Acute & General Medicine Issue 20 by CloserStill Media

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EUROPEAN ACUTE CARE CONF

15 streams of world-class clinical content!

More hands-on training than ever before

Poster Zone 2018

SEE PAGE 4

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SEE PAGE 14

17:5- 0 18:30

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Guest editor:

www.agmconference.co.uk • www.hospitaldr.co.uk

July 2018 • Issue 20

Burnt out doctors struggling to find time for essential training, GMC survey shows By Mike Broad, HospitalDr Nearly a quarter of trainee doctors say their work makes them feel ‘burnt out’, and almost one in three say they are often ‘exhausted’ in the morning at the thought of another shift, according to a GMC survey. The nationwide poll of trainees shows that nearly half report regularly working beyond their

rostered hours, and around one in five say they often feel short of sleep while at work. Forty per cent described the intensity of their work as ‘heavy or very heavy’. Charlie Massey, Chief Executive of the GMC, said: “Doctors are working in highly pressured environments and they are telling us that as a result they are struggling to find time for essential training. This is a major concern for us. Training must be protected and it

1. Call Marlon on: 0207 348 1851

“But it is also important that the wider issues reported in our surveys, around work-life balance, burnout and exhaustion, are acted on. We can put off no longer the need to give doctors in training – who make up a fifth of all doctors – the resources they need and deserve.

2. Book online via: agmconference.co.uk/ julynews

CONTINUED ON PAGE 10

He will be giving a talk on NAFLD at the Acute & General Medicine

CONTINUED ON PAGE 11

18 ER 20EAK SP

But it is often missed because patients can be asymptomatic and liver function tests don’t always pick up the condition. Also some doctors are unaware of the need

to test for the condition, says Dr Stuart McPherson, Consultant Hepatologist, Newcastle upon Tyne Hospitals NHS Foundation Trust, and Secretary of the British Society of Gastroenterology.

20-21 NOV EMB

3. Request a group booking for further discounts: training@ closerstillmedia.com Your early bird pass will give you access to: • Over 100 clinical seminars from the cross-specialty and CPD accredited programme • Hands-on training workshop areas, including Ultrasound, NIV, Difficult Airway and ECG skills training • Career development opportunities via our leadership programme and chances to meet with NHS Trusts • Peer-to-peer learning via the Poster Zone

Stuart McPherson, Consultant Hepatologist

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must be safe, and employers need to address this urgently.

Obesity epidemic is driving the prevalence of non-alcoholic fatty liver disease Thanks to the obesity epidemic nonalcoholic fatty liver disease (NAFLD) is now the most common cause of liver disease in the UK, affecting 20 to 30 per cent of the population.

DEADLINE DAY: 27th JULY!

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Contents

EDITORIAL TEAM Mike Broad ACUTE & GENERAL MEDICINE TEAM Sarah Bray - Marketing Manager Marlon Doyley - Delegate Relationship Manager Yemi Ibidunni - Show Manager Mike Broad - Programme Director

European Medical Association Conference and European Acute Care Conference

Sneak peek at the 2018 programme

7 8 13 14

Five minutes with...

Hands-on training preview

DELEGATE BOOKINGS 0207 348 1851

Jobs Board

EXHIBITION ENQUIRIES 020 348 1855

Poster Zone 2018

Organised by:

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2018, EX CEL

Unite Medical are a multi-framework, national medical recruitment and locum agency offering bespoke services to the NHS and Private Sector. We pride ourselves on the vast amount of experience our staff have working in the industry, which makes Unite Medical one of the most reliable and professional recruitment services around.

Sponsorship Statement LONDON

Offering the professional approach that you deserve!

AGM is for healthcare professionals only. The seminars at AGM have been brought to you by CloserStill Media in association with our partners and sponsors. The views and opinions of the speakers are not necessarily those of Closer2Medical or of our partners and sponsors.AGM’s association partners have helped develop the programme. Sponsors have not had any input into the programme except where an individual session states it is sponsored. The session topic and speaker have been developed by each sponsoring company.

Unite Medical have a wide range of requirements throughout the UK and overseas, ranging from short-term, part-time work to long-term, full-time positions, covering all grades and specialities. So, whether you are a full-time Locum, between jobs, retiring from substantive employment, or if you just have some free time and are interested in some extra work, we would love to hear from you. For more information on how we can help, please give us a call on 01908 921110 or email info@unitemedical.org

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The European Medical Association annual conference returns in 2018

EMA speakers include:

Delivered by:

NEW SPEAKER!

VINCENZO COSTIGLIOLA President, European Medical Association, Brussels, Belgium

We are delighted to be hosting the European Medical Association’s (EMA) second annual conference alongside Acute & General Medicine 2018.

STEPHEN MINGER Director, SLM Blue Skies Innovations Ltd Brentford, England

NEW SPEAKER!

The EMA’s Annual Conference will display new trends which are shaping the future of medicine in Europe and around the world. Diagnostic breakthrough and ongoing advancement in knowledge of disease’s mechanisms and in therapy will be illustrated by world-class speakers’ dealing with advancements in the fields of predictive, preventive and personalized medicine, regenerative medicine, pain management, travel medicine, lifestyle medicine and so much more.

TURN TO PAGE 6 TO VIEW THE FULL EMA PROGRAMME >>>

The European Acute Care Conference

ROSARIO SQUATRITO Director and President, Italian Society of Internal Medicine, Sicily, Department of Internal and Emergency Medicine, Ospedale Giglio, Italy

FRANCESCA RUBULOTTA Honorary Senior Lecturer - Intensive Care Medicine, Imperial College, London

NEW SPEAKER!

Delivered by:

EACC

EUROPEAN ACUTE CARE CONFERENCE

The education opportunities will literally be endless at the 2018 event with the introduction of brand new co-located event – The European Acute Care Conference (EACC).

NEW FOR 2018!

MIGUEL SANTOS Principal Investigator, Instituto de Tecnologia Química e Biológica

The EACC programme will complement delegates training as they combine sessions from the main programme, hands-on training workshops and the two European-led co-located events.

• Beyond ventilation in mechanical ventilation: nutrition and metabolism • Adequacy of anaesthesia concept- what should a non anaesthetic doctor know? • Surgical management of IBD complications - anything new? • Advance neoplasm , what palliative surgery can do • Reccurent pneumothorax • Idiopathic thrombocytopenic purpura • Malignant arrhythmias • Pitfalls in the diagnosis of cerebrovascular events • Propolis a new /old ancient cure

SEBASTIANO MERCADANTE Director, Department of Palliative Medicine, La Maddalena Hospital Palermo, Italy NEW SPEAKER!

NEW SPEAKER!

This represents an incredibly exciting new learning platform which will be home to brand new expert speakers from across Europe and the UK who will be presenting clinical ground that hasn’t ever been covered at Acute & General Medicine before.

EACC PROGRAMME PREVIEW:

NIDAL TOURKMANI Cardiologist; Consultant, ABL, Swiss Prestige International Medical Centre-Guangzhou, China

GUGLIELMO TROVATO Professor, The University of Catania, Italy

VIEW THE FULL EMA SPEAKER LIST ON PAGE 7

“The joint Acute & General Medicine and European Acute Care Conference invites you to explore a new journey in the field of science, giving you the unique chance to meet with European doctors from different medical fields, all sharing their experience and expertise. We cast the anchors on international waters, inviting you to discover and cherish the knowledge and skills brought by people from different homelands. The rainbow of science appears only when we are together not in isolation. Our lives have ups and downs, sunshine and rain but what matters is to know we are not alone but together in a network of collaboration, respect and appreciation. The ones that are gaining from all these are our patients.” Dr Cristiana Coneru Emergency Medicine Consultant and Dr Evangelos Vasiliadis Stroke lead Consultant- co- directors for EACC (European Acute Care Conference)

Book before 27th July for £249+VAT before the price increases to £310+VAT! Use code JNEWS18: www.agmconferece.co.uk/julynews or call 0207 348 1851

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12 CPD POINTS ACCREDITED BY THE ROYAL COLLEGE OF PHYSICIANS

TIME

THEATRE 1 Acute oncology

Dr Thomas Newsom-Davis,

09:00 Consultant Medical Oncologist, Chelsea & Westminster Hospital, 09:35 London Acute ophthalmology

09:45 10:20

John Sharp, Post-CCT Corneal Fellow, King’s College Hospital NHS Foundation Trust

TUESDAY 20TH NOVEMBER THEATRE 2 THEATRE 3 Headaches: when to worry

Dr Pooja Dassan, Consultant Neurologist, London North West Healthcare NHS Trust and Imperial College Healthcare NHS Trust

Stroke: improving diagnosis and treatment Dr Anthony Pereira, Consultant Neurologist, St George’s Hospital

THEATRE 4

Pulmonary hypertension: who should you refer?

Unusual cases in ED

An opportunity to standardise the management of deterioration and sepsis

Ambulatory care

Dr John Wort, Consultant and Reader, Royal Brompton and Harefield NHS Trust and Imperial College, London

Dr Matthew Inada-Kim, Consultant Acute Physician, National Clinical Advisor, Hampshire Hospitals

Dr Zul Mirza, Consultant in Emergency Medicine, Chelsea and Westminster Hospital NHS Foundation Trust; Honorary Senior Clinical Lecturer, Imperial College School of Medicine Dr Clarissa Murdoch, Consultant in Care of Older People and Acute Medicine, Whittington Health NHS Trust

Programme accurate at time of print. CloserStill reserve the right to amend content without prior warning.

10:20 - 11:00 BREAK Headaches: when to worry

11:00 11:40

Dr Pooja Dassan, Consultant Neurologist, London North West Healthcare NHS Trust and Imperial College Healthcare NHS Trust

Endocrine emergencies

Dr Francesca Swords, Consultant in Endocrinology, Norfolk and Norwich University Hospitals Foundation Trust

Session sponsored by BMS Pfizer

Session sponsored by Janssen

11:40 - 12:00 BREAK Practical management of preventing a Acute heart failure NVAF stroke in your high risk patient Professor Andrew Clark, Chair

12:00 12:40

Acute oncology

Pulmonary hypertension: who should you refer?

Dr Thomas Newsom-Davis, Consultant Medical Oncologist, Chelsea & Westminster Hospital, London

Dr Raj Patel, Consultant Haematologist, Clinical Thrombosis Centre, King’s College Hospital, London, UK

of Clinical Cardiology; Honorary Consultant Cardiologist, Castle Hill Hospital, University of Hull

Guide to irrelevant tests on AMU - the director’s cut

Assessing and managing the main disorders of potassium and sodium balance

Acute heart failure

Session sponsored by Mylan

Session details coming soon

Dr John Wort, Consultant and Reader, Royal Brompton and Harefield NHS Trust and Imperial College, London

12:40 - 13:30 BREAK 13:30 14:05

Dr Kevin Jones, Consultant in Acute Medicine, Bolton Hospitals NHS Foundation Trust

Session sponsored by MPS

Professor Sunil Bhandari, Consultant in Nephrology, Hull and East Yorkshire Hospitals NHS Trust; Honorary Professor, Hull York Medical School

Professor Andrew Clark, Chair of Clinical Cardiology; Honorary Consultant Cardiologist, Castle Hill Hospital, University of Hull

Stroke: improving diagnosis and treatment

Dr Anthony Pereira, Consultant Neurologist, St George’s Hospital

USS at the front door interesting cases

14:15 14:50

Dr Sarbjit Clare, Clinical Lead Acute Medicine, Sandwell and West Birmingham Hospitals NHS Trust

14:50 - 15:15 BREAK Ambulatory care

15:15 15:50

Dr Clarissa Murdoch, Consultant in Care of Older People and Acute Medicine, Whittington Health NHS Trust

Unusual cases in ED

16:00 16:40

Dr Zul Mirza, Consultant in Emergency Medicine, Chelsea and Westminster Hospital NHS Foundation Trust; Honorary Senior Clinical Lecturer, Imperial College School of Medicine

Ageing well: The national approach to frailty

Inpatient falls: reducing the numbers and harm

Session details coming soon

Update on overdose management for post-take ward round

The acute abdomen on the medical take

Guide to irrelevant tests on AMU - the director’s cut

Professor Martin Vernon, Consultant Geriatrician, National Clinical Director for Older People, NHS England

Dr Stephen Waring, Consultant in Acute Medicine and Toxicology, York Teaching Hospitals NHS Foundation Trust

Dr Wallace Tan, Chair of Falls Group; Consultant Geriatrician, Croydon University Hospital NHS Trust

Dr Alex Di Mambro, Consultant Gastroenterologist and Clinical Lead for Nutrition, Gloucestershire Hospitals NHS Foundation Trust

Dr Kevin Jones, Consultant in Acute Medicine, Bolton Hospitals NHS Foundation Trust

16:40 - 17:05 BREAK Inpatient falls: reducing the numbers and harm

17:05 17:40

Dr Wallace Tan, Chair of Falls Group; Consultant Geriatrician, Croydon University Hospital NHS Trust

Exhibition & networking time

17:50 18:30

The acute abdomen on the medical take

Dr Alex Di Mambro, Consultant Gastroenterologist and Clinical Lead for Nutrition, Gloucestershire Hospitals NHS Foundation Trust

THE BIG DEBATE: Avoiding another Mid Staffs – how can we promote quality in difficult times

Dr Neil Bacon, CEO, iwantgreatcare. org; Prof Stephen Powis, Medical Director, NHS England; Prof Ted Baker, Chief Inspector of Hospitals, CQC; Dr Taj Hassan, President, Royal College of Emergency Medicine

Assessing and managing the main disorders of potassium and sodium balance

Tackling the perils of polypharmacy

Update on overdose management for post-take ward round

Exhibition & networking time

Professor Sunil Bhandari, Consultant in Nephrology, Hull and East Yorkshire Hospitals NHS Trust; Honorary Professor, Hull York Medical School

Professor Emma Baker, Professor of Clinical Pharmacology, St George’s, University of London

Dr Stephen Waring, Consultant in Acute Medicine and Toxicology, York Teaching Hospitals NHS Foundation Trust

MIX AND MATCH STREAMS TO CREATE YOUR TAILOR-MADE CLINICAL PROGRAMME ACUTE MEDICINE CARDIOLOGY CLINICAL PHARMACOLOGY CRITICAL CARE DIABETES & ENDOCRINOLOGY GASTROENTEROLOGY HEPATOLOGY HOT TOPICS MEDICAL ESSENTIALS NEUROLOGY RENAL MEDICINE

ELDERLY MEDICINE EMERGENCY MEDICINE RESPIRATORY MEDICINE RHEUMATOLOGY

www.agmconference.co.uk • www.hospitaldr.co.uk

Europe’s MUST attend cross-specialty clinical training conference

TIME

THEATRE 1

THEATRE 4

Acute respiratory presentations

Parkinson’s: management on the take and on the wards

HIV: the challenge of acute management

Dr Omar Usmani, Reader and Consultant Physician, National Heart and Lung Institute, Imperial College London & Royal Brompton Hospital

Dr Christos Proukakis, Senior Lecturer and Honorary Consultant Neurologist, University College London, Royal Free London NHS Foundation Trust

Dr Emma Devitt, Consultant Physician in Infectious Diseases, Chelsea and Westminster NHS Foundation Trust

Managing delirium

Sepsis - the silent killer

Dr Annabel Price, Consultant Liaison Psychiatrist, Cambridgeshire and Peterborough NHS Foundation Trust, Addenbrooke’s Hospital Cambridge

Dr Manu Shankar-Hari, Consultant in Intensive Care Medicine, Guy’s and St Thomas’ NHS Foundation Trust; NIHR Clinician Scientist, School of Immunology & Microbial Sciences, Kings College London

COPD update for the generalist

Acute dermatological presentations

Dr Nicholas Hopkinson, Reader in Respiratory Medicine, Imperial College; Honorary Consultant Chest Physician, The Royal Brompton Hospital

Dr Rachael Morris-Jones, Dermatology Consultant, Kings College Hospital, London

HIV: the challenge of acute management

Acute dermatological presentations

Acute respiratory presentations

Risk management: top tips to stay out of trouble

Dr Emma Devitt, Consultant Physician in Infectious Diseases, Chelsea and Westminster NHS Foundation Trust

Dr Rachael Morris-Jones, Dermatology Consultant, Kings College Hospital, London

Dr Omar Usmani, Reader and Consultant Physician, National Heart and Lung Institute, Imperial College London & Royal Brompton Hospital

Dr Jo Nixon, Medico-legal Adviser, The Medical Defence Union

Handovers: art and science

Session sponsored by BMS Pfizer

Managing IBD Dr Stuart Bloom, Chair, UK IBD Registry; Consultant

09:00 Gastroenterologist, UCL Hospitals 09:35 NHS Foundation Trust

09:45 10:20

WEDNESDAY 21ST NOVEMBER THEATRE 2 THEATRE 3

10:20 - 11:00 BREAK

11:00 11:40

11:40 - 12:00 BREAK 12:00 12:40

Dr Adam Chesters, Consultant in Emergency Medicine and Pre-Hospital Emergency Medicine, Cambridge University Hospitals

COPD update for the generalist

Managing IBD

Dr Nicholas Hopkinson, Reader in Respiratory Medicine, Imperial College; Honorary Consultant Chest Physician, The Royal Brompton Hospital

Dr Stuart Bloom, Chair, UK IBD Registry; Consultant Gastroenterologist, UCL Hospitals NHS Foundation Trust

12:40 - 13:30 BREAK Update on NAFLD

13:30 14:05

Dr Stuart McPherson, Consultant Hepatologist, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Early diagnosis of acute coronary syndromes

14:15 14:50

Parkinson’s: management on the take and on the wards

Sepsis - the silent killer

Dr Christos Proukakis, Senior Lecturer and Honorary Consultant Neurologist, University College London, Royal Free London NHS Foundation Trust

Dr Manu Shankar-Hari, Consultant in Intensive Care Medicine, Guy’s and St Thomas’ NHS Foundation Trust; NIHR Clinician Scientist, School of Immunology & Microbial Sciences, Kings College London

Session details coming soon

Rheumatology at the front door Dr Catherine Mathews, Consultant Rheumatologist and Deputy Director of Medical Education, Lewisham and Greenwich NHS Trust

Legacy after critical illness from survival to living

Professor Richard Body, Consultant in Emergency Medicine and Honorary Lecturer in Cardiovascular Medicine, Central Manchester University Hospitals Foundation Trust

Amy Chan-Dominy, Cardiothoracic & Paediatric Intensivist, Royal Brompton Hospital, London

14:50 - 15:15 BREAK 15:10 15:45

15:55 16:30

Dealing with delirium

ECG masterclass

Update on NAFLD

Handovers: art and science

Dr Annabel Price, Visiting Researcher, Department of Psychiatry, University of Cambridge; Consultant in Liaison Psychiatry for Older Adults, Addenbrooke’s Hospital

Dr Simon Fynn, Consultant Cardiologist and Clinical Director for Cardiology, Papworth Hospital, Cambridge

Dr Stuart McPherson, Consultant Hepatologist, The Newcastle upon Tyne Hospitals NHS Foundation Trust

Dr Adam Chesters, Consultant in Emergency Medicine and Pre-Hospital Emergency Medicine, Cambridge University Hospitals

Rheumatology at the front door

Early diagnosis of acute coronary syndromes

Superbugs - what you need to know at the front door

Exhibition & networking time

Dr Catherine Mathews, Consultant Rheumatologist and Deputy Director of Medical Education, Lewisham and Greenwich NHS Trust

Professor Richard Body, Consultant in Emergency Medicine and Honorary Lecturer in Cardiovascular Medicine, Central Manchester University Hospitals Foundation Trust

Dr Sarah Logan, Consultant in Acute Medicine and Infectious Diseases, University College London Hospitals NHS Foundation Trust

ELDERLY MEDICINE EMERGENCY MEDICINE RESPIRATORY MEDICINE RHEUMATOLOGY

Book before 27th July for £249+VAT before the price increases to £310+VAT! Use code JNEWS18: www.agmconferece.co.uk/julynews or call 0207 348 1851

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12 CPD POINTS ACCREDITED BY THE ROYAL COLLEGE OF PHYSICIANS THEATRE 5

TIME

TUESDAY 20 NOV Hyponatraemia and the acute take

09:00 Dr Francesca Swords, in Endocrinology, 09:35 Consultant Norfolk and Norwich University Hospitals Foundation Trust

09:45 10:20

10:30 10:50

11:00 11:40

11:45 12:05

WEDNESDAY 21 NOV The neuro examination Dr Fatemeh Geranmayeh, Post-doctoral clinical Research Fellow and Neurology Registrar, Hammersmith Hospital

Acute PE

Arrhythmias in ICU

Dr Phil Marino, Consultant in Pulmonary Hypertension & Respiratory Failure, St Thomas’ Hospital, London

Dr Nick Fletcher, Consultant Anaesthetist with a special interest in Cardiothoracic Anaesthesia and Intensive Care Medicine, St George’s University Hospitals NHS Foundation Trust

Embedding a learning organisational culture to support the management of clinical performance issues and drive improvements in patient safety

Dr Ben Creagh-Brown, Consultant and Clinical Senior Lecturer, Royal Surrey County Hospital NHS Foundation Trust

The chest drain: how not to get it wrong

Inotropes and vasoactive agents

Dr Nasir Siddique, Consultant in Respiratory Medicine, Kettering General Hospital; Honorary Associate Professor, University of Leicester

Dr Amy Chan-Dominy, Cardiothoracic & Paediatric Intensivist, Royal Brompton Hospital, London

Session sponsored by Mallinckrodt

Session details coming soon

Dr Jo Nixon, Medico-legal Adviser, The Medical Defence Union

Confidentiality (in light of GDPR) Session sponsored by MPS

16:00 16:20

Regenerative medicine: where we were, where we are

17:05 17:30 17:30 17:40 17:50 18:30

TIME

14:15 14:50

Dr Elizabeth Haxby, Adjunct Reader, National Heart and Lung Institute; Lead Clinician in Clinical Risk, Royal Brompton Hospital

Dr Chris Bassford, Consultant in Intensive Care Medicine, University Hospital Coventry

Gaining USS accreditation – how to avoid the pitfalls

Lung cancer: improving diagnosis and treatment

Dr Chris Duncan, Anaesthesia and Critical Care trainee, Birmingham

Dr Paul Beckett, Consultant Respiratory Physician, Derby Teaching Hospitals NHS FT

10.05 10:20 11:00 11:30 11:30 11:40

14:50 - 15:50 BREAK TB on the take

15:15 15:50

16:00 16:30

Professor Onn Min Kon, Consultant Respiratory Physician, Imperial College Healthcare NHS Trust

Acute kidney injury in critical care Dr John Prowle, Senior Clinical Lecturer, Barts and the London School of Medcine and Dentistry, Queen Mary University of London

The patient with chest pain

Beginners guide to ECGs

Dr Sarbjit Clare, Clinical Lead Acute Medicine, Sandwell and West Birmingham Hospitals NHS Trust

Dr Simon Fynn, Consultant Cardiologist and Clinical Director for Cardiology, Papworth Hospital, Cambridge

CRITICAL CARE

MEDICAL ESSENTIALS

RESPIRATORY MEDICINE

Stephen Minger, Director, SLM Blue Skies Innovations Ltd, Brentford, England

Regenerative medicine: where we were, where we are - other topics and challenges Miguel Santos, Principal Investigator, Instituto de Tecnologia Química e Biológica António Xavier, Univ. Nova de Lisboa (ITQB NOVA), Portugal

Palliative pain management and non-invasive ventilation in oncology Sebastiano Mercadante, Director, Department of Palliative Medicine, La Maddalena Hospital Palermo, Italy

Palliative pain management and non-invasive ventilation in oncology and beyond Rosario Squatrito, Director and President Italian Society of Internal Medicine, Sicily, Department of Internal and Emergency Medicine, Ospedale Giglio, Italy

EMA session (General Assembly)

WEDNESDAY 21ST NOV

Association, Brussels, Belgium

13:05 - 13:30 BREAK 13:30 14:05

Guglielmo Trovato, Professor, The University of Catania, Italy

Travel medicine. Innovation and excellence in the practice of A worldwide overview of medical professionals and 09:00 medicine. health providers 09:35 Vincenzo Costigliola, President of the EMA, European Medical

09:45 10:05 ICU admissions – making better decisions

Vincenzo Costigliola, President of the EMA, European Medical Association, Brussels, Belgium

Goals and unmet needs in acute and general medicine training and practice: focus on innovative practice in clinical research

Dr Sally Old, Medico-legal Adviser, The Medical Defence Union

It’s all about patient safety

Goals and unmet needs in acute and general medicine training and practice: sessions’ overview and structure

15:35 15:50

16:20 16:40

Exhibition & networking time Confidentially (in light of GDPR)

12:45 13:05

15:15 15:35

How not to provide NIV

Denise Chaffer, Director of Safety and Learning, NHS Resolution; Karen Wadman, Acting NCAS Director and Lead Adviser, NHS Resolution

12:15 12:35

THEATRE 6 EUROPEAN MEDICAL ASSOCIATION’S ANNUAL CONFERENCE TIME TUESDAY 20TH NOV

12:00 12:20 12:20 12:30 12:30 12:40

Evidence and practice for enhancing healthy lifestyles and Mediterranean diet Raffaele Palladino, Honorary Consultant in Public Health Medicine, Department of Primary Care and Public Health at the Imperial College London

Evidence and practice for enhancing healthy lifestyles and Mediterranean diet. Counselling, coaching, and cooking Gianluca Tognon, Nutrition Coach; Food Scientist and Epidemiologist, The Food Scientist Organization, Göteborg (Sweden)

Exercise is a therapy. Benefits, barriers and caveats of cardiovascular rehabilitation. A worldwide overview Nidal Tourkmani, Cardiologist; Consultant, ABL, Swiss Prestige International Medical Centre-Guangzhou, China

Exercise is a therapy. Benefits, barriers and caveats of cardiovascular rehabilitation. Other topics and challenges Guglielmo Trovato, Professor, The University of Catania, Italy

Rapid response systems in acute and general medicine: challenges and reliability of the approaches Francesca Rubulotta, Honorary Senior Lecturer - Intensive Care Medicine, Imperial College, London

Rapid response systems in acute and general medicine: challenges and reliability of the approaches - the president’s recommendations John Welch, President International Society for Rapid Response Systems, University College London Hospitals

Rapid response systems in acute and general medicine: challenges and reliability of the approaches - sustainability Chris Subbe, Clinical Senior Lecturer, School of Medical Sciences Bangor University, Gwynedd, Wales

www.agmconference.co.uk • www.hospitaldr.co.uk

Five minutes with... Dr Anthony Pereira

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Dr Annabel Price

Dr Anthony Pereira, Consultant Neurologist, St George’s Hospital, London

Dr Annabel Price, is a Consultant Liaison Psychiatrist working in the Older People’s Team at Addenbrookes Hospital and a teaching specialist in palliative care.

What will your talk at Acute & General Medicine be about?

I will be talking about landmark new treatment for acute stroke. The biggest advance in the last 18 months has been the use of using state-of-the-art imaging to see how much of the brain has been affected by a stroke and which areas are still salvageable. Studies have demonstrated that if you use imaging appropriately you can identify people who may be having a big stroke but in whom only a small part of the brain is irretrievably damaged. If you can pull out the clot quickly, you can significantly improve their outcome and maintain their independence. This is going to revolutionise stroke treatment.

Dealing with delirium. I will focus on the latest evidence on the assessment and management of delirium and I will be giving some tips on how to manage it well. Delirium is common medical emergency. It’s an acute state of confusion which happens particularly to older people when they are medically unwell and is a common reason for a change in behaviour.

Why is this topic so important? At the moment this procedure is only being carried out in a few major centres but it will eventually be rolled out across the country and medical professionals in the widest sense (not just doctors) will need to collaborate in order to make this happen. Who will benefit from attending this presentation? This talk is for clinicians in acute medicine and emergency departments who might use our stroke services, particularly people who might see a patient overnight and need to know about the treatment possibilities. GPs will also benefit from knowing what treatments are available. Why did you choose to specialise in neurology? I was inspired at university by my teachers at Trinity College, Cambridge, which has a very proud tradition in neuroscience and boasts several Nobel Prize

winners in neuroscience. I decided to specialise in stroke because at that stage it was rather neglected. It is a very common and devastating disease but it was one of the few neurological conditions carefully applied treatment and prevention could really make a difference. What do you enjoy about your work? I enjoy the challenge of making the diagnosis, justifying every decision I make with the available evidence and having to do that very quickly, sometimes flying by the seat of my pants! What keeps you awake at night? I worry about the future of stroke care in the UK. It sometimes feels as though stroke doesn’t have a home within a particular specialty. We have fantastic collaboration between specialists from neurology, geriatrics and acute medicine but there only needs to be a little change in emphasis in all three disciplines and all of a sudden the supply of stroke specialists could dry up. This is a concern because stroke is a common cause of death and the commonest cause of adult disability. Therefore, we need enough people contributing to the service for it to be sustainable and to improve the health of the nation.

Why is this topic so important? Two thirds of patients in an acute hospital at any one time will be over the age of 65 - half of those will have some form of cognitive impairment and a large proportion will have delirium. Wherever you work in the hospital you will come across patients who have delirium, and there will often be a medical reason for the patient’s change in behaviour so it’s incredibly important to pick it up and treat it. Another reason is that the mortality rate from delirium is high and it can make it very difficult to provide care at home or in the care home because people can become very agitated and confused. Who will benefit from attending this presentation? Generalists. Many people hearing this talk for the first time will recognise patients that they have looked after as having delirium. This will also be a good revision session for consultants who are working with patients across the hospital. What do you enjoy about your work?

alongside colleagues from a range of medical specialties. We see patients with every type of psychiatric problem and I find that very interesting. Nothing surprises me. In my work I have to problem-solve on the hoof then put in place plans that will have an impact on somebody’s wellbeing. I will follow that patient right through to discharge from hospital. What keeps you awake at night? Sometimes I worry about the patients who have been discharged and I wonder if the arrangements I have made for them in the community are working out.

VIEW THE FULL PROGRAMME AND SPEAKER LINE-UP ON PAGE 4 OR GO ONLINE FOR THE LATEST TRAINING OPPORTUNITIES: AGMCONFERENCE.CO.UK

I really enjoy the busyness and the diversity of the general hospital environment and working

Book before 27th July for £249+VAT before the price increases to £310+VAT! Use code JNEWS18: www.agmconferece.co.uk/julynews or call 0207 348 1851

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www.hospitaldr.co.uk • www.agmconference.co.uk

Hands-on training workshops

AIRWAY WORKSHOP Difficult airway workshop training sessions providing opportunities to learn more about the benefits of using advanced single-use visualization equipment for management of the difficult airway. Delivered by experienced Ambu Clinical Educators, these sessions will teach how aScope™ can enhance patient safety, reduce infection risk at hospitals and help to control costs. Topics covered include: • Current Challenges in Airway Management • Overview of clinical evidence and current guidelines • Clinical use of single-use scopes • Cross-contamination, advantages and disadvantages of single-use scopes • Cost efficiency of single-use scopes • Practical demonstrations of Ambu aScope 4 Broncho system

NON-INVASIVE VENTILATION WORKSHOP

Dräger Medical will be providing delegates an opportunity to learn more about this increasingly popular form of ventilation through stimulating and interactive ‘hands-on’ NIV workshops.

In a recent study by NCEPOD, they identified that major improvements in the provision and care of patients receiving Non-Invasive Ventilation (NIV) are required.

Providing insight into the theory behind NIV and how to apply it in the acute point of care, the workshops will consist of: • NIV introduction: benefits, and contraindications. • What to consider when selecting a NIV ventilator (leak adaptation and compensation). • Selecting the right patient interface NIV masks – types, pros and cons, correct fitting. • The opportunity to see “live” changes in distribution of ventilation inside the patient’s lungs using innovative EIT technology.

• An overview of where Ambu products fit in to difficult airways

Delivered by:

The h a on tra ndsbookin ining will b g system eo the A pen in utumn

Delivered by:

The aim of this session is to address these issues and offer expert, experienced education to help you provide solutions for effective NIV provision, providing the best possible quality care to the patient, utilising the Philips Gold Standard Standalone NIV devices and consumables.

ULTRASOUND WORKSHOP With a passion to improve people’s lives, Philips has been a leader in introducing meaningful innovation for over 125 years. Visit their training zones or the opportunity to see Philips’ ultrasound solutions come to life. Expect training sessions complete with both theoretical and hands-on practice, which would give you a comprehensive overview of the most common ultrasound scans you face in clinical practice.

Delivered by:

Book before 27th July for £249+VAT before the price increases to £310+VAT! Use code JNEWS18: www.agmconferece.co.uk/julynews or call 0207 348 1851

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www.agmconference.co.uk • www.hospitaldr.co.uk

Hone your skills and learn new ones

BODY COMPOSITION ANALYSIS WORKSHOP Why is body composition analysis an effective tool for preventing disease? The Inbody training sessions will educate participants about the ‘new BIA technology’ used by InBody and how this differs to conventional BIA methods. Learning outcomes include: • Why is body composition analysis so important? • What is the difference between conventional BIA and the ‘new technology’ of BIA used by InBody? • How does body composition analysis help Doctors to care for their patients? In less than 60 seconds, InBody can provide easy-to-understand and accurate measurements. Doctors and nurses can use the InBody to: • Monitor muscle and fat • Assess muscle distribution to determine patient-specific health risks • Identify fluid imbalances • Track changes for effective longterm risk identification

Delivered by:

ULTRASOUND WORKSHOP Siemens Healthineers offers focused hands-on skills training for CORE clinical applications (in support of the CORE (Level 1) ultrasound curriculum of the College of Emergency Medicine). • Focused Assessment with Sonography in Trauma (FAST) • Assessment of the Abdominal Aorta for Aneurysm (AAA) • Focused Echocardiography in Life Support (ELS) • Ultrasound Guided Vascular Access (VA) Each session will be supported by Dr Richard Parris, MBChB, MRCP, FCEM, Consultant in Emergency Medicine, Bolton Hospitals NHS Foundation Trust, and a clinical ultrasound specialist. Delegates will have an opportunity to refresh their clinical context and application of the CORE examination and then have hands-on practice using the Siemens Healthineers ACUSON Juniper and ACUSON NX3 Elite Ultrasound systems.

ZONE 1: ADVANCES IN CENTRAL LINE PRACTICE WORKSHOP Delivered by Matt Jones, East Kent Hospital University FT STATION 1: Importance of line positioning STATION 2: ECG tip Location STATION 3: Safe and effective securement STATION 4: Reduction in infection This session will cover: the latest evidence-based practice; zero infection (infection control); tip location; securement and fixation; and post insertion chest radiography.

ZONE 2: ARROW® EZ-IO® INTRAOSSEOUS VASCULAR ACCESS - RIGHT PATIENT, RIGHT TIME, RIGHT LINE WORKSHOP Delivered by Tom Humphries and Hayleigh Haggerty, Teleflex Essential patient treatment is often being delayed through an inability to gain essential vascular access in difficult circumstances. This session includes an introduction to the clinical principles necessary in the safe and effective use of EZ-IO and a practical opportunity to gain hands on experience in our workshop area.

Delivered by:

Book before 27th July for £249+VAT before the price increases to £310+VAT! Use code JNEWS18: www.agmconferece.co.uk/julynews or call 0207 348 1851

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www.hospitaldr.co.uk • www.agmconference.co.uk

CONTINUED FROM PAGE 1 “As a regulator we are doing all we can, through programmes of work to address doctors’ wellbeing and by giving them the confidence to raise concerns and have them acted on. But it will take investment to solve the issues doctors are telling us about. Those responsible for allocating healthcare funding across the UK must ensure proper provision is made for education and training.” The GMC is now analysing the results in more detail, and working with education providers to make sure improvements are made where training falls below expected standards. Dr David Evans, Vice President for Training and Assessment at the Royal College of Paediatrics and Child Health, commented: “This survey raises serious concerns about the wellbeing of trainee doctors. We know that for paediatric trainees, workforce pressures and falling recruitment numbers have a major impact on morale. Almost 1 in 5 paediatric trainee positions are currently vacant, leading to severely difficult working environments where young doctors feel stressed and lack time for vital training and education. “We need funding for an increase in the number of paediatric trainee places to 465 in each training year for the next 5 years in order to see a

sufficient expansion of the workforce. We also ask that the wellbeing of our trainees is valued and the quality of their training is enhanced; protected time for training is essential to ensure they gain the educational opportunities they need to progress in their careers. This survey should be a wake-up call for governments across the UK, who must act without delay to support trainee doctors and ensure a safe, sustainable health service for everyone.”

Doctors from all grades and specialties are invited to attend Acute & General Medicine where they can find the support, guidance and high-quality clinical training they need at an affordable price.

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Management of the difficult airway Visit us to see and try the latest evolution of our single-use bronchoscope, the Ambu® aScope™ 4 Broncho. A new single-use, high quality bronchoscope and our latest proof of ideas that work for life. aScope 4 Broncho improves patient safety and workflow and offers high quality bronchoscopy thanks to its clear, sharp imaging and smooth and easy navigation. Combined with the portable, easy-to-use Ambu® aView™ monitor it is the ideal solution for a wide range of procedures. We will also be exhibiting our 2nd generation laryngeal mask, the Ambu® AuraGain™ which provides all-round versatility whilst satisfying a variety of fundamental airway management needs. Rapid placement, high seal pressure,

gastric access, and intubation capability make this the obvious and safe choice for every procedure where a laryngeal mask is indicated. Ambu bring efficient healthcare solutions to life within our fields of excellence: Anaesthesia, Patient Monitoring & Diagnostics and Emergency Care. Millions of patients and healthcare professionals worldwide depend on the functionality and performance of our products. We are dedicated to improving patient safety and determined to advance single-use devices. The manifestations of our efforts range from early inventions like the Ambu bag to our latest landmark solutions such as the aScope™ – the world’s first single-use videoscope.

Book before 27th July for £249+VAT before the price increases to £310+VAT! Use code JNEWS18: www.agmconferece.co.uk/julynews or call 0207 348 1851

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www.agmconference.co.uk • www.hospitaldr.co.uk

CONTINUED FROM PAGE 1 conference to raise awareness of the condition. It will cover the diagnosis, staging and treatment of NAFLD and delegates will learn how to identify the people who have the most severe form of the disease who need urgent treatment. Dr McPherson will also discuss some new drugs currently in development that can reduce inflammation in the liver and reverse liver fibrosis. Around 50 compounds are currently in phase one to three trials at the moment and the first drugs could be licensed by 2020. However he says even when these new drugs come on stream the first line treatment for NAFLD patients should still be lifestyle intervention. “If a patient does not have cirrhosis of the liver their

condition can be reversed if they can lose 10 per cent of their body weight. The problem is that only 10 per cent of patients manage to lose 10 per cent of their body weight. About half of patients will lose some weight, but not enough to actually reverse the condition. However even some weight loss will reduce liver fat and inflammation and slow progression of the disease. “My view as a clinician is that it is much better for someone to get a bike and exercise and lose the weight, because that has many more benefits than taking a drug that only targets the liver,” he says. This talk will be relevant for doctors in both primary and secondary care.

Needs Based Care – an exciting new model of providing care for medical patients at the L&D The Luton and Dunstable University hospital (L&D) are embarking on an exciting new way of providing care for medical patients through a multimillion pound investment in a new model, called Needs Based Care (NBC). The aim of NBC is to place all patients on a ward based on their medical needs regardless of their age to ensure specialist staff can provide the most appropriate care around the clock, every day of the week. With the increased level of dedicated care and monitoring, NBC will help reduce the risk of patients deteriorating over evenings or weekends when there is no or consultant cover and will therefore significantly reduce the length of stay for many medical patients. The introduction of NBC will see a complete overhaul in the way care is provided resulting in numerous benefits for patients. Most importantly, by ensuring patients have access to the most appropriate medical team 24 hours a day, seven days a week will provide much improved continuity of care which is directly linked to a reduction in patients’ length of stay in hospital. Specialist medical teams will immediately be appointed to patients after admission regardless of age, psychological or physical needs, to ensure that the most appropriate treatment and diagnostics can

begin as soon as possible. All of this will improve patient experience. NBC will also create a large number of new patient facing roles. The L&D are recruiting teams of physiotherapists, occupational therapists, consultants, nurses and pharmacists to work as part of this fantastic new initiative.

To hear from Dr McPherson at Acute & General Medicine, secure DELEGAT E PASS your early bird pass for just £249+VAT before rates increase to £310+VAT after 27th July using discount code JNEWS online at agmconference.co.uk/ julynews or call 0207 348 1845. Your conference pass will give you access to world-class clinical content at Acute & General Medicine 2018. 20-21 NO VEM

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Dr James Ramsay, Medical Director said “Needs Based Care is a revolutionary model of providing high quality care for our patients, while at the same time creating a large number of new job roles. As part of our commitment to delivering the best patient care, the introduction of the new model will mean that patients will experience more timely and improved continuity of care throughout their stay. The NBC model will allow patient recovery times to be significantly reduced and more efficient and effective patient discharge, resulting in an overall reduction in the time spent in a hospital bed.” Qualified pharmacists physiotherapists, occupational therapists, consultants and nurses wishing to be part of the exciting new change and transformation of care at the Luton and Dunstable University Hospital should visit www.ldh.nhs.uk/ working-here/needs-based-care/ to apply.

@AGMConfUK /AGMConference Acute & General Medicine

Book before 27th July for £249+VAT before the price increases to £310+VAT! Use code JNEWS18: www.agmconferece.co.uk/julynews or call 0207 348 1851

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www.hospitaldr.co.uk • www.agmconference.co.uk

Why is body composition analysis an effective tool for preventing disease? Early identification of disease onset is important for patient care by providing practitioners with tools to develop interventions to improve longterm health outcomes. The InBody test provides a comprehensive printout that serves as an ideal educational tool for engaging patients in understanding health risk management and reduction. In less than 60 seconds, InBody can provide easy-to-understand and accurate measurements. Doctors and nurses can use the InBody to: • Monitor muscle and fat • Assess muscle distribution to determine patient-specific health risks • Identify fluid imbalances • Track changes for effective long-term risk identification

‘In less than 60 seconds, InBody can provide easy-to-understand and accurate measurements’

@AGMConfUK

/AGMConference

Acute & General Medicine

PLANNING A RENUNION?

Doctors attend Acute & General Medicine in their thousands not only for the world-class training but to meet up with colleagues and peers old and new. Make Acute & General Medicine even more memorable this year by planning a reunion with old colleagues or university medical peers. How can we help? We can arrange group discounts for six more doctors who would like to plan a reunion and attend Acute & General Medicine. Our Delegate Relationship Manager can help you find discounted accommodation and take the stress away from coordinating your reunion. Group bookings of ten of more will receive a £200* tab at a restaurant or bar near the ExCeL to help you kick start your reunion in the best way!

Contact us today for more information by emailing training@closerstillmedia.com and we can work with you to make it a reunion to remember! Events is our thing! Did you know we can also help you organise larger Alumni events too – call 0207 348 5271 to find out more.

*This is a limited opportunity and will be granted on a first come first serve basis.

Book before 27th July for £249+VAT before the price increases to £310+VAT! Use code JNEWS18: www.agmconferece.co.uk/julynews or call 0207 348 1851

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www.agmconference.co.uk • www.hospitaldr.co.uk

Jobs Board CONSULTANTS

ACUTE PHYSICIAN

CONSULTANTS

3 Consultant posts in Acute Internal Medicine are required at the Luton and Dunstable University Hospital as the Acute Medicine Department looks to expand to support exciting changes to the medical model through Needs Based Care. Applications are welcome from individuals with a specialist interest and part time will also be considered.

Responsible for assessment, early decision making and close coordination of the clinical care of patients in the acute medicine bed base, providing leadership to the acute medicine take. We are very keen to create flexible job plans for talented and enthusiastic candidates.

Contact details: Dr Tim Chapman, Clinical Director for Acute Medicine on 01582 718468 or 497540 / tim.chapman@ldh.nhs.uk or Dr Peter Albert, Lead Clinician for Acute Medicine on 01582 718366 / peter.albert@ldh.nhs.uk

CONSULTANT PHYSICIAN GENERAL MEDICINE

A great place to live Worcestershire is a rural county with some delightful sights & amenities. Local National and International links are easily accessible; the second city of Birmingham is a very short distance away and readily accessible. The county has some of the best schools and house prices in the UK, and is a highly desirable place to live and work.

Applicants are welcome for the post of Consultant Physician in Stroke Medicine at the Luton and Dunstable University Hospital. You will join a team of 5 consultants with 10 HASU, 20 acute and rehabilitation beds, 24/7 thrombolysis service and daily TIA clinics. Pursuit of a specialist interest in neuro intervention, stroke imaging, and thrombolysis are encouraged. Contact details: Dr Lakshmanan Sekaran, Clinical Director for Stroke Medicine on 01582 497140 / lakshmanan.sekaran@ldh.nhs.uk Luton is leading the way for frailty within their Integrated Care System and is the first ICS in the UK to become Research Active, collaborating with University of Bedfordshire. As we enter this exciting period of development, there is the opportunity to expand the Elderly Medicine consultant workforce with a further 3 posts.

This is an exciting time to join the established team in General and Geriatric medicine in Stockport, we are looking to expand our services over a larger bed base with all the supporting infrastructure.

CONSULTANT CHEST PHYSICIAN The vision for Respiratory Medicine includes support for the development of community based respiratory services such as COPD, NIV integrated care pathway, respiratory hot clinics, multidisciplinary clinics, development of pathways including pleural services and thoracoscopy, and a partnership approach to support delivery of deliver EBUS within the lung cancer sector. For further information on our Trust please see www.stockport.nhs.uk and applications for all these posts can be made via NHS Jobs.

We’re seeking dynamic, motivated individuals to come join our supportive, forward thinking Medicine Division, where we have upcoming opportunities for Consultants across specialty medicine We’re committed to delivering a service that is there for our patients, families, service users, the public and each other. We recognise our medical staff are key in enabling and providing compassionate, patient centred care and we need you to join our team. Please keep checking the NHS Jobs website - www.jobs.nhs.uk - to see what opportunities we have available. For further enquiries & to find out more about what we can offer you, please contact Dr Jasper Trevelyan, Divisional Medical Director on 01905 763333.

Contact details: Dr Mohamed Didi, Clinical Director for Elderly Medicine on 01582 497461 / mohamed.didi@ldh.nhs.uk Visit Luton & Dunstable University Hospital on stand C55 to discuss career opportunities at Acute & General Medicine.

A great place to work – We serve over half a million people across the county from three hospitals the Alexandra Hospital (Redditch), Kidderminster Treatment Centre, and Worcestershire Royal Hospital.

Visit Stockport NHS Foundation Trust on stand D42 to discuss career opportunities at Acute & General Medicine.

Visit Worcestershire Acute Hospitals NHS Trust on stand B71 to discuss career opportunities at Acute & General Medicine.

www.hospitaldr.co.uk • www.agmconference.co.uk

POSTER ZONE 2018 20-21 NOVEMBER 2018, EXCEL LONDON

CUT ME OUT AND STICK ME ON YOUR STAFF BOARD

SHOWCASE AND RECEIVE ACKNOWLEDGEMENT FOR YOUR WORK AT THE...

ACUTE & GENERAL MEDICINE POSTER ZONE Does your trust have an innovative project you’d like to showcase to a wide and influential audience? Acute & General Medicine is now accepting abstracts to be featured at the UK’s leading cross-specialty conference this November.

SUBMI YOUR T ABST BEFORREACTS T AUGUS31 T

Categories include: Service Innovation - Inpatient Stay & Discharge Service Innovation - Admissions Avoidance & Ambulatory Care Audit & Quality Improvement Acute Medicine Case Reports

TO VIEW ABSTRACT GUIDELINES AND SUBMISSION INSTRUCTIONS: VISIT: WWW.AGMCONFERENCE.CO.UK/POSTERZONE CALL: 0207 348 1851 Book before 27th July for £249+VAT before the price increases to £310+VAT! Use code JNEWS18: www.agmconferece.co.uk/julynews or call 0207 348 1851

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