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Annual Report Clinical Engineering North & South Best Value Group 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust Richard Steventon, Facilitator Telephone: 01245 544600 Email: [email protected] www.npag.org.uk

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Annual Report Clinical Engineering North & South Best

Value Group 2017

The NPAG is a part of the East of England Ambulance Service NHS Trust

Richard Steventon, Facilitator

Telephone: 01245 544600

Email: [email protected]

www.npag.org.uk

Clinical Engineering North & South BVG 17

Mission Statement

Page 2 www.npag.org.uk

‘Striving for Excellence in Medical Equipment Management and Promoting the Profession.’

Introduction

The Clinical Engineering Benchmarking Groups North and South are fully aligned with common agenda meetings. The new club year start early March (meeting No 1) and ends in December (meeting No 4). A joint Conference is to be held in September as a ‘shared’ meeting No 3. This will be held on Tuesday 18

th September at the

Wolverhampton Racecourse, Dunstall Park, Wolverhampton, West Midlands, WV6 0PE -. The anticipated agenda release is by mid March. Last year over twenty (20) Medical Equipment Manufacturers/Suppliers booked exhibition stands and places were very quickly taken up. Thus the other meeting No 2 will be in June.

The theme will be ‘Where we are Today’. The Conference will yet again will also be open to non members at a fee.

Membership last year increased again by the end of the year, particularly in the South Group and there were forty (40) Trusts contributing. Non member Trusts are always welcome to try one off 'sampler' meeting.

The group’s focus has continued to look at providing quality services in a competitive market and considered strategies to ensure that services continue to be enhanced by the introduction of new technologies.

Chair’s View

North Group as David Butler, Head of Clinical Technology - University Hospital of North Midlands NHS

Trust.

“It has been a pleasure to chair the NPAG North Group meetings for 2017 and I am pleased to report that membership, and the group generally, goes from strength to strength. Debate and comment is lively and reflective of the broad issues and challenges that the membership meet in their workplace and the meetings have again proved to be an invaluable opportunity to share knowledge and experience. Thanks to all for their attendance and engagement with the group, their enthusiasm makes the meetings productive and valuable for all who attend.

This year we have again had some excellent presentations and the combined North and South groups’ benchmarking exercise for 2017 has been the most complete and inclusive to date. In the absence of model hospital data for our specialty this really is a fantastic resource and tool.

The meeting agenda now gives ample time for a wide range of topics to be discussed and is a sounding board for initiatives around risk assessment and risk based maintenance, policy and procedure, governance assurance and many more. Unsurprisingly there has been a great deal of discussion and sharing of cost improvement initiatives.

I would like to thank all the sponsors for hosting our meetings and for the information they provide, particular thanks go to Richard Steventon for his excellent facilitation of the meetings and for the focus and direction he brings to the group.

Clearly we face significant challenge ahead but members of the group can look forward to the coming year, confident that the group will again provide invaluable insight and support in improving the services we deliver to our Trusts and to the patients that we serve.

I would urge anyone who is involved in the management of medical equipment within NHS organisations to consider membership of this productive, best value group.”

Page 3

Chair’s View

www.npag.org.uk

South Group as Simon Ward, Medical Devices Manager - Hertfordshire Community NHS Trust

It has been another successful year within the NPAG Southern Group with continued sharing of knowledge and experience of best practice within Clinical Engineering. This year’s benchmarking exercise has seen a further increase in participants with more data available for Trust’s to compare their own activity, performance and costs.

The various suppliers that were selected to present at our meetings this year have also provided useful and topical information related to the Clinical Engineering sector.

Thanks as always to the members whose continued contribution and input has supported and shaped the direction of the group to ensure we remain up to date and relevant with the shared challenges we face in an ever changing NHS. Thanks also the to the NPAG team for their continued support of the Group who make it all happen seamlessly.

I look forward to the groups continued development in 2018 which this year will include peer review of medical device policies to allow further sharing of good practice, good governance and patient safety issues.

I would encourage any Trust involved in the management of medical devices to join the membership of this productive, best value group.

Meeting Venues

Dissemination of Clinical Engineering Information

The North meetings are usually located at Wigan West Premier Inn, Orrell Road, Orrell, Wigan, WN5 8HQ which has excellent parking and very quick motorway access.

The South meetings are always held in London currently at a venue close to Euston mainline station and will start at The Imperial Hotel 61-66 Russell Square WC1B 5BB.

The NPAG Network Staff maintains a library and register of all documents/papers for distribution upon request. These are also made available to members of other NPAG Best Value Groups, with the agreement of the originator. Follow up reviews on the subjects and responses are now a fixed agenda item at each subsequent meeting. An archive is now being stored on a OneDrive. Members are encouraged to keep this service active thus to help a web based 'Network Enquiry Form' has been established. Around 40 questions were registered last year which was 10 more that the previous year. Thus highlighting the value of the system by members.

All presentation slides, notes and tabled documents are made freely available to Group members and when permission is granted, loaded onto the member’s web page with annual updated password security.

Clinical Engineering North & South BVG 17

Page 4

Networking

www.npag.org.uk

Meetings continued to prove a focal point for members to build an affinity with each other, resulting in some visits between their respective organisations to view new equipment, offer reciprocal training and share mutual information on working practices and policies. The members also maintain an email group, supported by the facilitator where questions and requests for advice or sample policy documentation are shared with all NPAG Clinical Engineering members via the NPAGNetwork. A Microsoft 'OneDrive' is available to allow real time updating of benchmark spreadsheets and several other folders to support sharing of important mutual issues viz::

Device Information

Device Issues

Nurses Technology Form

Repair Assessments

Risk Assessment Tools

Useful Documents*

Useful URLs

* Folders within such as Modernising Scientific Careers (MSC with RCT), MHRA, Managed Equipment Services and a SWOT Table for contributing too.

Influencing Policy

The membership, as a group voice, is seeks to influence national policy and practices. Relevant information of findings will be passed on. A positive link with a NHS England Patient Safety representative has been established with personal visits to both group meetings. Two South members are currently on the monthly web based safety (MDSO) panel discussion group.

Clinical Engineering North & South BVG 17

Meeting 1

Presentations by:

Savings to be made in the NHS - David Love Account Manager - Tenacore

Real Time Infusion Connectivity - achievable solutions and stakeholder value?

Meeting 1

Meeting 2

Page 5 www.npag.org.uk

Presentations by:

Medical Equipment Disposal: Out of Site, Out of Mind?

Oliver Pearson - Sales Director -British Medical Auctions

Endoscope and Light Leads Testing Device Tracy Walley – Area Sales Manager Besdecon Leyton Stevens - Director of Healthcare, BES Rehab Ltd

Clinical Engineering North & South BVG 17

Meeting 3 — Conference

The following presentations were delivered:

Engineering Solutions for the NHS: Raising the Profile of Clinical Engineering and Medical Physics

Dr Helen Meese CEng MIMechE Head of Healthcare.

Institution of Mechanical Engineers

From Blame to Prison: Human Factors and Cyber Security

Prof. Harold Thimbleby PhD CEng FIET FRCPE FLSW HonFRSA HonFRCP

The Threat to Healthcare from Cyber Crime and What the Government is Doing to Support Trusts

Sam B, Cyber Security Consultant - The National Cyber Security Centre.

Penetration Testing of Medical Devices for Cyber Security

Dr. Mike Bartley, CEO T&VS Test and Verification Solutions Ltd.

AAGBI Standards of Patient Monitoring Working Party

Dr Mathew Checketts – Anaesthetist - Ninewells Hospital and Medical School,

Dundee, Scotland

A Medical Device - If you can’t clean it don’t buy it

Karen Wares, Deputy Clinical Director, GAMA Healthcare Ltd.

The Medical Device & Connectivity Landscape

Martin Patten, Networking Specialist, Avaya

Nemertes Research Overview (Comparing the Healthcare IOT Industry Options)

Martin Patten, Networking Specialist, Avaya

The Avaya SURGE Solution Overview ( Developed for Healthcare)

Jaspal (Jas) Virdee, Networking Consulting Systems Engineer, Avaya (20 mins)

Creating a Black Box Culture within Healthcare,

Damian Cottle, Managing Director, Pegasus Resource Management

Meeting 4

Page 6 www.npag.org.uk

Benchmarking

Presentations by:

Cybersecurity and the unintended consequences of Healthcare IT

Philip Hodsman - European Business Development Manager

Rob Davies – Technical support - ECRI

Mindray -25 Years of Development Tony Smith- Marketing Manager Kaushika Khoosal & Luke Turnbull - Account Managers - Mindray.com

Clinical Engineering North & South BVG 17

An important aspect of the group’s meetings is sharing data to benchmark performance and data. To facilitate this, the group has developed six KPIs, which they revisit on a regular basis. These KPIs enable members to monitor their department’s individual performance and provide a means to monitor continuous performance. Data is continually updated and is stored on a OneDrive for real time information and updating. The latest file is to be for fiscal year 2016-17. Both groups spreadsheets have been merged into a single version so that now forty (40) Trusts are represented in the same file.. Each Chair has previously to rationalise the different KPIs into a common with a starter maximum of six. Previous years sheets are archived. Each March there is a review of the fields recorded which can be subject to amendments or additions, to add value and better interpretation.

The members also maintain a central database of each trust’s Clinical Engineering staffing, budgetary, equipment and other useful supporting data to facilitate networking and provide additional supporting information for benchmarking.

Prices paid for specific spares by each Trust on a common Medical Device (viz McKinley Ambulatory Syringe Driver) has been instigated. Also a Top Ten Risk sheet based on which items would have priority to be serviced and likewise those which can be considered as 'repair only'.

At each meeting additional new folders may be agreed for information recording or comparisons.

Topics

A typical agenda is shown as:

Review of morning session then formal meeting start.

Minutes of last meeting (Action Review and Matters Arising).

Matters Arising and Routine Reviews.

- NPAGNetwork Review of Questions asked of members. - Information Sharing Updates + OneDrive updates

- Conference Updating

- 'Anything else on the day'

Apprenticeship Updating -Modernising Scientific Careers - RCT Updates

Development - Updates and Progress of Benchmarking - KPI exercises: - OneDrive.

Medical Device Training

Open Forum of Cost Savings and other Initiatives - Areas of good practice/problems.

Procedures - Risk Assessment sharing and Peer Review.

Any Other Business.

Clinical Engineering North & South BVG 17

www.npag.org.uk Page 7

2017 Clinical Engineering Members

North Group

Mike Rowlands Head of Mems Abertawe Bro Morganwg University Health Board

Richard Wise Medical Engineering Manager Birmingham Women's NHS Foundation Trust

Darren Wrigley Head of Medical Equipment Services

Blackpool Teaching Hospitals NHS Foundation Trust

David Wheatley Medical Engineering Manager Burton Hospitals NHS Foundation Trust

Darrell Clegg Senior Medical Engineer The Christie NHS Foundation Trust

Lee Smith Medical Engineering Deputy Manager

The Christie NHS Foundation Trust

Peter Owens Trust Medical Engineering Manager

Heart of England NHS Foundation Trust

Jeff Norrie Chief Technician Heart of England NHS Foundation Trust

Paul Blackett Medical Engineering Opera-tions Manager

Lancashire Teaching Hospitals NHS Foundation Trust

Alex Zarneh Head of Medical Physics Mid Yorkshire Hospitals NHS Trust

Mark Westby MESU Manager (Electronics) Nottingham University Hospitals NHS Trust

Richard Tuckwood MESU Manager (Pneumatics) Nottingham University Hospitals NHS Trust

Amanda Hill Trust Medical Engineering Manager

Queen Elizabeth Hospital Birmingham

Nigel Watkinson Medical Engineering Manager Shrewsbury and Telford Hospital NHS Trust

Robert Millard Head of Clinical Engineering The Royal Wolverhampton Hospital NHS Trust

Jaswant Bilkhu Senior Chief Clinical Tech The Royal Wolverhampton Hospital NHS Trust

David Butler Operational Head of Clinical Technology

University Hospital of North Staffordshire NHS Trust

Clinical Engineering North & South BVG 17

www.npag.org.uk Page 8

2017 Clinical Engineering Members South Group

Name Job Title Trust / Organisation

Martin D’Aliesso Clinical Engineering Manager Barking, Havering & Redbridge University Hospital NHS Trust

Andrzej Jastrzebski Service Manager Barts Health NHS Trust

Nirmal Raj Medical Technical Officer Barts Health NHS Trust

Gary Cordery Head of MEMS Basildon & Thurrock University Hospitals NHS Foundation Trust

Adam Armstrong Technical Services Manager Cambridge University Hospitals NHS FT

David Attwell Head of Clinical Engineering East Kent Hospitals University Foundation Trust

Steve Burnside Acting Medical Engineering Manager Gloucestershire Hospitals NHS FT

Steve Webb Manager Gloucestershire Hospitals NHS FT

Simon Ward Medical Devices Manager Hertfordshire Community NHS Trust

Rajesh Bhalla Facilities Manager Hillingdon Hospital

Paul Derrick Medical Electronics Manager Musgrove Park Hospital

Hasssan Aghourine Medical Devices Manager Northampton General Hospital

Ellen Fosker Clinical Engineering Manager Norfolk and Norwich Hospitals

Mark Catling Medical Devices Manager Norfolk Community and Healthcare Trust

Pawel Zerka Clinical Technologist Norfolk Community and Healthcare Trust

Jonathan Applebee Head of Clinical Technology Plymouth Hospitals NHS Trust

John Pickett Head of Clinical Engineering Poole Hospital NHS Foundation Trust

Steve Webb EBME Manager Princess Alexandra Hospital NHS Trust

Jon Shenton Clinical Engineering Manager Royal Derby Hospital

Raj Poornachandran Deputy Head – Clinical Engineering Royal Berkshire Foundation Trust

Steve Russell Technical Services Manager Royal Marsden Foundation Trust

Hardus Bosman Clinical Engineering Manager Royal Marsden Foundation Trust

Paul Goodfellow General Manager Southend University Hospitals NHS Foundation Trust

Darren Russell Laed Medical Physics Torbay and South.Devon Foundation Trust

Carl Bond Lead Clinical Technologist University Hospitals of Leicester

Martin Lucey Head of Clinical Engineering University Hospital Southampton NHS Foundation Trust

Gareth Ward Dep Head Estates Maintenance University Hospital Southampton NHS Foundation Trust

Tim Penrose Head of MEMO University Hospitals Bristol NHS Foundation Trust

Simon Ward Medical Devices Manager Hertfordshire Community Trust

Stephen Sinclair Medical Devices Manager W.Hertforshire Hospitals

David Wilson EBME Manager West Suffolk NHS Foundation Trust

Keith Hamblin Chief Technician Whittington NHS Trust

Bob Perkins Head of Clinical Engineering Yeovil District Hospital NHS Foundation Trust

NPAG Developments

Page 9 www.npag.org.uk

Discounts and Offers

CPD Certification

The NPAG is a member of the CPD Certification Service. The Clinical Engineering North & South Best Value Groups has received CPD approval for 2017-18.

CPD Certification is a formal recognition of the contribution that membership of the Clinical Engineering North & South Best Value Groups makes to members' continued professional/personal development.

At the end of the annual round of meetings, members will receive certificates of attendance for all meetings attended during the year to evidence the contribution made as part of lifelong learning.

NPAGNetwork

The NPAGNetwork provides the facility for members to ask questions of any individuals, group or groups within the overall NPAG membership. Questions can be sent to the NPAGNetwork Coordinator who disseminates them across the NPAG membership. Responses are collated and returned to the originator and others who declare an interest in the question asked.

NPAG Library

The NPAG Library holds presentations from NPAG best value groups and conferences, together with policy and other documents sent in by members. Access to these items is via the NPAGNetwork Coordinator.

NPAG Website

The NPAG website includes a private members Area for each of the NPAG BVGs. Through these sites, BVG members can access and download meeting agendas, minutes, presentations and survey forms. The areas are password protected.

Members Referral Fee – Introduce a friend and get 1 meeting for free.

A member referral resulting in another Trust / Organisation registering for full membership of the same group will result in the referring member qualifying for a one meeting discount*

The discount applies to the full membership fee only (not applicable to the 2nd member rate). The discount will be applied once, at the start of the current meeting round. Mid round membership referral discounts will be processed at the start of the following year’s membership round.

Multiple referrals will result in multiple discounts up to four referrals per meeting round.

*Equivalent to £149

Second Club Membership - A 20% discount will be applied when an existing NPAG member joins an additional Group. This does not apply to the £245 second member rate.

Introducing our Try Before You Buy option. Simply attend the first meeting of a group’s new round, see what it’s all about and if you decide it’s not for you walk away commitment free*.

*Try before you buy option is available to new members only. New members must inform NPAG in writing that they wish to ‘try before they buy’ prior to first meeting attendance. If the new member continues membership beyond the first meeting then the full group membership fee applies.

Clinical Engineering North & South BVG 17

Page www.npag.org.uk

NPAG Best Value Groups

The NPAG organises and facilitates a national network of Best Value Groups that enables members to share experience, identify good practice; innovation and information to assist individual managers develop their own service improvement action plans.

For further information on the NPAG and our future activities, please contact Gemma Aitchison or Tracey Johnson by telephone on 01245 544 600, or by e-mail on:

[email protected] [email protected] Some Group Testimonials…

“I have been attending Clinical Engineering BVG for over a year and am finding it very useful. The presentations are informative, interesting and relevant to my work. Meetings provide good networking opportunities. The group is quite big and discussions offers insight in what other hospitals are doing regarding various common issues.”

Head of Clinical Engineering, Barts Health NHS Foundation Trust, member of the Clinical Engineering South BVG 2017

“This was my first year working in Clinical Engineering and found being a member of this group incredibly helpful. The knowledge and experience the other members share in the meetings and via email has been invaluable. The shared KPI's are also really useful to benchmark against to see where we need to improve. Thanks for running the group. Very much appreciated!.”

Technical Services Manager, The Royal Marsden NHS Foundation Trust, member of the Clinical Engineering South BVG 2017

Clinical Engineering (North) BVG National District Nurses Network

Clinical Engineering (South) BVG NHS Car Parking and Travel Planning Network

Decontamination BVG NHS Sustainability Leads Network

Estates Services (North) BVG NHS Transport and Logistics BVG

Estates Services (South) BVG Nursing and Temporary Staffing BVG

Facilities (North) BVG Operating Theatres BM Group

Facilities (South) BVG Resilience Development Network

Health, Safety and Risk Management Network Security Network

Health Visiting and School Health Services DN Telecoms

IT and Connectivity Network Waste Management BVG

Mental Health Network

Clinical Engineering North & South BVG 17

NPAGNetwork

Page www.npag.org.uk

Available to all members of NPAG Benchmarking and Best Value Groups, and individual subscribers, the NPAGNetwork provides the facility for members to ask questions of any individuals, group or groups within the overall NPAG membership.

The response to questions raised has been excellent. The NPAGNetwork provides a managed forum for colleagues to share information - saving time and money in not re-inventing the wheel!

Questions raised in the past month have included the following topics:

Job descriptions and banding Staff parking charges Electric Vehicle (EV) charging Disposal of ionisation smoke heads HFSS food removal Reporting pressure ulcers DaVinchi Robot use Pathology waste policy Pool cars Decontamination of portable medical equipment Use of latex gloves For full details of how to use the NPAGNetwork, please contact the NPAG team on 01245 544600 or email: [email protected]

Forthcoming NPAG Events Please visit www.npag.org.uk for all our current course, workshops, training & BVG meetings.

Phone: 01245 544600 / email [email protected] or [email protected]

Winter-Spring 2018 - Occupational Health Nursing Training Workshops

February 2018—An Introduction to Supporting Plus Sized Patients Workshop

Across 2018 - Putting the Patient First – Customer Care and Communication Skills in the NHS Training (On-Site

Workshop)

March 2018 – Theatres and Decontamination Conference

September 2018 - Clinical Engineering Conference

Contact Us

Phone: 01245 544600

Email: [email protected] uk

East of England Ambulance Service

NHS Trust

Chelmsford Office, Hospital Approach

Broomfield, Essex

CM1 7WS

Clinical Engineering North & South BVG 17

Clinical Engineering North BVG 2018

© NPAG 2018 The NPAG is a part of the East of England Ambulance Service NHS Trust

REGISTRATION FORM

Organisation

Address

Are you a member of another NPAG Networking Group? (Please tick)

Name

Job Title

Email

Special

Requirements

(Dietary / Access)

Phone No.

PA Details

Registrations

Please send your completed registration form to:

National Performance Advisory Group

East of England Ambulance Service NHS Trust

Hospital Approach

Broomfield, Chelmsford, Essex

CM1 7WS

Invoicing

If the invoice address is different from that

above please enter below:

Member 1 for a £500 Fee (4 meetings) Member 2 for a £245 Fee (4 meetings)

REGISTRATION CONDITIONS:

A VAT invoice will be issued. VAT Registration No. 654 9195 01. VAT applies to any NHS organisation outside England and to any non-NHS organisation. Payment is due on receipt of invoice. DO NOT send payment in advance of receipt of invoice. When invoice is received,

payment should be made to ‘East of England Ambulance Service NHS Trust.’

ALL cancellations must be in writing. Cancellations received within 14 days of receipt of the registration form will receive a

full refund. After this date refunds cannot be made. A substitute is acceptable. NPAG cannot be held responsible for any

travel expenses or accommodation costs in the event of a cancellation or postponement of a meeting, workshop or an event.

A 20% discount will be applied when an existing NPAG member joins an additional Group. This does not apply to the £245

second member rate.

I confirm that I have read and accept the above REGISTRATION CONDITIONS and would like to register as a member of the ‘Clinical Engineering North BVG 2018’. Please invoice me for payment .

Authorisation Signature ………………………………………………… Purchase Order Number………….…………………………………………………….

AR Version

Y N

Clinical Engineering South BVG 2018

© NPAG 2018 The NPAG is a part of the East of England Ambulance Service NHS Trust

REGISTRATION FORM

Organisation

Address

Are you a member of another NPAG Networking Group? (Please tick)

Name

Job Title

Email

Special

Requirements

(Dietary / Access)

Phone No.

PA Details

Registrations

Please send your completed registration form to:

National Performance Advisory Group

East of England Ambulance Service NHS Trust

Hospital Approach

Broomfield, Chelmsford, Essex

CM1 7WS

Invoicing

If the invoice address is different from that

above please enter below:

Member 1 for a £535 Fee (4 meetings) Member 2 for a £245 Fee (4 meetings)

REGISTRATION CONDITIONS:

A VAT invoice will be issued. VAT Registration No. 654 9195 01. VAT applies to any NHS organisation outside England and to any non-NHS organisation. Payment is due on receipt of invoice. DO NOT send payment in advance of receipt of invoice. When invoice is received,

payment should be made to ‘East of England Ambulance Service NHS Trust.’

ALL cancellations must be in writing. Cancellations received within 14 days of receipt of the registration form will receive a

full refund. After this date refunds cannot be made. A substitute is acceptable. NPAG cannot be held responsible for any

travel expenses or accommodation costs in the event of a cancellation or postponement of a meeting, workshop or an event.

A 20% discount will be applied when an existing NPAG member joins an additional Group. This does not apply to the £245

second member rate.

I confirm that I have read and accept the above REGISTRATION CONDITIONS and would like to register as a member of the ‘Clinical Engineering South BVG 2018’. Please invoice me for payment .

Authorisation Signature ………………………………………………… Purchase Order Number………….…………………………………………………….

AR Version

Y N