, Affiliate Fellows and Associate Fellows elected to
membership of the Association, by Council, during the preceding year.
Agreed:
That the list of elections to the various categories of Fellowship of the Association were
ratified by the AGM.
7.
RETIREMENTS AND RESIGNATIONS
Received:
A list of all retirements and resignations from membership of the Association during the
preceding year.
Agreed:
That the full list of Fellows elected by Council and ratified by the 2010 AGM, as well as the
list of retirements and resignations, would be published in the 2009 Annual Report
accessible via the ASGBI website at:
http://www.asgbi.org.uk/en/publications/annual_reports.cfm
8.
HONORARY TREASURER’S REPORT
8.1
Financial Statements 2009
Received:
An oral report and presentation from the Honorary Treasurer, Mr Paul Rowe, and copies
of the preliminary Financial Statements for the accounting period 1st January to 31st
December 2009, distributed as Document B.
Noted:
That the Association had returned a modest, but significant, operating surplus in 2009
(around 3% of annual turnover) which was a positive direction of travel, especially as,
with a small deficit the previous year, this represented a movement of +6% in the
Association’s financial affairs.
That a number of cost-reduction and income generating measures had been
implemented.
That the Honorary Treasurer commended the draft 2009 accounts to the AGM.
Agreed:
That, following proposing and seconding from the floor, the motion to approve the
preliminary Financial Statements for the accounting period 1st January to 31st December
2009 was carried.
8.2
Subscriptions for 2011
Received:
An oral report and presentation from the Honorary Treasurer.
Agreed:
That the proposed increases in annual subscription rates for 2011, in line with the
current rate of inflation, were approved.
13
8.3
Appointment of Auditors for 2010
Agreed:
That Ford Bentall LLP should be appointed as the Association’s Auditors for 2010.
9.
HONORARY SECRETARY’S REPORT
9.1
Elections or appointments by Council
Received:
An oral report from the Honorary Secretary.
Noted:
The following elections or appointments by the Executive Board, approved by Council:
Honorary Secretary:
Mr John Moorehead
9.2
Confirmation of appointments for the following year
Agreed:
That the following appointments by the Executive Board were confirmed for the
following year:
President:
Vice President:
Honorary Treasurer:
Honorary Editorial Secretary:
Honorary Membership Secretary:
Director of the Scientific Programme:
Director of Education:
Director of Informatics:
Honorary Archivist:
Professor Michael Horrocks
Mr Paul H Rowe
Mr Michael G Wyatt
Mr Edward S Kiff
Professor The Lord Kakkar
Mr Iain Anderson
Mr Nicholas I Markham
Mr Michael K H Crumplin
9.3
Regional Boundaries
Received:
An oral report and a presentation from the Honorary Secretary.
Noted:
That the Association’s regional boundaries, set a number of years ago, were now
seriously out-of-date, as they did not correspond with any other accepted regional
boundaries. That, following considerable discussion, Council had accepted the
Executive Board’s recommendation that the Association’s Regional Boundaries be
redrawn to correspond to those of the Strategic Health Authorities.
That this would entail a very small amount of disruption and realignment of Fellows and
Link Surgeons, but would bring considerable clarity to many who were recorded as
being in multiple (SHA, ASGBI, etc) Regions.
That, over a period of four years (the term of office of Elected Regional Representatives
on Council), the issue of any displaced Regional Representatives would be ironed-out.
Agreed:
That the proposal to realign the ASGBI regional boundaries to those of SHAs was
approved.
10.
PRESENTATION FROM THE HONORARY MEMBERSHIP SECRETARY
Received:
An oral report from the Honorary Membership Secretary.
14
Noted:
That, in tandem with the realignment of the Association’s Regional Boundaries, the
Honorary Membership Secretary had over-hauled the Link Surgeons Network.
All Link Surgeons had been contacted, and – where vacancies existed – a number of
new appointments made. Elected Regional representatives on Council had been
encouraged to maintain communication with Link Surgeons in their Region.
Agreed:
That the Link Surgeon Network was a vital part of the Association’s communications
cascade and that an efficient system could be most effective in the inter-face between
the Executive Board and the membership.
That, on behalf of the AGM, the Vice President thanked the Honorary Secretary and the
Honorary Membership Secretary who had both put a significant amount of work into the
detail of the realignment of the Regional Boundaries and the revitalisation of the Link
Surgeons Network.
11.
NOMINATION FOR HONORARY FELLOWSHIP
Received:
An oral report from the Vice President, and a citation in support of Professor John R T
Monson, distributed as Document C.
Noted:
That, on the recommendation of Council, the AGM was asked to ratify the award of
Honorary Fellowship on Professor Monson.
Agreed:
That an Honorary Fellowship of the Association should be conferred on Professor
Monson.
12.
REPORTS FROM COMMITTEES OF COUNCIL
Received:
The following written reports from Committees of Council:
12.1
Education and Training Board
Document D
12.2
Scientific Committee
Document E
12.3
International Development Committee
Document F
12.4
Nominations Committee
Document G
12.5
Website Management Group
Document H
12.6
Confidential Reporting System in Surgery (CORESS)
13.
REPORTS FROM EXTERNAL COMMITTEES
Received:
The following written reports from external committees:
13.1
UEMS Monospecialist Committee in General Surgery
Document J
13.2
Federation of Surgical Specialist Associations
Document K
13.3
SAC in General Surgery
Document L
15
Document I
14.
REPORT ON THE SURGICAL FOUNDATION
Received:
A presentation from the Honorary Secretary, as Chairman of the Shadow Board of
Trustees, and a written report distributed as Document M.
14.1
Knife Injury and Street Crime
Noted:
That the Foundation was working with the Metropolitan Police and the Home Office to
investigate how the surgical profession might engage with the ‘social’ management of
knife injuries.
That it was hoped that a joint Consensus Conference of this issue would be held in the
Autumn.
14.2
90th Anniversary Fellows
Noted:
That members of the Association were invited to donate £90 to the Foundation to
become one of a limited number of ninety ‘90th Anniversary Fellows’. That each 90th
Anniversary Fellow would receive a commemorative pin badge.
That, with Gift Aid, it was hoped that this initiative would raise just over £10,000 for the
Foundation.
14.3
ASGBI Trading Ltd
Noted:
That, following the formation of the new membership company in January 2009, and
the resultant separation of the Association’s charitable and member-benefit activities,
the need for a separate Trading Company had diminished.
That ASGBI Trading Ltd, a wholly-owned subsidiary of The Surgical Foundation, had,
therefore, been subsumed into the Foundation and a couple of the Directors integrated
into the Trustee Board.
That ASGBI Trading Ltd would, however, remain as a dormant company, in case it was
ever required by the Foundation for the delivery of fundraising events or other similar
activities. That this was common practice within the charitable sector.
15.
PRIZES AND AWARDS
Received:
An oral report from the Vice President.
15.1
Moynihan Travelling Fellowship 2010
Noted:
That the 2010 Moynihan Travelling Fellowship had been awarded to Mr G Garcea from
Leicester.
15.2
Association of Surgeons of Great Britain and Ireland Prizes
Noted:
That the Association’s Prizes for outstanding performance at the Intercollegiate
Examination in General Surgery had been awarded to:
16
Mr M S Duxbury for June 2009
Mr E MacDonald for September 2009
Miss L J Whisker for February 2010
15.3
John Farndon Prize 2009
Noted:
That the John Farndon Prize for 2009 had been awarded to the following paper
published in the British Journal of Surgery:
Randomized clinical trial of Entonox versus midazolam–fentanyl sedation for
colonoscopy
S Maslekar, A Gardiner, M Hughes, B Culbert and G S Duthie
(Cottingham)
15.4
Overseas Surgical Fellowships 2009
Noted:
That the 2009 Overseas Surgical Fellowships had been awarded to:
Mr S Sinha (to visit South Africa)
Mr R Gardner (to visit Malawi)
Ms C Grimes (to visit Ethiopia)
16.
MOTIONS FROM THE FLOOR
Noted:
That Full and Associate Fellows had been invited to submit any motions from the floor,
by Thursday 8th April 2009, but that no such motions had been received.
17.
DATES OF THE NEXT INTERNATIONAL SURGICAL CONGRESS OF THE
ASSOCIATION OF SURGEONS OF GREAT BRITAIN AND IRELAND
Noted:
That the next International Surgical Congress of the Association, with the theme “21st
Century Surgery”, would be held in Bournemouth from 11th to 13th May 2011.
18.
PRESENTATION FROM THE DIRECTOR OF EDUCATION
Received:
An oral report and presentation from the Director of Education.
Noted:
That an electronic survey of the Association’s membership, on Emergency General
Surgery, had recently been conducted.
That the Director of Education presented the preliminary results of the survey.
Agreed:
That the full results of the survey should be published in the ASGBI Newsletter and
used to inform the Association’s direction of travel and future strategy on this important
issue.
19.
ANY OTHER BUSINESS
Noted:
That no other items of business had been received.
17
20.
CLOSING REMARKS
Noted:
That, in closing the 2010 Annual General Meeting, the Vice President reiterated the
Association’s sincere wishes to Professor and Mrs Horrocks, and thanked all those who
had stood in to help Chair sessions and symposia during the Congress.
18
Document C
TO ALL FELLOWS OF ASGBI
February 2011
Dear Fellow
The strength of any society is in its membership, and engagement and communication with members
should, therefore, be a priority. Thus, as incoming President of the Association, I thought that I would
write to all Fellows to keep you abreast of our significant achievements to date and the exciting plans
for the future.
First, however, I would like to extend a very warm welcome to John Primrose who has been elected as
the Association’s Vice President for 2011 and 2012, and who will become President for 2013 and 2014.
As many of you will know, John is Professor of Surgery at Southampton and returns to the ASGBI
Executive Board having previously served with distinction as our Director of Education. I would also
like to pay tribute to our immediate past President, Mike Horrocks, who guided the Association during
a period of considerable personal strain.
The Association is in good health. It is now two full years since we made the considerable move from
being a charity to becoming a company with an affiliated charitable foundation. There have, of course,
been teething problems, but I am delighted that The Surgical Foundation (our charitable arm) now
has its own clearly defined Articles of Association, an independent Trustee Board, and is forging ahead
with a number of exciting initiatives including the successful Knife Injury project.
The Association of Surgeons of Great Britain and Ireland, as a membership company, is now able to
pursue an agenda of providing tangible benefits to our Fellows (outwith the confines of charity law) to
ensure that we offer best value for your subscription. It is worth listing here a number of our
achievements since the change in governance which took effect on 1st January 2009.
1.
The ASGBI annual International Surgical Congress has seen a steady increase in the number of
abstracts submitted and the number of delegates attending. A Congress Daily Newspaper and
Surgical TV have been introduced to enhance the Congress. With regards to membership
benefits, we now offer a 10% discount to ASGBI Fellows registering for the Congress and the
registration fees themselves have been frozen (ie. no increase) for the past two years. We are
most grateful to Ajay Kakkar, Director of the Scientific Programme, for all his efforts.
19
2.
Under the expert guidance of Mike Wyatt, our Honorary Editorial Secretary, the Association’s
excellent Newsletter has continued to grow (36 pages in 2008; 52 pages in 2009; 64 pages in
2010; 72 pages in December 2010). This quarterly publication informs, educates and entertains
readers with a wide selection of articles, case studies and reports.
3.
The Association has introduced a series of Issues in Professional Practice. Four titles have
been published so far:
•
•
•
•
Guidelines for the Implementation of Enhanced Recovery Protocols.
The Place of Research and other Educational Experience in UK Surgical Training
(published jointly with SARS).
Surgeons and Employment Law.
The Surgical Management of Patients with Acute Intestinal Failure.
These have proved very popular, and are already being cited in the literature and used to inform
discussion by the Department of Health and others. They are available to download from our
website or we can send Fellows additional copies upon request. A number of other titles in the
series are currently in various stages of production, and we would welcome suggestions for
additional topics.
4.
The Association held a Patient Safety Consensus Conference in October 2009, and published
the resulting document Patient Safety: A Consensus Statement (sponsored by The Surgical
Foundation) in April 2010.
5.
In partnership with The Surgical Foundation and the Metropolitan Police, ASGBI held a
Consensus Conference on The Management of Knife Injuries in November 2010. A
Consensus Statement arising from this conference is now in the final stages of production.
6.
The Surgical Foundation has incrementally increased the number of International Bursaries
offered, by competitive application, to Surgical Trainees from the developing world to attend
the ASGBI International Surgical Congress (2 in 2008; 6 in 2009; 16 in 2010). Paul Rowe,
Chairman of the Foundation, has led this initiative with enthusiasm.
7.
The Association celebrated its 90th Anniversary in 2010, and the ninety 90th Anniversary
Fellows raised almost £5,000 for The Surgical Foundation from your generous support.
8.
Nick Markham, our Director of Informatics, has overseen the continued evolution of the
Association’s website and the development of micro-sites for all our conferences, regional
pages and on-line registration and membership facilities.
9.
We have recruited our maximum of eight Corporate Patrons, on whose support we very much
rely. This has evolved into a true partnership for mutual benefit, and we are extremely grateful
to the following for their continued support:
10.
Alongside, and complementary to, our Corporate Patrons, we have also introduced new
categories of Professional Partners; Academic Partners, Commercial Partners and Charity
Partners. Again, these are proving most beneficial.
20
11.
The distance-learning Postgraduate Certificate in Medical Education for Surgeons, offered
by our Academic Partners the University of Dundee, has been an outstanding success with over
350 participants to date, four of whom have gone on to the Masters Degree. ASGBI Fellows
are eligible for a 10% discount on tuition fees, which is a significant reduction and membership
benefit. Further information can be found at: www.universityofdundee.ac.uk
12.
As the day-to-day management of the Association is now the responsibility of an Executive
Board of Directors, we have appointed a Lay Finance Director to better oversee our financial
affairs. Mr Hoshang (Harry) Ghadially has now been with us for over six months, and we are
grateful for his significant contributions to the work of the Board.
13.
We have also appointed an Honorary Membership Secretary to the Executive Board, and Ed
Kiff has overseen a revision of the Association’s regional boundaries and the updating of our
Link Surgeons Network.
14.
CORESS, the Confidential Reporting Scheme for Surgery, under the leadership of Frank Smith
the Programme Director, has made steady progress and was formally launched, by Professor Sir
Bruce Keogh, Medical Director of the NHS, as an independent pan-surgical charity at The
House of Lords in June 2010.
15.
Our Honorary Secretary, John Moorehead, has been maintaining our links with sister
organisations both in the UK and abroad. These include our expanding list of Designated
Societies and the Association of Anaesthetists of Great Britain and Ireland with whom we have
held several joint Executive meetings.
16.
In recognition of one of the common themes which bind members of the Association together,
we have recently appointed Iain Anderson as the ASGBI Director of Emergency General
Surgery and we look forward to implementing a number of initiatives around this vital
component of our clinical practice.
17.
Together with the Colleges and the other Specialty Associations and Societies, ASGBI has
made significant contributions to the revalidation agenda.
18.
Finally, though very importantly, the Association has achieved a moderate financial operating
surplus for both of the first two years (2009 and 2010) operating as a membership company.
This is important as we build reserves to allow us to continue providing a first class service to
our Fellows.
So, much has been achieved over the past two years. We have managed a period of significant change
and brought ASGBI firmly into the 21st Century as a vibrant, successful and influential association.
But what of the future? Well, the Executive Board and the Association’s staff had an extremely
productive team meeting a week or so ago, followed by an Executive ‘Think Tank’, to finalise a
number of initiatives for the next couple of years. Amongst our exciting plans for the future are:
19.
A new, monthly electronic communication called newsSCANNER has been launched. This
will grow into an on-line resource of consultations, surveys, reports and guidance necessary to
our members’ professional lives.
21
20.
In partnership with endosim, a new Professional Partner, the Association is launching a scheme
for providing easy access for Affiliate Fellows and trainees to the LaproTrain surgical
simulator at greatly reduced cost. This will be launched in the March Newsletter, and at the
2011 Congress in Bournemouth.
21.
For the first time, the 2011 International Surgical Congress will see a number of parallel
conferences being held in tandem with ASGBI. We look forward to welcoming delegates from
the British Intestinal Failure Alliance (BIFA), the United Kingdom Medical Students’
Association (UKMSA), the Association of Military Surgeons (AMS) and the Association of
Surgeons in Primary Care (ASPC). Our Congress is now one of the largest surgical
conferences in Europe, and the 2011 Congress, 21st Century Surgery, is designed to have
universal surgical appeal. Please take a look at the Provisional Programme which is available
at: www.asgbi.org.uk/bournemouth2011
22.
Congress venues to 2022. Our Chief Executive, Nick Gair, has negotiated some phenomenal
cost-saving deals over the next decade with the conference centres in Glasgow, Harrogate and
Liverpool. . Not only have these advance bookings secured the venues at much reduced costs
(which will translate into membership benefits), but they also have secured agreement for
additional host city incentives and support. A full list of dates and venues of future ASGBI
Congresses can be found on the ASGBI website.
23.
ASGBI Lecture Library. We are currently working on a project to allow Fellows to access,
on-line, all lectures delivered at the ASGBI International Surgical Congress. We hope to backdate access to the 2005 Congress.
24.
ASGBI Indemnity Scheme. We are in the early stages of discussion with a company which
provides medical indemnity insurance. If negotiations proceed satisfactorily, we hope that this
may become something which the Association will be able to offer as a membership benefit in
the future.
25.
ASGBI Inter-Deanery Matching Scheme. The Association has set up a computer-based
matching scheme for SpRs who wish to swap their appointments. This would only apply to
registrars in their first year. The scheme will be advertised for the first time in the March
edition of the Newsletter. Time will tell whether this initiative is viable in the world of Schools
of Surgery, Deaneries and national selection.
26.
President's Fund. We are intending to establish a means by which registrars and their
consultants can apply to the Association for a travelling grant up to the value of £1,000 to
facilitate visits to other units. These bursaries would only be open to ASGBI members. The
concept is to emulate the mission statement of this Association, articulated by Lord Moynihan:
“the advancement of the science and art of surgery and the promotion of friendship amongst
surgeons". Details will be published in the Newsletter.
As you can see, the Association enters its tenth decade with much to be proud of; ASGBI is as relevant
in 2011 as it was in 1920.
All of this activity would not be possible without the hard work and commitment of a vast number of
Fellows who contribute so actively to the Newsletter, to Congress, to Council and to all our
Committees, as Link Surgeons or Regional Representatives; my heart-felt thanks to you all. I have
mentioned the contributions of the Executive Board above, but I would also like to take this
opportunity of thanking, most sincerely, our small but dedicated team of staff who work so tirelessly on
all our behalf.
22
Most importantly, I would like to thank you, our Fellows. As I said at the beginning of this letter, our
strength lies in your continued support. Please feel free to contact me direct on any matter of concern.
I would be delighted to hear from you, and I can assure you of our attention. My ASGBI email address
is: President@asgbi.org.uk
Finally, I hope you agree that ASGBI has an important role to play in representing the interests of
surgeons across all the general surgical specialties, and throughout Great Britain and Ireland. The
Association exerts influence nationally and internationally, and our position is independent of the
surgical Royal Colleges, though we often work in collaboration with all four. Unlike many other
societies, all the Association’s members are medically qualified, and our membership embraces Full
(Consultant), Associate (Staff Grade) and Affiliate (Trainee) Fellows, and we work hard to best
represent the interests of all these groups, whose input is so vital to patient-centred surgical care. Thus,
I would hope you feel that membership of ASGBI is of value. If so, please feel free to share this letter
with any of your colleagues who are not currently members, and, to this end, I have taken the liberty of
enclosing a number of Membership Application Forms.
With very best wishes
John MacFie
President
Tel: 020 7973 0300
Fax: 020 7430 9235
23
VAT No. GB 944 3070 34
Document D
FELLOWS FOR ELECTION AT THE 2011 AGM
(1st April 2010 to 31st March 2011)
FULL FELLOWS
Mr Y Abdul
Mr T S Gill
Mr T Graja
Mr L A Selvam
Mr B Griffiths
Dr G A Petralia
Mr W D Neary
Mr M Van Deman
Mr A K Sharma
Mr Z L Muras
Mr J E Hartley
Maidstone
Stockton-on-Tees
Dunmow
Carmarthen
Leeds
London
Bristol
USA
Prenton
Wick
Cottingham
FULL FELLOWS - UPGRADED
Mr M Rhodes
Mr R T Skelly
Mr K H Siddiqui
Mr R M Anwar
Mr A Menon
Attleborough
Coleraine
Manchester
St Neots
Nottingham
1st YEAR CONSULTANT FELLOWS
Mr M A Silva
Birmingham
1st YEAR CONSULTANT FELLOWS - UPGRADED
Mrs S B Williams-Jones
Mr S J Mercer
Mr S V Gurjar
Mr A D James
Miss T Irvine
Mr J Kirkby-Bott
Miss C Byrne
Mr P F Thomas
Mr J Arbuckle
Mr T Edwards
Mr R Muir
Mr K P Murray
Burton-on-Trent
Winchester
Stanmore
Brighton
Guildford
Cowes
London
Nottingham
St Albans
Buckfastleigh
Ayr
Co Kerry
24
ASSOCIATE FELLOWS
Mr M T Antony
Mr S Basu
Mr R Kanapathippillai
Mr H H Marzook
Mr E A Nael
Frodsham
Gloucester
Hampton
Huddersfield
Stafford
AFFILIATE FELLOWS (WITH BJS)
Miss K Futaba
Miss Z Bell
Mr M R Hanief
Mr H S Colvin
Mr A E A I Elbakr
Mr S Dalton
Mr A Biswas
Mr J Ahmed
Mr M Barkeji
Mr N Kansal
Miss M Coats
Mr M Masood
Dr C L Donohue
Miss A Durham-Hall
Dr K Shah
Dr S Walsh
Dr Craddock
Mr S Marla
Dr Z Barber
Mr S Durrani
Mr D Sanders
Mr Z Z R Hamady
Dr F Welsh
Mr O Warren
Miss J Morgan
Mr T Hall
Dr H Joshi
Dr K Teo
Miss L Sreedharan
Dr G J D Price
Ms A Hanly
Mr N Vig
Dr R Chatha
Dr C Harris
Mr R Thomas
Mr R Ricks
Miss J Bhoday
Mr R Wismayer
Edgbaston
Newtownabbey
Richmond
Sunderland
Cavan
Bristol
Crewe
Swansea
Uxbridge
Newcastle upon Tyne
Guildford
Leicester
Athlone
Sheffield
Nottingham
Dublin
London
Glasgow
Littlemore
Limerick
Truro
Leeds
Wellington
London
Sheffield
Bristol
Leicester
Cambridge
Newcastle upon Tyne
Manchester
Minneapolis
London
Manchester
Bangor
Guildford
Bristol
London
Arua
25
Miss C Boffa
Dr M Kaya
Dr A J Al Moosa
Mr P Szatmary
Mr L Gall
Miss S Koshy
Mr E Watts
Mr U Parampalli
Mr G Jones
Mr C Evans
Mr R Lunevicius
Dr R Saunders
Miss D G Y Adamson
Mr O Mutlak
Dr K Faizullah
Mr O A Mownah
Ms H Mohan
Miss S Moug
Miss A Kamocka
Dr M Wilkinson
Dr D T Burchette
Mr T Manzoor
Mr H Nageswaran
Mr K K Sasapu
Mr V C Halahakoon
Dr M Mikhail
Mr A Stearns S
Mr M M Seenath
Mr A Tzivanakis
Mr N D'Souza
Mr S M Jones
Miss A Mainwaring
Mr T Siddiqui
Mr R P Owen
Miss P Partlett
Mr H Tuffaha
Mr A Reid
Mr N V Ladwa
Mr A Riddell
Miss J Watt
Ms S Bathla
Dr M Mortimer
Winchester
London
Safat
Liverpool
Glasgow
London
Nottingham
Bromley
Datchet
Beaconsfield
London
Manchester
Stoke-on-Trent
Hounslow
Parkistan
Stanmore
Ireland
Glasgow
Brentford
Ellesmere
Birmingham
Waterford
Enfield
Leeds
Dudley
Chelmsford
Bury St Edmunds
Birmingham
Leamington Spa
London
Chester
Cardiff
Glasgow
Liverpool
Kingston-upon-Thames
Maida Vale
Newcastle upon Tyne
Torquay
Cowbridge
Gourock
West Kirby
Cardiff
AFFILIATE FELLOWS (MAILINGS ONLY)
Miss E L Ball
Mr C Giddings
Miss K Stackhouse
Elmswell
London
Oldbury
26
Miss A Abdelrahim
Dr H Al-Saadi
Mr E Fitzgerald
Miss A Hainsworth
Mr D Makki
Dr J Ritchie
Mr P Vaughan-Shaw
Mr S Noor
Mr I Lyons
Miss T Aslam
Mr A Stevenson
Mr R K Safdar
Mr R Sutaria
Dr Z Khanzada
Ms E L Aitken
Dr D Bondin
Miss E Stormer
Mr M Khan
Mr S Lorenz
Mr S Senevirathna
Miss A Wong
Mr A Sastry
Mr J Manners
Mr P Naughton
Mr D Hoare
Mr S Sinha
Dr K Argiris
Dr O Turan
Mr M S Reddy
Mr R Marri
Miss S K Richards
Miss R S Lewis
Mr J D Foster
Miss H West
Mr Z Hnaif
Miss R R Singh
Dr K Manley
Captain P Page
Dr D Kearney
Mr S Khan
Dr M W Khan
Mr W Beasley
Mr S Fleming
Mr R Walter
Mr M Hebbar
Mr S Mcdonnell
Dr K Eyramjyan
Mr W Campbell
Reading
Cork
London
London
Essex
Sheffield
Southampton
Birmingham
Colchester
Newcastle upon Tyne
Alresford
Billericay
Folkestone
Bodelwyddan
Glasgow
Manchester
Newcastle upon Tyne
Leicester
Exeter
Gateshead
Sheffield
Bristol
Southampton
Clontarf
Cardiff
Plymouth
Chelmsford
London
Leeds
Burnley
Swindon
London
Yeovil
London
Glasgow
Leicester
Wymondham
Camberley
Cork
London
Huddersfield
Swansea
London
Torquay
Worthing
Oxford
Yerevan
Craigavon
27
Mr S Barry
Miss C T Choh
Mr A McBrearty
Surg Lt Cmdr Roy
Dr R Law
Mr I Hamzah
Miss H Poon
Ms S K Gill
Dr M Lupu
Barnet
Winchester
Strabane
Leicester
London
Nottingham
Birmingham
Windsor
Cambridge
RELATED FELLOWS
SENIOR FELLOWS
Mr C P Gibbons
Swansea
SENIOR FELLOWS (RETIRED FROM FULL FELLOW)
Mr J N Johnson
Professor H L Young
Mr N M Koruth
Mr C P Gibbons
Mr P A Braithwaite
Mr R J McFarland
Surg Cmdr F H Rowland
Professor I Taylor
Mr P C Weaver
Professor C G Marks
Mr J G Palmer
Mr W J Cunliffe
Professor J A C Buckels
Mr R B Stephens
Mr J M Shennan
Prescot
Cardiff
Aberdeen
Swansea
Cardiff
Surrey
Australia
London
Winchester
Lickfold
Carlisle
Bedlington
Birmingham
Dublin
Chester
CORRESPONDING FELLOWS
Mr C R Kapadia
Mr C J Kelty
Mrs R Abela
Professor A J Awad
Dr C Pup
Dr A M H El-Kalla
Professor P W R Lee
Mr M J Ramdass
Australia
Australia
Malta
Baghdad
Germany
Saudi Arabia
Malaysia
Trinidad
28
Document E.1
Citation in support of the conferment of an
Honorary Fellowship of ASGBI
on
Surgeon Vice Admiral Philip Raffaelli
QHP, BSc, MSc, MBChB, MRCGP, FFOM, FRCP
Philip Iain Raffaelli was born on 24th November 1955 in Kirkcaldy, Fife. He is a GP and the
current Surgeon General of the British Armed Forces.
Admiral Raffaelli joined the Royal Navy as a cadet in 1976, while studying medicine at
Edinburgh University. He joined the RN Submarine Service and worked as a Medical Officer
from 1979, working for a time on submarines. In 2007, he became the head of the Royal Navy
Medical Service, the Medical Director General (Naval), as a Surgeon Rear Admiral, before
assuming the position of Surgeon-General on 22nd December 2009, taking over from
Lieutenant-General Louis Lillywhite.
Admiral Raffaelli was appointed as an Honorary Physician to the Queen in 2005, and later as a
Fellow of the Royal College of Physicians. He is also a Governor of the University Hospitals
Birmingham NHS Foundation Trust, and an appointee to the court of the London School of
Hygiene & Tropical Medicine. Admiral Raffaelli has also agreed to become Patron of the
embryonic Association of Military Surgeons.
29
Document E.2
on
Mr Keith Rowland
Keith Rowland is European Sales and Marketing manager of Cook Medical’s Surgery Division, which
has established a specialist market niche for biomaterials in hernia repair, reconstructive and colorectal
surgery.
Keith gained a BSc (Hons) in Biochemistry and Physiology from the University of Leeds in 1981 and
began his career as a Medical Physics Technician in Renal Dialysis at Charing Cross Hospital and then
as a Medical Laboratory Scientific Officer at St Helier Hospital in Carshalton, Surrey.
Keith has worked for Cook Medical since 1984, as Regional Technical representative; Product
Manager Urology Products; Divisional Manager Urology Gynaecology and IVF Products; Marketing
Manager; Head of Sales and Marketing before being promoted to his current post in 2001.
Keith is a Chartered Marketer, a Fellow of the Chartered Institute of Marketing, a Freeman of the
Worshipful Company of Marketors and a Freeman of the City of London. He is Chairman of the
Chartered Institute of Marketing Medical Marketing Group.
Cook Medical were one of the founding Corporate Patrons of ASGBI, and Keith has been a tremendous
advocate and supporter of the Association.
30
Document E.3
on
Mr Philip Truskett
Phil Truskett is a General Surgeon with an interest in Upper GI Surgery at the Prince of Wales
Hospital, Sydney where he is a senior staff specialist. He has had a major interest in surgical
training at both an undergraduate a post graduate level. He was the supervisor of General
Surgical training for many years at the Prince of Wales Hospital, and now sits on the Board in
General Surgery. He is also a member of the Court of Examiners for General Surgery. Over
the past 10 years he has taken an active role in both the Royal Australasian College of Surgeons
and General Surgeons Australia. He is the current President of General Surgeons Australia,
and a College Councillor. He is Chairman of the EMST (ATLS) Committee and the Skills
Education Committee.
His major focus at the moment is the balance of workforce and service provision of Emergency
Surgery to our community in our current clinical environment. There are major advantages that
flow from increasing subspecialisation, but equally there are considerable problems that can
develop particularly as it relates to Acute Care provision. This is particularly true in regional
and remote Australia and New Zealand. These issues need to be addressed at a professional
level. As a result, he has been involved in the design and assessment of models of care to try
and address these competing issues. The Prince of Wales was the first hospital in Australia and
New Zealand to establish an Acute Surgery Unit in 2005. This model of care is now spreading
through these two countries. He also has a major interest in food and a keener interest in wine.
31
Document F
PRELIMINARY FINANCIAL STATEMENTS TO 31st DECEMBER 2010
SUMMARISED INCOME & EXPENDITURE
for the period 1st January to 31st December 2010
INCOMING RESOURCES
£
Subscription income
Salary recharges to other organisations
Membership and administrative services to other organisations
Corporate and Commercial Sponsorship
International Surgical Congress (Liverpool)
446,022
435,373
120,055
211,631
396,986
________
1,610,067
Total Incoming Resources
RESOURCES EXPENDED
ASGBI subscription expenditure (BJS, etc)
Salary costs of other organisations
ASGBI staff salary and employment costs
ASGBI office accommodation, administration, publications and website
ASGBI educational activity
International Surgical Congress (Liverpool)
Finance costs and bank and credit card charges
Total Expenditure
GROSS OPERATING SURPLUS (DEFICIT)
100,032
435,373
333,591
254,471
74,526
357,887
10,764
________
1,566,644
________
43,423
=======
Mr Paul H Rowe
Honorary Treasurer
Association of Surgeons of Great Britain and Ireland Ltd
Tel: 020 7973 0300
Fax: 020 7430 9235
32
VAT No. GB 944 3070 34
Document G
REPORT FROM THE EDUCATION AND TRAINING BOARD
The Board considered how well current training and assessment prepares trainees for emergency
surgery. There is a concern that some new trainees struggle with unselected emergencies, and one
consideration has been to define numbers of emergency laparotomies needed to complete training.
Related to this is the desire of trainees to train as sub-specialists to an extent which may not match
present requirements for service delivery, particularly in district hospitals. Consequently, several
modifications to training and assessment have been discussed including greater separation of
assessment in emergency surgery from specialist surgery and modifications of the curriculum to
include, for example, trauma surgery.
With the development of trauma centres, changes to trauma care will affect many established
surgeons, and the Board agreed the need to define the trauma capabilities expected of a consultant
general surgeon, to increase the number of related learning opportunities and develop training
pathways for general surgeons in trauma.
The ASGBI survey of Emergency Surgery was reviewed prior to publication in the Newsletter. This
survey was completed by 354 surgeons in 162 Trusts, with the aims of improving outcomes for
patients, (given that 90+% of surgical mortality stems from emergency practice) and to support
surgeons in delivering emergency care as it is considered to be stressful, ignored and underresourced. The results showed that only 55% of surgeons believe they are able usually to care well
for their emergencies; that there are common problems across hospitals including a lack of support
encompassing juniors, radiology (where only 19% have a comprehensive interventional service out of
hours), beds and theatre (where 55% report inadequate emergency access). Existing pressures in the
NHS work against emergencies and in favour of elective cases, and there is a need for standards
which will provide central support for surgeons who find themselves unable to argue the case for
emergency surgery effectively at local level. The lack of professional leadership on standards in
emergency surgery in comparison with elective surgery is clear and, while ASGBI has contributed
significantly to recent generic RCS (England) work on standards, the need for further specialty specific
work in the coming year by ASGBI in this area is clear. The Emergency Surgery service needs to be
properly defined, funded and supported and the key issue of adequate theatre access must be
addressed.
The importance of Training Fellowships continues to grow and the related issues have been
considered, in particular how they should relate to CCT. The question of how tomorrow’s surgeons
acquire procedural skills was considered. Training is limited by hours and greater use of skills labs,
supplemented with associated e-learning (a “skills spiral”), could help make training more efficient.
Unfortunately, there is no cohesive national strategy for this, and a network of skills labs for regular
easy access and e-learning material pre and post course and integrated to ISCP would be the ideal.
Time for training may lie outside the 48 hour working week.
The Board has reviewed the portfolio of Association booklets in the Issues in Professional Practice
series, noting the very favourable reviews which these booklets have received from members and
recording thanks to the authors. The ASGBI Professional Partnership with Healthcare Events
continues to provide short generic courses, mostly focussed around management and revalidation at a
discount for members. ASGBI collaborates closely with three Academic Partners. That with the
Centre for Medical Education at the University of Dundee is best established, and the Postgraduate
distance learning course has 357 registered participants. Feedback has been positive with the course
meeting educational needs and being value for money. There is a discount for juniors and for ASGBI
members.
Iain D Anderson
33
Document H
REPORT FROM THE SCIENTIFIC COMMITTEE
The Scientific Committee has met regularly over the past twelve months and has developed the
programme for the ASGBI 2011 International Surgical Congress in Bournemouth.
Working with the President, the committee has developed a programme around the theme of 21st
Century Surgery. Our objective has been to ensure that we deliver a meeting of broad interest to
general surgeons; and those with an increasing subspecialist interest; provide colleagues with an
opportunity to meaningful pursue their continuing professional development; and allow all attendees to
participate in discussions about broader political issues facing surgical practice in the United Kingdom
and Ireland. These, we hope, will be delivered within the context of ‘fellowship’ as envisaged by the
founders of the Association.
This year we have 26 symposia, and plenary sessions and invited lectures, the programme also
includes 17 short paper sessions. Following on from the success of the previous two years, we have
included the format of ‘Meet the Expert’ sessions, with the specialty associations continuing to provide
experts from their own fields, presenting techniques and approaches to clinical decision making to
small groups.
The Scientific Committee is exceedingly grateful to the 115 abstract reviewers, who between them
have performed a thorough evaluation of 941 abstracts submitted for presentation at this year’s
congress. Eight abstracts have been accepted for presentation in the Moynihan prize session, with
162 additional abstracts accepted for oral presentation. There will be 72 e-poster abstracts presented
in the e-poster of distinction sessions, and an additional 470 hard copy posters presented for the
duration of the three days. This represents an acceptance rate of 76%. In addition 15 DVD
presentations were submitted for consideration of which 7 will be selected to compete for the DVD
prize.
The Scientific Committee have also been responsible for the selection of the 2011 Moynihan
Travelling Fellow. As on previous occasions, a number of excellent applications were reviewed by
members of the committee and, following short-listing and interview, Mr. Graham MacKay was
awarded the 2011 Fellowship.
At a recent meeting of the ASGBI Executive Board, it was decided that the Vice-President should take
responsibility for the organisation of the International Surgical Congress in the two years prior to
assuming the office of President, including Chairmanship of the Scientific Committee of the
Association. The post of Director of the Scientific Programme will, therefore, be disbanded with effect
from this AGM.
I would like to take this opportunity to thank all members of the Scientific Committee, the Executive
Board, Council and Fellows of the Association of Surgeons and Great Britain and Ireland for their
continuing commitment to the delivery of an outstanding International Surgical Congress.
Professor the Lord Kakkar
34
Document I
REPORT FROM THE INTERNATIONAL DEVELOPMENT COMMITTEE
The Overseas Fellowship Group has changed its name, but not its purpose. The main thrust of our
work has always been to assist in the training of surgeons in less privileged parts of the world, largely
in sub-saharan Africa, hence our location at HOST [Help with Overseas Surgical Training] on the
ASGBI website. We now have a Director, Bob Lane, and a Chairman of the committee, currently
myself with Olujimi Coker taking a year's sabbatical in Lagos to help organise Endoscopic services.
Two members of this committee, Lord Ribeiro and Sir Eldryd Parry, were honoured in the New Year's
list and our congratulations join with our thanks for their support during the year.
During the last year we have run basic surgical skills courses in Hawassa [Ethiopia] on two occasions,
Gaberone [Botswana], Maputo [Mozambique] and Blantyre [Malawi]. A further course was scheduled
for Abidjan in the Ivory Coast, but had to be cancelled for political reasons at very short notice! The
courses encompass basic surgical skills as taught in the UK to which we have added other elements
which are likely to be needed in the areas where we teach. We also usually spend extra days on-site
visiting Hospitals, giving lectures, doing ward rounds, running short anastomosis workshops and
sometimes performing demonstration surgery. This format has proved popular with our Overseas
colleagues who have stimulated us greatly and amongst whom we have made many friends and
learned a great deal. Going only to units where we are invited, we work closely with COSECSA and
WACS. We are currently working on an Emergency Surgery course to cover five days and to include
Critical care, Obstetrics, Urology and nursing. We have made links through this venture with other UK
colleagues in AAGBI and obs/gynae as well as critical care. An exciting project which we hope will
take the best of British Surgery, Anaesthesia and allied specialties abroad. Recently, we calculated
that over about 12 years we had assisted in the training of nearly 700 overseas surgeons. This year
we have also produced a DVD for the anastomosis workshop with the help of Clive Quick.
It has been a great pleasure for us to award six Overseas Surgical Fellowships in 2010 to young
surgeons in the UK to work abroad and to contribute towards The Surgical Foundation Bursary
Scheme for visiting surgeons to attend the ASGBI International Surgical Congress where we look
forward to welcoming them from, Sri Lanka, India, Ukraine and many African countries. The theme of
21st Century Surgery is reflected in our symposium on 21st Century Surgery in Africa and the joint
session with MSF on Surgery in Disaster and Conflict Settings.
Finally I should like to thank all who have helped us with our work both directly and indirectly, most
especially Ethicon who make the whole system possible. Bhavnita Borkhatria, International
Development Manager at ASGBI, has been our sheet anchor and stalwart support for many years;
she is to marry in May and we wish her a long and happy future
Russell Lock
Chairman IDC
35
Document G
REPORT FROM THE NOMINATIONS COMMITTEE
Committee and workings:
The committee comprises the Presidents or deputies of the general surgical specialty associations and societies,
who each score independently during a two-week period and have one meeting where the consolidated mark
sheet is reviewed and scrutinised for inconsistencies and adjusted before submissions are placed in rank order.
It is a lot of work and must be co-ordinated with our all contributers to meet ACCEA deadlines and input to the
Colleges processes. ‘Thanks’ is too small a word for the excellent work that Suzy Mercer has put into managing
our system; she will be greatly missed. Laura Andrews takes over and I am sure will do a splendid job. I demit
from office as Chairman at this AGM and wish my successor well.
Submissions for 2011 awards:
We received 75 applications from members for consideration. Applications were scored independently and then
marks collated to produce a ranking order. After scrutiny for inconsistencies across the scoring, the lists were
agreed and submitted to ACCEA. We were allowed to nominate 12 National Bronze, 5 Silver and 4 Gold. We
received 9 applications for Platinum and although we rank them and write citations if asked to do so, it is only the
Royal Colleges through the Academy who are permitted to submit to ACCEA. Unfair? I believe so, but, despite
our protestations on your behalf, that is how it is.
Citations:
I must thank wholeheartedly all those who wrote citations. It is a huge chore, which goes unsung, but we are led
to believe that it is the quality of these which determine the influence exerted by the profession on ACCEA. If
asked next year, can writers please ensure that the content adds to the submission by placing achievements in
context and maybe provides further material if available.
Results of the 2010 round:
ASGBI members achieved the following: 1 Gold, 3 Silver and 6 National Bronze. For SACDA, we had no
requests for support for A+ awards. 3 members were successful at ‘A’ level and 3 at ‘B’ Level.
The Future:
The political moves to limit, reduce or even abolish awards is opposed by the Association. This particular hare
was started by Ms Nicola Sturgeon, the Scottish Minister of Health. The Scottish Executive is clearly taking the
view that the Scheme in Scotland (SACDA) should go, and have reduced the awards and will make no new ones
for the moment. Meantime, the DOH has reduced the number of awards made in England and Wales and
wishes to abolish the scheme.
ASGBI has submitted its views directly to the DDRB and also to the ACCEA. It points out that performance
related pay, which is essentially what the CEA scheme is all about, is in widespread use across many sectors
both private and public. It is not possible to ‘prove’ the worth of a scheme such as ours and a judgement has to
be made. The risk for the NHS is that, if the scheme is scrapped or curtailed to the point where it becomes
meaningless to the average surgeon, it will be yet another dis-incentive for surgeons to involve themselves in
anything much else above strict contractual requirements and will certainly be provide a swansong for academic
surgery. Since clinicians are the natural leaders and those who almost without exception are the ones who
innovate and develop services, demolition of the scheme or dissemination into local performance related
schemes could prove very damaging.
Important as is the monetary worth of an award, so also is the kudos. It acknowledges achievements over and
above contractual requirements. The competition is fierce and, in my view, there should be more awards rather
than fewer. Some feel that there should be greater weighting for volume and quality of clinical work, but the local
schemes should address this aspect.
Whatever criticisms we may have, there is no doubt in my mind that if the scheme is lost, the NHS will ultimately
be the loser. I urge that we speak with a united voice. The battleground will be on the worth of the scheme in
the eyes of the DDRB and our politicians.
Denis Wilkins
Chairman, ASGBI Nominations and Awards Committee
36
Document K
REPORT FROM THE WEBSITE MANAGEMENT GROUP
The Website Management Group has continued to concentrate on the development of the
Association’s communication strategy. The website remains the pivotal means by which we inform our
membership and anyone who visits the site, and needs to remain vibrant, interesting, eye-catching
and relevant. We like to feel we are achieving these aims, but are always open to suggestions and
criticism – as well as any plaudits.
For the membership, the Regional Pages remain a vital source of information, and we have pretty
much been able to completely populate all the pages now, thanks to the efforts of our Elected
Regional Representatives on Council.
The project to have Discussion Boards is in an advanced stage of being ready, but was beset by some
technical issues. Once ‘live’, we hope members will use them to seek clarification, air controversies
and enjoy discussion of important and relevant issues.
The most exciting development over the last year has been the production of an ASGBI Congress
‘App’, which will be launched shortly before the start of the Bournemouth International Surgical
Congress. Recognising that more and more members are integrating smart phone technology into
their working and social lives, we decided to investigate the possibility of producing an iPhone App for
the Congress, understanding that, if successful, navigating oneself around and within the Congress
could take on a new meaning. Virtually all of the information, currently only available in hard copy,
could be provided ‘live’ (and, therefore, take into account any last minute changes) in a way that
virtually no other UK congress has ever provided.
Much behind the scenes work has gone into the production of the App and we are as excited about
this project as almost anything else we have produced. Our sincere hope is that it will prove very
popular and useful, and we certainly would wish for as much feedback as possible. We already
acknowledge that the current App will only be available for iPhone users, and will not be usable for
those using Blackberry or Android phones, but monetary constraints meant that we had to start with
one system alone. The App will allow delegates to:
•
•
•
•
•
Preview Guest Speakers’ biographies.
Search the Scientific Programme.
Review the four Parallel Conferences.
Checkout the Exhibitors.
Navigate around the venue and social events using maps.
and much more ... It will be a free download, and we hope that it prove to be cutting edge excitement
for all our technophiles.
It is interesting that, less than a year ago, I published the results of a member survey in which we
looked at the somewhat futuristic possibilities of using smartphone and other technologies for
members interacting with ASGBI. There was some considerable support for an iPhone App, but not
enough at the time to warrant the expenditure. However, UK sales of iPhones have risen almost
exponentially in the past year and it has become imperative that we respond to the opportunities that
such technological advances provide organisations like ASGBI.
Nicholas Markham
ASGBI Director of Informatics
37
Document L
REPORT FROM THE UEMS
38
Document M
REPORT FROM THE FSSA
The Federation of Surgical Specialty Associations is the corporate body of the nine SAC-defined Specialty
Surgical Associations, through which it represents and coordinates the views, aims and policies of surgeons
from across the United Kingdom and Ireland. The Federation aims to provide a unique source of unbiased
specialist advice on surgical matters to the Health Departments of the UK, Republic of Ireland and beyond and to
be a source of specialist advice to all four Surgical Royal Colleges. Further, the FSSA provides a forum to
debate issues pertinent to all the Surgical Specialty Associations. The FSSA is comprises the Presidents of the
nine SAC-defined specialities. The current president is Mr Derek Fawcett and he demits office in July 2011.
The FSSA is acutely aware of the fact that it has a low profile amongst most working surgeons, many of whom
will be unaware of its existence! However, the current membership is keen to redress this. In this regard, it is
noteworthy that the FSSA has figured prominently in the national press on two occasions recently. The first of
these related to the publication of agreed standards for the care of emergency surgical patients irrespective of
speciality, and the second to the issue of "procedures of limited clinical effectiveness". This latter has taken up a
substantial amount of FSSA time in the last twelve months. As many of you will be aware, lists of procedures
deemed of low clinical effectiveness were gleaned from PCT records and largely based on the numbers of these
procedures carried out in different areas. The outcomes have caused consternation! Procedures such as joint
replacement and bariatric surgery were deemed of low clinical effectiveness. The FSSA has met with senior
managers from the Department of Health. It is now agreed that there will be no definitive list held by the
Department. Further, they have agreed, in future, that there will be involvement of surgeons in discussion of
these issues. Finally, it is interesting to note that the term is now being changed to procedures of limited value.
In matters such as this, the FSSA is well placed to represent the interests of all surgeons without appearing
partisan to a particular specialty or College interest.
Another issue that has been debated extensively within the FSSA is that of SPA (Supporting Professional
Activities) tariffs. As many of you will be aware that the Royal College of Surgeons of England has stated
categorically that all surgeons, on appointment, should be offered 7.5:2.5 DPA:SPA split in a 10 PA contract.
This is at variance with what actually happens in Wales and Scotland (where many appointments are 9:1 or 8:2).
The FSSA view is that some flexibility is required in order that RSPAs have some leeway in approving job
descriptions, the concern being that too intransigent approach may result in either the post being withdrawn or
Trusts proceeding irrespective of the Profession's opinion.
The FSSA keenly supports the Surgical Forum which comprises the nine Speciality Association Presidents as
well as the Presidents of the four Surgical Royal Colleges. This group, it is felt, truly reflects British and Irish
surgery and might be the conduit by which a single voice of surgery may be heard.
President
39
Document N
REPORT FROM THE SAC IN GENERAL SURGERY
On behalf of my colleagues on the SAC, I would like to acknowledge Peter Lamont’s contribution as
chairman over the last three years. He has led the SAC with a great deal of common sense and good
humour. Much of this report will describe topics which Peter has initiated and are now developing.
The ISCP 2010 curriculum was implemented in August. Most trainees now have their training defined by
this curriculum. The SAC has decided that a minimum number of work place based assessments should
be completed each year (12 each of mini-CEX, CBDs and PBAs with an annual mini-PAT) and 50% of
these should be assessed by a Consultant trainer. All of the index operations now have PBAs. The two
existing surgical logbooks (ASGBI and Faculty of Health Informatics, RCS Ed) will be merged in August
2011 and it is planned to establish a link to the Endoscopy JETS logbook to allow single recording of
endoscopy experience.
By the time of this AGM, the first round of National Selection into ST3 in General Surgery will have been
completed. This has been based on the pilots undertaken last year which confirmed a standard approach
could be adopted for application and interviewing. This has been led by Gareth Griffiths who chairs the
National Selection Board on behalf of the SAC. The Board has devised an application form and the
scenarios for the interview panels. A standard approach to interviewer training has been developed to
ensure consistency. All applicants meeting the essential criteria were invited for interview. There were a
total of 548 applications for approximately 75 ST3 posts in England and Wales. A parallel process has also
been undertaken in Scotland, and there are planned discussions to explore a pan-National approach.
During the last 12 months, the SAC has been pursuing subspecialty recognition for Breast, Upper GI,
Colorectal, Transplant and Endocrine with the GMC. This has required two GMC panel meetings and a
revision of the ISCP curriculum to include subspecialty syllabi. During the process, the GMC stipulated that
any subspecialty curriculum should be free-standing and open to anyone be they pre or post CCT. This
was an unexpected criterion and has resulted in a review of the application pending further discussion with
the RCS Presidents and within ASGBI.
The 2009 / 2010 Annual Specialty Report, which is part of the QA process of JCST submitted to the GMC,
highlighted areas of good practice in training as well as areas where there are problems. Trainees
continue to be well supported with access to excellent opportunities. The EWTR continues to limit
exposure to training, and there are restrictions on trainers’ time as there is limited inclusion of training in
consultant job plans. An increasing number of trainees are approaching the end of training with limited
logbook content reflecting a challenge between competence and experience. As a result, a logbook review
is now included in the evidence for application for the award of a CCT.
The SAC has developed standards for training in General Surgery as part of the ongoing JCST QA work.
These will be combined with generic standards, and are expected to be implemented from August. They
will form the basis of a revised trainee questionnaire to record trainees’ experience and inform the QA
process. The SAC is particularly keen to see increased input into training QA, a view supported by ASiT.
As the effects of the White Paper on Developing the Healthcare Workforce evolves, there will be
opportunities for direct professional input into the content and QA of training both locally and nationally.
Finally, a recurrent theme in the Annual Specialty Report is the excess of trainees expressing subspecialty
interests whereas opportunities at Consultant level are predictably limited. The SAC is working with the
Centre for Workforce Intelligence to ensure manpower number predictions support adequate training in
both general surgery and its subspecialties.
I am very grateful for the support and advice of colleagues on the SAC during my first year and, as ever,
acknowledge the excellent assistance of the JCST secretariat,
William Allum
Chair, SAC in General Surgery
40
Document O
REPORT FROM CORESS
(Confidential Reporting System in Surgery)
Since the last ASGBI Congress, CORESS has had an active year. There has been a significant
upsurge in the number of case reports submitted for publication in Feedback reports in the ASGBI
Newsletter, the Annals of the Royal College of Surgeons of England and The Surgeon, the
Journal of the Royal College of Surgeons of Edinburgh. The number of published CORESS reports
has now passed the 100 mark. A number of surgical specialty associations, including the Vascular
Society, BAUS and BOA have agreed to accept relevant reports for publication in their specialty
newsletters. An abbreviated electronic version of CORESS Feedback (called Coress Lite) has been
introduced to allow dissemination of “bite-sized” vignettes, via specialty association websites and
emails. Articles about CORESS have been published in the Bulletin of the RCS England and the
ASiT Yearbook, raising the profile of the charity. CORESS has also achieved its goal of independent
charitable status. Through the efforts of Nick Gair and Suzy Mercer, Memorandum and Articles
were drawn up in line with Charity Commission guidelines. The charity was launched by Sir Bruce
Keogh, NHS Medical Director, at a reception at the House of Lords, hosted by the Chairman of the
CORESS Board, the Viscount Bridgeman, on Thursday 10th June 2010. This event received useful
publicity and media interest.
In order to encourage wider reporting of incidents with educational value from the surgical specialties,
a system of Specialty Programme Directors for CORESS, with nominated individuals taking on a
defined role and responsibility for generating CORESS reports has been instigated for the specialty
associations and societies. Initial incumbents in the majority of specialties have already taken up their
roles.
CORESS was involved in organising and contributing to a successful ‘Safety in Surgery’ session at the
ASGBI 2010 Congress in Liverpool, which received favourable feedback. Participants in the session
included Stephanie Bown, Director MPS; Iain Wilson, President of the Association of Anaesthetists,
and Martin Lee, past Chief Executive, Coventry and Warwick University Hospital. Over the past year,
the CORESS Programme Director has spoken on behalf of CORESS at:
¾ Combined Meeting of the Royal Society of Medicine Section of Surgery and the Department of
Surgery, University of North Carolina, USA, in May 2010.
¾ Annual Meeting of the Society British Neurological Surgeons, in London, September 2010.
¾ Winter Meeting of Section of Surgery, Royal Society of Medicine.
CORESS continues to play a role on the NPSA National Safety Reporting Network and the NPSA
Clinical Board for Surgical Safety, chaired by John Black, President RCSEng. CORESS liaises with
the Medicine and Healthcare Regulatory Agency with respect to the exchange of information for
publication and medical device safety. Work is underway to index the bank of CORESS reports to
enable retrieval of reports on specific safety issues, via a system of key words and topics.
During 2011, Suzy Mercer has moved on from ASGBI to a new position working for a prominent
international charity. We owe her a debt of gratitude for her developmental work with CORESS and
we welcome Laura Andrews who takes over the role as CORESS Administrator. Finally, the work of
the Advisory Committee, representatives of all the Surgical and allied Associations must be
acknowledged. Without these individuals, informed and objective commentary on CORESS reports
would not be possible.
If you have anecdotal experience which may help others to avoid an adverse surgical event, please
send us a report in 2011: www.coress.org.uk
Frank C T Smith
CORESS Programme Director
41
Document P
REPORT FROM THE SURGICAL FOUNDATION
In 1920, the Association of Surgeons of Great Britain and Ireland was founded. For 90 years, ASGBI has
promoted the art and science of surgery for public benefit. As a registered charity, it has provided surgical
education and training including continuing professional development for consultants and trainees. The
Charities Act (2006) and the Companies Act (2006) have undergone their final stages of implementation. The
detail within them mandated, from a governance perspective, the separation of the Association of Surgeons into
two entities to manage the separate activities of membership benefits from the charitable activities. The
separation took place with effect from 1st January 2009, with the Membership Company splitting from the charity.
In December 2010, the definitive Board of Trustees took over from a Shadow Board of Trustees to run The
Surgical Foundation.
The Fellows of ASGBI were members of the old charity, but are now members of the Membership Company
(ASGBI Ltd). This semantic, but legally required, change will now allow the Association to move forwards on a
secure footing to provide for its members and to continue to support the Association’s activities into the future.
During the past year, the Surgical Foundation has been very active. The Foundation has:
•
•
•
•
•
•
•
•
Contributed to a published Consensus Statement on Patient Safety.
Delivered a symposium on knife injury at the 2010 annual ASGBI Congress in Liverpool.
Awarded 15 International Bursaries to surgical trainees from developing countries (7 Bursaries awarded
in 2009).
Engaged with the Metropolitan Police and social services around the issue of knife injuries.
Delivered a one-day Consensus Conference jointly with ASGBI and the Metropolitan Police on The
Management of Knife Injuries.
Funded the Moynihan Travelling Fellowship.
Awarded Overseas Surgical Fellowships.
Run Basic Surgical Skills Courses in East and West Africa.
The joint Consensus Conference with the Metropolitan Police on the topic of Knife Injuries was well received,
with a strong sense of moving forward in partnership with the police to make inroads into tackling this aspect of
penetrating injury. The initiatives that have been started in London will be rolled out to other high incidence
areas with active support from The Surgical Foundation. Birmingham and Liverpool are the next cities. The
Foundation is actively seeking to contribute to the science behind interventions that may reduce the incidence of
such injuries. The Foundation is also pursuing a drive to support surgeons to be able to cope with the
consequences of knife injury.
With the Board of Trustees now in place, the Foundation is on course not only to support the charitable aims of
the Association, but to extend these opportunities for public benefit.
Jonathan Pye
Past Chairman of the Shadow Board of Trustees
42

2010 Annual Report - Association of Surgeons of Great Britain and

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