SUMMER MEETING 2019 RENOLD BUILDING THE UNIVERSITY OF MANCHESTER, M1 7JR - THURSDAY 13th AND FRIDAY 14th JUNE - British Thoracic Society
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SUMMER MEETING 2019 THURSDAY 13th AND FRIDAY 14th JUNE RENOLD BUILDING THE UNIVERSITY OF MANCHESTER, M1 7JR FINAL PROGRAMME CONFERENCE INFORMATION SPEAKERS’ DETAILS PRESENTATION SUMMARIES ABSTRACT PRIZES Please see our website: brit-thoracic.org.uk
IMPORTANT INFORMATION – PLEASE
THANK YOU
READ PRIOR TO TRAVELLING
The British Thoracic Society
This booklet contains the following information: gratefully acknowledges the
financial support of the under
• Programme at a glance
listed companies at the Summer
• Welcome letter Meeting 2019. None of them have
• Travel directions and a map of Manchester had any input into the programme
content or the planning of the
• General conference information
conference. Furthermore, the
• Accommodation information Society does not allow any
• Venue floor plans sponsored symposia at this
event, within the programme or
• The final programme associated in any way with it:
• Speakers’ details and presentation summaries Actelion Pharmaceuticals UK Ltd
• Abstract Prizes short-listed abstracts AstraZeneca
• List of exhibitors bioMerieux UK Ltd
BOC Healthcare
Your delegate badge is enclosed with this booklet. Please contact BTS before Chiesi Ltd
10th June if your badge is missing (email: bookings@brit-thoracic.org.uk or tel:
020 7831 8778). Alternatively, please visit the BTS reception desk in the foyer Erbe Medical UK
on the ground floor of the Renold Building on arrival at the conference. Gas Control Equipment Ltd
If all is present and correct in the delegate pack then, on arrival at the conference, GlaxoSmithKline
please just collect a lanyard and conference bag from the BTS registration area
Mallinckrodt
and proceed directly to the conference rooms. There is no need to 'sign in' at the
conference reception when you arrive. my mHealth Ltd
Please ensure that you wear your delegate badge at all times at the conference. Nuvoair
If you are not wearing it, you will be asked to contact the BTS reception desk to Orion Pharma UK Ltd
confirm your booking and will then be given another badge.
Sanofi
Trudell Medical UK Ltd
DATES OF FUTURE BTS MEETINGS
Winter Meeting 2019 Wednesday 4th to Friday 6th December, London
Summer Meeting 2020 Thursday 11th and Friday 12th June, Manchester
Winter Meeting 2020 Wednesday 2nd to Friday 4th December, London
PROGRAMME AT A GLANCE THURSDAY 13TH JUNE 2019
Time Details Location (ground floor,
unless noted otherwise)
8.30am – 9.30am Registration, refreshments, exhibition viewing and physiology poster quiz C8 & C15 (ground floor)
B1 (lower ground floor)
9.30am – 11.00am Clinical year in review C16
9.30am – 11.00am Joint BTS/BSTI thoracic imaging symposium: rare lung disease C2
9.30am – 11.00am Self-management and pulmonary rehabilitation in COPD – are we blurring C9
the boundaries?
11.00am – 11.30am Refreshments, exhibition viewing, BTS Abstract Prizes posters and C8 & C15 (ground floor)
physiology poster quiz B1 (lower ground floor)
11.30am – 1.00pm Mini short course: update on sleep in 2019 (part 1) C16
11.30am – 1.00pm Clinical grand round C2
11.30am – 1.00pm Pleural disease MDT – putting the research into practice C9
1.00pm – 2.00pm Lunch, exhibition viewing, BTS Abstract Prizes posters and physiology C8 & C15 (ground floor)
poster quiz B1 (lower ground floor)
2.00pm – 2.30pm Abstract Prizes session – Improving quality and excellence in patient care C9
2.30pm – 4.00pm Mini short course: update on sleep in 2019 (part 2) C16
2.30pm – 4.00pm How to manage acute pulmonary embolism: a practical approach C2
2.30pm – 4.00pm Respiratory research: the how, why and when C9
4.00pm – 4.30pm Refreshments, exhibition viewing, BTS Abstract Prizes posters and C8 & C15 (ground floor)
physiology poster quiz B1 (lower ground floor)
4.30pm – 6.00pm Oxygen: supply and demand C16
4.30pm – 6.00pm TB or not TB, that is the question C2
4.30pm – 6.00pm Is it critical to care? C9
6.00pm – 7.00pm Conference reception (all welcome!) C15 foyer
FRIDAY 14TH JUNE 2019
Time Details Location
8.30am – 10.00am MDT management of malignant airway obstruction C16
8.30am – 10.00am The good, the bad and the ugly: improving outcomes in occupational C2
lung disease
8.30am – 10.00am COPD: find them, treat them, do it better C9
10.00am – 10.30am Abstract Prizes session – Innovation in service delivery and/or education and C9
training in respiratory
10.30am – 11.00am Refreshments, exhibition viewing, BTS Abstract Prizes posters and C8 & C15 (ground floor)
physiology poster quiz B1 (lower ground floor)
11.00am – 11.55am Guest lecture C16
12.00pm – 1.30pm Mini short course: ILD and sarcoidosis (part 1) C16
12.00pm – 1.30pm Joint BTS/ARTP symposium: MDT case presentations C2
12.00pm – 1.30pm Politics and persuasion: developing a service in the NHS C9
1.30pm – 2.30pm Lunch, exhibition viewing, BTS Abstract Prizes posters and physiology C8 & C15 (ground floor)
poster quiz (exhibition closes at 2.30pm) B1 (lower ground floor)
2.30pm – 4.00pm Mini short course: ILD and sarcoidosis (part 2) – MDT panel discussion C16
2.30pm – 4.00pm The cure for tobacco dependency C2
2.30pm – 4.00pm Difficult asthma: the perspectives of clinicians and patients C9
4.00pm – 4.30pm Refreshments and conference ends C8
NEW SESSIONS THIS YEAR! BTS Summer Meeting Abstract Prizes – see pages 10, 14 and 30-38 for details.
Final Programme 3
WELCOME TO THE SUMMER MEETING
AND WELCOME BACK TO MANCHESTER!
It is my great pleasure to welcome you to • Physiology poster quiz and exhibition – during the breaks you can
Manchester for the BTS 2019 Summer Meeting. also challenge yourself with the physiology poster quiz. Please
As always, the Summer Meeting provides a do also take time to visit the commercial exhibition, providing the
comprehensive, clinically grounded programme, opportunity for industry to show case new pharmaceutical evidence
delivering a wide range of topics. After the or new investigative or therapeutic equipment.
success of last year’s Meeting I am confident, • Meet the BTS team and me at the BTS stand during the breaks.
yet again, that we have a programme that It is my aim as Chair to ensure the Summer Meeting continues to
delivers for the whole respiratory team. provide excellent educational and clinically relevant content to ALL
Highlights this year include: members of the respiratory team. Please stop by the BTS stand
• Mini short courses in ILD and sarcoidosis, and sleep medicine. Two and leave your comments and thoughts about what you would like
symposia in each of these topics provides a comprehensive and in- to see in future years – or please do approach me directly. The BTS
depth clinical learning opportunity. stand will also provide a great location to meet fellow professionals,
• Abstract Prizes in “Improving quality and excellence in patient care” network and share ideas.
and “Innovation in service delivery and/or education and training in • All delegates are invited to the President's Reception in the
respiratory” return. Following a submission and refereeing process, conference centre at 6.00pm on Thursday 13th June, where prizes
the short-listed posters will be on view in the B1 foyer on the lower will be awarded for the Abstract Prizes and Clinical Grand Round.
ground floor. New this year – the work will also be presented in Please come and find me there as well to share your ideas, or tweet
spoken sessions in the C9 lecture theatre, so please come along your views, questions and opinions: #BTSSummer2019
and support the authors and share good practice. The posters and
presentations will be judged on the day and prizes awarded to the I am certain the programme will contain plenty to interest
overall winners during the conference reception. and stimulate all delegates, giving all those who deliver care
• The Clinical Grand Round as ever is an important part of the to respiratory patients the opportunity to learn, discuss and
programme, where three finalists will battle it out under the scrutiny network. I look forward to meeting you and hope that you have a
of a judging panel and audience. Can I urge you to support the stimulating and enjoyable visit to Manchester.
symposium – come and listen to the challenging cases and pose
equally challenging questions to the presenters. The overall winner
will receive a prestigious and lucrative prize.
• Digital Chairs – look out for sessions with digital chairs. This will
allow you to pose questions online via Sli.do, which our digital team
will collate and present to speakers.
• Symposia in a broad range of topics from ICU medicine to
occupational lung disease. To aid trainee delegates the programme
has been mapped to the respiratory curriculum. Dr John Park
• We are very pleased to confirm that Professor Mike Morgan, National Chair, BTS Education and Training Committee
Clinical Director for Respiratory Services in England, will be giving the
Guest Lecture, focussing on the inclusion of Respiratory into the
NHS 10-year plan.
MEETING INFORMATION
THE VENUE CONFERENCE SESSIONS
RENOLD BUILDING, THE UNIVERSITY OF MANCHESTER, M1 7JR The conference sessions will also be held on the ground floor
in lecture theatres C2, C9 and C16.
The Renold Building is conveniently located a five-minute walk from
Manchester Piccadilly train station. Further information
and directions may be found via: BTS SUMMER MEETING ABSTRACT PRIZES
www.manchester.ac.uk/discover/maps/ The Summer Meeting Abstract Prizes have been short-listed in
two categories: “Improving quality and excellence in patient care”
Registration will be located in the Renold Building C8 foyer on the and “Innovation in service delivery and/or education and training
ground floor, accessed via the main entrance on Altrincham Terrace. in respiratory”. Following a submission and refereeing process,
the short-listed posters will be on view in the B1 foyer on the lower
SECURITY ground floor. New this year – the work will also be presented in
Please keep valuables with you at all times, especially mobile spoken sessions in the C9 lecture theatre (please see pages 10,
telephones and laptops. Neither BTS nor the University of 14 and 30 to 38). The posters and presentations will be judged
Manchester can be held responsible for the disappearance of on the day and prizes will be awarded to the overall winners during
personal items while delegates are attending the conference. the conference reception and just before the Guest Lecture.
EXHIBITION AND PHYSIOLOGY POSTER QUIZ
CLOAKROOM
Please take time to visit the exhibition and charity/association stands
A staffed cloakroom is provided in Room D1 on the first floor, located in the C8 and C15 foyers on the ground floor. Also, the
where participants may securely leave coats and overnight bags physiology poster quiz located in the C15 foyer. The Society is very
free of charge. grateful to colleagues from the Royal Berkshire Hospital, Reading, for
organising the lung function quiz: Karena Cranstone, Jessica Farrow,
Lauren Kimberley, Manisha Perera, Emily Seaman and Mark Unstead.
4 British Thoracic Society Summer Meeting 2019MEET THE BTS TEAM A form is available on page 46 of this document:
https://www.nmc.org.uk/globalassets/sitedocuments/
The BTS and Respiratory Futures stand in the C8 foyer will provide a revalidation/how-to-revalidate-booklet.pdf
focal point for delegates to meet, network and share ideas. Members
of the BTS and Respiratory Futures teams will be available on the
stand during the breaks. CHARTERED SOCIETY OF
PHYSIOTHERAPISTS CPD
INTERNET ACCESS The Summer Meeting should be suitable for inclusion in the portfolios
Wireless internet access is available throughout the building via The of respiratory physiotherapists, being part of a programme of
Cloud network, as follows; education offered by the British Thoracic Society. A CPD record
form is available via the CSP's Members' Resources section of the
• Check your Wi-Fi is on CSP website: http://www.csp.org.uk/professional-union/careers-
• Select “The Cloud” from the available network list development/cpd/csp-eportfolio/my-eportfolio-0/cpd-resources
• Open browser and follow on screen instructions to register or
log on CERTIFICATES OF ATTENDANCE
• Once registered, connection will be automatic without the need Certificates of attendance for all participants may be printed on line
to re-enter your username and password each time. after the Meeting, using the unique booking reference contained in
the booking confirmation email.
DIGITAL QUESTIONS – Sli.do
CONFERENCE RECEPTION AND AWARD
Each session at the Summer Meeting will include time for questions
– both from the floor but also, in some sessions, via a web application PRESENTATIONS
called Sli.do. This is an easy to use website or app for phones, tablets On Thursday 13th June from 6.00pm, all participants are warmly
or laptops. Participants will be able to either ask their own questions invited to join us in the exhibition area for an informal early evening
via the app, or may vote for the question/s that others have asked reception with wine, beer, soft drinks and nibbles. Presentations will
and that they would most like answered. We recommend that you be made to the finalists participating in the Summer Meeting Abstract
download the App to your phone/tablet before arriving at the Prizes and Clinical Grand Round Competition. The reception will end
venue. The programme pages detail in which sessions Sli.do will be at approximately 7.00pm to enable participants to enjoy the many
available, and further details are available in the Virtual Conference restaurants and social activities that Manchester has to offer.
Bag on the BTS website.
ACCOMMODATION
REFRESHMENTS For last-minute hotel bookings, please contact MICE Concierge:
All refreshment services will be in the exhibition areas on the ground
Tel: 01438 908 770
floor and foyer B1 on the lower ground floor. Lunch will be a stand-up
buffet with limited seating in the Enigma Café. We regret that only a Email: hello@miceconcierge.com
limited number of lunches will be available for delegates who register Website: ttp://www.miceconcierge.com/events/
h
on the day of the conference. btssummer2019
USEFUL CONTACT DETAILS IN MANCHESTER
BTS reception desk (12th, 13th & 14th June only): 0161 306 4099
TWITTER
Venue website: http://www.conference.manchester.ac.uk
Increase your participation by Tweeting about the Summer
Meeting using #BTSSummer2019
VIRTUAL CONFERENCE BAG
As part of the Society's ambition to be more environmentally-friendly,
reduce paper use and wastage, we will not have conference bags full
of literature. Instead, please visit the BTS website for updates to the BTS Short Courses – Wednesday 12th June
programme, company literature and other useful information about
the Meeting: Manchester Conference Centre – please note this is not the
same venue as the Summer Meeting
https://www.brit-thoracic.org.uk/education-and-events/
summer-meeting/ • Preparing for the Respiratory SCE 2019
• Introduction to Respiratory Medicine
POSTGRADUATE MEDICAL TRAINING These two BTS Short Courses will be held on the day before the
The BTS Summer Meeting 2019 has been approved by the Federation Summer Meeting at Manchester Conference Centre, which is a
of the Royal College of Physicians of the United Kingdom for 12 category five-minute walk from the Renold Building. For further details,
1 (external) CPD credits (6 per day). CME number 123439. We will please see the Short Course information on the website at:
automatically register all eligible medically qualified delegates for CME. https://www.brit-thoracic.org.uk/education-and-events/
bts-short-courses/
NURSING AND MIDWIFERY COUNCIL
REVALIDATION
By attending the Summer Meeting, it would be possible for nurses
to demonstrate CPD and write reflective accounts to support their
revalidation. These relate to the NMC Code for Professional Standards
of Practice and Behaviour for Nurses and Midwives, including:
• what you learnt from the sessions;
• how you will change or improve your practice as a result;
• how this is relevant to the Code – prioritising people, practising
effectively, preserving safety or promoting professionalism and trust.
Final Programme 5TRAVELLING TO THE RENOLD BUILDING FINDING YOUR
WAY AROUND
THE VENUE
Main entrance:
Renold Altrincham Terrace (ground floor)
Building
Cloakroom:
Room D1 (first floor)
MANCHESTER
PICCADILLY
BTS Registration:
C8 foyer (ground floor)
Conference rooms (all ground floor):
MANCHESTER C2 lecture theatre
OXFORD ROAD C9 lecture theatre
C16 lecture theatre
Exhibition and catering:
C15 foyer (ground floor)
B1 foyer (lower ground floor)
By train
The University of Manchester is located close to both Piccadilly main line Physiology poster quiz:
station and Oxford Road train station, with Victoria train station a little C15 foyer (ground floor)
further away. For details of timetables, tickets and other rail information,
please visit the National Rail Enquiries website: Abstract Prize posters:
www.nationalrail.co.uk B1 foyer (lower ground floor)
The Renold Building is on the Sackville Street area of the campus and is Speakers' preview room:
within five minutes' walk of Piccadilly Station. Leave the station via the Room D5 (first floor)
Fairfield Street exit (where the taxi rank is), cross London Road, and down
Fairfield Street, which is straight ahead. Continue down Fairfield Street and Private meeting room:
the Renold Building is on the left. Room D2 (first floor)
By bus or tram Prayer room:
For information on bus and tram timetables, services and tickets visit the Room D6 (first floor)
Transport for Greater Manchester (TfGM) website:
www.tfgm.com
By bicycle
Transport for Greater Manchester (TfGM) provide information
on cycling via the TfGM cycling website: www.tfgm.com/cycling
They also provide free pdf maps for the city and an online interactive map
to help you plan your journey.
By car
Please visit the University of Manchester website;
www.manchester.ac.uk/discover/maps/ and follow directions to the Sackville
Street campus. The nearest car park is the multi-storey at Charles Street
which offers paid public parking.
By air
The nearest airport is Manchester Airport, which is located about 30 minutes
from the University. The airport is linked to the city by: train (24-hour train
service to Piccadilly station); taxi (approximately £20 to the Renold Building);
and buses. For more information please visit the Manchester Airport website:
www.manchesterairport.co.uk
6 British Thoracic Society Summer Meeting 2019FLOOR PLANS OF THE RENOLD BUILDING
Main entrance
Altrincham Terrace
Non-commercial stands
Registration &
C9
Parallel Theatre C8 Foyer
C16
Plenary/Parallel Theatre
Enigma Cafe
Delegate seating
C2 C15 Foyer
Parallel Theatre Exhibition & Catering
Lung physiology
quiz posters
G
Lift Power Point Fire Call Point
(C) Toilets WiFi = 1m
Vending
B1 Foyer
Abstract Prize Posters
& Catering
LG
Lift Power Point Fire Call Point
floor
(B) Toilets WiFi = 1m
Final Programme 7PROGRAMME – THURSDAY 13TH JUNE 2019
C8 and C15 foyers (ground floor) Learning objectives
8.30am – 9.30am REGISTRATION 1) To understand the radiological features of cystic lung
Refreshments and visit the exhibition stands, BTS Abstract diseases.
Prize posters and physiology poster quiz - To understand the correlation between histological and
radiological features of cystic lung diseases.
9.30am – 11.00am SIMULTANEOUS SYMPOSIA - To understand the role of different imaging modalities in
diagnosis and management of cystic lung diseases.
C16 lecture theatre (ground floor)
2) To understand radiological presentation of rare infections
CLINICAL YEAR IN REVIEW post-lung transplantation.
Chaired by: Dr John Park (Reading) - To distinguish radiological features of post-lung transplant
1) Tackling cough diseases, such as bronchiolitis obliterates syndrome and
Professor Jacky Smith (Manchester) alveolar haemorrhage.
2) Pneumonia - To understand the contribution of multiple imaging
Professor Wei Shen Lim (Nottingham) modalities and imaging other organs in addition to the lungs
to demystifying complex presentations.
3) Cystic fibrosis
Dr Helen Rodgers (Edinburgh) 3) To discuss some unusual diseases/tumours in both the lungs
and pleura.
Learning objectives
- To understand the different imaging modalities used in
1) To gain an update of important publications and their problem solving.
relevance to clinical management of cough.
- To consolidate the learning by showing lots of images/
2) To gain an update of important publications and their examples.
relevance to clinical management of pneumonia.
Curriculum mapping
3) To gain an update of important publications and drug
developments and their relevance to clinical management of D5: Abnormal chest X-ray
cystic fibrosis that is relevant to respiratory trainees and non- E8: Pulmonary disease in the immunocompromised host
CF specialists. E14: Disorders of pleura and mediastinum
E19: Genetic and developmental lung diseases
Curriculum mapping
E20: Lung transplantation
D2: Cough
E22: Imaging techniques
E6: Pulmonary infection
(Interactive keypad voting may be in use in this session)
E16: Cystic fibrosis
K1: Use of evidence and audit
C9 lecture theatre (ground floor)
C2 lecture theatre (ground floor) SELF-MANAGEMENT AND PULMONARY REHABILITATION IN
COPD – ARE WE BLURRING THE BOUNDARIES?
JOINT BTS/BSTI THORACIC IMAGING SYMPOSIUM: RARE
LUNG DISEASE Chaired by: Professor Mike Morgan (Leicester) and Ema
Swingwood (Bristol)
Chaired by: Dr Paras Dalal (London) and Dr Shahideh Safavi
(Nottingham) Digital Chair (Sli.do questions): Ema Swingwood (Bristol)
1) Cystic lung disease: a radiologist’s perspective 1) Unravelling the recent Cochrane and systematic reviews on
Dr Kate Pointon (Nottingham) self-management in COPD
Dr William Man (London)
2) Rare lung diseases post-transplantation: a radiological
challenge 2) Pulmonary rehabilitation: why is it such a high value
Dr Paras Dalal (London) intervention for COPD?
Dr Claire Nolan (London)
3) Rare thoracic diseases
Dr Anna Sharman (Manchester) 3) Enabling informal carers to support patients with COPD
Dr Morag Farquhar (Norwich)
8 British Thoracic Society Summer Meeting 2019Learning objectives C2 lecture theatre (ground floor)
1) The importance of pulmonary rehabilitation for the individual CLINICAL GRAND ROUND
with COPD and its place in the management of COPD. Chaired by: Dr John Park (Reading)
2) Successful components of self-management in COPD. Judged by:
3) The role of PR across the spectrum of COPD. Alison Armstrong (Newcastle upon Tyne)
4) Understanding the role of the carer in the delivery of care. Dr Mark Elliott (Leeds)
Dr Eric Livingston (Glasgow)
Curriculum mapping
1) Go with the flow: diagnosing a lymphocytic pleural effusion
A1: The patient as central focus of care
C Hyams, N A Maskell. University of Bristol, Bristol
B5: Decision making and clinical reasoning
B6: Evidence and guidelines 2) A case of a rapidly progressing cavitating lesion
A Waqar, D Connell, T Fardon, N Rae, A Shaw.
B7: Relationships with patients and communication within a
NHS Tayside, Dundee
consultation
C12: Encouraging innovation 3) A difficult case of hypoxia
C13: Facilitating transformation E Keelan, N Magee, P McKeagney, J McCafferty, N McKeag.
Belfast City Hospital, Belfast
C15: Applying knowledge and evidence
D1: Breathlessness Learning objectives
E3: Chronic obstructive pulmonary disease (COPD) The above three finalists, selected after evaluation of a host of
E24: Pulmonary rehabilitation submissions, will present interesting clinical scenarios, highlighting
E28: Managing long term conditions: integrated care and the diagnostic dilemmas and complex management decisions. A winner
promotion of self-care. will be chosen following the session and will be announced during
the Conference Reception, where a cash prize will be awarded.
C8 and C15 foyers (ground floor) and B1 foyer (lower ground floor) (Interactive keypad voting will be in use in this session)
11.00am – 11.30am Refreshments and visit the exhibition
stands, BTS Abstract Prize posters and physiology poster quiz C9 lecture theatre (ground floor)
PLEURAL DISEASE MDT – PUTTING THE RESEARCH INTO
11.30am – 1.00pm SIMULTANEOUS SYMPOSIA PRACTICE
C16 lecture theatre (ground floor) Chaired by: Professor Najib Rahman (Oxford)
MINI SHORT COURSE: UPDATE ON SLEEP IN 2019 (PART 1) A series of cases will be presented and discussed by a multi-
disciplinary panel:
Chaired by: Dr Ari Manuel (Liverpool) and Dr Grace Robinson
Dr Rachel Benamore (Oxford)
(Reading)
Dr Rahul Bhatnagar (Bristol)
Digital Chair (Sli.do questions): Dr Hussain Basheer (London) Dr Kevin Blyth (Glasgow)
1) New technologies for screening and treatment of OSA Mr John Edwards (Sheffield)
Dr Chris Carlin (Glasgow) Dr Matthew Evison (Manchester)
2) Integrating remote monitoring into clinical practice: a Mrs Jennifer Latham (Inverness)
practical approach
Rosie Fillingham (Derby) Learning objectives
3) Phenotyping OSA: individualised treatment for sleep apnoea A variety of clinical cases will be presented in this session to
Dr Milind Sovani (Nottingham) encompass the breadth of pleural pathology. Management
will be discussed and related to recent guidelines and research
Learning objectives publications.
1) Update on current techniques for diagnosis and Curriculum mapping
management of OSA, including remote monitoring.
B5: Decision making and clinical reasoning
2) Update on current DVLA regulations of patients with OSA. B6: Evidence and guidelines
3) Update on non-respiratory sleep pathologies. D1: Breathlessness
D7: Pleural effusion
Curriculum mapping
E4: Thoracic oncology
C11: Ensuring patient safety
E5: Thoracic surgery
C12: Encouraging innovation
E14: Disorders of the pleura and mediastinum including
E11: Sleep breathing related disorders pneumothorax
F3: Sleep disorders E22: Imaging techniques
F4: Non-invasive ventilation and CPAP E26: Palliative care
G1: Prioritisation of patient safety in clinical practice
(Interactive keypad voting may be in use in this session)
Final Programme 9C8 and C15 foyers (ground floor) and B1 foyer (lower ground floor) 1) Driving and OSA: the DVLA, complex cases and what you
1.00pm – 2.00pm Lunch and visit the exhibition stands, need to know
BTS Abstract Prize posters and physiology poster quiz Dr Dipansu Ghosh (Leeds)
2) Mild OSA: what to do?
Professor Mary Morrell (London)
2.00pm – 2.30pm ABSTRACT PRIZES SPOKEN SESSION
3) Things that go bump in the night: a respiratory clinician’s
C9 lecture theatre (ground floor) guide to non-respiratory sleep pathologies
IMPROVING QUALITY AND EXCELLENCE IN PATIENT CARE Dr Kirstie Anderson (Newcastle)
Submissions refereed by: Dr Sanjay Agrawal (Leicester), Dr John Learning objectives and curriculum mapping
Park (Reading) and Ema Swingwood (Bristol)
See Part 1
Shortlisted abstracts judged by: Dr Mark Elliott (Leeds) and Ema
Swingwood (Bristol)
The five abstracts shortlisted for the Summer Meeting Abstract C2 lecture theatre (ground floor)
Prizes will be presented during this session, with the associated HOW TO MANAGE ACUTE PULMONARY EMBOLISM: A
posters on display in the B1 lower foyer. PRACTICAL APPROACH
1) The CURE project: treating tobacco addiction in hospitalised Chaired by: Dr Robin Condliffe (Sheffield) and Dr Martin Johnson
sick smokers (Glasgow)
C Pearse1, H Huddart1, M Baugh1, E Ashton1, M Rutherford1, 1) Who should undergo reperfusion therapy and how?
C Kearney1, M Evison1, F Howle2, J Hirst2. MFT, Manchester1; Dr Robin Condliffe (Sheffield)
GM Cancer, Manchester2 2) Low and intermediate-low risk PE: how should it be managed
2) Can implementation of an advanced nurse practitioner and where?
led service for the ambulatory management of suspected Dr Luke Howard (London)
pulmonary embolism improve patient outcomes? 3) What happens next? Who and how to follow patients after an
R Morton, C Craig, S Polisena, R Chamoto, RM Barraclough, acute PE
A Cheng. North West Lung Centre, Wythenshawe Hospital, Dr Karen Sheares (Cambridge)
Manchester
Learning objectives
3) Non-invasive ventilation: improving quality of
documentation on a specialist respiratory ward 1) Understand the indications, methods, and evidence for
reperfusion therapy in acute PE.
J E Herdman1, J Lee1, A Choy1, L Funnell1, O Hitch1, M
Mosvevyan1, P S P Cho2, A Burney3, K K Lee4. Guy’s, King’s, 2) Understand the management of lower-risk PE including
and St Thomas’ School of Medical Education, King’s College choice of anticoagulants and use of outpatient management
London, London1; Centre for Human and Applied Physiological (including reference to the 2018 BTS guideline).
Sciences, King’s College London, London2, Department of 3) Appreciate the issues including duration of anticoagulation
Physiotherapy, King’s College Hospital NHS Foundation Trust, and who and how to investigate in the persistently breathless
London3, Department of Respiratory Medicine, King’s College patient.
Hospital NHS Foundation Trust, London4
Curriculum mapping
4) The impact of a multidisciplinary home ventilation team
E12: Pulmonary vascular disease
CE Hawkins, H Bakere, H Dunning. Royal Devon and Exeter E22: Imaging techniques
Hospital, Exeter
(Interactive keypad voting may be in use in this session)
5) Should patients with alpha 1 antitrypsin deficiency be offered
lung volume reduction surgery? A single centre case series
M Nizami, D Bleetman, F-S Koumpa, R Hoffman, C Hogan, C9 lecture theatre (ground floor)
M Polkey, M Hind, N Hopkinson, S Kemp, P Shah, E Lim, RESPIRATORY RESEARCH: THE HOW, WHY AND WHEN
M Dusmet, S Begum, S Jordan. Royal Brompton Hospital, London
Chaired by: Professor Tony De Soyza (Newcastle upon Tyne) and
Dr Elizabeth Sapey (Birmingham)
2.30pm – 4.00pm SIMULTANEOUS SYMPOSIA Digital Chair (Sli.do questions): Dr Shahideh Safavi (Nottingham)
C16 lecture theatre (ground floor) 1) Navigating the route to research
MINI SHORT COURSE: UPDATE ON SLEEP IN 2019 (PART 2) Professor Tony De Soyza (Newcastle upon Tyne)
Chaired by: Dr Ari Manuel (Liverpool) and Dr Grace Robinson 2) Research in practice: how to be a successful recruiting centre
(Reading) Dr Dinesh Saralaya (Bradford)
3) Research: it’s (much) more than just for doctors!
Dr Karen Heslop-Marshall (Newcastle upon Tyne)
10 British Thoracic Society Summer Meeting 2019Learning objectives C2 lecture theatre (ground floor)
1) To aid STRs and AHPs understand and navigate the pathway TB OR NOT TB, THAT IS THE QUESTION
and opportunities for research and funding streams. Chaired by: Dr Rizwan Ahmed (Bolton)
2) For consultants and teams in emerging or untested research 1) Non-tuberculous mycobacteria: what treatments work?
centres (eg DGHs) to understand how to establish successful Professor Michael Loebinger (London)
recruitment to trials and develop their own research/units
2) Sarcoidosis or TB? Clinical cases
and develop ideas or commercial funding.
Professor Graham Bothamley (London)
3) To ensure that AHPs are also aware of the opportunities to lead
3) Interpreting and using the new lab data: whole genome
research and funding and administrative support available.
sequencing
Curriculum mapping Dr Veronica White (London)
C4: Developing networks Learning objectives
C6: Working within teams
1) Understand how to approach and treat NTM infections.
C13: Facilitating transformation
2) Distinguish between sarcoidosis and TB.
C14: Developing networks
3) Understand and be able to use data from the public health
laboratories.
C8 and C15 foyers (ground floor) and B1 foyer (lower ground floor)
Curriculum mapping
4.00pm – 4.30pm Refreshments and visit the exhibition,
A1: The patient as central focus of care
BTS Abstract Prize posters and physiology poster quiz
B1: History taking
B2: Limits of exam
4.30pm – 6.00pm SIMULTANEOUS SYMPOSIA B4: Handling uncertainty
C16 lecture theatre (ground floor) B5: Decision making and clinical reasoning
B6: Guidelines
OXYGEN: SUPPLY AND DEMAND
C4 & C6: Teamwork
Chaired by: Dr Robina Coker (London) and Dr Ronan O’Driscoll C15: Applying knowledge and evidence
(Salford) D1: Breathlessness
Digital Chair (Sli.do questions): Dr Hussain Basheer (London) D2: Cough
1) Linking electronic prescribing of oxygen to NEWS alert D3: Haemoptysis
systems: experience at Salford Royal since 2014 E1: Microbiology
Dr Ronan O’Driscoll (Salford) E4 & E5: Mediastinal lymphadenopathy
E6: Pulmonary infections
2) Linking electronic prescribing of oxygen to NEWS alert
E7: TB treatment and management
systems: national plans by NHS England
Ann Slee (NHS England) E8: Immunocompromise
E9: Bronchiectasis
3) Oxygen in the community: practicalities and possibilities
E14: Disorders of pleura and mediastinum, including
Mrs Vikki Knowles (Guildford)
pneumothorax
Learning objectives E15: Sarcoid
E16: Cystic fibrosis
1) Delegates will understand how to use oxygen safely and the
E19: Genetic lung disease
dangers of oxygen misuse.
F11: Tuberculin skin tests
2) Understand how electronic prescribing linked to NEWS alerts G1: Response to treatment
can enhance patient safety.
G4: Infection control
3) Be aware of NHS England plans for electronic prescribing, I1: NHS structure
especially for oxygen. K1: Use of evidence
4) To understand the opportunities for oxygen delivery in the (Interactive keypad voting may be in use in this session)
community and the practicalities around this.
Curriculum mapping
A1: Patient as central focus of care
D1: Breathlessness
D6: Respiratory failure
E28: Managing long term conditions
G1: Prioritisation of patient safety in clinical practice
G2: Team working and patient safety
Final Programme 11C9 lecture theatre (ground floor) Curriculum mapping
IS IT CRITICAL TO CARE? E25: Intensive care (ICU) and high dependency units (HDU)
E28: Managing long term conditions: integrated care and the
Chaired by: Dr Mark Elliott (Leeds) and Dr Robert Parker
promotion of self-care
(Liverpool)
F4: Non-invasive ventilation and CPAP
1) Opening the door to long term respiratory patients on ICU
Dr Andrew Bentley (Manchester)
2) Transitioning ventilation: problems and pitfalls 6.00pm – 7.00pm
Rachael Moses (Preston) C15 foyer (ground floor)
3) Post ICU follow up THE BTS PRESIDENT’S RECEPTION AND AWARD
Melanie Gager (Reading) PRESENTATIONS
Learning objectives All participants are warmly invited to join us for this
informal reception with wine, beer, soft drinks and
1) To understand the decision making and evidence around
nibbles. Presentations will also be made for the BTS
admitting patients with chronic respiratory disease to the
Summer Meeting Abstract Prizes and Clinical Grand Round
ICU.
Competition.
2) To gain an appreciation of the practicalities in transitioning a
patient from ventilation on the ICU to home ventilation.
3) To understand the consequences of a critical care admission,
short and long-term sequalae and the role of follow up.
NOTES
12 British Thoracic Society Summer Meeting 2019PROGRAMME – FRIDAY 14TH JUNE 2019
8.30am – 10.00am SIMULTANEOUS SYMPOSIA 2) Understand what factors determine prognosis in a range of
C16 lecture theatre (ground floor) occupational lung diseases through interactive case-based
presentations.
MDT MANAGEMENT OF MALIGNANT AIRWAY OBSTRUCTION
3) Appreciate the importance of the clinician’s role in the
Chaired by: Dr Philip Crosbie (Manchester) early identification of occupational causes of common lung
1) Mechanical relief of malignant airway obstruction: debulking diseases.
and stenting strategies
Dr Kamlesh Mohan (Liverpool) Curriculum mapping
B1: History taking
2) Photodynamic therapy for managing malignant airway
B5: Decision-making and clinical reasoning
disease
Dr Philip Barber (Manchester) B6: Evidence and guidelines
C15: Applying knowledge and evidence
3) Supporting the patient with massive obstruction or
C16: Making decisions
haemoptysis
Karen Clayton (Cheshire) E2: Asthma
E10: Interstitial lung disease (ILD)
Learning objectives E18 Occupational and environmental lung disease (including
1) To understand the broad management strategies for the flying and diving)
relief of malignant airway obstruction. E20: Lung transplantation
2) To understand what factors might influence choice of E28: Managing long term conditions
strategy in managing malignant airway obstruction. F2: Respiratory physiology and lung function testing
K1: Evidence and guidelines
3) To consider patient selection for different management
strategies in malignant airway obstruction. (Interactive keypad voting may be in use in this session)
4) To provide understanding around the management of acute
malignant airway obstruction and haemoptysis. C9 lecture theatre (ground floor)
5) To appreciate the palliative support and interventions for the COPD: FIND THEM, TREAT THEM, DO IT BETTER
patient with malignant airway obstruction.
Chaired by: Dr Carlos Echevarria (Newcastle upon Tyne) and Dr
Curriculum mapping Justine Hadcroft (Liverpool)
D1: Breathlessness Digital Chair (Sli.do questions): Ema Swingwood (Bristol)
D3: Haemoptysis 1) Three million needles in a haystack
D5: Abnormal chest X-ray Dr Rachel Jordan (Birmingham)
E4: Thoracic oncology
2) What’s NICE and what’s not
E26: Palliative care Dr Paul Walker (Liverpool)
(Interactive keypad voting may be in use in this session) 3) Lessons from the RCP National Asthma and COPD Audit
Programme (NACAP)
C2 lecture theatre (ground floor) Professor John Hurst (London)
THE GOOD, THE BAD AND THE UGLY: IMPROVING OUTCOMES Learning objectives
IN OCCUPATIONAL LUNG DISEASE 1) Understand the difference between case finding and
Chaired by: Dr Chris Barber (Sheffield) and Dr Paul McKeagney screening for COPD.
(Belfast) - Understand the potential benefits/harms of a case finding
1) Occupational interstitial lung disease approach in the UK.
Dr Gareth Walters (Birmingham) - Understand the practical issues which might surround
2) Occupational airway disease introducing case finding at scale.
Dr Ruth Wiggans (Manchester) 2) Review the 2018 NICE COPD guidelines.
3) Less common occupational lung diseases - Consider influential studies published after the deadline for
Dr Jim Macfarlane (Newcastle) consideration by NICE.
Learning objectives - Consider the benefits and challenges of implementation in
1) Recognise the very variable clinical and socio-economic clinical practice.
outcomes that may occur in occupational lung disease.
Final Programme 133) Review the clinical need for a continuous national audit 5) Improving service delivery by the development of a speciality
programme for COPD and key findings. Acute Non-Invasive ventilation nurse role
- Review key learning points and priorities for service J Wyatt, DP Smith, C Rollinson, C Keeling, ME Roberts, AW
improvement in primary and secondary care. Molyneux. Sherwood Forest Hospitals NHS Foundation
Trust, Sutton in Ashfield
Curriculum mapping
6) Learning-needs focused hands-on workshops on Chest
E2: Asthma
Drain insertion and post-insertion Chest Drain management:
E10: ILD How we improved the identified patient safety issues in our
E4: Thoracic oncology hospital
L1: Health promotion and public health
C Russell, S Dissanayaka, A Guhan. University Hospital Ayr, Ayr
E3: Specialist assessment and management of patients with
COPD
K1: Evidence and guidelines C8 and C15 foyers (ground floor) and B1 foyer (lower ground floor)
G3: Principles of quality and safety improvement 10.30am – 11.00am Refreshments and visit the exhibition,
K: The use of evidence and audit BTS Abstract Prize posters and physiology poster quiz
10.00am – 10.30am ABSTRACT PRIZES SPOKEN SESSION 11.00am – 11.55am GUEST LECTURE
C9 lecture theatre (ground floor) C16 lecture theatre (ground floor)
INNOVATION IN SERVICE DELIVERY AND/OR EDUCATION “Things to come”
AND TRAINING IN RESPIRATORY
Professor Mike Morgan (Leicester)
Submissions refereed by: Dr Chris Barber (Sheffield), Susan Hope
Introduced by: Dr Mohammed Munavvar (Preston)
(Stoke on Trent) and Dr John Park (Reading)
Shortlisted abstracts judged by: Dr Chris Barber (Sheffield) and
Dr John Park (Reading) 12.00pm – 1.30pm SIMULTANEOUS SYMPOSIA
The six abstracts shortlisted for the Summer Meeting Abstract C16 lecture theatre (ground floor)
Prizes will be presented during this session, with the associated MINI SHORT COURSE: ILD AND SARCOIDOSIS (PART 1)
posters on display in the B1 lower foyer.
Chaired by: Dr George Chalmers (Glasgow) and Dr Felix
1) Inhaler use review and direct spacer supply by community Woodhead (Leicester)
pharmacies: a local pilot scheme
1) CT diagnosis of ILD
T Perkins1, T Kallis2. Northern Eastern Western Devon Dr Melanie Greaves (Manchester)
Clinical Commissioning Group, Plymouth1; Devon Local
2) Immunological diagnosis and evidence-based treatment of
Pharmaceutical Committee, Exeter2
rheumatological lung disease
2) Respiratory point of care testing (R-POCT) to facilitate Dr Felix Woodhead (Leicester)
diagnosis and treatment in the community for COPD
3) Cardiac sarcoidosis – diagnosis, treatment and complications
exacerbations: A novel home-based service
Dr Muhunthan Thillai (Cambridge)
K Roy1, A Marau2, L Gora2, G Esmond2, M Buxton2, C Ciobanu3,
S Mengoni4, D Wellsted4. West Hertfordshire NHS Trust, Learning objectives
Hemel Hempstead1; Central London Community Healthcare 1) Review the radiological differential diagnosis of ILD.
NHS Trust, London2; Herts Valley Clinical Commissioning
Group, Hemel Hempstead3; University of Hertfordshire, 2) Review rheumatological disease as it presents to the
Hatfield4 respiratory physician.
3) The development of an Interstitial Lung Disease In-reach 3) To provide an overview of cardiac sarcoidosis for the
service to improve the care of patients with ILD across the respiratory physician.
hospital and into the community
Curriculum mapping
AW Creamer, M Morales, N Rippon, C Hewlett, S Mulholland, D1: Breathlessness
SL Barratt, H Adamali. Bristol Interstitial Lung Disease D2: Cough
Service, North Bristol NHS Trust, Bristol
D5: Abnormal chest X-ray
4) The ‘Pulmonary Passport’ – Implementation of a E10: Interstitial lung disease
standardised online electronic procedures logbook to aid E22: Imaging techniques
specialist respiratory training and appraisal
A Cheng1, S Grundy2, M Evison1. North West Lung Centre,
Wythenshawe Hospital, Manchester1; Salford Royal NHS
Foundation Trust, Manchester2
14 British Thoracic Society Summer Meeting 2019C2 lecture theatre (ground floor) Learning objectives
JOINT BTS/ARTP SYMPOSIUM: MDT CASE PRESENTATIONS 1) To learn about how to develop services and use data to
Chaired by: Mark Unstead (Reading) and Dr Paul Walker achieve this.
(Liverpool) 2) To understand how the money flows around the NHS and
Case based discussions led by: how to utilise this in service development.
Harriet Hearn (Hull) 3) To learn leadership tools and how to develop solutions for
Rhys Jefferies (Swansea) your service within the NHS.
Angela Key (Liverpool) Curriculum mapping
Mark Unstead (Reading) C: Medical leadership
Learning objectives I: Management and structure
Lung function testing is a keystone of respiratory medicine but
it is often poorly understood. Feedback from the respiratory C8 and C15 foyers (ground floor) and B1 foyer (lower ground floor)
SCE examination suggests that this is an area where questions
1.30pm – 2.30pm Lunch and visit the exhibition stands,
are often answered poorly and candidates struggle. Other
BTS Abstract Prize posters and physiology poster quiz
respiratory professionals such as nurses and physiotherapists
(Exhibition closes at 2.30pm)
also often struggle to find good sources of learning. This session
will use a series of case histories to illustrate where simple and
more complex respiratory function tests can be used to confirm 2.30pm – 4.00pm SIMULTANEOUS SYMPOSIA
or exclude expected diagnoses and sometimes provide additional
C16 lecture theatre (ground floor)
information. This is a keypad session and will involve audience
participation as the panel present and discuss the cases. This MINI SHORT COUSE: ILD AND SARCOIDOSIS (PART 2): MDT
session is aimed at earlier year respiratory trainees and other PANEL DISCUSSION
respiratory professionals, although it will provide a refresher for A series of cases will be presented and discussed by a multi-
more senior respiratory doctors. disciplinary panel:
Curriculum mapping Specialist Nurse: Geraldine Burge (Birmingham)
D1: Breathlessness ILD Consultant: Dr Nazia Chaudhuri (Manchester)
E1: Respiratory anatomy, physiology, pathology, microbiology and Referring Clinician: Dr Timothy Gatheral (Lancaster)
pharmacology Radiologist: Dr Melanie Greaves (Manchester)
F2: Respiratory physiology and lung function testing ILD Consultant: Dr Nik Hirani (Edinburgh)
Pathologist: Dr Angeles Montero-Fernandez (Manchester)
(Interactive keypad voting may be in use in this session)
Learning objectives
C9 lecture theatre (ground floor) 1) Understand the importance of the MDT process for diagnosis
in interstitial lung disease.
POLITICS AND PERSUASION: DEVELOPING A SERVICE
IN THE NHS 2) Review the radiological differential diagnosis of ILD.
Chaired by: Dr Sanjay Agrawal (Leicester) and Dr Martin Allen 3) Understand which patients may benefit from further
(Stoke on Trent) investigation to establish a diagnosis.
Digital Chair (Sli.do questions): Dr Sheila Ramjug (Manchester) Curriculum mapping
1) Keys to developing a service D1: Breathlessness
Dr Martin Allen (Stoke on Trent) D2: Cough
2) Where the money flows D5: Abnormal chest X-ray
Dr Sanjay Agrawal (Leicester) E10: Interstitial lung disease
3) Leadership and solutions in the NHS E22: Imaging techniques
Professor Rebecca Malby (London) (Interactive keypad voting may be in use in this session)
Final Programme 15C2 lecture theatre (ground floor) C9 lecture theatre (ground floor)
THE CURE FOR TOBACCO DEPENDENCY DIFFICULT ASTHMA: THE PERSPECTIVES OF CLINICIANS AND
Chaired by: Dr Sanjay Agrawal (Leicester) and Dr Gareth Jones PATIENTS
(Liverpool) Chaired by: Professor Ian Hall (Nottingham) and Dr Shahideh
Digital Chair (Sli.do questions): Dr Sheila Ramjug (Manchester) Safavi (Nottingham)
1) Treating the smoker in front of you 1) Difficult asthma clinics: one size does not fit all
Mr Martin Dockrell (PHE) Dr Paul Pfeffer (London)
2) E-cigarettes and heated tobacco products: what’s the 2) Biologicals: help or hindrance?
difference? Professor Ian Hall (Nottingham)
Professor John Britton (Nottingham) 3) Living with difficult asthma: a patient’s perspective
3) The CURE in Manchester Leanne Jo Holmes (Manchester) and Louise Kirkham
Dr Matthew Evison (Manchester) (patient)
Learning objectives Learning objectives
1) Understand current pharmacological and non- 1) To understand the rationale for choosing a specific
pharmacological treatments available for smoking cessation. biological to treat difficult asthma and possible pitfalls and
complications.
2) Understand the role of e-cigarettes in health promotion and
the public health issues of smoking. 2) To learn to personalise an assessment plan for patients
attending a difficult asthma clinic.
3) How to set up and institute smoking cessation in secondary
care. 3) To understand the psychological, social, and everyday impact
of living with difficult asthma.
Curriculum mapping
Curriculum mapping
E23: Smoking cessation
L1: Health promotion A1: The patient as centre focus of care
B1: History taking E2: Asthma
E28: Managing long term conditions: integrated care and the
promotion of self-care
C8 foyer (ground floor)
4.00pm – 4.30pm Refreshments and conference ends
The PHYSIOLOGY POSTER QUIZ will be held throughout
the Summer Meeting and is open to all participants. Please
visit the poster boards in the C15 foyer (ground floor) to test
your knowledge!
NOTES
16 British Thoracic Society Summer Meeting 2019SPEAKERS' DETAILS AND PRESENTATION SUMMARIES
Speakers and chairs are listed in alphabetical order, with Keys to developing a service
summaries of presentations (where applicable) following There is an enthusiasm by clinicians to change/develop services
straight after each biography. but failure to understand the systems in which we work, strategic
Dr Sanjay Agrawal is a Consultant in Respiratory and Intensive context and fiscal aspects of bids often leads to such attempts
Care Medicine at the University Hospitals of Leicester NHS Trust failing. This lecture will highlight the aspects to consider in
(UHL), Chair of the Royal College of Physicians (RCP) Tobacco developing services, considering the strategic and operational
Advisory Group, steering committee member of the British context, especially in light of the potential opportunities offered
Thoracic Oncology Group (BTOG) and Trustee of the Healthcare by the Long-Term Plan and GIRFT reviews.
Financial Management Association (HFMA). Tobacco dependency It is anticipated individuals at the end of the lecture will
related work has included developing the BTS National Tobacco understand the NHS in which they practice, the importance
Audit and the RCP quality improvement collaborative in smoking of getting good data and support from key stakeholders in
cessation. Healthcare financial management activity with the developing services.
HFMA has been focused on clinical financial education and
developing post graduate qualifications in this field. Alison Armstrong is a Nurse Consultant (Assisted Ventilation)
in Newcastle upon Tyne. She has worked as part of the regional
Where the money flows North-East Assisted Ventilation Service for 18 years. Alison
Money to pay for NHS patient care including medicines, is also the host of the Specialists in Long-term Ventilation at
equipment, buildings and staff costs accounts for approximately Home (SiLVaH) national network. She has an MSc in Practice
£150 billion pounds of expenditure each year. This money has to Development. Her main interest lies in assuring good life quality
get to the right ‘sector’ of the NHS be it primary care, secondary for her complex client group.
care and social care and be used in the most effective and efficient Dr Chris Barber is a Respiratory Consultant with a clinical and
manner possible, to get the best value and to have a sustainable research interest in occupational lung disease. His time is split
NHS. A number of mechanisms are utilised to maximise value between NHS clinical work in Sheffield and HSE sessions at the
and address increasing demand including contracting, payment Centre for Workplace Health in Buxton. Chris is a member of the
tariffs, incentives and penalties. Clinicians and managers need Group of Occupational Respiratory Disease Specialists (GORDS),
some knowledge of this complex and ever-changing structure to and the current Chair of the BTS Occupational and Environmental
develop new services. Lung Disease Specialist Advisory Group.
Dr Rizwan Ahmed is a Respiratory Consultant and Lead Physician Dr Rachel Benamore is a Consultant Chest Radiologist at Oxford
for Tuberculosis at Royal Bolton Hospital NHS Foundation Trust. University Hospitals NHS Foundation Trust. She has been
He is an active Member of the BTS TB Specialist Advisory Group a Consultant Radiologist at the Oxford University Hospitals
and Greater Manchester TB Clinical Reference Group. His clinical NHS Foundation Trust since 2006. Her subspecialty is thoracic
interests include tuberculosis, bronchiectasis and respiratory radiology. Rachel undertook her radiology training in Leicester
infections. and spent a year as a Fellow in Thoracic Radiology in Toronto,
Dr Martin Allen is currently employed as a Consultant Respiratory Canada.
Physician at University Hospital of North Staffordshire. He has Dr Andrew Bentley is a Consultant in Respiratory and Intensive
interests in a variety of respiratory diseases including COPD, Care Medicine at Wythenshawe Hospital, Manchester NHS
ventilatory support/weaning and sleep medicine, originating from Foundation Trust. He is a past council member of the Intensive
his research into sleep and physiological changes in COPD in the Care Society and Chair of the ICS Research Foundation. He is
early 1980’s. Clinical Lead of the Sleep and Long-Term Ventilation Service with
Martin has fulfilled a variety of management roles within the an interest in prolonged weaning from invasive ventilation.
hospital, previously being CD of cardiology, cardiothoracic Opening the door to respiratory patients in ICU
surgery, ID, GUM and respiratory medicine and also acting as
Head of Division and CD of Acute Medicine and A&E. The decision to open the doors of the intensive care unit to
chronic respiratory diseases may be seen as a never event. This
For the British Thoracic Society, Martin sits on the BTS Board, is often noted with the pessimistic nihilism in exacerbations
previously being Chair of the Education Committee, Executive of chronic COPD and interstitial lung disease. I would hope to
without portfolio and served as Honorary Secretary for three persuade you that it is more of an art to master. My presentation
years until 2016. will review what admission to a critical care unit can offer to
Other national roles include chairing the respiratory EWG on patients with chronic respiratory disease. The key learning
coding, the West Midlands rep for specialist commissioning outcomes will focus on appropriate patient selection, the role
(respiratory) and he has a primary care perspective as one of the of non-invasive ventilation and high flow oxygen therapy and
200 or so secondary care consultants sitting on CCGs (Telford and decision making for intubation and ventilation and ultimately
Wrekin CCG). ceiling of care.
Since January 2018, Martin has been the GIRFT National Clinical
Lead for Respiratory Medicine.
Final Programme 17Dr Rahul Bhatnagar is a Consultant Respiratory Physician at 9 (2009-2012) sitting in the European School of Respiratory
Southmead Hospital North Bristol NHS Trust and Honorary Medicine; and currently sits on the ERS Research Fellowship Grant
Lecturer at the University of Bristol’s Academic Respiratory Unit. Committee. She has served on numerous advisory boards for ILD.
He is an advanced pleural practitioner, with research interests Geraldine was a Founding Director and Chair of the Interstitial
including the management of malignant pleural effusions, Lung Disease Interdisciplinary Network (ILD-INN) 2015-2017 and
primarily revolving around multi-centre randomised controlled is currently the West Midlands Regional ILD-INN lead.
studies relating to pleurodesis and indwelling pleural catheters; Dr Chris Carlin is Consultant Physician and NRS Senior
pleural infection; and novel diagnostic and therapeutic techniques Investigator in Sleep and Respiratory Medicine, NHS Greater
for pleural disease. Glasgow and Clyde. He runs a realistic medicine-based research,
Dr Kevin Blyth is a Consultant Respiratory Physician and innovation and training programme, covering all facets of
Honorary Clinical Associate Professor at the University of breathing support and severe respiratory failure. Key interests
Glasgow. After completion of training in internal medicine are evaluating novel physiology endpoints and appraising and
and respiratory medicine, and the award of an MD in Magnetic adopting digital technology innovations and service models.
Resonance Imaging and Biomarkers from the University of Twitter: @GSBSRC_QEUH
Glasgow, he was appointed as a respiratory consultant in 2009. Dr
Blyth leads the Glasgow Pleural Disease Unit, based at the Queen New technologies for screening and treatment of OSA
Elizabeth University Hospital and is an NRS Senior Research
Emerging technologies with potential application in OSA
Fellow. He leads a translational research programme focused
screening and treatment including new sleep therapy devices,
on pleural disease and thoracic malignancy, and has a particular
iterations of established devices, apps for patient-reported
interest in mesothelioma. Kevin founded and is Director of the
outcomes and clinician communication, connected hardware,
Macmillan Scottish Mesothelioma Network. He is Secretary of
healthcare IoT, and AI for diagnostic or monitoring evaluations.
the Pleural Malignancy sub-group of the ERS Thoracic Oncology
These have considerable potential to improve sleep service
Assembly.
care-quality gaps, and optimise diagnosis and management for
Professor Graham Bothamley has been a respiratory the rising number of patients presenting with suspected OSA.
physician for 35 years, has looked after >4,000 patients with Key challenges include benchmarking against current standards
TB and a cohort of patients with sarcoidosis numbering about of care, interoperability, evaluation and governance, and
350. He gained a PhD with the MRC at the Hammersmith in reorientation of service pathways to maximise the potential and
TB monoclonal antibodies, diagnostics and pathogenesis. He ensure generalisability of digital innovations.
is currently a member of the TB Centre and Immunology and
In this session, an outline of the UK digital health innovation
Infections Department at the London School of Hygiene and
landscape will be combined with an update on key technology
Tropical Medicine and at the Blizard Institute, QMUL. He led
developments currently in adoption and expected to impact on
the British Thoracic Society TB Specialist Advisory Group until
OSA management in the immediate future.
December 2018, is Assembly Head for Respiratory Infections
with the European Respiratory Society and is on the steering Dr George Chalmers is Lead Consultant for ILD at Glasgow Royal
committee of TBnet as past Chair. He is keen to support research Infirmary, having run an ILD clinic since 2004. He co-chairs the
in TB and sarcoidosis and has a vacant research registrar post at Scottish ILD Group, and interacts with Scottish Government
the Homerton University Hospital. around respiratory health and ILD. He has an additional clinical
interest in pulmonary vasculitis.
Sarcoidosis or TB? Clinical cases
Dr Nazia Chaudhuri is a Respiratory Physician and the Clinical
This session will look at three cases where the diagnosis of both Lead for the Interstitial Lung Disease (ILD) Service at the
tuberculosis and sarcoidosis were possible and indicate what Manchester University NHS Foundation Trust (MFT), United
steps were required to resolve the diagnostic problem. Kingdom. She is an Honorary Senior Lecturer at the University of
Geraldine Burge MSc is an ILD Specialist Nurse at Birmingham Manchester and also deputy Clinical Director of the Respiratory
Heart of England NHS Trust. She trained at Westminster Hospital Directorate at MFT.
before starting postgraduate courses in cardiothoracic medicine, Karen Clayton was appointed Macmillan Lung/Palliative CNS in
Jungian psychology, palliative care and teaching. Geraldine April 2010. Prior to this her career was mainly in the acute sector,
has worked as a research nurse in interstitial lung disease since working on various medical wards, ICU/HDU as well as being an
2002, completing studies of Interferon gamma, Pirfenidone and A&E Sister for six years and Medical Nurse Practitioner for three.
Nintedanib before becoming one of the first NHS ILD Clinical She trained at Stepping Hill Hospital and Manchester University
Nurse Specialists. She worked for NICE 2009, scoping exercise for before moving to Macclesfield District General. Karen attained
IPF, 2011-2013 NICE IPF Guideline Development Group and again her Master of Arts in Advanced Nursing Practice from John
reviewing the guidance in 2016. She runs the local ILD patient Moores University in 2012 and became a Non-Medical Prescriber
support group and works as a volunteer for Action for Pulmonary in 2013. In June 2018 she was honoured to receive the Queen
Fibrosis charity, and British Lung Foundation health care Elizabeth, Queen Mother Award for Outstanding Nursing Service
professionals. She has been the Chair of the Nursing Group of the from the Queen's Nursing Institute. Karen is currently studying
European Respiratory Society Assembly 9.03 (1997-1999), whilst the BSC Chartered Management Degree in Health and Social Care
working with the ATS Nursing Group reviewing abstracts for their at Manchester Metropolitan University.
congresses. Geraldine also worked as secretary to Assembly
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