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Page 10 | Bulletin 93 | September 2015<br />

Patient Perspective<br />

laycom@rcoa.ac.uk www.rcoa.ac.uk/laycom<br />

Professionals may know otherwise but<br />

the communication of their knowledge,<br />

often in difficult circumstances, is<br />

limited. The report recommends a<br />

more robust system of communicating,<br />

explaining and recording CPR decisions<br />

between professionals and patients,<br />

relatives and carers.<br />

It was noted that whilst 97% of hospitals<br />

have a resuscitation policy, only half<br />

have a patient information leaflet.<br />

So, we are going to consider how we<br />

might take this forward. Whilst an<br />

information leaflet may seem a limited<br />

response to such a critical issue, it is<br />

hoped that it is a small step in ensuring<br />

those at the end of their lives die with<br />

dignity.<br />

Focusing the work of the Lay<br />

Committee<br />

We held our annual awayday<br />

immediately after the College’s Strategy<br />

Summit in May. We were fortunate to<br />

have the President as our key speaker,<br />

and he outlined his views on the<br />

challenges the NHS faces over the next<br />

five years and how the College needs<br />

to respond. He emphasised the need<br />

for teamwork, improving outcomes<br />

and reducing variability in care, and<br />

saw perioperative medicine as a key<br />

component of those changes.<br />

This did not all come as a big surprise<br />

but led us to consider how we can<br />

best position ourselves to support all<br />

the new challenges – after all, we are<br />

spread across all the key activities<br />

and committees of the College. It<br />

means that we are working to near full<br />

capacity. Whilst we are carrying a few<br />

vacancies we needed to think about<br />

doing things differently.<br />

We decided that we must focus our<br />

activities, and be able to support (and<br />

challenge!) the various ways in which<br />

the perioperative medicine agenda<br />

will play out – be it training, service<br />

development or working with key<br />

partners such as other Royal Colleges.<br />

The new focus will be around five key<br />

areas:<br />

■■<br />

Becoming an Anaesthetist –<br />

including training and examinations<br />

■■<br />

Being an Anaesthetist – including<br />

standards and safety<br />

■■<br />

Communications – including patient<br />

information and consultations<br />

■■<br />

Working with Partners – including<br />

internal and external stakeholders<br />

■■<br />

Research and Audit – including<br />

national audits<br />

This will help us to streamline our<br />

reporting mechanisms and enable us to<br />

respond to the growing perioperative<br />

medicine agenda in a coherent way.<br />

We will also be able to work in a small<br />

number of teams to cover all the key<br />

activities in a consistent fashion.<br />

Well, that’s the plan anyway!<br />

Goodbye Irene, goodbye.<br />

Finally, I cannot let my first attempt at<br />

an article pass without paying tribute to<br />

my predecessor – the redoubtable<br />

Irene Dalton.<br />

Over the last four years Irene has<br />

guided and developed the Lay<br />

Committee (formerly the Patient<br />

Liaison Group, PLG). In the early years<br />

she was faced with a myriad of issues<br />

in responding to the ever growing<br />

demands of the College to sit on the<br />

increasing number of committees and<br />

deal with the wider range of issues the<br />

College was pursuing<br />

She faced all of these challenges with<br />

her familiar ‘can do’ mentality and her<br />

canny way of persuading those around<br />

her to take up and carry the work<br />

forward. She developed a group around<br />

her who were quick to support and, at<br />

times, challenge the workings of the<br />

College.<br />

No doubt, she drew on her experiences<br />

as a long-serving Headmistress of<br />

a large Comprehensive school in<br />

Barnsley. Thus she developed a strong<br />

community of support both within the<br />

PLG and Lay Committee and across<br />

the College. Also, she could identify<br />

the salient points of an issue and be<br />

clear about the way forward – in other<br />

words, call a spade a spade.<br />

Under her leadership the Lay<br />

Committee has gone from strength to<br />

strength. Her advice has been eagerly<br />

sought from all sides of the College<br />

and beyond. Several patient/lay<br />

groups from other Colleges have asked<br />

for support and have attended our<br />

Committee to glean ideas to take back<br />

to their own groups.<br />

Irene was clear in wishing to make a<br />

clean break from the Lay Committee<br />

though she knows she will always be<br />

welcome back. She is already planning<br />

her next challenges, including studying<br />

Ancient Greek and travelling the British<br />

coastline.<br />

We all wish her the very best in all her<br />

endeavours.<br />

So, in (nearly) the words of the great<br />

Blues singer, Leadbelly,<br />

Stay by the fireside of right.<br />

Goodbye Irene, goodbye...

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