Clinical Engineering North & South Best Value Group

© NPAG 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust 1

“Every time I attend a Clinical Engineering BVG meeting, I return to my trust with new and valuable information and knowledge relating to medical device management.” Medical Engineering Manager, The Shrewsbury and Telford Hospital NHS Trust

Richard Steventon, Facilitator Telephone: 01245 544600 Email: steventons@btinternet.com www.npag.org.uk

Cert No: 9210

Clinical Engineering North & South Best Value Group

© NPAG 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust 2

MISSION STATEMENT

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

INTRODUCTION The Clinical Engineering North and South Best Value Groups are now been fully aligned with common meeting agendas. The new round of meetings will commence in March, followed by a further two more dates in June and December and a joint Conference will take place on the 12th September in Coventry. Last year around twenty (20) Medical Equipment Manufacturers/Suppliers booked exhibition stands and delegate places were quickly taken up. This year the conference is exploring the opportunity of sharing its platform with the newly formed IT Group. This new group is being facilitated by the recently retired Head of Memo (Bristol) Peter Smithson. The Conference will yet again will also be open to non-members at a fee. Each year we see the groups increase in membership; in particular the southern group is now made up of 37 Trusts. 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.

CHAIRS VIEW Clinical Engineering South BVG 2016

It has been a pleasure to chair the NPAG Southern Group during 2016 with the success of the group in large part due to the great support provided by NPAG with particular thanks to Richard, Marie and Gemma. Thanks also to the members for their continued involvement both during the meetings but also through the sharing of knowledge and experience between members through the NPAG Network. With 37 NHS Trusts within the group including members involved within various elements of the wider Clinical Engineering community, the group is continuing to influence national policies and practices. Recent involvement with the upcoming changes in apprenticeship schemes is aimed at helping ensure the training and educational requirements for the future workforce are appropriate. Throughout the year the group has seen a number of selected suppliers present with a focus on topical presentations that have informed and updated the group on numerous developments within the Clinical Engineering sector. This year’s benchmarking exercise has seen more Trust’s taking part than ever before enabling members to monitor their department’s performance using the KPI’s developed by the group. A very successful conference was held in September 2016 with the main themes IT Connectivity, Human Factors, GS1 and Updates from MHRA. I look forward to the groups continued development in 2017 with one of the areas the group has identified to focus on is the development and sharing of procedures, in particular risk assessment and peer review to support the development of innovative solutions related to medical device maintenance and management. 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. Simon Ward, Medical Device Manager, Hertfordshire Community NHS Trust

Clinical Engineering North & South Best Value Group

© NPAG 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust 3

Clinical Engineering North BVG 2016

I have had the pleasure of chairing the NPAG North Group meetings for 2016 and am pleased to report that the group goes from strength to strength, membership is healthy and the debate and comment is lively and reflective of the broad experience of the membership. 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 we have continued to work on improving benchmarking in cooperation with the South Group. The meeting agenda has been adjusted to allow more focus on information sharing and this has allowed a wide range of topics to be discussed at greater length, including cost improvement initiatives, recruitment, service providers, regulatory compliance and many more. 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. I look forward to the challenges of the coming year and am 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. David Butler, Head of Clinical Technology, University Hospitals North Midlands NHS Trust

MEMBERS TESTIMONIALS “I find the structured approach of the NPAG groups is beneficial in achieving results as a group.” Medical Engineering Manager, Lancashire Teaching Hospitals NHS Foundation Trust “Every time I attend a Clinical Engineering BVG meeting, I return to my trust with new and valuable information and knowledge relating to medical device management.” Medical Engineering Manager, The Shrewsbury and Telford Hospital NHS Trust “Membership of the NPAG Clinical Engineering Group provides an ideal platform of shared learning, from a network of experienced & knowledgeable Members, whilst also creating the opportunity to receive the very latest on information and innovation in today’s Medical Device market. This can prove to be an invaluable Asset in meeting the current challenges of a modern day Clinical/Medical Engineering department.” Workshop Manager, Christie NHS Trust

MEETING VENUES 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 close to Euston mainline station and will provisionally start at The Imperial Hotel 61-66 Russell Square WC1B 5BB.

NETWORKING 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' has been setup up to allow real time updating of benchmark spreadsheets and several other folders to support sharing of important mutual issues viz:

Clinical Engineering North & South Best Value Group

© NPAG 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust 4

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. An entry dated 'Index' has been set up so that members can periodically check and thus quickly access new documentation that has been added. Both groups benefit from having a common Facilitator with 26 years of NHS Head of Department (retired) experience and previous 10 years in Clinical Measurement. Very positive feedback has been received.

INFLUENCING POLICY The membership has a valuable voice and is able 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.

MEETING 1 Presentation by: Medical Industry Accreditation: Benefits for Clinical Engineering

Nigel Robbins: www.wellards.co.uk www.miaweb.co.uk

Clinical Equipment User Manual Library (Service Manual Development) Bernie Jendrzewski, Managing Director: www.siso.uk.com

MEETING 2 Presentation by: Infusion Devices - Market Research Exercise Facilitator: George Ashford, CEO: www.creativemedicalresearch.com

This was carried out on behalf of an unknown at the time major Infusion Equipment Supplier.

MEETING 3: CONFERENCE The following presentations were delivered: Integration with IT Patrick Maw, IT Services: University College Hospitals London Medical Equipment Management and the DH GS1 adoption strategy Dave Weatherby, Consultant: GS1 UK IT connection and updates on cyber security incidents in hospitals Peter Smithson, Consultant Clinical Engineer: CliniBizTech Solutions Ltd

Clinical Engineering North & South Best Value Group

© NPAG 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust 5

Through the Keyhole - Human Factors and the Imaging Chain Tristan Williams, Manager Endoprotect-1 & Industrial (RVI): Karl Storz Endoscopy UK The Register of Clinical Technologist - Update of Entry Requirements Andy Mosson, Renal Dept., Churchill Hospital, Oxford Medical Device Nomenclature Update Edward Glen: GMDN Agency MHRA Update and MDSO status Dr Louise Mulroy, Team Manager, Device Safety and Surveillance: MHRA

MEETING 4 Presentation by: Nurturing seedlings or established shrubs – what recruitment strategy would you choose? Steve Dickson, Training Academy Manager: Avensys Patient Early Warning Systems, EWS, Guardian Phil Stuart, Douerk, RGN Technical Consultant: Philips Healthcare Lucy Araghi, Account, Manager Patient Care and Monitoring Solutions

BENCHMARKING An important aspect of the group’s meetings is sharing 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 mutual OneDrive for real time information. The latest update is to be for fiscal year 2015-16. Following both North and South's December meeting there has been unanimous mutual agreement to merge both groups’ spreadsheets into a single version so that now 30 Trusts are represented. Each Chair has been given the "autonomous" task to rationalise the different KPIs into a common list between the two with a starter maximum of six. A sheet for financial year 2013-2014 data had been established and recently a new sheet for 2014-2015 added. 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. Recently a spreadsheet on 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'. Also following June's meeting a spreadsheet to asses Renova Surgical's performance has been established.

TOPICS

These are too numerous to mention so a typical agenda is shown as:

Review of morning session then formal meeting start

Apologies for Absence

Minutes of Previous Meeting (Action Review and Matters Arising)

Matters Arising and Routine Reviews

NPAGNetwork Review of Questions asked of members

Information Sharing Updates

Clinical Engineering North & South Best Value Group

© NPAG 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust 6

Conference 2017 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

Dates/Agenda matters for future meetings

Any Other Business

2016 CLINCAL ENGINEREING 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 Operations 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

Terence Timmons EBME Manager Pennine Acute 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

South Group

Name Job Title Trust / Organisation

Richard Kirk Head of Clinical Engineering Barking, Havering & Redbridge University Hospital NHS Trust

Andrzej Jastrzebski Head of Clinical Engineering

Barts Health NHS Trust

Clinical Engineering North & South Best Value Group

© NPAG 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust 7

Nirmal Raj Deputy Head of Clinical Engineering

Barts Health NHS Trust

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

Adam Armstrong Head of Medical Engineering Cambridge University Hospitals NHS FT

Ellen Fosker Clinical Engineering Manager East of England Ambulance Service NHS Trust

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

Hamed Yasin EBME Manager East & North Herts NHS 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

Carlton Watson Medical Electronics Supervisor Kettering General Hospital

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

Lawrence Barker Head of Medical Engineering Sandwell & West Birmingham Hospital NHS Trust

Paul Goodfellow General Manager Southend University Hospitals NHS Foundation Trust

Ash Patria SML Manager University Hospitals Coventry and Warwickshire NHS Trust

Douglas Clarkson Quality & Development Manager

University Hospitals Coventry and Warwickshire NHS Trust

Jasdip Mangat MEMS Manager University Hospitals of Leicester

Martin Lucey

Head of Clinical Engineering

University Hospital Southampton NHS Foundation Trust

Tim Penrose Head of MEMO University Hospitals Bristol NHS Foundation Trust

David Wilson EBME Manager West Suffolk NHS Foundation Trust

John Byrne Head of Medical Physics Whittington NHS Trust

Keith Hamblin Chief Technician Whittington NHS Trust

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

Hassan Aghourime Medical Device Manager Northampton General Hospital

Clinical Engineering North & South Best Value Group

© NPAG 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust 8

NPAG DEVELOPMENTS CPD Certification The NPAG is a member of the CPD Certification Service. Both the Clinical Engineering North and South Best Value Groups have received CPD approval for 2017. CPD Certification is a formal recognition of the contribution that membership of the Clinical Engineering North and South Best Value Group 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. NPAG NetWork The NPAG NetWork 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 NetWork Facilitator 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 NPAG NetWork Facilitator. 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 SCHEME AND DISCOUNTS 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. 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 Best Value Group

© NPAG 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust 9

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.

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

For further information on the NPAG and our future activities, please contact Marie Cherry, Gemma Aitchison or Victoria Combes by telephone on 01245 544 600, or by e-mail on: marie.cherry@npag.eastamb.nhs.uk gemma.aitchison@npag.eastamb.nhs.uk victoria.combes@npag.eastamb.nhs.uk

Some Group Testimonials… “Many thanks for these attachments and for such an enjoyable and informative meeting yesterday, it was really worth taking the day out to attend. I felt that all the presentations provided valuable knowledge and generated much thought surrounding current service delivery issues and this will all be very useful.” Health Visiting & School Health Services Development Network 2016-17 Member, Shropshire Community Health NHS Trust

“I think this year was very productive. It was a great learning experience and we made real progress especially with our changes to the ERIC reporting being accepted by HSCIC and our ongoing work with the EU to develop a healthcare waste qualification. I also had a good time at the last conference – very interesting learning from other countries about how they manage waste. It certainly gives some perspective to us.” Waste Management BVG 2017 Member, 2gether NHS Foundation Trust

“Knowledge and similar experience of attendees and speakers is highly beneficial and has led to improvements in my organisation as a direct result of membership – thank you!” NHS Car Parking & Travel Planning Network 2016 Member, South Eastern Health and Social Care Trust

Clinical Engineering North & South Best Value Group

© NPAG 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust 10

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:

Pathology waste policy Facilities audit tool tools Decontamination of portable medical equipment Ward hairdressers Laundering Heat Labile items Fleet vehicle insurance Use of latex gloves Use of chute system for waste disposal

Thank you all who have responded! For full details of how to use the NPAGNetwork, please contact the NPAG team on 01245 544600 or email: npagnetwork@npag.east.amb.nhs.uk

Forthcoming NPAG Events Please visit www.npag.org.uk for all our current course, workshops, training & BVG meetings. Phone: 01245 544600 / email gemma.aitchison@npag.eastamb.nhs.uk, marie.cherry@npag.eastamb.nhs.uk or victoria.combes@npag.eastamb.nhs.uk

Theatres and Decontamination Conference, 8th March 2017, Ricoh Arena, Coventry Contact Marie for further information.

Clinical Engineering Conference, 12th September 2017, Ricoh Arena, Coventry Contact Gemma for further information.

Occupational Health & Safety Modules Contact Gemma for further information.

Putting the Patient First – Customer Care and Communication Skills in the NHS Training Onsite Workshop A one day workshop for NHS professionals, reinforcing customer care best practice so that patients receive the best possible experience through our people, always Putting the Patient First:

Understanding the impact of your own behaviour on others

How to handle challenging situations and people

Effective communication techniques

Understanding and managing patient expectations

Identifying how and why perceptions are formed

Proactive versus reactive behaviour

Demonstrating a positive attitude

Taking ownership Contact Marie for further information.

Clinical Engineering North & South Best Value Group

© NPAG 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust 11

REGISTRATION FORM

Clinical Engineering North Best Value Group 2017

ORGANISATION ADDRESS

PHONE NO. FAX NO.

Member 1 for a £495 fee (4 meetings) Member 2 for an additional £245

NAME POSITION EMAIL SPECIAL REQUIREMENTS (Dietary/Access)

Reservations Invoicing Please send completed booking form to: If the invoice address is different from that (Photocopies acceptable) above please enter address below National Performance Advisory Group East of England Ambulance Service NHS Trust Orchards, Hospital Approach Broomfield, Chelmsford, Essex CM1 7WS Tel: 01245 544600 Email: marie.cherry@npag.eastamb.nhs.uk www.npag.org.uk

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 2017’. Please invoice me for payment. Authorisation Signature ………………………… Your Order Number……………………………

Cert No: 9210

Clinical Engineering North & South Best Value Group

© NPAG 2017 The NPAG is a part of the East of England Ambulance Service NHS Trust 12

REGISTRATION FORM

Clinical Engineering South Best Value Group 2017

ORGANISATION ADDRESS

PHONE NO. FAX NO.

Member 1 for a £550 fee (4 meetings) Member 2 for an additional £245

NAME POSITION EMAIL SPECIAL REQUIREMENTS (Dietary/Access)

Reservations Invoicing Please send completed booking form to: If the invoice address is different from that (Photocopies acceptable) above please enter address below National Performance Advisory Group East of England Ambulance Service NHS Trust Orchards, Hospital Approach Broomfield, Chelmsford, Essex CM1 7WS Tel: 01245 544600 Email: gemma.aitchison@npag.eastamb.nhs.uk www.npag.org.uk

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 2017’. Please invoice me for payment. Authorisation Signature ………………………… Your Order Number……………………………

Cert No: 9210