The Society of Anaesthetists

of the South Western Region

Spring Meeting 2015

Postgraduate Medical Centre

DerrifordHospital, Plymouth

Thursday 14th and Friday 15th May 2015

Dec 2014

Dear Member

I am writing to you with details of the Spring SASWR meeting. This event has been organised by members of the Plymouth Anaesthetic Department and they have generated an excellent scientific programme. Please check the SASWR website full programme,further information and registration, or contact . Telephone 01752 439203.

Please note that the deadline for registration forms to arrive with Kate Prys-Robertsis the 1st May.

For this meeting trainees can submit their work for presentation and consideration for free session and poster prizes. Please encourage your local trainees to do so. Application procedure is explained on the website.

Meeting Venue

The academic meeting will take place from Thursday morning until Friday teatime at the Postgraduate Medical Centre, DerrifordHospital, Plymouth, PL6 8DH.

The Centre is located on the DerrifordHospital site, Crownhill, Plymouth, minutes from the A38 Expressway

The venue can be reached by Bus, Car, or is around 10-15 minutes on foot from the suggested conference Hotel, the Future Inn, Crownhill, Plymouth (where there is ample parking) .

Car

The venue is two miles from the A38 by car (come off at the Manadon roundabout (signposted) - there islimited public parking in a multi-storey at the hospital site.

Park and Ride
There is a public park and ride site located north of DerrifordHospital at the George junction (opposite the George Pub/Hotel). Parking is FREE, although you will need to purchase a ticket to travel on the bus. This is ideal for visitors travelling from the north of the City to DerrifordHospital.

Trains to Plymouth –On the mail line from London to Penzance. Rail travel around 4 hours from Paddington National Rail Enquiries 08457 48 49 50

BusesFor more information about bus times etc. please telephone

Traveline 0871 200 22 33 or visit Traveline Website

TaxisYou can phone TAXIFIRST free from the DerrifordHospital foyer on 01752 222222. There are several other taxi providers

Accommodation

The suggested conference hotel is Future Inn, which is a short walk from the Hospital.

Address:William Prance Road, Plymouth PL6 5ZD

Hotel rating: 3-star hotel

Phone: 01752 701000

We have reserved 80 rooms for Wednesday 13th and Thursday 14th May 2015. B&B for one person per night £72.00 ; for two people £81.50. Please quote 245452 when making your booking. Coaches have been arranged for 19.00 on Thursday 14 May to take people to and from the Society Dinner at the Royal Marine Officer`s Mess, Stonehouse. Coaches will return at 22.30 and 23.30 – arriving at the hotel 15 minutes later.

Academic Programme

We have a veritable festival of excellent speakers.

In a time of dynamic change in the NHS, Dr J-P van Besouw, President of the Royal College of Anaesthetists will be giving a personal account of the interface between Medical Leadership and Politics and also talking in a second session, giving an insider’s view (from his role as Vice Chair of the Academy of Medical Royal Colleges) of the proposed changes to postgraduate medical Training . Professor Alison Carr, advisor to the Dept. of Health, and leader of the Physician`s Assistant Program at the University of Plymouth and Prof Rob Sneyd, Dean of the Plymouth University Peninsula Medical School, who is heavily involved in manpower planning with the Royal College of Anaesthetists, will talk about different models of healthcare delivery which may affect us in the future.

The Humphrey Davy lecture will be given by Adrian Furnham, Professor of Psychology at University College London, a regular Sunday Times columnist and an electric and provocative speaker on many topics relevant to the NHS. On this occasion Adrian will be talking about the Dark Triad of Personality and its relevance to Leadership

Professor Rupert Pearse, London, who with Rob Sneyd will have freshly returned from being International Guest Lecturers at The Australia and New Zealand College of Anaesthetists` National Congress will discuss Perioperative Medicine, including the many large Multicentre Clinical Trials he has led and will lead; and will debate the place of goal directed fluid Therapy with Dr Richard Struthers, who co-leads the series of Plymouth perioperative studies.

We are delighted to have an auspicious International speaker on the faculty: Dr Ellen O`Sullivan, Current President of the College of Anaesthetists of Ireland, led NAP5 in that country and is a recent past president of the Difficult Airway Society. She will be talking about current best practice in Difficult Airway Management. In the same session, Dr Mark Rockett, Acute Pain lead in Plymouth, and a national figure in Pain management will provide a master class in the recognition and management of Acute Pain, including the recent PASTIES trial, which he co-led.

Dr David Grant, Paediatric Intensivist in Bristol, and Dr Cath Ward, Neuroanaesthetist in Plymouth, both Human Factors experts, will present an interactive case and debriefing workshop focusing on paediatric head injury - a scenario which all of us may encounter in our hospitals (even those of us who don`t want to)

Dr Mo Jayarajah & Dr Mark Bennett, Cardiac Anaesthetists at the Southwest Cardiothoracic Centre, European Chief Investigator of the ATACAS trial and TOE expert respectively will translate lessons from Cardiac Anaesthesia for generalists.

Lt Colonel Tom Woolley, Reader in Anaesthesia with the Tri-services, will Chair a terrific session on the Logistics of Military Deployment presented by several Military Anaesthetists and including a lecture by Lt Colonel Simon Horne, RAMC, Clinical Director of the Ebola Treatment Facility in Sierra Leone

So, a wide variety of topics with Royal College of Anaesthetist Revalidation matrix links for your CPD. The meeting has been approved for 10 CPD points ( 5 per day)

SASWR will, as usual, be offering one day as well as two-day registration to the meeting. Please see the table below for rates

Both Days with society Dinner / Bothdays academic program only / Thursday 14th with Society Dinner / Thurs 14th
academic program only / Friday
academic program only
SASWR members
Consultant / £135 / £105130 / £110 / £70 / £60
Retired/ Trainee / £95 / £55 / £75 / £40 / £35
Non members
Consultant / £210 / £170 / £140 / £100 / £90
Retired/ Trainee / £120 / £80 / £90 / £50 / £50

Accompanying Persons: Dinner £65 ( partners are welcome to attend the sessions after lunch on Thursday and Friday )

In order to qualify for CPD pointsit will be necessary to register at the meeting. There will be a registration desk manned at appropriate times. The organisers would be most grateful if feedback forms could be completed and returned.

Trade Exhibition

Trade stands will be displayed outside the meeting area where tea and coffee will be served. Please visit these- Industry support is vital for SASWR and your interest underpins future sponsorship of our Society meetings.

Lunches and refreshment

Lunches, morning and afternoon refreshments will be provided at the venue for delegates at the meeting

Society Dinner and President’s Reception

The President’s Reception and Society Dinner will be in the format of a military mess dinner and will take place atCommando Forces Officers Mess, Stonehouse Barracks, Durnford Street, StonehousePL1 3QW. This is a real highlight of the social program – a rare chance to experience the spectacle of a formal military mess dinner.

Due to security restrictions within military barracks it is simplest to arrive by coach. Coaches will leave the Future Inn at 19:00 and will arrive at the mess in time for the display by the Corps of Drums. The deadline for dinner registration is 2 weeks prior to the dinner to allow the correct security procedures

Parking will also be available on site as long as the car registration is submitted to us 1 week prior to the meal. (by email to )

It is also possible to park in the neighbourhood streets and walk in – as long as your name is on the guest list. Civilians are not permitted to roam freely within the barracks, but shuttle escorts from the gatehouse to the reception and dinner venue will be provided.

The Reception will start at 1930hrs, with a display by the Royal Marine Corps of Drums at 1945hrs Dinner follows the format of a military mess dinner, served in the Officers Mess at 2000hrs. Dinner will include a short address by a military guest, with response by Dr Chris Monk, President of SASWR, and a short verbal history of the mess and the regiment from Colour Sergeant Gary Chapman Royal Marines

Commando Forces Officers’ Mess Manager & Barracks Historian ( see attached welcome and briefing at the foot of this document)

Dress code - Black Tie and medals for civilians and mess kit/ mess undress for military personnel. There will be a seating plan so if you have any particular seating preferences record these on the registration form. We will do our best to accommodate all requests. Dinner will be a set menu with a vegetarian option available, and will include a drinks reception with generous wine and port with the meal. If you have special dietary requests for dinner or for the lunches please specify these on the registration form. Please alert us of any food allergies.

Partners’ Programme

The local organising committee have not provided a specific social programme for members’ guests or for retired members. Plymouth is famously scenic and steeped in Military History. Partners might like to try lunch and a wander at the Royal William Yard then take the Cremyl foot Ferry over to Mount Edgcumbe on Thursday. For many more suggestions try We hope that partners might consider coming to the military and leadership sessions on Thursday and Friday after lunch – They have been designed to prove interesting to a non-medical audience.

We do hope that you will be able to join us for this meeting. Please could I ask that all registration forms be returned as soon as possible and no later than Friday 1stMay. We look forward to seeing you there.

With very best wishes,

Dr Sophia Wrigley, Dr Mo Jayarajah, Dr Gary Minto, Dr Tom Woolley, Prof Rob Sneyd

Local Organising committee

Dr James Pittman

Hon. Secretary, SASWR

WELCOME TO THE HOME OF THE ROYAL MARINES

ROYAL MARINES BARRACKS STONEHOUSE

From the inauguration of the British Marines on 28 October 1664, Plymouth has played host to them and is now the ‘spiritual’ home to the Royal Marines Commandos. In 1664, the marines were initially billeted in Marlborough Naval Barracks at DOCK (now Devonport), on the site now occupied by the Marlborough Shopping precinct. Following their permanent formation into the Plymouth Division of Marines in May 1775, they had to leave Marlborough Barracks and find their own billets in private accommodation and local Inns, mainly in the Barbican area. The Marines paradeddaily on the square in front of the current Customs House, in the area which is still known today as ‘The Parade’. Manoeuvres, Drill, Punishments and Ceremonial parades were held on the open expanse of the Hoe.

However, this system of billeting was inefficient and in 1779 it was decided to provide the Marines with their own barracks. A 'greenfield' site on the Stonehouse peninsula was selected as it had a 'well of sweet water' and direct access to the sea. The site was purchased by the Admiralty in 1780 from the Edgecombe Estate for an undisclosed sum and building work began in 1781 and saw the first guard mounted on 6 October 1783. To the rear, (East side) of the barracks, a gateway and steps provided access to the Mill Bay where the marines would board boats to be taken out to Firestone Quay to board their ships.

When the barracks was built, the Marines became the very first complete British Corps to be provided with their very own barracks and three were built consecutively at Portsmouth, Chatham and Plymouth. Stonehouse Barracks is the only one still surviving is now the oldest and most important barracks in England, not forming part of a fortification. It is a rare example of 18th century military planning and architecture and is of great historic value to the City of Plymouth and more importantly, the Royal Marines.

You will be dining in the most historic part of the barracks, The Commando Forces Officers' Mess, which boasts a Grand Dining Room and displays many rare and valuable regimental paintings and pieces of 18th & 19th century silver. It also holds a large Victorian Mahogany dining table which was made in 1848 and is still in use every day. On the evening of 27/28th November 1941, the South West corner of the Officers’ Mess took a direct hit from a 500lb German bomb, causing extensive damage to the historic building and destroying many valuable paintings and antiques, including a priceless Chinese Ming Dynasty Vase taken during the Boxer Rebellion in 1900. The bomb also killed three Royal Marines who were working in the Dining Room at the time and who are now thought to haunt this building!

So, you will be hosted in a very special and unique venue surrounded by a tremendous wealth of history and associated artefacts dating through all of its 230 years of existence. The Royal Marines are incredibly proud of Stonehouse Barracks and do not allow many people to dine within the hallowed walls of the Commando Forces Officers’ Mess. It is a rare privilege, not offered to many outside the Royal Marines family and I hope that you are looking forward your visit as much as I am looking forward to hosting you.

Kind regards

Colour Sergeant Gary Chapman Royal Marines

Commando Forces Officers’ Mess Manager & Barracks Historian