SUMMER MEETING 2019 RENOLD BUILDING THE UNIVERSITY OF MANCHESTER, M1 7JR - THURSDAY 13th AND FRIDAY 14th JUNE - British Thoracic Society

 
SUMMER MEETING 2019 RENOLD BUILDING THE UNIVERSITY OF MANCHESTER, M1 7JR - THURSDAY 13th AND FRIDAY 14th JUNE - British Thoracic Society
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
SUMMER MEETING 2019 RENOLD BUILDING THE UNIVERSITY OF MANCHESTER, M1 7JR - THURSDAY 13th AND FRIDAY 14th JUNE - British Thoracic Society
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
SUMMER MEETING 2019 RENOLD BUILDING THE UNIVERSITY OF MANCHESTER, M1 7JR - THURSDAY 13th AND FRIDAY 14th JUNE - British Thoracic Society
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
SUMMER MEETING 2019 RENOLD BUILDING THE UNIVERSITY OF MANCHESTER, M1 7JR - THURSDAY 13th AND FRIDAY 14th JUNE - British Thoracic Society
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 2019
MEET 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        5
TRAVELLING 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 2019
FLOOR 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   7
PROGRAMME – 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 2019
Learning 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   9
C8 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 2019
Learning 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   11
C9 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 2019
PROGRAMME – 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   13
3) 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 2019
C2 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   15
C2 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 2019
SPEAKERS' 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       17
Dr 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

18                                                                                             British Thoracic Society Summer Meeting 2019
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