8.30am – 10am BST, 20 September 2024 ‐ 1 hour 30 mins
Room: Hall 10
External Organisation
Hall 10
The Extended Clinical Team in Action
Chair: Paul Banaszkiewicz
Agenda:
08:30 - 08:40 Introduction, Extended clinical team (ECT) Simon Hodgkinson
08:40 - 09:20 Surgical Care Team Workings Cheryl Baldwick, Ishy Gurung, Rebecca Mortimer, Lorrie Nazer and Jowan Grant
09:20 - 09:50 RCSEng work force survey results, NHS Long Term Workforce Plan Karen Smith
09:50 - 10:00 Compliance of data entry and consent to record NJR data for hip fractures Derek Pegg

Consultant Orthopaedic Surgeon , Royal Devon University NHS foundation

Consultant Orthopaedic Surgeon, Queen Elizabeth Hospital, Gateshead
Physician Associate

T&O Core Surgical Trainee

BOA President, Consultant Orthopaedic Surgeon, Portsmouth Hospitals NHS Trust



Consultant Trauma and Orthopaedic Surgeon, Mid Cheshire Hospitals Foundation Trust, Chair, NJR Data Quality Committee


Consultant Orthopaedic Surgeon , Royal Devon University NHS foundation
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I trained in London, Oxford and Sydney and have been a consultant in North Devon since 2008. My clinical practice is in general trauma and shoulder & elbow surgery. Over the course of my career, I have held several leadership roles, starting as many people do, with rota management as a trainee. Some posts have been in medical education, and I spent several years as our Foundation Training Programme Director. I have had a number of operational management roles and am currently sharing an interim Medical Director post with a colleague, alongside being Deputy Medical Director for a large directorate. |

Consultant Orthopaedic Surgeon, Queen Elizabeth Hospital, Gateshead
Paul Banaszkiewicz is a Consultant Trauma and Orthopaedic Surgeon at the Queen Elizabeth Hospital, Gateshead, specialising in hip and knee arthroplasty. He graduated from University of Glasgow, completed basic surgical training in the Merseyside Deanery, and undertook specialist registrar training on the North East of Scotland training programme.
He is currently a Trustee of the British Orthopaedic Association (BOA) and Chair of the BOA Education and Careers (EdCar) Committee, leading initiatives focused on professional development, mentoring, workforce support, and equity of opportunity across orthopaedics. He has helped develop national educational programmes including the BOA–BODS Clinical Directors course, UKITE, Ortho Update and Extended Clinical Team initiatives at BOA Congress.
Paul is Editor of the Journal of Trauma and Orthopaedics (JTO) and co-leads the TENDON study evaluating musculoskeletal education within UK medical schools. He has a particular interest in differential attainment, widening participation, and improving access to mentorship and career development within surgical training.
He is a Fellow of the Higher Education Academy, Fellow of the Academy of Medical Educators, and holds a Master’s degree in Medical Education from Newcastle University. He also serves as an Advisory Appointments Committee (AAC) member and Quality Assurance Assessor for the RCSEng.
As Visiting Professor at Northumbria University, Paul helps bridge academic research with practical clinical orthopaedic practice. He has supported the BOA Futures Leadership Programme, BOA Travelling Fellowships, and the educational activities of the British Orthopaedic Trainees Association (BOTA). He is also lead editor and author of three internationally recognised FRCS (Tr & Orth) textbooks, which have received several BMA Book Awards.
Paul has undertaken humanitarian orthopaedic work in Northern Iraq and remains committed to international collaboration, diversity, and inclusion within orthopaedics. Outside work, he enjoys running, skiing, gardening, and supporting Burnley F.C..

BOA President, Consultant Orthopaedic Surgeon, Portsmouth Hospitals NHS Trust
Simon trained in London at St Bartholomew’s Hospital from 1977-82.
He was a Royal Naval cadet as a medical student so after house jobs in London and the Navy he spent the next two and a half years on General Duties in the Royal Navy.
After a crash course in all sorts of medical disasters he might face at sea, he went to the Falklands and Antarctica for the best part of a year before spending the second year in general practice in a Naval base.
Simon started his surgical training within the Navy in 1986 and in 1990 joined the fledgling HEMS project at the London as one of the original three Drs flying on the helicopter.
His higher training took him out of the Navy to Edinburgh and Leeds before being appointed a Consultant in the Navy in 1995.
Deployments to Cyprus, Bosnia and the Gulf intermingled with his early career and he then left the Navy in 1999 to join the NHS in Portsmouth.
In the NHS he developed his fledgling interest in foot and ankle surgery, which rapidly became him chosen speciality as the department expanded.
After a period as clinical director in Portsmouth his interest in education started as the RCS Tutor and progressed to being the Training Programme Director for T&O in Wessex for 8 years and membership of the SAC for 5 years.
His involvement with the BOA began with being elected to the Training Standards Committee, as was and then the Education committee.
Elected as a Trustee in 2017 he became Honorary Secretary in 202O and then elected to the Presidential line in September 2021.

Physician Associate
Graduated Plymouth university with a BScHons in Biomedical sciences and a PGDip in Physician Associate Studies. Has been working in North Devon District Hospital fully qualified since 2019. Part of the dynamic Trauma and Orthopaedic team for coming up four years. Developing as a PA within the hand team as well as a role as an academic tutor for PA students. Settled happily in North Devon with her dog and husband.

Advanced Clinical Practitioner
Hello my name is Rebecca Mortimer.
I started my nursing career in 2011 when I qualified in adult nursing working at North Devon District hospital. In 2018 I became ward manager on our trauma ward. In 2019/2020 I started my advanced practice master's degree and qualified last year. I am working in trauma and orthopaedics focusing on ortho-geriatric care.

Consultant Trauma and Orthopaedic Surgeon, Mid Cheshire Hospitals Foundation Trust, Chair, NJR Data Quality Committee
Derek Pegg is a Consultant Trauma and Orthopaedic Surgeon at Leighton Hospital, Mid Cheshire Hospitals Foundation Trust, Crewe. Appointed in 1996, Derek developed a specialist interest in both hip and knee replacement surgery and (until very recently) their revision. He joined the NJR as a regional clinical coordinator (RCC) for the Northwest in 2012, becoming the deputy chair in 2017 and was appointed Chair of the RCC Committee in January 2021. He is also a member of the NJR Board, Executive Committee and Chair of the NJR Data Quality Committee.

Director of Strategy, Workforce and Training, RCSEng
Karen Smith is the Director of Strategy, Workforce and Training at the Royal College of Surgeons of England and has worked at the College and with Heath Education England (HEE) on a wide range of issues relating to surgical training for over 25 years. This has included managing the development and delivery of the original Intercollegiate Surgical Curriculum Programme (ISCP), maintaining oversight of the Joint Committee on Surgical Training (JCST) which is housed at the College, co-authoring the Improving Surgical Training (IST) Report, supporting the publication of the Curriculum Framework for Surgical Care Practitioners (SCPs) and leading on other key functions relating to workforce and training.
The development of extended roles within the surgical team, with standards, guidance and curricula has been a theme which has run throughout her career with the College, and which has most recently been applied to working with a wide range of stakeholders to define the role of Physician Associates (PAs) within the surgical team.
In addition to activities relating specifically to training, she has been involved in helping the College define and deliver its 5-year strategy, has worked with the College’s SAS Forum to deliver an SAS strategy and has managed the latest surgical workforce census across all specialties and all 4 nations within the UK.