I was at an educational talk for local GPs this evening and gave a short presentation on recent advances in the treatment of glue ear. The slides are embedded below for information and reference
I have now been an ENT consultant at Warrington and Halton Hospitals for about 18 months but started my training in ENT at Northwick Park Hospital in 2003. Since then I have worked at the Royal National Throat, Nose and Ear Hospital, been a registrar in the North West Deanery and an International Fellow at Flinders Medical Centre, Adelaide. I have usually had 4 operating lists per week, each lasting about 4 hours.
Today I performed my 4,000th operation. I hope there will be many more thousands in the future!
Last week I was at a meeting at the Royal College of Surgeons of England to help shape the future of commissioning in ENT in the UK. We know that in the past some primary care trusts have labelled ENT operations such as grommet insertion for deaf children and tonsillectomy for patients suffering from severe, recurrent sore throats as 'procedures of limited clinical value'. There seems to be little evidence-based justification for this and certainly for the patients suffering from these conditions the procedures are anything but limited value. The meeting was a cross-speciality group of surgeons, patients, GPs, paediatricians and commissioners sitting around a table and developing an evidence-based outline of what high value care looks like, as well as measures to ensure the safety and quality of high volume surgical services.
The work is in development but should be in draft form by the summer... watch this space.
Thanks to everyone who came along and made the meeting such a huge success and thanks hugely to our generous sponsors without whom events like this simply would not be possible.
We had over 120 people on the day which started off with some excellent registrar presentations. Congratulations to David Hamilton from the Northern deanery on the winning presentation looking at quality of life assessment in head and neck cancer.
The morning continued with a talk on middle ear implants from Kevin Green from Hope Hospital and then an extremely poignant personal reflection from Barry Taylor on his experience of treating the victims of the Warrington IRA bombs of 1993.
The afternoon saw talks on controversies in the management of oral squamous cell carcinoma, surgical audit and coding and the management of chronic cough.
Haydock Park was an excellent venue and special thanks to Kate and her team for their flexibility, hospitality and bacon butties!
I have just been appointed as principal investigator for the CRES (Chronic Rhinosinusitis Epidemiology Study) study at Warrington and Halton Hospitals. The study is being lead by Carl Philpott - Senior Lecturer at the University of East Anglia and aims to assess the relationship between common socio-economic, psycho-social and other medical co-morbidity factors with chronic rhinosinusitis.
We are aiming to recruit about 20 patients with newly diagnosed chronic rhinosinusitis into the study. If eligible and selected it will simply involve taking the time to fill in a questionnaire about your symptoms as well as answering some questions about your job, where you live and so on. Hopefully we will be able to identify whether where you live or what you do make you more or less prone to suffer from sinusitis.