BULLETIN

Recommendations

Info

Page 18 | Bulletin 92 | July 2015 niaa@rcoa.ac.uk www.niaa.org.uk roles for all members of the group. This will help to ensure that we recognise the role of individual CTG members, even though CTG projects will be large collaborations. The CTG will also build relationships with clinical trials units that have expertise in trial design and management, with major public research funders and with other trials groups in related specialties in the UK and internationally. What type of research question will the CTG focus on? The scope of the CTG will primarily be to support projects involving the recruitment of patients where the aim is to improve outcomes for patients undergoing surgical treatment. In general, this will not include research into surgical techniques except where there is a clear overlap with perioperative medicine. Similarly, clinical trials that fall clearly under the remit of intensive care medicine are already well served by the Intensive Care Foundation (ICF). 3 It is likely that for such topics, the CTG will only engage when there is a clear perioperative medicine question to answer and, this will probably be undertaken collaboratively with the ICF and other relevant players. It is anticipated that the primary focus will be on large clinical trials enrolling 500+ patients but there will also be opportunities for some smaller studies to gain CTG support, especially if they are likely to translate into subsequent larger Phase II/III trials. How can I take part? The process of establishing the CTG is under way, and the first major task will be to appoint a Director and Executive Board that will then develop the framework by which the group will operate. Once this is in place, the CTG will begin the process of recruiting individual investigators. Key initiatives are likely to include an accredited local investigators scheme and an accredited principal investigators scheme. These schemes will provide training days and other resources to support and develop investigators in individual hospitals or training schemes. When established, investigators will be able to update their training once every two years in line with Good Clinical Practice for research guidance. 4 We aim to recruit at least one hundred members to each scheme within two years of the CTG launch. In addition, the CTG will run a more intensive chief investigator training and mentorship programme for a small number of talented individuals who wish to lead their own clinical trials. When will this happen? The role of CTG Director was advertised in February, and will be interviewed for and appointed to in June 2015. This appointment will be followed by recruitment of the CTG Executive Board members. Following this, we will actively seek applications for CTG membership in the various categories, leading up to a formal launch in spring 2016. The selection of the first ‘pathfinder’ studies will begin by the end of 2015. The first job of the Director and Board will be to establish the transparent and open processes and governance that will underpin the identification, selection and development of high quality candidate studies. Watch this space Regular updates on progress with the CTG will be posted on the NIAA website at: http://bit.ly/1HKuWKJ. Please share your contact details with us if you wish to express interest in joining the CTG. The CTG offers a massive opportunity to transform the clinical trial research landscape within our specialty. Most importantly, it brings the promise of practice changing perioperative research for patient benefit. References 1 The Rosetrees Trust (www.rosetreestrust.co.uk) (accessed 27 April 2015). 2 Perioperative Medicine: The Pathway to Better Surgical Care (www.rcoa.ac.uk/perioperativemedicine) (accessed 27 April 2015). 3 The Intensive Care Foundation (www.ics.ac.uk/icf) (accessed 27 April 2015). 4 Guidelines for good clinical practice in clinical trials. MRC, 1998 (http://bit.ly/1EdVYYv) (accessed 27 April 2015). NIAA National Institute of Academic Anaesthesia BJA/NIAA RESEARCH METHODOLOGY WORKSHOP Monday, 5 October 2015 Monday, 21 March 2016 Tuesday, 7 June 2016 RCoA, London £150 CPD Matrix code covered: 3J03 Event organiser: Professor P Hopkins 9.00 am Registration A joint workshop with the British Journal of Anaesthesia and the National Institute of Academic Anaesthesia to introduce participants to the way in which good research should be conducted and presented. The workshop will be useful for anaesthetists of any grade who are already involved in research or those who are about to embark on a research project. 4.30 pm Close 5 CPD CREDITS
Page 19 | Bulletin 92 | July 2015 snap1@rcoa.ac.uk www.niaa-hsrc.org.uk/SNAPs Sprint National Anaesthesia Projects (SNAPs) Where do we go next? Ramani Moonesinghe, Deputy Director, NIAA Health Services Research Centre Many of you will have contributed to the first Sprint National Anaesthesia Project or SNAP-1, which was an observational study of patient reported outcomes from anaesthesia. By a number of different metrics, this has been a great success, so we are now looking forward to SNAP-2 – and hopefully beyond. What are SNAPs? The general principle of SNAPs is that they are short ‘snap-shot’ studies of a common, patient-centred issue, which are firmly focused on improving the quality of patient care. They are research studies (rather than audits or service evaluations) and are delivered under the governance of the National Institute of Academic Anaesthesia’s Health Services Research Centre (NIAA HSRC) and are sponsored by the chief investigator’s own NHS Trust or University. A critical enabler of the SNAPs is the Quality Audit and Research Coordinator (QuARC) network, which was established to help engage local clinicians across the UK in health services research and quality improvement. A key principle of SNAPs is the facilitation of trainee-led and delivered research: thus SNAP-1 had a trainee lead (Ellie Walker) and we actively sought the participation of trainees across the UK as local investigators. SNAP-1 used validated measures to understand the epidemiology of patient-centred outcomes: anaesthesia related discomfort, patient satisfaction with anaesthesia care, and accidental awareness under general anaesthesia (AAGA). These topics were chosen as they provided the latest chapters in two programmes of work carried out under the auspices of the NIAA’s HSRC: a patient satisfaction measures programme, which began with a systematic review of all available patient satisfaction measures, and the 5th National Audit Project (NAP5) programme of work on advancing knowledge around AAGA. SNAP-1: the story so far We were overwhelmed by the engagement of the profession in SNAP-1. The study recruited adult patients undergoing non-obstetric procedures on 13 and 14 May 2014. Participation came from 171 separate NHS Trusts and Health Boards covering over 220 hospitals in all four devolved nations. Over 1,400 investigators were registered, of whom nearly 900 were trainees or medical students. The study collected demographic data on over 16,000 patients and postoperative outcome data on over 15,000: this is considerably larger than any previously published study of patient reported outcomes from anaesthesia. We are hugely grateful to the patients who took the time to complete the questionnaires; the response rate of over 92% is testimony to them and to the extraordinary efforts which local investigators went to in order to collect as much data as possible. The level of engagement was tangible to those of us on the central delivery team. We really enjoyed making contact with our colleagues all the way from NHS Orkney (total number of hospital beds: 48) and Shetland (78 beds), through to the behemoths of the capital cities, and all the way out to Truro in Cornwall. There was huge positivity amongst the local and lead investigators at each site all the way through the conduct of the study, which was reflected in the feedback given through our post-study investigator survey. As the study was supported by a grant administered by the NIAA, provided by the RCoA, and by the University College London Hospital’s National Institute for Health Research (NIHR) Biomedical Research Centre, SNAP-1 was adopted onto the NIHR portfolio. Furthermore, as it was a consenting research study (patient consent assumed on the basis of completing postoperative questionnaires), each patient recruited into SNAP-1 counted towards each participating trust’s target for patient accruals into research studies, established with the NIHR. This meant that each participating trust was able to use the patient recruitment rates into this study to support its case for future funding from the NIHR to support delivering national research at local level. SNAP-1 was, to our knowledge, the highest recruiting anaesthesia study requiring patient consent in the history of the NIHR portfolio. As it was such a high recruiting study, we hope that it will have made a significant contribution to local research capability for other future studies. This level of patient recruitment was only possible due to the huge effort put in at local level by each and every investigator, and also to the great co-ordination led centrally by Ellie Walker and Maddy Bell (née Humphrey).
Page 1 and 2: ROYAL COLLEGE OF ANAESTHETISTS ACCR
Page 3 and 4: Page 3 | Bulletin 92 | July 2015 Fr
Page 5 and 6: Page 5 | Bulletin 92 | July 2015 Th
Page 7 and 8: Page 7 | Bulletin 92 | July 2015 Gu
Page 9 and 10: Page 9 | Bulletin 92 | July 2015 Re
Page 11 and 12: Page 11 | Bulletin 92 | July 2015 P
Page 13 and 14: Page 13 | Bulletin 92 | July 2015 f
Page 15 and 16: Page 15 | Bulletin 92 | July 2015 a
Page 17: Page 17 | Bulletin 92 | July 2015 n
Page 21 and 22: ROYAL COLLEGE OF ANAESTHETISTS Page
Page 23 and 24: Page 23 | Bulletin 92 | July 2015 U
Page 25 and 26: Page 25 | Bulletin 92 | July 2015 M
Page 27 and 28: Page 27 | Bulletin 92 | July 2015
Page 29 and 30: Page 29 | Bulletin 92 | July 2015 D
Page 33 and 34: Page 33 | Bulletin 92 | July 2015 F
Page 35 and 36: Page 35 | Bulletin 92 | July 2015 I
Page 37 and 38: Page 37 | Bulletin 92 | July 2015 t
Page 39 and 40: Page 39 | Bulletin 92 | July 2015 c
Page 41 and 42: Page 41 | Bulletin 92 | July 2015 C
Page 45 and 46: Page 45 | Bulletin 92 | July 2015 S
Page 51 and 52: Page 51 | Bulletin 92 | July 2015 N
Page 53 and 54: Page 53 | Bulletin 92 | July 2015 R
Page 55 and 56: Page 55 | Bulletin 92 | July 2015 S
Page 67 and 68: Page 67 | Bulletin 92 | July 2015 P
Page 69 and 70:
Page 69 | Bulletin 92 | July 2015
Page 71 and 72:
Page 71 | Bulletin 92 | July 2015 T
show all

BULLETIN

Create successful ePaper yourself

Delete template?

Save as template?