Speakers
Tim Wilton
Professor Mike Reed
Rhidian Morgan-Jones
Lt Col Ben Caesar
BOA Session
Session Title: Preventing Harm to Ourselves and Colleagues
Session Description:
‘Preventing Harm and Transforming Lives’ is a title which can be applied as much to ourselves and colleagues as well as to patients. In an increasing complex digital healthcare world, intense focus on performance, scrunity of results and budgets the pressure on orthopaedic surgeons is great. Time pressures, safety checks, frustration, emotions and stress can add to severe impact on our well being and performance.
In this session we address some of the issues around orthopaedic surgeons mental and physical well being. Burnout is one of the worries associated with work pressure and Ben Caesar will look at issues surrounding this. Scrutiny of individual and unit outcomes including National Joint Registry / NCIP and external reviews can lead to added pressure for surgeons labelled as ‘outliers’ and Rhidian Morgan Jones, Mike Reed and Tim Wilton will look at the processes and results surrounding this. Finally, what happens if a colleague is physically incapable to work? Alex Hazlerigg will share her experiences of suffering a significant orthopaedic injury on the effects of her work as hand surgeons.
All are welcome, and encouraged to attend to help prevent harm to ourselves and our orthopaedic colleagues.
Agenda
16:30 - 1635: Introduction
16:35 - 16:50: NJR Outlier process
Tim Wilton, Chair, Medical Director, NJR
16:50 - 17:05: NJR outlier: Effects on surgeon and support
Professor Mike Reed, Consultant Orthopaedic Surgeon, Northumbria Healthcare NHS Foundation Trust, Chair, NJR Editorial Committee
17:05 - 17:15: Being an NJR outlier
Rhidian Morgan Jones, Consultant Orthopaedic Surgeon, East Suffolk and North Essex NHS Foundation Trust
17:15 - 17:30: Surgeon burnout
Ben Caesar, Consultant Trauma and Orthopaedic Surgeon, JHGSE & University Hospitals Sussex NHS Foundation Trust
17:30 - 17:45: Healing when you know too much
Alex Hazlerigg, Consultant T&O Surgeon at Gloucestershire Hospitals NHS Foundation Trust
Q&A Discussion
Tim Wilton trained at Oxford and at UCH medical school and in Orthopaedics at Nottingham, Harlow Wood, Derby and South Wales with travelling fellowships in N America, Strasbourg, Bern and Ljubljana. He has an entirely elective practice in lower limb arthroplasty and has specialised in knee replacement and knee revision surgery for the last 30 years. He has a lifetime personal experience of over 2500 hip and 3500 knee replacements.
Tim teaches widely on technical aspects of knee replacement and has been invited lecturer throughout the world and at the major European, North American and International Knee Surgery organisations.
Tim has been President of the BOA and of BASK, and Chairman of the Bone and Joint Journal.
He is NJR Medical Director and Vice Chair, NJR Board.
Professor Mike Reed is a full-time trauma and hip and knee joint replacement surgeon. He trained in the North of England and did fellowships in New Zealand.
He leads Trauma and Orthopaedics at Northumbria Healthcare, working with a team of 31 talented colleagues.
His research focuses on clinical outcomes particularly around short stay surgery as well as infection prevention, diagnosis and management. Professor Reed is on the steering committee and executive of the National Joint Registry (NJR) and Chaired the Annual Report from 2019-2024. He now leads on Surgical Performance for the NJR, is a trustee for the Orthopaedic Research UK charity and is on the grant awards committee for the National Institute Health and Care Research (NIHR) (i4i PDA). He leads clinical trials for industry and NIHR, and works academically with the University of York.
Lt Col Caesar qualified as a doctor in 1998 and set out to pursue a career in Trauma and Orthopaedics from his time as a junior house officer in London. He undertook basic surgical training in Edinburgh and higher surgical training in Oswestry, during which time he was BOTA President, obtained his doctorate from Imperial College, his fellowships from the Royal College of Surgeons of Edinburgh and England, and membership of the Faculty of Sports and Exercise Medicine.
Whilst he was on his post-CCT fellowship year training in Derby and London, he joined 256 City of London Field Hospital as a Reservist and passed out from RMAS in January 2012 before starting as a Consultant at St Mary’s Hospital, Paddington. He was appointed as a substantive consultant at Chelsea and Westminster Hospital from where he deployed on Herrick 18 with 33 Field Hospital. Upon his return, he applied for a transfer of commission and returned to RMAS in 2015 before being posted to 33 Field Hospital and was posted to Brighton for his clinical placement, where he remains today. He has been deployed subsequently on Op Trenton, Op Shader and Op Pitting during this time and spent the last 6 years at 16 Medical Regiment in 127 Medical Squadron. He posted this summer to JHG SE
His interest in burnout was triggered by the foundation of the Chavasse Clinic in Brighton for Service Personnel and Veterans, and his subsequent exposure to numerous patients with PTSD, anxiety and depression, and a realisation that a similar but subtly different issue was affecting his colleagues and himself. Upon further research, he discovered the literature around burnout and moral injury in healthcare workers and has published and presented his work both nationally and internationally in this field. He has just completed work with colleagues from the Compassionate Leadership Academy and Mindalpha delivering a research driven programme, Compassion for Healthcare Workers, which has demonstrated statistically significant improvement in participants Compassion Index (CI) and statistically significant decreases in their Brighton Burnout Inventory (BBI) scores, which he co-developed, which is unique in including psychological safety as part of its analysis of burnout.
Miss Hazlerigg is a Consultant Hand and Wrist Trauma and Orthopaedic Surgeon. She works at Cheltenham General Hospital, Gloucester Royal Hospital and Cirencester Hospital and was appointed in 2021. She has an exclusive interest in hand and wrist and performs both elective and emergency surgery to these areas as well as performing general Orthopaedic trauma work whilst on call. She qualified from Imperial College, London in 2007 and undertook basic surgical training in London before securing a specialist training number in the Oxford Deanery, during this time she was awarded Distinction in postgraduate Diploma in Orthopaedic Trauma Science from the University of London before passing her FRCS (Tr&Orth) in 2016. She lives in Gloucestershire with her family.
