BCIS Council Elections 2019 – President

VOTING IS NOW CLOSED

Election of President of the British Cardiovascular Intervention Society

 

I am pleased to announce that voting for the post of President of BCIS is now open. Please note that none of the votes cast in the original election on April 14th/15th will be counted, so if you had already voted, please vote again.

 

Professor Adrian Banning’s term as President will finish at ACI January 2020, but there will be a 6-month lead-in period for the President-elect, whose office will run for 3 years, until January 2023.

It goes without saying that this post represents the pivotal role in the Society, and will guide its direction over the 3 years the successful candidate is in office. I would therefore ask all members to take the time to consider the credentials of each candidate carefully, and to vote for your preferred applicant. This is a single-vote election.

There are five outstanding candidates for the post. The supporting statements of all of them are accessible below.

Voting is performed online using the link. The closing date for voting is May 24th 2019 at 5pm.

 

We look forward to receiving your vote.

 

Dan Blackman

Honorary Secretary

 

How to register your vote

Please use the online voting form available below. Each member has one vote, after voting a confirmation will appear and no further votes will be available. The voting process is anonymous.

 

The closing deadline for submission of your votes is  May 24th 2019 at 5pm.

If you have any further questions, please don’t hesitate to contact either myself or Azeem Ahmad, BCIS Administrator, Tel: 020 7380 1918, Email: bcis@bcs.com

 

VOTE HERE

Prof Nick Curzen

Prof Nick Curzen

Southampton University Hospital

I would be very grateful for your support to be the next President of BCIS.

Since 2002, I have gained extensive experience of the workings of the society, firstly as an Ordinary Council Member, then as the first Education Officer, followed by Honorary Secretary and now R&D Chair. During that time I have taken a lead on some important changes, including:  writing the first subspecialty curriculum for interventional cardiology & serving on the national training committee at the Royal College of Physicians; the initiative to introduce non-surgical centre representation on Council & the drive to achieve greater exposure for non-surgical centre colleagues at meetings; the agreement to stop ventilated cases appearing in our publicly reported data in order to discourage risk aversion. These 17 years of experience provide me with a solid platform from which to lead the Society.

 

BCIS is a strong, successful and vibrant organisation. We require clear vision to continue to move forward and I identify the following key issues & challenges that need to be addressed.

 

Women in Cardiology

During Adrian’s presidency good momentum has now been established to highlight the challenges faced by women who are considering interventional cardiology as a career or who have already embarked upon it. We now need to formulate a strategy that leads to positive action to address these challenges so that we do not lose this pool of talent. My plan is to establish a Working Group with representation from BJCA (junior cardiologists association), as well as established female interventional cardiologists and members of our Training & Education Committee to propose action points that we can agree to implement in order to change our culture and make this easier for our members. The time is right to move on this & make a real difference.

 

Allied Healthcare Professionals (AHP)

The work of the excellent AHP group has been extremely effective ever since its inception, but we need to maintain an awareness of the specific needs and preferences of our AHP members.

 

I propose that:

– we institute a change in the BCIS Rules in order to create a formally elected AHP Council member who will co-Chair the AHP group & who will automatically sit on the ACI programme committee.

– we increase the recognition of our AHP members, for example by: (a) creating a Research Team of the Year Award that recognises all the staff at a centre who have facilitated a high quality research project or programme, not just the clinical leader; (b) a new AHP Recognition Award, for which colleagues could nominate AHP members who have made outstanding contributions to their local interventional services. Both of these awards would be presented at ACI.

 

Clinical

TAVI. Given the recent trial data showing the efficacy of TAVI compared to surgery in low risk patients, the pressure on TAVI services in the UK is likely to increase substantially in the next few years. How and, in particular, where such services can/should be provided is an important debate and one that I think BCIS should anticipate and actively lead on. My plan is to ask the Structural Intervention Committee to undertake a detailed analysis of TAVI services, including the projected expansion, and to formulate potential models of care that can responsibly anticipate the increase in demand for TAVI. This work will form the basis for a formal BCIS-endorsed plan for the future.

Thrombectomy for ischaemic stroke. The application of appropriate thrombectomy for selected stroke patients is life-changing and yet current models are, and in their current format will continue to be, inadequate to offer equity of access for these patients. We should initiate the debate about whether some BCIS members may contribute to such treatment in the future… it may be, for example, that we could train a select & motivated group of junior interventional cardiologists to be hybrid clinicians with joint neurointerventional accreditation. I would establish a Working Group to look at the practicalities of such a plan with a view to then initiating a debate about this at a national level.

 

Training

– I would invite the BJCA to plan one of the sessions at ACI in order to focus on their hottest areas of interest.

– I would also establish a new case-based learning course, open to trainees and new consultants, that focuses on the decisions that we all take right from initial assessment of our patients to the procedure itself and then their care after it.

– I propose that we hold a formal regional meeting each year for 2 areas of England, as well as NI, Wales & Scotland. These would focus on both general topical, but also some local, issues & would be set up and run by local teams. Where these already exist, we would offer formal BCIS accreditation and endorsement.

 

Access to Sponsorship for Meetings

The shift in the way members can access financial support to attend meetings/conferences has been rapid and confusing. Some excellent work by Millbrook has helped, but there is still a degree of uncertainty about our prospects for attracting such support. It should be a BCIS task to help to clarify options for our members: whilst we are undoubtedly not the appropriate body to mediate financial allocation for sponsorship, this should not stop us issuing clear advice and information about the available options.

 

Listening & Accountability

Providing the opportunity for our members to challenge the way the Society is working, and its policies, is important. If elected, I will:

– institute a formal Annual Report for the Society, to be sent to all members before ACI, that will include updates from all the subgroups, and the Officers, including a financial statement

– establish a new session in the middle of ACI during which the President presents a summary of the activity and achievements for the preceding year, followed by a forum in which we timetable questions, comments and suggestions from the membership, submitted either in advance or at the meeting, to which either the President, or relevant member of Council, will respond appropriately. This should help members to feel that they can raise constructive points to the leadership that they wish to be heard & transparently addressed.

 

Thank you for your support: I am passionate about this Society and feel well equipped to lead it.

Dr Sen Devadathan

Dr Sen Devadathan

Royal Cornwall Hospital Trust

I am an interventional cardiologist at the Royal Cornwall Hospital, Truro. After completing basic medical training and post-graduation in India, I specialised in interventional cardiology at Manchester, Stoke-on-Trent and Blackpool. As an enthusiastic interventionist, I have always endeavoured to ensure that patient safety remains my first priority. I have been doing a busy 1:6 primary PCI on call at the Royal Cornwall Hospital for the past 8 years and each day I appreciate how much I love intervention.

 

The Society has taken giant strides in recent times to streamline education, training and research, and to develop and uphold clinical and professional standards. I am proud to have contributed to this in my previous stint at the BCIS council and I hope to continue with this valuable work.

 

During my time at the council, I served as the chair of the non-surgical centre working group. I therefore have a clear understanding of the specific challenges facing interventionists in non-surgical centres but have not lost sight of the pivotal role of large surgical centres. Rifts have arisen between these two interdependent teams on many occasions due to a breakdown in effective communication. As the president, I intend to work hard to remove these barriers to cohesive working whilst ensuring that the perspective of the centres without onsite surgical cover is not lost in the detail. To this end, I will strive to enhance proportional representation of nonsurgical centre operators in all platforms within BCIS.

 

Despite the advances in interventional cardiology, this sub speciality is one of the least favoured fields for women in cardiology. The society has not been proactive in addressing the issues specific to women: I would endeavour to address this imbalance. Enabling adequate representation of women in the council would be one of my priorities.

 

The role of the catheter lab team often goes unrecognised when we list the triumphs of interventional cardiology. The successful national roll out of primary PCI in the last few years owes a great deal to the zealous dedication of the catheter lab professionals who often go the extra mile. My practice has benefited on many occasions from the useful suggestions offered by nurses, cardiac physiologists and radiographers. I would like to further this by increasing training opportunities for allied health professionals through BCIS platforms. I would also do my utmost to ensure that BCIS represents the whole interventional community more equitably. BCIS as a fraternity has achieved a unique position embracing all multidisciplinary teams involved in cardiac interventions and bringing them under one umbrella. It should therefore use its influence in shaping the future of interventional cardiology.

 

My presidency would ensure an inclusive approach to non-surgical centres, enhance the role of women in the field, and provide appropriate recognition for multidisciplinary teams over the coming years. I believe I have the professional experience, drive and enthusiasm to lead the society through this exciting phase in its evolution, and to reinforce UK’s excellent standing in the world of interventional cardiology.

Prof David Hildick-Smith

Prof David Hildick-Smith

Royal Sussex County Hospital

I have worked for BCIS over the last decade as a Council Member and then Treasurer, so I know the business of the Society well. If I were to be elected to the role of President I would do my very best to improve our working lives on several fronts:

 

  • Sustainability: For many Consultants, on call responsibilities are onerous. Options to rationalise rotas are not taken because of the vested interests of individual Trusts. Without regional planning, solutions for larger and wider rotas are not sought. If we are to attract the best trainees into Intervention, they need to be able to see the prospect of something other than the tyranny of frequent STEMI on call for an entire career. I will work with the British Cardiovascular Society and the Royal College of Physicians on your behalf to find solutions.

 

  • Burnout: While Interventional Cardiology can be a very rewarding career, it comes with considerable stresses. Increasing micro-accountability, decreasing autonomy and a reduction in all administrative support staff increase the computerised workload on Consultants, who now spend much of their time in front of screens detailing, accounting, and explaining their every action, with multiple avenues of simultaneous enquiry when things go wrong. This can be very wearing. I will work with the BCS and RCP to increase awareness of this important problem.

 

  • Stroke: Interventional management for stroke is coming. Fortunately the vast majority of this work occurs during the day (strokes being usually painless). Barring a huge expansion of the number of interventional neuroradiologists, the obvious people to take on some of this work are the Interventional Cardiologists. I welcome this and see stroke intervention as a huge opportunity to make a difference – imagine taking someone who is hemiplegic and mute and then essentially breathing life back into their brain. Talks with the Royal College of Radiologists are ongoing and I will make sure we have a seat at the table.

 

  • Education: Advanced Cardiovascular Intervention has become a beacon of educational excellence. The fee increase to fund the meeting was met by equanimity by the vast majority of you and as a result we have record numbers of Consultants and Allied Health Professionals attending and contributing to three days of debate and discussion. I want to harness the best new talent to present at that meeting, and extend the range of educational opportunities that BCIS provides, taking advantage of social media-based learning.

 

  • Interventions: Interventional treatment options are expanding, in surgical and regional centres alike. Morphing of practice from niche to mainstream is a continuous evolution. I will ensure that appropriate expansion of mature therapies is encouraged and promoted. Introduction of new technologies to the UK is a slow and painful process of which I have an unfortunately large experience, negotiating with NICE and NHS England.

 

  • Influence: One of the outcomes of the sad shambles of Brexit is a relative isolation of British Cardiology. Collectively our perspective is centred on the patient rather than on the business of medicine, and we bring to the International table a dose of common sense, occasional humility, and some of the best speakers in the world. I will try to work with the European and American societies to ensure that we remain involved partners.

 

Lastly, it would be an honour to serve as your President and if you vote for me I will do my utmost to be the best advocate I can be for you and for UK Interventional Cardiology.

Prof Phil MacCarthy

Prof Phil MacCarthy

King’s College Hospital

The next few years will present huge political and clinical challenges to UK Intervention with changes in practice that will affect us all – pressures to deliver out-of-hours intervention, ever-more complex PCI, an ageing and co-morbid population and high volume TAVI to name but a few.

 

I was appointed as Consultant at King’s in 2003, became Clinical Lead in 2007 and Clinical Director in 2012. In 2016 I was appointed Clinical Lead for a Cardiovascular Institute Programme and have since been working to unify practice and clinical teams across South London and the network. I have chaired the NHSE Pan-London HAC committee for 10 years and worked very closely with European colleagues for 15 years on the Board and Programme Committees of Euro-PCR and PCR London Valves Live. I continue to perform high volume coronary (1:7 primary PCI) and structural intervention and remain passionate about what we do in our day-to-day work.

 

I am lucky to have been at the forefront of a number of important advances in Cardiology, including the use of the pressure wire to guide PCI, primary PCI for STEMI and TAVI/Structural Intervention. I have endeavoured to embrace these new techniques, publish research on their application, work constructively with Industry and introduce them responsibly across the UK as the evidence has matured.

 

I have always been a huge supporter of BCIS and have been closely involved with the Society throughout my Consultant career, twice serving on the Programme Committee of ACI and elected Council member in 2015. I wrote the BCIS Service Spec for Heart Attack Centres/pPCI and then became the inaugural Chair of the BCIS Structural Intervention Working Group. I set up and obtained funding for the first BCIS International Structural Fellowship.

 

As intervention becomes more complex, it becomes more obvious that this therapy is delivered by a team, not an individual. BCIS is the only collective voice we have but it has struggled as a Society to remain inclusive and truly representative of all professionals involved. My priorities for BCIS would include:

 

  • To ensure the BCIS leadership truly represents interventional practice in all settings and improve access of all members to committees and working groups – so that they input to decisions rather than just watch from the side-lines. I am aware that the BCIS leadership is still seen as a clique by many and this needs to change.
  • More constructive collaboration with other Societies/Regulatory bodies such as Royal Colleges, NICE, NHSE and NICOR, to build on the strong foundations of current BCIS-supported clinical research and innovation;
  • To support networked delivery of intervention, with more involvement/representation of Consultants/AHPs in secondary care eg. In valve/complex PCI MDTs;
  • To raise the International profile of BCIS, which has slipped in recent years. This could be done via joint projects/fellowships/conference/educational sessions with European/American colleagues;
  • To standardise and encourage the introduction of new technologies, which is currently done on an ad-hoc basis, and encourage Industry to support the UK, hopefully reversing a recent trend which has seen us fall well behind Continental Europe and the US;
  • To more robustly support and develop the career structures of its members with increased cross-talk with Royal Colleges, Deaneries and NHSE. Unfortunately, Interventionalists still often do the majority of out-of-hours emergency Cardiology in the UK.

 

 

Having seen BCIS evolve over the last 15 years I can see huge potential to make it more influential, more representative and one of the foremost Cardiology Societies in Europe. I feel that I am well placed to lead BCIS into its next phase.

Prof Neal Uren

Prof Neal Uren

Royal Infirmary of Edinburgh

The British Cardiovascular Intervention Society is a Broad Church

It represents not only interventional cardiologists, both established consultants and those in training, but also all catheter lab staff. The position of BCIS within British Cardiology has been enhanced by the hard work done by both members of council and many other colleagues in representing our view and articulating our vision. We have seen real commitment from many colleagues in the society driving BCIS in a positive and collaborative direction.

 

So where do I come in? I was on BCIS council from 2003 and 2006 and elected Treasurer from 2006 to 2011 through a period of financial pressure and reorganisation in our relationship with industry. My view was that the most important objective of BCIS was to set standards and commit to them. I was heavily involved in the SIGN Guidelines pushing primary PCI for STEMI through against considerable resistance. I also served on BCS council for 4 years. I spent time away from BCIS becoming Clinical Director of Cardiac Services in Edinburgh, which I did from 2011 to 2017. During that time, and with the support of colleagues, I helped to create well-recognised structural heart disease interventional and complex coronary interventional services, driven by a desire to educate, innovate and maximise service delivery. Achieving this was immensely satisfying and allowed me to develop robust political skills to achieve and protect this activity in a challenging clinical environment. My current commitment to BCIS is as a member of the Structural Heart Disease Interventional Group.

 

The British Cardiovascular Intervention Society is a Bridge

 

We don’t work in isolation. BCIS has opened up opportunities for trainees to go abroad for fellowships which build important links to other centres and bring back skills to the UK. My time in Stanford convinced me of the importance of these experiences and I believe that we should use every means to expand this to more of our younger colleagues. At the same time, our service has benefited greatly from a rotating interventional fellowship and this may a direction of travel for BCIS in supporting units keen to bring in new skills from abroad. I believe in full engagement with EAPCI and EuroPCR where we can showcase our subspecialty but also build deeper relationships with other interventional societies around the world.

 

The British Cardiovascular Intervention Society is a Shield

 

It protects us and it protects our patients. We must play to our strengths. We should support coronary intervention in all centres large enough to create a sustainable service, and promote and support complex interventional activity in non-surgical centres to create capacity, whilst maintaining patient safety. We must fully support colleagues at the cutting edge of complex intervention, yet at the same time, ensure we get the fundamentals right everywhere. To do this, BCIS must interact with NHS management robustly, with arguments based on firm evidence. BCIS is uniquely placed to support interventional research; we have NICOR, we have first-class audit, and we are stronger in collaboration.

 

My commitment to you as President would be to engage with you, listen to you, support you and always act on your behalf.