Division of Surgery - Queensland Health

division of
surgery
Annual Report 2006-07
31

division of
Professor Steven Lynch
MBBS (Hons), FRACS
Chair
Division of Surgery
Professor Stephen Lynch
graduated with MBBS (Hons.)
at the University of New South
Wales in 1978. After his training,
he completed his residency was
at St Vincent’s Hospital, Sydney.
Dr Lynch trained in
transplantation as Fellow in Liver
and Kidney Transplantation at
Presbyterian University Hospital,
Pittsburg, USA.
In 1986, he was appointed
as Assistant Director of Surgery
(Transplantation) at PAH
and Deputy Director of the
Queensland Liver Transplant
Service.
He is currently Chair, Division
of Surgery and Director of
Queensland Liver Transplant
Service.
His research interests are in
immunosuppression, particularly
pharmacology and evaluation
of newer immunosuppressant
agents.
32 Princess Alexandra Hospital
surgery
ANAESTHETICS
Key Staff
See Appendix B
Dr Martin Wakefi eld, the most
recently appointed Deputy Director,
took over the daily management of the
department’s schedule, managing 251
staffi ng allocations per week and liaising
with surgical and nursing colleagues, and
related areas.
The Pre Admission Clinic was
instrumental in the management
of elective surgical cases, allowing
patients to stay at home on the night
before surgery effectively reducing bed
requirements, which equated to a cost
saving for the hospital.
The department’s Acute Pain Service,
lead by Dr Janene Solomos and clinical
nurse consultant, Helen Carmosino,
continued to provide a professional and
caring response to post operative pain,
minimising potential cardiovascular and
respiratory complications.
Cardiac Anaesthesia
The department contributed to a
signifi cant reduction in the cardiac
waiting list thanks to the planning efforts
made by the anaesthetic team, led by the
Director Dr Gerald (Joe) Power.
This year saw the introduction of two
new ultrasound machines which employ
a new technique making anaesthetic
blocks more accurate and successful.
This helped to shorten stays in the Post
Anaesthetic Care Unit, reduce nurse
interventions and reduce unplanned
readmissions. Dr Barton McKenzie
oversaw training of the new equipment
at the PAH and on a state-wide level at
the University of Queensland, RBWH
Skills Centre and the Townsville General
Hospital. The unit also replaced seven
anaesthetic machines with newer models.
Airway management
Two new “Glidescopes” and a further
fi bre optic bronchoscope have assisted
in the management of diffi cult airways. Dr
Robert Bond maintained a high standard
of safety as the department’s Laser
Offi cer.
Consciousness monitoring
Level of Consciousness monitoring was
advanced through the introduction of a
Bispectral Index module. This allowed
the depth of anaesthesia to be managed
with greater accuracy, which helped
reduce drug costs and recovery time.
It also decreased the risks of patients
being aware during their surgery. Dr
Bruce Burrow has pioneered this device
in Queensland and worked to ensure that
each operating theatre at the PAH was
equipped with a Bispectral Index module.
Anaesthetic Education
Education is an important element of
the department’s service improvement,
and is provided by Dr Barton Mckenzie,
supervisor of training; Dr Nicole
Fairweather, who supervises primary
examination preparation for junior
registrars; and Dr Tania Dutton,
supervisor of Intern and Junior House
Offi cer medical staff.
Dr Bruce Burrow introduced weekly inservice
sessions to increase anaesthetic
practice improvement for the benefi t of
nursing colleagues, and Dr Peta Lorraway
coordinated early morning Continuing
Medical Education presentations four
times weekly. The success of this
educational program was represented by
the 100 per cent pass rate for registrars
sitting for the fi nal examination.
Associate Professor Norris Green
had a part time appointment with the
University of Queensland Southern
Clinical School, ensuring optimal
anaesthetic training for Queensland’s
future doctors.

Research
Supervised by Dr Pal Svalingham, current
research investigations include:
1. Bispectral index change on the
different sensor position placement
during clamping of carotid artery in
carotid endarterectomy
2. Spinal morphine for thoracotomy - a
comparison with paravertebral block
3. Spinal morphine for liver resection - a
feasibility study at the PAH
4. Success of intubation using Glide
scope - a comparison between
experienced anaesthetists with junior
registrars
5. Multiple doses of IV Paracetomol - any
change in serum electrolytes?
Pharmacy
The use of drugs in analgesia, hypnosis
and the other components of anaesthesia
is the basis of the department’s specialty.
Dr Iain Salkield contributed to several
advisory committees in medication safety
and new agents both on the PAH campus
and for Queensland Health.
BREAST AND ENDOCRINE
Key Staff
Chair: Dr Neil Wetzig
Dr Ian Bennett
Dr David Wilkinson
Dr Petar Vujovic
Dr Tony Griffi n
Nurse Unit Manager: Cathy Daunt
Breast Care Nurse: Amanda Smith
The Breast and Endocrine Unit provides
comprehensive, world-class management
of breast and endocrine surgical
conditions in a multidisciplinary setting.
Over 130 newly diagnosed breast
cancers are treated at the unit each year
and are managed in conjunction with
the Medical Oncology and Radiation
Oncology units. Surgeons also work
closely with BreastScreen Queensland
so that surgical expertise is provided for
screening, assessment and diagnosis of
early stage breast cancer to facilitate and
integrate with defi nitive management.
Endocrine disorders are also
managed where appropriate in
conjunction with the Diabetes and
Endocrinology Unit, and a weekly
combined clinic is held to review diffi cult
cases.
division of
surgery
CARDIOTHORACIC SURGERY
Key Staff
Director: Assoc Professor Julie Mundy
Dr Ben Anderson
Dr Masashi Ura
Dr Paul Peters
Visiting Medical Offi cers:
Dr Terrance Mau
Dr Bruce Garlick
Dr Kevin Matar (Thoracic)
Nurse Unit Manage: Brock Yates
Clinical Facilitators: Melissa DeMonte,
Amanda Garner
T he Cardiothoracic Unit expanded
its caseload from 18 to 20 cases
per week in October 2006, resulting
in reduction of long waits for category
1 and 2 patients. This followed a very
successful service expansion in the
previous year from 10 to 18 cases.
The unit also performed its 5000th
cardiac operation on 29 June this year
- a milestone celebration for the team’s
dedication to cardiac services.
Service provision to the Gold
Coast Hospital was improved through
commencement of weekly outpatient
clinics, angiogram and case review
meetings to facilitate better patient
access to outpatient services, and
education.
Research projects in infective
endocarditis and lung cancer continued
in 2006-2007 and a satisfaction review
of GP follow-up was presented to the
Cardiac Surgical meeting by PHO, Dr
David Sharp.
Annual Report 2006-07
33

division of
Sean Birgan
RN, Grad Cert BusMan, Grad Dip Critical
Care Nursing, MRACN, MACCN
Director of Nursing
Division of Surgery
“The The Division of Surgery has,
over ove the past twelve months,
continued to respond to service
demands by increasing activity
and throughput by eight per
cent. This has been achieved
with no reduction in quality or
effi ciency. There have been
nursing recruitment diffi culties
experienced by some clinical
units, but it is anticipated
that these units will be fully
operational in early 2008.
There is continual pressure to
expand surgical services and the
division will continue to seek
all opportunities for additional
funding. The Clinical Governance
structures within the Division of
Surgery will continue to advise
the District Executive to ensure
that competing patient needs
are correctly ”y identifi ed and
prioritised. d.
Assistant Directors of Nursing:
Helen Werder
Jenny Andrews
34 Princess Alexandra Alexandra Hospital Hospital
surgery
COLORECTAL
Key Staff
Chair: Dr Jon Cohen
Dr Brian Meade
Dr Kevin Lau
Visiting Medical Offi cers:
Dr David Schache
Assoc. Professor Brian Miller
Dr Peter Gourlas
Nurse Unit Managers: Jodi Cooper (until
June 2007), Cheryl Ward
Clinical Support Coordinator: Mark Landy
Clinical Facilitator: Molly Maddocks
The most signifi cant change for the
Colorectal Unit in 2006-2007 was
the announcement of Dr Jon Cohen’s
imminent retirement. Dr Cohen’s
remarkable contribution to General
and Colorectal Surgery includes 37
years of continuous practice at the PAH.
The hospital will always be indebted
to Dr Cohen for his role in both the
establishment of a subspecialty unit and
as a clinical teacher.
Dr Brian Meade was appointed as a
full time staff surgeon within the unit and
will assume the role of director when Dr
Cohen retires.
Dr Brian Miller continued his
humanitarian work in 2006-2007. He
visited East Timor again with the aim
of teaching and improving the surgical
practice there. He also continued in his
role as one of the primary educators in
the fi eld of General Surgery for PAH’s
medical students.
The unit continued to move forward
with laparoscopic colorectal surgery
and clinical research, with particular
contributions from Dr Meade and Dr
Gourlas. Dr Kevin Lau was the unit’s
Fellow for the year and was the driving
force behind much of the research. He
expects to complete his masters by the
end of 2007.
Jodi Cooper resigned as Nurse
Unit Manager and Cheryl Ward will be
appointed as NUM in her place.
GENERAL SURGERY
Key Staff
Chair: Dr Daryl Wall
Dr Shinn Yeung
Dr Kellee Slater
Dr Tony Griffi n
Since the defi nition of specialty units
(Breast and Endocrine, Colorectal,
Hepato-Pacreato-Biliary and Upper
Gastro-Intestinal and Soft Tissue/
Melanoma), General Surgery has been
an organisational, coordinating, and
standard setting entity.
The General Surgery offi ce develops
the roster of surgeons for the receiving
and treatment of emergency surgical
patients and directs the maintenance of
skills in emergency care.

EAR NOSE THROAT
Key Staff
Director: Professor William B. Coman
Visiting Medical Offi cers:
Dr Scott Coman
Dr Benedict Panizza
Dr Chris Perry
Dr Ben Wallwork
Dr Bernard Whitfi eld
Fellows:
Dr Jeeve Kanagalingam
Dr David McGahey
Dr Liam Skinner
Dr Arturo Solares
Dr Geoff Webster
teleconference link with Townsville
A Hospital’s Head and Neck Clinic
continued to improve access for remote
patients. Additionally, the introduction of
case manager and clinical facilitator roles
to the unit assisted with the increase in
outpatient clinics and four additional
theatre lists.
An extra registrar post benefi ted
both PAH and Logan Hospital under the
guidance of new VMO, Dr Ben Wallwork.
The unit was instrumental in supplying
the Aboriginal and Torres Strait outreach
program, ‘Deadly Ears’ to Bamaga in far
North Queensland.
Professor Coman had a busy year with
professional duties including:
• Invited Guest Speaker at the Salivary
Gland Diseases Second International
Congress
• Invited Travelling Fellow at the 2007
Annual Scientifi c Meeting of the College
of Surgeons of Malaysia
• Invited speaker at the 2007 Annual
Scientifi c Congress in Christchurch, NZ
• Chairman of the Head and Neck Panel at
the 2006 George Crile Centenary Meeting
in Ohio, US.
• Invited Speaker at the XVIII IFOS World
Congress in Sienna, Italy 2006.
• International ENT Conference held in
Campitello, Italy hosted by Professor
Coman for UQ and the ENT Department.
INTENSIVE CARE UNIT
Key Staff
Director: Dr Chris Joyce
Dr David Cook
Dr David Fraenkel
Dr Peter Kruger
Dr Ros Purcell
Dr Bala Venkatesh
Dr Leo Nunnink
Dr James Walsham
Dr Gordon Laurie
Dr Wayne Kelly
Nurse Unit Manager: Nicky West
Acting Nurse Unit Manager: Samantha
Clayton
Clinical Nurse Consultants: Michael
Abbey, Sharon Wetzig
Professor of Critical Care Nursing: Dr
Leanne Aitken
Educators: Cheryl Buschel, Jane-Louise
Cook, Alison Juers
division of
surgery
T he Intensive Care Unit continued to
increase its workload in both clinical
and research areas. The number of
admissions in the 2006-2007 fi nancial
year was 2,336, with an average length
of stay of 2.78 days. Clinical outcomes
remained good, with a standardised
mortality ratio of 0.079.
The medical and nursing research
program continued to expand. Medical
academic activities included: the
Australian Intensive Care Medicine
Clinical Refresher Course, the associated
Data Interpretation Course, and the
Critical Care Basic Science Symposium.
Additionally, the nursing research
program developed signifi cantly and
now includes investigation of the impact
of ICU practices and outcomes of ICU
patients.
Annual Report 2006-07
35

division of
NEUROSURGERY
36 Princess Alexandra Hospital
surgery
Key Staff
Director: Dr Adrian Nowitzke
Chair: Assoc Professor Michael Weidmann
Dr Sarah Olson
Dr Jeff Webster
Dr Martin Wood (in conjunction with The
Queensland Children’s Hospital)
Visiting Medical Offi cers:
Assoc Professor Leigh Atkinson
Dr Robert Campbell
Dr Ross Gurgo
Dr Bruce Hall
Dr Michael Redmond
The Multidisciplinary Brain Tumour
Clinic, which began in April 2006,
continued in strength in 2006-2007.
It manages primary brain tumours
at the PAH and involves various
departments within the hospital,
including Neurosurgery, Radiation
Oncology, Medical Oncology, Palliative
Care, Nursing, Occupational Therapy,
Pathology, Radiology, as well as the
Queensland Brain Institute and the
Institute of Molecular Biology.
The department also developed
a monthly Functional Neurosurgery
Clinic for patients with movement
disorders, which is a joint initiative
between Neurosurgery and Neurology.
Additionally, the Combined Pituitary
Clinic, combining the Neurosurgery and
Endocrinology teams, increased to weekly
meetings.
The Base of Skull Surgery Service was
also further developed in 2006-2007.
Dr Bruce Hall was joined by Dr Michael
Redmond and Dr Martin Wood, who have
specialised knowledge and interest in
this fi eld.
The department was awarded a
research grant of $20,000 to assess
service needs for brain tumour patients in
the Southern Area Health Service.
OPHTHALMOLOGY
Key Staff
Chair: Dr Mark Dal Pra
Visiting Medical Offi cers:
Dr Phung Vu
Dr Kevin Vandeleur
Dr Peter O’Connor
Dr Stephen Ohlrich
Dr Alan Hilton
Dr John Harrison
Dr Irwin Groeneveld
Dr Clifford Fairley
Dr Peter Beckingsale
Dr Russel Bach
Dr Albert Aralar
Dr Andrew Apel
Nurse Unit Manager: Jeanne Fremont
In the 2006-2007 fi nancial year, the eye
department maintained its high level
of outpatient and surgical activity. The
senior registrar initiative continued to be
a great success in reducing outpatient
waiting times as well as increasing the
number of surgeries performed.
Treatment of macular degeneration
patients with Avastin injections proved
to be a successful initiative with a recent
audit showing low complication rates.
The purchase of an Optical Coherence
Tomography (OCT) unit will benefi t
the management of both macular
degeneration and diabetes patients by
allowing the department to deliver new
forms of treatment for these common,
sight-threatening conditions.
The unit developed a case manager
role, utilising one of the Level 2 positions
from Specialty Outpatients Services.
This proved to be advantageous in the
management of patients undergoing
surgical procedures.
The retina unit expanded its operating
hours, resulting in less need for afterhours
surgery.
ORTHOPAEDICS
Key Staff
Director: Dr Cameron Cooke
Deputy Director: Dr Mark Dekkers
Hand and Upper Limb:
Dr Greg Couzens
Dr Mark Robinson
Dr Mark Ross
Dr Stephen Andrews
Dr Ken Cutbush
Dr Alok Jhamb
Lower Limb and Pelvis:
Dr Cameron Cooke
Dr Mark Dekkers
Dr Laurie Malisano
Dr John North
Professor Michael Scheutz
Spine:
Dr Geoff Askin
Dr Rob Labrom
Dr Richard Williams
Dr Simon Gatehouse
Skeletal Tumour:
Dr Ian Dickinson
Dr Peter Steadman
Dr Scott Somerville
Nurse Unit Manager: Kerri McLeod
Clinical Nurse Consultants: Jodie
Richards, Louise Carter
T he Orthopaedic Unit made a new
consultant staff appointment in 2006-
2007, welcoming Dr Alok Jhamb to upper
limb. An additional principal house
offi cer was also added to the staffi ng mix.
The medical staff were well represented
in both local and national meetings.
Dr Mark Ross was appointed as an
American-British-Canadian Travelling
Fellow, which required him to present
at international meetings and centres of
excellence.
One major initiative from 2006-2007
was the instigation of an early morning
neck of femur (NOF) trauma list, to
help reduce waiting times for patients
requiring surgery on NOF fractures
and to reduce length of stay. This was
introduced as a pilot project in September

2006 and is now an ongoing project. The
average time to theatre reduced from
fi ve days to 2.1 days and the length of
stay reduced from 23 days to 14 days. A
vital part of the project was the adoption
of consultant-led management and NOF
liaison nurses. This ensured a smooth
transition from presentation at the
Emergency Department to discharge.
The unit also continued to review its
current workforce in relation to demands
on its services. This was refl ected in
changes and additions to administrative
offi cers to support the unit with its
increasing activity in both the inpatient
and outpatient areas.
PLASTIC & RECONSTRUCTIVE
Key Staff
Plastic
Director: Dr David Theile Jnr
Visiting Medical Offi cers:
Dr Greg McDermant
Dr Anthony Kane
Dr James Emmett
Dr Shiren Senewiratne
Dr Karen Joughin
Dr Gerard Bayley
Dr Paul Belt
Dr Daniel Rowe
Facio-Maxillary:
Dr Mathew Voltz
The Plastic and Reconstructive
Surgery Unit continued to increase its
workload in both clinical and research
areas. The unit performed a very large
amount of reconstructive microsurgery,
encompassing head and neck cancer,
orthopaedic tumour reconstruction,
orthopaedic trauma reconstruction,
advanced skin malignancy and breast
reconstruction.
As part of an initiative instituted by
the Minister for Health, PAH now has
dedicated breast reconstruction operating
lists, which have provided an excellent
service for breast cancer patients.
QUEENSLAND LIVER
TRANSPLANT SERVICE
Key Staff
Director: Professor Stephen Lynch
Deputy Director: Professor Jonathan
Fawcett
Dr Anthony Griffi n
Dr Daryl Wall
Dr Shinn Yeung
Dr Kellee Slater
Glenda Balderson
Collaborative Research Staff:
Assoc Prof Graeme Macdonald
Prof Thomas Marwick
Dr Julie Jonsson
Dr Paul Taylor
Dr Paul Salm
Prof Sue Tett
Dr Christine Staatz
Recipient Coordinators/Trial Nurses/Data
Collection: Maree Jarrett, Sue Rixon,
Geraldine Lipka, Yuka Yamaoka
The continued improvement in long
term outcomes of patients after liver
transplantation remains a focus of the
Queensland Liver Transplant Service with
collaborative projects in several areas of
interest.
The Queensland Liver Transplant
Services continued to be involved
in several pharmaceutical company
sponsored trials relating to dosing
strategies and new agents to reduce long
term nephrotoxicity.
Collaboration also continued with
colleagues in Clinical Pharmacology at
the PAH and the School of Pharmacy
at University of Queensland. The
focus of this research involves
optimising monitoring of critical dose
immunosuppressive agents.
A new collaborative cross-sectional
study with the the Gastroenterology
and Hepatology department and the
Centre of Clinical Research Excellence in
Cardiovascular and Metabolic Diseases
at PAH has commenced. The aim of
this study is to identify metabolic and
division of
surgery
cardiovascular risk factors in liver
transplant recipients. The results of
these investigations will be used to
design interventions with the ultimate
goal of improving the metabolic and
cardiovascular outcomes after liver
transplantation.
For liver transplant research and trials,
see Appendix C.
OPERATING THEATRES AND
PERI-OPERATIVE FACILITIES
Key Staff
Assistant Director of Nursing,
Perioperative and ICU: Helen Werder
Nurse Unit Managers: Carol Pound,
Audrey Hamilton
Clinical Nurse Consultant: Marg Walker
P rincess Alexandra Hospital achieved
a record zero category one patients
waiting for surgery longer than the
recommended 30 days on 30th June
2007. This notable achievement is
the result of improvements in surgery
allocation and management, bringing an
increase in the overall number of patients
receiving surgery.
Over 150 (10 per cent) more patients
per quarter were treated from the elective
surgery waiting list alongside a 20 per
cent increase in emergency surgeries,
compared with the June 2006 quarter.
Overall, the theatre staff invested
considerable time and resources into
surgical activity which meant the most
surgery in the history of the PAH was
performed during this fi nancial year.
The Surgical Care Unit contributed to
a signifi cant increase in operations by
increasing ‘day of surgery’ cases, which
improved overnight bed availability.
An Extended Stay Unit commenced in
June to provide for the care of patients
undergoing surgical procedures requiring
no more that 23 hours of care. This has
improved the length of category two and
three waiting lists applicable to certain
specialties.
Annual Report 2006-07
37

division of
TRAUMA SERVICE
38 Princess Alexandra Hospital
surgery
Key Staff
Chair: Professor Michael Schuetz
Trauma/ Research Fellow: Dr Martin
Wullschleger
Trauma/ Transplant Fellow: Dr Roland
Assmann
Trauma/ Transplant Registrar: Dr
Annemarie Nijboer
Nurse Unit Manager/Clinical Nurse
Consultant: Louise Carter
Project Offi cer: Susan Nielsen
Following the positive
acknowledgement of the Trauma Plan
for Queensland and with subsequent
funding, PAH commenced the fi rst
Trauma Service in Queensland. The
service collaborates with major clinical
departments including Emergency,
Anaesthesia, Intensive Care and the
Division of Rehabilitation.
The service liaises closely with and
coordinates interdisciplinary teams
involved in trauma management, in both
the pre-hospital and hospital phase of
care. It holds a Trauma Review meeting
monthly, which is well attended by
multidisciplinary teams as well as prehospital
staff.
In June 2007, four Trauma High
Dependency beds were operating, with
multi-trauma patients signifi cantly
benefi ting from the dedicated High
Dependency Unit nursing care. Clinical
benefi ts such as fewer adverse events
and improved outcomes have resulted
from this specialist nursing care.
UPPER GASTRO-INTENSTINAL
AND SOFT TISSUE/
MELANOMA
Key Staff
Chair: Associate Professor Mark Smithers
Visiting Medical Offi cers:
Professor David Gotley
Dr Stanley Jones
Dr Ian Martin
Dr Andrew Barbour
Nurse Unit Manager: Catherine Daunt
Fellows:
Dr Alan Li
Dr Jon Shenfi ne
The Upper Gastro-intestinal and
Soft Tissue/Melanoma Unit has
unsurpassed experience in the treatment
of oesophageal cancer and melanoma.
Both are managed by a multidisciplinary
clinic and many cases are entered into
national and international clinical trials.
In the 2006-2007 fi nancial year, the
unit received a research grant for a project
titled “Towards Prognostic Markers for
Oesophageal Cancer”.
VASCULAR SURGERY
Key Staff
Director: Dr Peter Woodruff
Visiting Medical Offi cers:
Dr John Quinn
Dr Tim McGahan
Dr Murray Ogg
Dr Steven Gett
Dr Mark Ray
Nurse Unit Manager: Theresa O’Keefe
Case Managers: Vandi Blake,
Kate Fullerton
An international carotid stenting (ICSS)
versus surgery trial, under the chief
clinical investigation of Dr Tim McGahan,
has been actively recruiting patients with
symptomatic carotid stenosis for either
stenting or surgery. 32 patients were
randomised this fi nancial year.
This year also saw the advancement
of the STRATIFY trial under Professor
Tom Marwick, and the ASPIRE trial using
aspirin to prevent recurrent venous
thromboembolism.
The contribution of Dr Sam Mellick
to Vascular Surgery was commemorated
with the naming of the Vascular Unit
in his honour. The Minister for Health
offi ciated at the naming ceremony and
an honour board for the Sam Mellick
Travelling Fellowship was also unveiled
at the event. The fellowship will allow a
Vascular Surgeon from Australia or New
Zealand to visit a centre of excellence
in the manner successfully performed
by Dr Mellick for many of his trainees in
previous years.
The endovascular activities of the unit
were further resourced with the opening
of the new catheter lab in Radiology.
Following from the improvement in
quality of the unit’s audit with the
employment of a half time data collector,
it actively lobbied to have similar
appointments made to other vascular
units in Queensland.
Nurse Unit Manager, Theresa O’Keefe,
was elected Vice President of the
ANZSVN.
Dr Peter Woodruff extended his safety
and quality activities in 2006-2007. He
was appointed to the Medical Board of
Queensland and the Private Hospitals
Committee of the Australian Commission
of Safety and Quality in Healthcare. He
continued his role as a clinical advisor
to the Heath Quality and Complaints
Commission and was also admitted to the
Royal Australasian College of Surgeons
Court of Honour.
Dr Woodruff was appointed to the
Working Committee of the Australian
Safety and Effi cacy Register of New
Interventional Procedures - Surgical,
with the task of developing draft criteria
to identify and prioritise potential
procedures for further action and review.