External Organisation
Session Description
The Extended Clinical Team(ECT) session at congress is part of the BOA’s wish to embrace the wider workforce in T+O welcoming the ongoing transformations within the NHS that aims for a larger workforce that operates in novel ways within an environment that values compassion and inclusivity. Attracting and retaining a dedicated and enthusiastic workforce is growing more difficult, and the NHS finds itself competing in a labour market that is becoming increasingly competitive.
The ECT includes a variety of healthcare professionals working together to improve patient experience and training opportunities.
Our healthcare landscape faces uncertain, difficult and challenging times ahead. The huge numbers of patients waiting for elective surgery place an increasing stress on already overstretched resources. Our workforce may feel at times feel exhausted, burnt out and demoralised. In these challenging times it is vital that we work together as multidisciplinary teams to share different approaches and expertise, improve patient outcomes and job satisfaction.
The ECT had been recognised and reported as one of the most significant enablers of improving surgical training. It supports the delivery of services that are regarded as at least as safe and effective as the traditional workforce model.
Draft Agenda
SESSION 2 (13:00 – 14:30) Elective educational component
13.00-13.30: Day case hip and knee arthroplasty surgery
This talk will explore the evolving landscape of same-day discharge pathways in lower limb arthroplasty. With growing demand for joint replacement surgery and increasing pressure on inpatient capacity, day case surgery offers a potential solution that aligns with modern recovery principles and efficient service delivery. This session will outline the key enablers for successful implementation, including patient selection criteria, perioperative pathways, and multidisciplinary coordination.
Speaker: Sarah Stapley, British Orthopaedic Association (BOA) representative BADS & Consultant in Trauma and Orthopaedics, Portsmouth Hospitals University Trust
13.30-14.00: The development and optimisation of arthroplasty follow-up clinics led by SCPs and ACPs
This lecture contributes to the broader strategic objective of strengthening the role of SCPs within the extended clinical team and promoting sustainable models of surgical service delivery. It will examine the requisite educational, clinical and governance frameworks that underpin the acquisition of procedural competence for independent arthroplasty follow up , in accordance with recognised protocols and established clinical guidelines.
Speaker: Ryan Cameron, Advanced Practitioner Physiotherapist, Queen Elizabeth Hospital Gateshead
Speaker: Will Manning, Consultant Trauma and Orthopaedic Surgeon, County Durham & Darlington NHS Foundation Trust
Key areas for discussion include:
• Establishing effective protocols and clinical guidance
• Review of current national practice and variations
• Methods of feedback, supervision, and clinical assessment for SCPs/ACPs
• Governance frameworks and risk management considerations
• Future models of care and role development within the extended clinical team
14.00-14.30: The hot joint. Differentiating septic arthritis from crystal chaos
The last British Society for Rheumatology (BSR) guideline on the hot swollen joint (HSJ) was published in 2006. The guideline has been updated, and this lecture will provide a summary of the current evidence for investigating and managing a HSJ, with a particular focus on septic arthritis. This guideline is aimed at healthcare professionals in the UK who directly care for people presenting with an HSJ, including front-line clinicians (in the ED), rheumatologists, orthopaedic surgeons, infectious diseases physicians, ACPs, SCPs, and other health professionals who may deal with an HSJ.
Speaker: Kavina Shah, Rheumatology / General Medicine; Lead investigator, British Society for Rheumatology Guideline Steering Group