SUMMER MEETING 2018 Programme and Booking Form - RENOLD BUILDING THE UNIVERSITY OF MANCHESTER, M1 7JR - British Thoracic Society

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SUMMER MEETING 2018 Programme and Booking Form - RENOLD BUILDING THE UNIVERSITY OF MANCHESTER, M1 7JR - British Thoracic Society
SUMMER MEETING 2018

Programme and
Booking Form
THURSDAY 14th AND FRIDAY 15th JUNE
RENOLD BUILDING
THE UNIVERSITY OF MANCHESTER, M1 7JR

Early bird discounts for bookings
received before Monday 30th April 2018

Please see our website: brit-thoracic.org.uk
WELCOME

                      It is a great pleasure to present the programme for the BTS 2018
                      Summer Meeting in Manchester.
                      As always the Summer Meeting provides a comprehensive, clinically
                      grounded programme, delivering a wide range of topics relevant to
                      the whole respiratory team.
I am delighted to announce that this year there will be new Abstract Prizes and we invite
abstract submission for poster presentations aligned to two themes:
•   Improving quality and excellence in patient care
•   Innovation in respiratory medicine
These Abstract Prizes will provide an exciting forum in which to present the excellent
clinical improvements, innovations and work across the UK. Prizes will be awarded for
the best abstracts.
The Clinical Grand Round remains a highlight of the Meeting. All specialist trainees and
health care professionals are invited to submit a clinical case. Three finalists will battle it out,
under the scrutiny of a judging panel and audience, with the winner receiving a prestigious
and lucrative prize. I encourage everyone both to enter the competition and to turn up at
the symposium to support the finalists (details on the BTS website).
The successful Mini Short Course format remains, this year exploring in depth the areas
of unexplained breathlessness and COPD.
Look out for the “Meet the Expert” sessions during the refreshment breaks, allowing you
to pose those tricky clinical questions, seek career advice, or simply network with specialists
in their fields.
During the breaks you can also challenge yourself with the physiology poster quiz and
the Meeting will have a commercial exhibition that provides the opportunity for industry
to show case new pharmaceutical evidence or new investigative or therapeutic equipment.
I am certain the programme will contain plenty to interest and stimulate all delegates.
We invite all those who deliver care to respiratory patients to attend, learn, discuss
and network. To aid trainee delegates the programme has been mapped to the
respiratory curriculum.
All delegates are invited to the President's Reception in the conference centre at 5.30pm
on Thursday 14th June, where prizes will be awarded from the Abstract Prizes and Clinical
Grand Round.
I am confident that if you have been to the Summer Meeting before that this Meeting will
be outstanding and will not disappoint. If you have never been, I urge you to come and learn,
network and enjoy!
I look forward to seeing you in Manchester.

Dr John Park
Chair, BTS Education and Training Committee
"Meet the Expert" Sessions
Informal sessions will be held during the refreshment breaks in the Enigma Cafe on the ground (C)
floor, and will provide participants with an opportunity to gain career advice and clinical tips from
leaders in specific areas. Further details on the BTS website: www.brit-thoracic.org.uk

Summer Meeting Abstract Prizes
Our aim is to provide a forum for respiratory teams to present, share and discuss the implementation
of quality improvement, innovative practice and excellence in patient care. High quality applications
from the whole respiratory MDT are welcomed with an emphasis on sharing best practice.

Submission of abstracts are invited within two broad themes:
1. Improving quality and excellence in patient care
2. Innovation in respiratory medicine

Abstracts will be refereed and those selected will be presented at the Summer Meeting in poster
form with a moderated discussion session. Prizes will be awarded for the best abstracts. Successful
applications will be showcased on our website and the main, named presenter will receive one day's
free registration to the Summer Meeting 2018.

Clinical Grand Round Prize Competition
This popular annual session provides an ideal opportunity for all specialist trainees and health
care professionals to submit clinical case studies in advance of the Meeting. Ideal submissions
will highlight a case demonstrating aspects of commonly encountered diseases that provide the
audience with key learning points, whilst providing a diagnostic or management challenge.
The best three submissions, as decided by a judging panel, will be shortlisted and the authors
invited to present their cases during the Clinical Grand Round symposium on Thursday 14th June
2018. Presenters will be expected to interact with the audience by including questions within their
presentations so that delegates may make use of a voting system. The finalists will battle it out
before our panel of expert judges who will decide the winner. The winner will receive a cash prize
and all three finalists will receive a certificate of merit.

Full details on abstract submission for the Abstract Prizes and Clinical Grand Round are available
via the BTS website: www.brit-thoracic.org.uk
The deadline for submission to both is 5.00pm on Wednesday 4th April 2018.

       #BTSSummer2018

                                                                                          Programme and Booking Form   3
PROGRAMME – THURSDAY 14TH JUNE 2018
8.30am – 9.30am		             REGISTRATION and refreshments      Curriculum mapping
and visit the exhibition stands and lung function quiz           D1: Cough
                                                                 D2: Breathlessness
9.30am – 11.00am		          SIMULTANEOUS SYMPOSIA                E10: Interstitial lung diseases
CLINICAL YEAR IN REVIEW
Chaired by: Dr John Park (Reading)                               OSA IN 2018: NOVEL THERAPIES, OPERATIVE ISSUES
1) Critical care                                                 Chaired by: Dr Annabel Nickol (Oxford)
   Professor Mark Griffiths (London)
                                                                 1) Electrical stimulations as a novel therapy for OSA – who
2) Asthma                                                           should be considered for this?
   Dr Robert Niven (Manchester)                                     Dr Joerg Steier (London)
3) Long term macrolide use                                       2) Pre-operative screening for OSA – essential or not?
   Professor James Chalmers (Dundee)                                Dr Simon Baudouin (Newcastle upon Tyne)
Learning objectives                                              3) CPAP versus NIV: primary treatment in the obese
The Clinical Year in Review highlights important advances           Dr Swapna Mandal (London)
in specific disease areas. This session will review important    Learning objectives
publications from the last 12 to 18 months in the above three
areas and will discuss their importance in clinical practice.    1) To appreciate this novel therapy for OSA; to understand the
                                                                    importance of patient selection and to think about how it
Curriculum mapping                                                  might fit in OSA management in the future.
E25: ICU and HDU                                                 2) To understand the issues regarding the pros and cons of pre-
E2: Asthma                                                          operative screening for OSA; to review the evidence in this
                                                                    area and to look at current UK practice.
E9: Bronchiectasis
                                                                 3) To consider the approach to management of the obese
E6: Pulmonary infections                                            patient and instigating CPAP versus BiLevel ventilation.

                                                                 Curriculum mapping
INTERSTITIAL LUNG DISEASE: FROM BEGINNING TO END
                                                                 D6: Respiratory failure
Chaired by: Dr Michael Gibbons (Exeter) and Dr Nazia Chaudhuri
(Manchester)                                                     E11: Sleep breathing related disorders

1) Epidemiology and causation of fibrosing lung disease:         E28: Managing long term conditions
   is it all idiopathic?                                         F3: Sleep studies
   Dr Felix Woodhead (Leicester)                                 F4: NIV and CPAP
2) The drugs do work: who, when, which and what next?            B6: Evidence and guidelines
   Dr Michael Gibbons (Exeter)
3) Symptom management in ILD: cough, oxygen
   and breathlessness                                            11.00am – 11.30am            REFRESHMENTS and visit the
   Dr Nazia Chaudhuri (Manchester)                               exhibition stands and lung function quiz
                                                                 MEET THE EXPERT SESSION - ILD
Learning objectives
                                                                 Dr Michael Gibbons (Exeter)
1) To understand recent developments and advances in
   the understanding of the aetiology and classification of
   interstitial lung diseases.                                   11.30am – 1.00pm		            SIMULTANEOUS SYMPOSIA
2) To understand the use of anti-fibrotic treatments for         NON-LUNG, LUNG CANCERS
   idiopathic pulmonary fibrosis, specifically which drugs are
                                                                 Chaired by: Dr Matthew Evison (Manchester)
   used when in clinical practice.
                                                                 1) Hormonal complications of lung neuro-endocrine tumours:
3) To appreciate the treatments available for the management
                                                                    what the respiratory physician needs to know
   of symptoms associated with interstitial lung diseases.
                                                                    Professor Peter Trainer (Manchester)
4) To update the evidence for the use of ambulatory oxygen
                                                                 2) An overview of the management and follow-up of patients
   in IPF.
                                                                    with lung carcinoid
                                                                    Dr Was Mansoor (Manchester)

4                                                                                           British Thoracic Society Summer Meeting 2018
3) Imaging of the anterior mediastinum                              Curriculum mapping
   Dr Rachel Benamore (Oxford)                                      B5: Decision-making and clinical reasoning
Learning objectives                                                 B6: Evidence and guidelines
1) To understand the presentation and diagnostic tools in           C6: Working within teams
   patients with lung carcinoid tumours.                            C16: Making decisions
2) To understand the management of patients with lung               D5: Abnormal chest X-ray
   carcinoid tumours.
                                                                    E2: Asthma
3) To appreciate the imaging modalities used for anterior
   mediastinal tumours and typical appearances.                     E10: Interstitial lung disease (ILD)
                                                                    E18 Occupational and environmental lung disease (including
Curriculum mapping                                                  flying and diving)
E1: Respiratory anatomy, physiology, pathology, microbiology        E22: Imaging techniques
and pharmacology
                                                                    F2: Respiratory physiology and lung function testing
E4: Thoracic oncology
                                                                    K1: Evidence and guidelines
E14: Disorders of pleura and mediastinum, including
pneumothorax
                                                                    CLINICAL GRAND ROUND

TRIPLE TROUBLE: INTERPRETING DIAGNOSTIC TESTS IN                    Chaired by:     Dr John Park (Reading)
OCCUPATIONAL LUNG DISEASES                                          Judged by:      Dr Eric Livingston (Glasgow)
Chaired by: Dr Chris Barber (Sheffield) and Dr Gareth Walters                       Rachael Moses (Preston)
(Birmingham)                                                                        Professor Mark Woodhead (Manchester)

1) The physiology of occupational lung disease                      Please see page 3 for information on submitting cases.
   Dr Johanna Feary (London)
2) Radiology cases in occupational lung disease                     1.00pm – 2.00pm		            LUNCH and visit the exhibition
   Dr Ruth Wiggans (Sheffield)                                      stands and lung function quiz
3) The pathology of occupational lung disease
   Dr Jennie Hoyle (Manchester)
                                                                    2.00pm – 3.30pm		             SIMULTANEOUS SYMPOSIA
Learning outcomes                                                   MINI SHORT COURSE – UNEXPLAINED BREATHLESSNESS
1) Use basic physiological principles and a case-based approach     (PART 1)
   to evaluate physiological tests in the diagnosis of a range of   Chaired by: Dr Robert Niven (Manchester) and Rachael Moses
   occupational lung diseases, such as occupational asthma,         (Preston)
   COPD, hypersensitivity pneumonitis and asbestos-related
                                                                    1) Inducible laryngeal obstruction: the wheeze you can ease
   disorders. These will be reviewed in the context of the
                                                                       Claire Slinger (Preston)
   latest guidance, which include the recently updated BOHRF
   evidence review on occupational asthma. This session will be     2) Breathing pattern disorders: who cares?
   of interest to all health professionals attending adults with       Dr James Hull (London)
   work-related respiratory symptoms.                               3) Complex breathlessness: differential diagnosis, intervention
2) Recognise the characteristic radiological appearances               and management
   of a variety of occupational lung disorders including               Dr Aashish Vyas (Preston)
   pneumoconioses, airways diseases and interstitial lung
                                                                    Learning objectives
   diseases. Understand how ILO grading works, and how to
   use imaging in the diagnostic pathway for occupational lung      1) Current terminology, signs and clinical symptoms; overview
   disease. Appreciate how chest radiography can be employed           of clinical thinking and evidence base for management of
   for health surveillance in the workplace.                           inducible laryngeal obstruction.
3) Appreciate how cytology of bronchoalveolar lavage fluid          2) To develop an understanding of the contributing factors in
   and lung histology can inform a diagnosis in a number               relation to breathing pattern disorders.
   of occupational related interstitial, pleural and airway         3) To be able to identify respiratory and non-respiratory signs
   occupational disorders, and recognise characteristic                and symptoms and investigations that can help diagnosis.
   histological appearances.
                                                                    4) Be able to use subjective and objective assessment as we use
4) Understand how diagnostic tests may influence eligibility to        diagnostic tests to aid differential diagnosis for patients with
   government benefits and civil compensation for occupational         unexplained breathlessness.
   lung diseases.

                                                                                                           Programme and Booking Form   5
Curriculum mapping                                                  MANAGING DIFFICULT TB
A1: Patient as a central focus of care                              Chaired by: Professor Onn Min Kon (London)
B1: History taking                                                  1) Failure to respond to treatment – what we do next
B2: Clinical examination                                               Dr Helen Booth (London)

B5: Decision making and clinical reasoning                          2) The role of Public Health in TB (including the BTS MDRTB
                                                                       Clinical Advice Service)
B6: Evidence and guidelines                                            Dr Manish Pareek (Leicester)
C6: Working in teams                                                3) Clinical cases in TB
D1: Breathlessness                                                     Professor Mark Woodhead (Manchester)
D2: Cough                                                           Learning objectives
E1: Respiratory anatomy and physiology                              1) Early recognition of treatment failure, including definition.
E2: Asthma                                                             Differential diagnosis of treatment failure/dual diagnosis.
                                                                       Host factors versus organism.
E27: Dysfunctional breathing
                                                                    2) Role of therapeutic drug monitoring.
E28: Managing long term conditions
                                                                    3) How to work with Public Health and the evidence base for
F2: Respiratory physiology
                                                                       outbreak screening and migrant screening.

                                                                    Curriculum mapping
UPDATE ON PLEURAL DISEASE
                                                                    A1: The patient as the central focus of care
Chaired by: Dr Alex West (London)
                                                                    B3: Therapeutics and safe prescribing
1) Predicting prognosis and scoring systems for pleural
   infection                                                        B5: Decision making and clinical reasoning
   Dr John Corcoran (Plymouth)                                      B6: Evidence and guidelines
2) What’s the best way to manage a malignant pleural effusion?      C4: Developing networks
   Dr Rahul Bhatnagar (Bristol)
                                                                    D5: Abnormal X-ray
3) How “benign” is the benign transudative pleural effusion?
   Dr Steve Walker (Bristol)                                        E6: Pulmonary infections
                                                                    E7: TB and opportunistic mycobacteria
Learning objectives
                                                                    E8: Pulmonary disease in the immunocompromised host
1) Understand current knowledge relating to pleural infection
   and how we might predict outcome. The speaker will cover         E22: Imaging techniques
   the RAPID scoring system and its validation. Should this alter   L1: Health promotion and Public Health
   how we manage pleural infection?
2) Learn about outcomes of recent clinical trials relating to       3.30pm – 4.00pm		            REFRESHMENTS and visit the
   management of malignant pleural effusions, pleurodesis           exhibition stands and lung function quiz
   strategies and fluid management options. This is likely to
   include indwelling pleural catheters, talc pleurodesis and       MEET THE EXPERT SESSION - BREATHLESSNESS
   novel pleurodesis methods                                        Dr James Hull (London)
3) Benign transudative pleural disease can have very poor
   outcomes. This session will cover what’s known about these
   at the present time.

Curriculum mapping
D7: Pleural effusion
E4: Thoracic oncology
E6: Pulmonary infection
E14: Disorders of pleura and mediastinum
E15: Pulmonary manifestations of systemic disease

6                                                                                              British Thoracic Society Summer Meeting 2018
4.00pm – 5.30pm		            SIMULTANEOUS SYMPOSIA                  NON-CF BRONCHIECTASIS
MINI SHORT COURSE – UNEXPLAINED BREATHLESSNESS                      Chaired by: Professor Adam Hill (Edinburgh) and Dr Charles
(PART 2) – DIFFICULT CASES                                          Haworth (Cambridge)
Chaired by: Dr James Hull (London) and Dr Aashish Vyas (Preston)    1) Managing difficult bronchiectasis
Case 1) 	"But doctor, I can speak but can't breathe so why            Professor Rob Wilson (London)
          do I need a speech therapist?"                            2) Immunology in bronchiectasis: what the respiratory physician
          Jemma Haines (Manchester)                                    needs to know
Case 2) 	"But doctor, I'm breathless so why do I need to              Dr Peter Kelleher (London)
          see a physio?"                                            3) BTS guidelines: what you need to know
          Anita Cass (Birmingham)                                      Professor Adam Hill (Edinburgh)
Case 3) 	"But doctor, why am I breathless when I take all          Learning objectives
          these medicines?"
          Dr Stephen Fowler (Manchester)                            1) To understand strategies for treating difficult bronchiectasis
                                                                       including aspects of aspergillus infection.
Learning objectives                                                 2) Describe the range of immunological tests that should be
Please see part 1                                                      considered for patients with bronchiectasis and when to refer
                                                                       for further diagnostics.
Curriculum mapping
                                                                    3) To understand the key areas covered by the new BTS
Please see part 1                                                      guidelines and how these should influence your current
                                                                       clinical practice.
JOINT BTS/BSTI SYMPOSIUM: THORACIC IMAGING                          Curriculum mapping
Chaired by: Dr John Park (Reading) and Dr Sylvia Worthy             E1: Respiratory anatomy, physiology, pathology, microbiology
(Newcastle upon Tyne)                                               and pharmacology
1) The imaging of pulmonary disease                                 E6: Pulmonary infections
   Dr Anna Sharman (Manchester)
                                                                    E9: Bronchiectasis
2) Disease mimics in the thorax – interactive cases
   Dr Sylvia Worthy (Newcastle upon Tyne)                           E28: Managing long term conditions: integrated care
                                                                    and the promotion of self care
3) MRI and the lungs – an evolving field
   Dr Shahideh Safavi (Nottingham)
                                                                    5.30pm - 6.30pm
Learning objectives
                                                                    THE BTS PRESIDENT'S RECEPTION AND
1) A review of imaging features of fungal disease.                  AWARD PRESENTATIONS
2) To appreciate and review cases of diseases mimicking
   pulmonary pathology.
3) To understand the rationale for MR lung imaging; to review
   MRI as an alternative to HRCT; to learn the basics of enhanced
   functional MRI modalities and their clinical application.

Curriculum mapping
D5: Abnormal chest X-ray
E6: Pulmonary infections
E22: Imaging techniques

                                                                                                      Programme and Booking Form        7
FRIDAY 15TH JUNE 2018
8.30am – 10.00am		             SIMULTANEOUS SYMPOSIA             2) To discuss the use of NIV in patients with cystic fibrosis,
MINI SHORT COURSE – COPD (PART 1) – TURNING THE                     including its use in symptom management and as a bridge
TIDE OF ADMISSIONS AND RE-ADMISSIONS: COMMUNITY                     to transplantation.
MANAGEMENT                                                       3) To provide an overview of management of the post-
Chaired by: Dr John Steer (Northumbria)                             transplant patient for the non-transplant specialist.

1) Hospital at home selected by DECAF                            Curriculum mapping
   Dr Carlos Echevarria (Newcastle)                              A1: Patient as a central focus of care
2) Self-management strategies in COPD                            E16: Cystic fibrosis
   Dr Louise Restrick (London)
                                                                 E20: Lung transplantation
3. Integrated COPD services – what’s the best model?
   Dr Georges Ng Man Kwong (Oldham)                              E26: Palliative care
                                                                 E28: Managing long term conditions
Learning objectives
                                                                 F4: NIV
1) Understand the DECAF scoring system and the randomized
   trial of hospital at home in COPD exacerbations selected by
   DECAF score.                                                  PULMONARY VASCULAR DISEASE: A PRACTICAL APPROACH
2) To appreciate patient centred strategies to self-manage       Chaired by: Dr Robin Condliffe (Sheffield)
   COPD and avoid hospital admission.
                                                                 1) Pulmonary arteriovenous malformations: key aspects
3) Understand the challenges of integrating COPD services           from the BTS clinical statement
   across primary and secondary care and how to develop a           Professor Claire Shovlin (London)
   model that works well for patients.
                                                                 2) Radiological assessment of pulmonary hypertension:
Curriculum mapping                                                  a practical approach
                                                                    Dr Catherine Hill (Sheffield)
A1: Patient as central focus of care
                                                                 3) Pulmonary vascular disease: cases to test your knowledge
C7: Planning                                                        and understanding
C8: Managing resources                                              Dr Colin Church (Glasgow)
C11: Ensuring patient safety                                     Learning objectives
C13: Facilitating transformation                                 1) To be familiar with the 2017 British Thoracic Society Clinical
E3: COPD                                                            Statement on Pulmonary Arteriovenous Malformations
E21: Hospital at home/early discharge schemes                       (PAVMs); to understand when care of patients with
                                                                    PAVMs needs to diverge from usual respiratory practice;
E28: Managing long terms conditions: integrated care and            to appreciate the increasing role of genomics within
promotion of self care                                              mainstream respiratory care of patients with PAVMs.
                                                                 2) Understand the utility of different radiological modalities
DEVELOPMENTS IN TRANSPLANTATION FOR PATIENTS                        in assessment of patients with suspected pulmonary
WITH CYSTIC FIBROSIS                                                hypertension; learn a structured approach to interpreting
                                                                    CT pulmonary angiography; understand the different
Chaired by: Tracey Daniels (York) and Dr Richard Thompson
                                                                    features of chronic versus acute thromboembolic disease.
(Birmingham)
                                                                 3) To understand the varied presentations of pulmonary
1) Use of ECMO as a bridge to urgent transplantation
                                                                    vascular disease; to recognise the multidimensional
   Dr Clara Hernandez Caballero (Harefield)
                                                                    investigative approach to diagnosis of pulmonary vascular
2) Use of NIV in patients with cystic fibrosis                      diseases; to gain an understanding in some treatment
   Jocelyn Choyce (Birmingham)                                      pathways for pulmonary arterial hypertension.
3) Post transplant care of patients with cystic fibrosis:
                                                                 Curriculum mapping
   trouble shooting
   Dr Richard Thompson (Birmingham)                              E12: Pulmonary vascular disease
                                                                 E19: Genetic and developmental lung disease
Learning objectives
                                                                 E22: Imaging techniques
1) To review recent developments in options for patients
   awaiting transplantation including ECMO and urgent/super
   urgent listing.

8                                                                                           British Thoracic Society Summer Meeting 2018
10.00am – 10.30am            REFRESHMENTS and visit the                LUNG CANCER SCREENING – COMING TO A COUNTRY
exhibition stands and lung function quiz                               NEAR YOU!
MEET THE EXPERT SESSIONS                                               Chaired by: Dr Vidan Masani (Bath) and Dr Ian Woolhouse
                                                                       (Birmingham)

10.30am – 11.25am              GUEST LECTURE                           1) Lung cancer screening: fundamental principles and the
                                                                          evidence to support it
Looking to the future of the specialty                                    Dr Matthew Callister (Leeds)
Dr Lisa Davies (Liverpool) and Dr Charlotte Addy (Belfast)             2) Lung cancer screening – a local project perspective
                                                                          Dr Philip Crosbie (Manchester)
11.30am – 1.00pm		             SIMULTANEOUS SYMPOSIA                   3) The future National plan
                                                                          Professor David Baldwin (Nottingham)
MINI SHORT COURSE – COPD (PART 2) – HOSPITAL
MANAGEMENT OF THE ACUTE EXACERBATION                                   Learning objectives
Chaired by: Dr Charlotte Bolton (Nottingham)                           1) To understand the principles behind screening, specifically
1) How do I design a service to deliver best practice tariff              cancer screening; to review the existing data to support lung
   for COPD?                                                              cancer screening.
   Dr Paul Walker (Liverpool)                                          2) To appreciate the logistics and review the outcomes of the
2) NCEPOD – what does it mean for hospital COPD services                  Manchester Pilot Screening Study.
   Dr Andrew Molyneux (Mansfield)                                      3) To consider how practically lung cancer screening can be
3) Non-pharmacological interventions in COPD exacerbations                implemented in the UK.
   Dr Samantha Kon (London)
                                                                       Curriculum mapping
Learning objectives                                                    E4: Thoracic oncology
1) Learn about the drivers for best practice tariff (BPT) for          E22: Imaging techniques
   COPD, and how this translates into service improvements to
   deliver better care for patients (and how this will deliver BPT).   I1: Management and NHS structure

2) Understand how the NCEPOD data on non-invasive                      L1: Health promotion and public health
   ventilation was collected and how hospital COPD services
   will need to adapt to act upon the recommendations of               JOINT BTS/ARTP SYMPOSIUM – RESPIRATORY PHYSIOLOGY:
   the report.                                                         THE PRESENT AND THE FUTURE
3) Learn what non-pharmacological interventions make an                Chaired by: Dr Martin Allen (Stoke on Trent) and Dr Karl Sylvester
   impact on COPD exacerbations – prevention, in-hospital              (Cambridge)
   interventions, and post-discharge.
                                                                       1) Spirometry accreditation: de-bunking the myths
Curriculum mapping                                                        Dr Vicky Moore (Birmingham)
C11: Ensuring patient safety                                           2) FENO – what you need to know and where we are
C12: Encouraging innovation                                               Mrs Carol Stonham MBE (Gloucester)

C14: Identifying contexts for change                                   3) Hypersensitivity testing in the management of lung disease
                                                                          Dr Graham Clarke (London)
D1: Breathlessness
E3: COPD                                                               Learning objectives

E23: Smoking cessation                                                 Respiratory physiology is traditionally poorly understood by many
                                                                       respiratory healthcare professionals who utilise the results of
E24: Pulmonary rehabilitation                                          physiological investigations in their daily practice. This session
E28: Managing long term conditions: integrated care and the            aims to outline the requirements to undertake and interpret some
promotion of self care                                                 of the most common respiratory physiological techniques as well
                                                                       as the more complex, particularly in the context of the recently
F4: Non-invasive ventilation and CPAP
                                                                       released NICE Asthma diagnosis, monitoring and chronic asthma
G1: Prioritisation of patient safety in clinical practice              management guidance.
G2: Team working and patient safety
                                                                       Curriculum mapping
G3: Principles of quality and safety improvement
                                                                       E1: Respiratory anatomy, physiology, pathology, microbiology
I1: Management and NHS structure                                       and pharmacology
K1: Evidence and guidelines                                            E2: Asthma
K2: Audit                                                              F2: Respiratory physiology and lung function testing

                                                                                                          Programme and Booking Form        9
1.00pm – 2.00pm		           LUNCH and visit the exhibition           Curriculum mapping
stands and lung physiology quiz                                      E23: Smoking cessation
MEET THE EXPERT SESSION - LUNG CANCER                                L1: Health promotion and public health
Dr Philip Crosbie (Manchester)                                       G3: Principles of quality and safety improvement

2.00pm – 3.30pm		           SIMULTANEOUS SYMPOSIA                    ACUTE AND CHRONIC PALLIATIVE CARE IN NON-
CROSSING THE DIVIDE: THE IMPORTANCE OF CHILDHOOD                     MALIGNANT RESPIRATORY DISEASE
AND ADOLESCENCE FOR LONG TERM HEALTH OUTCOMES                        Chaired by: Alison Armstrong (Newcastle upon Tyne) and Rachael
Chaired by: Dr Louise Fleming (London) and Dr Abigail Moore          Moses (Preston)
(London)                                                             1) Acute management of the patient with end stage respiratory
1) Models of transition                                                 disease: palliating breathlessness and end of life decisions
   Dr Gary Connett (Southampton)                                        Dr Mark Elliott (Leeds)
2) Adolescent health behaviours                                      2) It's not all about dying: a patient centred approach in advance
   Dr Alistair Duff (Leeds)                                             care planning
                                                                        Dr Paul Marsden (Preston)
3) Early origins of COPD/respiratory diseases
   Professor Andrew Bush (London)                                    3) Palliative care in end stage respiratory disease: a collaborative
                                                                        approach to enhance patient care
Learning objectives                                                     Dr Andrew Fletcher (Preston)
1) Exploration of different models of care for the transition from
                                                                     Learning objectives
   paediatric to adult respiratory services.
                                                                     1) To review current therapeutic approaches and treatment
2) Increased understanding of adolescent health behaviours
                                                                        for patients with end stage respiratory disease presenting
   in order to improve transition services for adolescents.
                                                                        acutely unwell. Will cover high flow oxygen and non-invasive
3) Improved understanding of the role of paediatric lung disease        ventilation and decisions regarding ceiling of treatments.
   in the development of adult respiratory disease.
                                                                     2) To discuss the importance of personalised care planning
Curriculum mapping                                                      for patients with advanced disease and how to discharge
                                                                        patients with anticipatory medications and end of life plans.
E19: Genetic and developmental lung diseases
                                                                     3) To provide an overview of what good care looks like when
E2: Asthma
                                                                        hospitals and hospices work together to meet the needs
E3: COPD                                                                of the patient not the disease process.
C6: Working in teams
                                                                     Curriculum mapping
                                                                     A1: Patient as a central focus of care
SMOKING CESSATION
                                                                     B8: Breaking bad news
Chaired by: Dr Sanjay Agrawal (Leicester)
                                                                     C16: Making decisions
1) Treatment of tobacco dependence in the NHS
                                                                     D6: Respiratory failure
   Professor John Britton (Nottingham)
                                                                     E3: COPD
2) New quality improvement tools to improve smoking
   cessation care                                                    E21: Hospital at home/early discharge
   Dr Alexander Hicks (Southampton)                                  E26: Palliative care
3) Update on e-cigarettes                                            E28: Managing long term conditions
   Wendy Preston (Nuneaton)
                                                                     F4: NIV
Learning objectives
1) Gain an understanding of the current burden of tobacco            3.30pm – 4.00pm              REFRESHMENTS and conference ends
   dependence on the NHS and treatment options available.
2) Gain awareness of new quality improvement tools to aid
                                                                        The Lung Function Quiz will be held throughout
   in improving smoking cessation services.
                                                                        the Summer Meeting and is open to all participants.
3) Discussion of the latest evidence on e-cigarettes and their          Please visit the poster boards to test your knowledge!
   role in smoking cessation services.

10                                                                                              British Thoracic Society Summer Meeting 2018
GENERAL INFORMATION
The venue
Renold Building, the University of Manchester                                                            Renold
                                                                                                         Building
The Renold Building is conveniently located a five minute walk
from Manchester Piccadilly Station. Further information and
directions may be found via the following link:                                                                           MANCHESTER
www.manchester.ac.uk/discover/maps/
                                                                                                                           PICCADILLY

CPD approval
The BTS Summer Meeting 2018 has been approved by the                       MANCHESTER
Federation of the Royal Colleges of Physicians of the UK for               OXFORD ROAD
12 category 1 (external) CPD credits (6 per day) with CPD code:
117006. Participants are also reminded that the Respiratory
SAC has approved the Summer Meeting as one of the
respiratory education events that all respiratory specialist
trainees should attend.

Nursing and Midwifery Council Revalidation                               Travel
By attending the Summer Meeting, it would be possible for nurses
                                                                         By train
to demonstrate CPD and write reflective accounts to support
                                                                         The University of Manchester is located close to both Piccadilly
their revalidation. These relate to the NMC Code for Professional
                                                                         main line station and Oxford Road train station, with Victoria
Standards of Practice and Behaviour for Nurses and Midwives,
                                                                         train station a little further away. For details of timetables, tickets
including:
                                                                         and other rail information, please visit the National Rail Enquiries
• what you learnt from the sessions;                                     website: www.nationalrail.co.uk
• how you will change or improve your practice as a result;              The Renold Building is on the Sackville Street area of the campus
• how this is relevant to the Code – prioritising people,                and is within five minutes' walk of Piccadilly Station. Leave the
  practising effectively, preserving safety or promoting                 station via the Fairfield Street exit (where the taxi rank is), cross
  professionalism and trust.                                             London Road, and down Fairfield Street, which is straight ahead.
A form is available on page 46 of this document:                         Continue down Fairfield Street and the Renold Building is on
                                                                         the left.
www.nmc.org.uk/globalassets/sitedocuments/revalidation/
how-to-revalidate-booklet.pdf                                            By bus or tram
                                                                         For information on bus and tram timetables, services and tickets
Chartered Society of Physiotherapists CPD                                visit the Transport for Greater Manchester (TfGM) website:
The Summer Meeting should also be suitable for inclusion in              www.tfgm.com
the portfolios of respiratory physiotherapists, being part of a
programme of education offered by the British Thoracic Society.          By bicycle
A CPD record form is available via the CSP's Members' Resources          Transport for Greater Manchester (TfGM) provide information
section of the CSP website:                                              on cycling via the TfGM cycling website: www.tfgm.com/cycling
www.csp.org.uk/professional-union/careers-development/                   They also provide free pdf maps for the city and an online
cpd/csp-eportfolio/my-eportfolio-0/cpd-resources                         interactive map to help you plan your journey.

                                                                         By car
Accommodation
                                                                         Please visit the University of Manchester website;
Allocations of bedrooms at conference rates at hotels near to            www.manchester.ac.uk/discover/maps/ and follow directions to
the venue have been secured by MICE Concierge, who should be             the Sackville Street campus. The nearest car park is the multi-storey
contacted direct for all accommodation queries. Please follow the        at Charles Street which offers paid public parking.
link below for details on hotels, restaurants and places to visit, and
to make a hotel booking.                                                 By air
Website: miceconcierge.com/events/btssummer2018                          The nearest airport is Manchester Airport, which is located about 30
Email: hello@miceconcierge.com                                           minutes from the University. The airport is linked to the city by: train
                                                                         (24-hour train service to Piccadilly station); taxi (approximately £20 to
Telephone: 01438 908 770                                                 the Renold Building); and buses. For more information please visit the
                                                                         Manchester Airport website: www.manchesterairport.co.uk

                                                                                                             Programme and Booking Form        11
BOOKING CONDITIONS
PLEASE READ THIS SHEET CAREFULLY BEFORE COMPLETING
THE REGISTRATION FORM IN BLOCK CAPITALS
EARLY REGISTRATION is strongly recommended. The Early                    CANCELLATION POLICY
Bird booking deadline is 09:00 on MONDAY 30TH APRIL 2018.
                                                                         For cancellations received before Monday 28th May 2018, we will
All applications received after this date will not be able to have
                                                                         refund registration fees paid, minus a 25% administration charge.
the Early Bird rate.
                                                                         No refunds are payable for cancellations received AFTER 28TH
For catering and organisation purposes we ask that all participants      MAY 2018. This will include cancellations due to travel difficulties
register in advance. On-line registration will be open up until          or other matters that are out with the Society's control. If you feel
Friday 14th June 2018, but if you register after 09:00 on Monday         there are extenuating circumstances which warrant a full refund,
11th June 2018, there will be an additional charge of £20.00 and         please write to the Chief Executive via:
your badge and other materials will need to be collected on site at
                                                                         bookings@brit-thoracic.org.uk
the Meeting. You may register on site on the day of the Meeting,
and the £20.00 surcharge will also be payable.                           The Society will NOT refund delegate fees if the delegate
Final conference materials and badges will be sent out to                has accepted the offer of support for attendance from a
delegates by post in the week beginning Monday 28th May 2018             pharmaceutical company after a booking has been made.
and on a daily basis for late bookings, up to Friday 8th June 2018.
After that, badges will be available for collection on arrival at the
conference.                                                              CPD
If booking using the tear-off form, please compete it as fully as        The BTS Summer Meeting 2018 has been approved by the
possible. It is essential that you include all relevant information if   Federation of the Royal Colleges of Physicians of the UK for
you are booking by credit/debit card. We prefer bookings to              12 category 1 (external) CPD credits (6 per day) with CPD code:
be made on-line, but there are some exceptions.                          117006. We will automatically register all eligible delegates
                                                                         for CPD when they pre-register for the Meeting.
You MUST book by post, fax or email with scanned-in form if:
•    You are claiming the non-member concessionary rate,
     which is offered this year to members of ARNS, ACPRC                ATTENDANCE CERTIFICATES
     and ARTP. The booking form must be accompanied by
                                                                         Will be available after the Meeting to download from the
     proof of membership of these organisations;
                                                                         BTS website.
•    You are claiming the non-member concessionary rate
     and are a medical student or registered research student.
     You must also send proof of status at the time.                     Please return your completed registration form(s) to:
Fully retired members of the Society are no longer exempt                SUMMER MEETING REGISTRATION
from the registration fee, but are entitled to the BTS members'          THE BRITISH THORACIC SOCIETY
concessionary delegate rate. Bookings can be made on-line                17 DOUGHTY STREET
or by post.                                                              LONDON
Those members who have retired from full-time working but who            WC1N 2PL
are undertaking remunerated/sessional employment must pay
the concessionary or full delegate rate depending on their BTS           Telephone: 020 7831 8778
membership category.
                                                                         Fax: 020 7831 8766
The attendance fee for the Meeting includes the cost of
a two-course lunch, tea and coffee during the mid-morning                Email: bookings@brit-thoracic.org.uk
and afternoon refreshment breaks, and the Thursday
evening reception.
                                                                         We may need to contact you regarding some aspect of your
The President’s Reception will be held on Thursday 14th June             registration form. It is therefore vital to advise us of your
from 5.30pm to 6.30pm. This is free of charge but, for catering          telephone number(s) and email address.
purposes, we need to know whether you want to attend. The
BTS President will present the prizes for the Clinical Grand Round
competition and the Abstract Prizes at the reception. Visit the
BTS website for more information:
http://www.brit-thoracic.org.uk

12                                                                                                  British Thoracic Society Summer Meeting 2018
BOOKING DETAILS
BTS SUMMER MEETING 2018, MANCHESTER
(Please see information overleaf for details of relevant charges and complete all sections in BLOCK CAPITALS)

 CONFERENCE                     ATTENDANCE                 TOTAL          NON-MEMBERS
                                (please tick)              COST           If you are not a BTS member, please indicate your professional
Thurs 14 June 2018
          th
                                                           £              status/job title here:

Friday 15th June 2018                                      £
                                                                          And your place of work:
Add £20.00 if booking after 9am on Mon 11th June           £

Grand total                                                £
                                                                          PAYMENTS
DIETARY REQUIREMENTS                                                      GRAND TOTAL ENCLOSED                    £
       Please tick here if you require vegetarian food
                                                                          PAYMENT BY CHEQUE
Please indicate any other special dietary requirements                    Please send your cheque* with your Registration Form,
                                                                          for the above amount made payable to:
                                                                          THE BRITISH THORACIC SOCIETY (not BTS)
                                                                          * Payment from overseas: If not by credit card, should be by
DO YOU HAVE ANY OTHER SPECIAL                                             Banker’s Draft in London, free of all charges, or by International
REQUIREMENTS?                                                             Money Order.
(wheelchair access, hearing needs, etc)?
                                                                          INVOICES
                                                                          Invoices will only be issued to Finance Departments and
                                                                          the full address, contact name, telephone number and email
                                                                          address of a contact in the Finance Department must be
CONFERENCE SOCIAL EVENT                                                   provided on the booking form. A purchase order form
                                                                          should also be provided.
Conference Reception – Thursday 14th June at 5.30pm
Attendance is free of charge, but we would appreciate
knowing in advance if you are likely to attend.

       Yes                    No

PAYMENT BY CREDIT CARD                                                    Credit/Debit Card Address
                                                                          (ie address where all correspondence concerning your credit/debit
Please debit my:                                                          card is sent, please include house names where relevant)
                                                                          ADDRESS
Credit/Debit Card for the above stated amount.
(Complete by filling in which card you are using. The BTS can accept
MASTERCARD, VISA, EUROCARD, MAESTRO and SOLO cards).
We cannot accept American Express or Diners Club credit cards or Visa     POST CODE                          COUNTRY
Corporate Purchase cards beginning with 4715 or 4484. These are now
in use by some NHS Trusts and companies but BTS is not registered to
accept these cards.
                                                                          SIGNATURE

NAME (as it appears on the card)
                                                                          DATE

                                                                          NB: This form MUST be signed if payment is by Credit/Debit Card

CARD NUMBER                                                                                                        VALID FROM (MM/YY)

                                                                                                                                 /

EXPIRY DATE (MM/YY)                   ISSUE NUMBER (Maestro cards only)      THREE DIGIT SECURITY CODE (on the reverse of card)

               /                                                                                  This is mandatory for all types of card

                                                                                                             Programme and Booking Form        13
FOR OFFICE USE ONLY
  BTS MEMBERSHIP NO:                                                                   REGISTRATION NO:

REGISTRATION FORM
BTS SUMMER MEETING 2018, 14th AND 15th JUNE, MANCHESTER
BEFORE RETURNING THIS FORM PLEASE CHECK:                                             Are you a BTS member?
• That you have checked the GRAND TOTAL is correct
                                                                                     If so: PLEASE TICK                           MEMBERSHIP NUMBER
• If payment is by credit/debit card, that you have SIGNED
  the form and quoted the correct card number and expiry
                                                                                     		                                           (if known)
  date. For payments by Maestro, please enter VALID FROM
  and ISSUE NUMBER information where indicated                                       A full member?
• If payment is by cheque, that this is enclosed
                                                                                     A concessionary rate
APPLICANT DETAILS                                                                    member, including a
TITLE                                                                                fully retired member?*

                                                                                     If you are not a BTS member, please indicate if you are a member of:
FIRST NAME
                                                                                     ARNS                        ACPRC                          ARTP
SURNAME
                                                                                     A medical student                        A research student
ADDRESS - Please enter your preferred mailing address. We
recommend that this is your home address if this is a late booking.
                                                                                     *CONCESSIONARY RATE
                                                                                     BTS concessionary rate members (including fully retired members) are entitled
                                                                                     to register at the BTS members' concessionary rate. The Society is pleased to be
                                                                                     able to offer a non-members' concessionary rate to members of ARNS, ACPRC
POST CODE                             COUNTRY                                        and ARTP, plus medical students and registered research students. If you are not
                                                                                     a BTS member and wish to take advantage of this offer, you must book by post,
                                                                                     by email using a scanned-in form or by fax rather than on-line, because you are
DAY TEL                                                                              required to send proof of membership of the named organisations, or of student
                                                                                     status. BTS reserves the right to refuse the concessionary rate if such proof
EXT			                             BLEEP                                             is not made available. Refunds will not be given if you do not comply with
                                                                                     these requirements.
EMAIL
                                                                                     RETIRED MEMBERS
JOB TITLE                                                                            Retired members who are no longer in sessional employment are no longer able
                                                                                     to attend free of charge, but can claim the BTS members' concessionary rate.
PLACE OF WORK                                                                        Other BTS members are required to pay the delegate rate that matches their
                                                                                     membership fee band.

                                                                  DAILY CHARGES
                                                                EARLY BIRD                                           ADVANCE BOOKINGS
DEADLINE                                            Before 09:00 on 30 April 2018
                                                                            th
                                                                                                           After 09:00 on 30th April 2018 but before
                                                                                                                   09:00 on 11th June 2018
BTS members                                                  £120.00 per day                                              £150.00 per day

Non BTS members                                              £160.00 per day                                              £200.00 per day
BTS members' concessionary
                                                              £50.00 per day                                               £70.00 per day
rate, including fully retired
Non BTS members'
                                                              £70.00 per day                                              £100.00 per day
concessionary rate
Please note that all bookings received after 09:00 on 11th June 2018, whether made on-line, using the booking form or at the desk on the day,
will be subject to an additional charge of £20.00

ACCOMMODATION
A hotel booking service for delegates is being operated by MICE Concierge. Please contact MICE directly for all your
accommodation queries (please see page 11). The BTS office is not able to deal with hotel queries.
Book your hotel at: https://miceconcierge.com/events/btssummer2018

                           British Thoracic Society
                           The British Thoracic Society is a Company Limited by Guarantee. Registered in England and Wales with number 1645201.
                           Registered Office: 17 Doughty Street, London, WC1N 2PL • The British Thoracic Society is a Charity registered in England
                           and Wales with number 285174, and registered in Scotland with number SC041209
                           www.brit-thoracic.org.uk
BTS SHORT COURSE – PREPARING
FOR THE RESPIRATORY SCE 2018
WEDNESDAY 13TH JUNE
Renold Building, the University of Manchester
This BTS Short Course will be held on the day before the Summer
Meeting. The Course has been developed specifically for Specialist
Trainees in Respiratory Medicine preparing to take their SCE.
The Course is not designed to cover the entire curriculum, but
will explore five clinical areas, identified as requiring more focus by
previous SCE examinations, and will be led by consultants who are
recognised experts in their fields. Please see the separate Short
Course information, registration and delegate fee details
on the website at:
www.brit-thoracic.org.uk/bts-learning-hub/short-courses/
British Thoracic Society
The British Thoracic Society is a Company Limited by Guarantee. Registered in England and Wales with number 1645201.
Registered Office: 17 Doughty Street, London, WC1N 2PL • The British Thoracic Society is a Charity registered in England
and Wales with number 285174, and registered in Scotland with number SC041209
www.brit-thoracic.org.uk
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