Pan-London Trauma Nursing Group

Pan-London Trauma Nursing Group

Meeting minutes

Thursday 4th May 2017 - 16.00-17.30

Seminar Room 3, Education Centre, 1st Floor West Wing, 250 Euston Road, NW1 2PG

Present

Robert Pinate (RP)(Chair) Consultant Nurse, ED, UCLH (NE)

Lorna Donegan (LD) ODN Lead, NHS England (London)

Michele Elliot (ME)Senior Nurse for Plastics. Orthopaedics, ENT and Major Trauma, St Mary’s Hospital, Imperial College Healthcare (NW)

Matt Targett (MT), Emergency Department Matron, Barnet Hospital, Royal Free NHS Foundation Trust

Sarah Moth (SM), Senior Sister, ED, Ashford and St Peters NHS Trust

Siobhan O’Sullivan (SO), Trauma Nurse Educator, NWL Trauma Network (NW)

Trish Burton (TB)PDN/Senior Sister ED, Bart’s Health (NE)

Lorrie Lawton (LL) Consultant Nurse, Paediatric Emergency Medicine, King’s College Hospital (SE)

Angela Morgan (AM), Lead Educator, St Mary’s Hospital, Imperial College Healthcare (NW)

James Bird (JB), Lead Nurse for Emergency Services, St Mary’s Hospital, Imperial College Healthcare (NW)

Hazel Watters (HW), Orthopaedic Trauma Nurse Practitioner, Ashford and St Peters NHS Trust

Graeme Wright (GW), Senior Charge Nurse, ED, St Mary’s Hospital, Imperial College Healthcare (NW)

Guest attendee - Frank Chege, Patient Liaison Nurse, London’s Air Ambulance

1. Apologies

Dr Elaine Cole (EC)Director of Research and Innovation; London Trauma System, Queen Mary’s University of London (Pan-London)

Anita West (AW), Trauma Nurse Coordinator, Bart’s Health (NE)

Hannah Kosuge (HK) Ward manager, Trauma Unit, Royal London Hospital, Bart’s Health (NE)

Jo Lockwood (JL) Matron, Major Trauma Ward, St Mary’s Hospital, Imperial College Healthcare (NW)

Donna Barleycorn (DB), Senior Lecturer Advanced Practice and Trauma, Kingston and St George’s University of London

Carole Olding (CO), Clinical Nurse Specialist for Trauma, King’s College Hospital (SE)

Fernando Candal Carballido (FCC), Lead Trauma Nurse, East Kent Hospital’s (SE)

Helen Lawrence (HL) Clinical Nurse Lead, ED, Ashford and St Peter’s (SW)

Tricia Fitzgerald (TF), Divisional Director of Nursing, Trauma, Emergency and Urgent Care, King’s College Hospital

Sarah Leyland (SL), Practice Educator, General ICU, St George’s

Minutes / Action – by whom / Due Date

1. Minutes from the last meeting:

February 2017 – 2 x minor typographical errors to be corrected. Otherwise agreed as accurate / Final version for upload to LTS web site – RP / June 2017

1. Matters arising not on the agenda:

• Trauma coordinators descriptor document:

Pan London document agreed but not on the LTS website. Group agreed we should upload this to the nursing/AHP section of the website – now completed

1. Chair and vice-chair positions:

RP received two expressions of interest for the Cahir and Vice Chair positions form James Bird and Matt Targett respectively. Given that these positions were therefore uncontested RP e-mailed the PLTNG on the 23rd April 2017 to request that any objections be registered, in confidence, ahead of today’s meeting; None were received.
The group was quorate and thus the positions of Chair and Vice-Chair are confirmed as of the 4th May 2017:

• Chair - James Bird, Lead Nurse for Emergency Services, St Mary’s Hospital, Imperial College Healthcare
• Vice-Chair - Matt Targett, Emergency Department Matron, Barnet Hospital, Royal Free NHS Foundation Trust

RP will continue to work with James and Matt on handover but also continue participation in the group as UCLH and NE Network representative. / Update LTS website – RP / June 2017

1. PLTNG Work Plan 2017-18:

• QI education and competency - network gap analysis:

RP shared with the group an Excel spread-sheet he had used at King’s to examine Level 2 adult and paediatric cover over 3 months of consecutive rota. The group agreed that this was a useful tool but would need additional detail and a guide for use. Recommended to develop 4 spread-sheets/tabs:
-MTC adult
-MTC Paed
-TU Adult
-TU Paed
This would be incorporated with work developed by SO looking at educational gap analysis at each centre/unit.

• Trauma patients at TU’s – how many and where?

MEpresented a 3 month ‘snapshot’ of where major trauma patients had been repatriated to and which type of ward from 1st January 2017 to 31st March 2017. Of note:
-9 hospitals.
-Of the 11 wards: 3elderly care, 2 medicine, 3 general surgery and 3 surgery/orthopaedic.
-Age range was 22 – 87 years old with 505 > 65yrs of age
Group felt we needed more detail such as, numbers of patients, age/sex of each patient and destination. ME agreed to provide more detail whilst ensuring data remained anonymous.
Next steps will be to agree a final data set which we can then ask MTC’s to complete for the same period. As detailed in the previous minutes in February 2017, the intention is to reflect the breadth of wards which need to ensure their nurses have competence in trauma care which will inform the national work on adult ward competencies.

• Polytrauma guidance/education to supplement national adult ward competencies:

EC had e-mailed, on the 28th February 2017, members of the PLTNG who had expressed a wish to get involved developing an educational support package for ward nurses. A meeting date has been agreed for the 18th May 2017. / RP – draft spread-sheet as described
ME – further detail of the repat patients as detailed
For update at next PLTNG meeting / Next meeting - July 2017
June 2017
Next meeting - July 2017

1. Competencies and national group work:

• Trauma ward competencies – update:

RP gave a brief update: Final version of agreed text complete however there is some work left to do to make them fit for publication. The intention is to have this complete by June 2017 for forwarding to the Major Trauma CRG.

• Critical Care trauma competencies – update:

AM gave an update as Chair of the Critical Care NMTNG sub-group: The competencies are now almost complete with just final formatting and typographical checking required. Next step will be for them to formally go to CC3N, with whom they have been working on the competences, for approval. Final launch is intended for June 2017.

• Paediatric trauma NMTNG sub-group update:

LL gave an update who chairs the Paediatric NMTNG sub-group: The main focus is on paediatric ward care competences. It is felt there will not be a requirement for a level 1/level 2 approach but that a single set of competencies will suffice.

1. Pan-London Major Trauma ODN steering group – Update:

LD gave an update on key areas:

• Research/Audit:

Traumatic injury to the brain across London (TrIBAL) which seeks to evaluate the current epidemiology and management of brain injury after trauma. More info on LTS website here:
Due for publication in June 2017.

• Peer Review

All MTC’s this year will undergo Peer Review. TQUINS web site now replaced with the Quality Surveillance Team web site:
Review will be self-assessment based and due by the 30th June 2017.
For TU’s, no firm decision but likely to be shorter visits per TU in structure, i.e. half-day visits. Scheduling will be network specific.

• Nero Rehab specialist practitioner programme:

All networks committed to purchasing a single platform for rehab referrals – BadgerNet. This will apply initially to MTC’s and HASU centres. It will facilitate the transfer of key patient information across multiple providers on a common platform and interface. This, it is hoped, will smooth the referral process across the services. / EC to disseminate new Elderly Trauma Management Guidelines / On publication – Feb 2017

1. Pan-London Trauma Nursing Conference:

Frank Chege joined the group to give us an overview of work underway to set up and run a trauma nursing conference on the 11th December 2017. Frank has secured funding and a venue, Arsenal’s Emirates stadium, which will support 450 free places for nurses across the 4 London Networks and a limited number of places for the military and national MTC representatives.
Frank invited discussion and advice from the group on what the day may look like, key areas that could be covered and a possible programme structure.
Next steps:
-RP to e-mail the PLTNG for expressions of interest to form a conference committee
-Recommended that abstract submissions would be required by the 1st September 2017
-Financial governance would require transparency
-Seek to ensure the conference covers the entire patient pathway.
-Dates for committee meetings would need to be set soon ideally. / RP to e-mail PLTNG / May 2017

1. Networks Feedback:

Meeting ran out of time – updates held over to next meeting

1. AOB:

MT thanks RP on behalf of the PLTNG for the work that both he and Natalie Holbery have done to set up the group and develop the work over the last 5 years.

1. Dates of 2017 meetings:

• Thursday 13th July 2017
• Thursday 5th October 2017

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PLTNG – Draft minutes – 04/05/2017