Speakers
Paul Banaszkiewicz
Mark Rees
Fergal Monsell
Ihab Boutros
Debbie Fordham
Caroline Green
External Organisation
Session Title: Extended Clinical Team working within a Major Trauma Hospital and Tertiary referral Centre
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.
Summary
This session presents an overview of how the extended clinical team (ECT) functions in a complex tertiary care setup dealing with MT pelvic fractures and limb reconstruction. The team includes Consultant Surgeons, Registrars and Resident Doctors, with the extension of non-medical role of Advanced Clinical Practitioners (ACPs) and Physician Associates (PAs) who work in a coordinated collectively to ensure the best possible outcomes for each patient. This collaborative effort is pivotal in addressing the multi-faceted nature of trauma care. Through regular case reviews and joint decision-making within the team, they ensure that each aspect of the patient's care is reviewed; from surgical planning to rehabilitation, all part of an integrated care package; leading to improved patient outcomes.
Chairs: Paul Banaszkiewicz and Mark Rees
Agenda:
10:30 - 10:35 Welcome and introduction to the Extended Clinical Team (ECT) Fergal Monsell
Introduction of our role within a Major Trauma Centre Ihab Boutros
Role of specialist ACP within pelvic trauma, Limb Reconstruction + Orthogeriatric & Role of P A within Trauma Orthopaedics Debbie Fordham
Management, Leadership, Governance Andrew McDonough
11:00 - 11:30 Addressing the complexities of upgrading your banding pay scale. The role of additional university modules Joanne Erfani and Philip Dobson
This lecture explores the practicalities of upgrading the banding pay scale for orthopaedic plaster technicians by pursuing additional university modules. These modules need to be carefully selected to enhance specific competencies and provide formal recognition of advanced skills. By completing these educational modules, orthopaedic plaster technicians will not only improve their clinical knowledge but also demonstrate the expertise necessary for progression within the pay scale, offering both personal and professional growth opportunities.
11:30 - 12:00 Radiological interpretation of common orthopaedic conditions James Harcus
The interpretation of radiological images is a significant part of roles for a range of healthcare professionals. The ability to differentiate and communicate normal and abnormal findings can be daunting and confusing with evidence shows there is a requirement for education and experience to increase confidence and competence. Some elementary and basic principles, however, can provide the core to developing accurate interpretation, and this session aims to introduce how these might be applied in the orthopaedic setting.
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..
Fergal Monsell graduated without distinction from the Welsh National School of Medicine. He completed higher surgical training at the University of Manchester and has been a Consultant at the Royal Hospital for Children, Bristol since 2004. He is involved in the management of paediatric patients with a special interest in limb deformity and trauma.
He has made a greater than average contribution to the canon of lower-level evidence and has been awarded degrees at Master and Doctorate level.
He has a longstanding interest in education, is Director of the Avon Centre for Musculoskeletal Education and Projector at the Grand Academy.
Advanced Clinical Practitioner Trauma and Orthopaedic, Northern Care Alliance NHS Foundation Trust
Debbie is an Advanced Clinical Practitioner in Trauma and Orthopaedic at the Northern care Alliance, specialising in Acute Trauma Pelvic service at Salford Royal.
She has an extensive nursing and emergency care background as an ED Nurse, mainly within the Military environment from 2000, having nursed within various locations within the UK (both Military and NHS), Europe & Keyan, including several operational deployments to both Iraq (Primary Health care, Forward operating Base & in ED with the Role 3 hospital) & Afghanistan (both in ED within the Role 3 Hospital). She joined the NHS in 2014, taking up a Senior Sister + ENP post within the Emergency Department at the MT centre at Salford Royal. Debbie moved into T&O in 2016 as a newly assigned post of Lead TNC for the unscheduled care of acute trauma patients. Debbie grew within her role, as well as her team and the service.
From this, Debbie has a huge amount of experience within emergency care, independent practice and leading both within service change and as a team and clinical leader.
Debbie commenced her ACP training in 2019 which as interpreted by Covid, eventually qualifying in 2022. Since then, Debbie has been allocated to Pelvic team within T&O at Salford Royal. Initially focusing on her clinical skills and patient journey, Debbie continues to expand her role within service development, patient education and policy writing with the Acute Pelvic Service at Salford.
Andy is a consultant physiotherapist in trauma and orthopaedics at the Northern care Alliance with a background in advanced practice across emergency medicine and trauma and orthopaedics. Working clinically in consultant and physio led fracture clinics Andy has experience of leading service change, pathway redesign and research, with multiple publications in orthopaedics, emergency medicine, injury rehabilitation and sports science. Andy is the chair elect of the APPN as well as the community of practice lead for T+O and ED.