Wounds Harrogate Conference 2013

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ANNUAL CONFERENCE 2 013 INTEGRATED STRATEGIES FOR QUALITY OUTCOMES

11 – 1 3 N O V E M B E R HARROG ATE INTERN ATION AL CENTRE

THIS CONFERENCE I S A I M E D AT: Tissue viabilit y nurses Nurse consult ant s Nurse prac titioners Link nurses Physicians Podiatrist s Communit y nurses Lymphoedema specialist s

Practical tools and techniques for today’s ever-changing wound care environment

B O O K O N L I N E A T: WWW.WOUNDS -UK .COM


INTEGRATED STRATEGIES FOR QUALITY OUTCOMES

SPECIAL FE ATURES: The Wounds UK Best Prac tice Zone Ex tensive academic poster showcase 9th FDUK masterclass Made Easy sessions Compliment ar y CPD workbook s The largest exhibition of wound care companies and manufac turers in the UK The Wounds UK black tie gala dinner

ANNUAL CONFERENCE 2 013

T

he Wounds UK Annual Conference will return to Harrogate on 11–13 November 2013 for another year of outstanding clinical and practical content designed to give today’s clinicians an unparalleled update in the latest wound care developments.

This year’s programme will again include presentations from the national and regional tissue viabilit y groups, alongside a variet y of clinical, practical and policy updates delivered by a host of speakers from the UK and worldwide. Following positive feedback from last year, we have also extended our popular Made Easy sessions, giving you a choice of 8 workshops, providing a more intimate and interactive learning experience. In addition, we are pleased to announce that the Foot in Diabetes UK Conference will again run alongside Wounds UK with a separate programme (Tuesday only) and this will fur ther increase the range of content available to delegates. To fur ther enhance visitor experience, the Wounds UK Annual Conference also offers an extensive poster exhibition, incorporating innovative work from the UK and beyond; complimentar y CPD workbooks and cer tificates for all delegates; the Wounds UK Award for Excellence, showcasing out standing work within the UK wound care communit y; a glit tering black tie gala dinner and the largest exhibition of wound care companies and manufacturers any where in the UK. We look for ward to once again delivering the highest qualit y wound care education, and welcoming you to what promises to be our best event to date. Rob Yates Publishing Director, Wounds UK


PROGRAMME MONDAY 11TH NOVEMBER 11.30 - 12.15 Registration, refreshments and poster viewing 12.15 - 12.45 Conference welcome. Countdown to 2015: Are you disaster-proof? Jacqui Fletcher, Clinical Strategy Director, Welsh Wound Innovation Centre Karen Ousey, Reader in Advancing Clinical Practice, University of Huddersfield

12.45 - 13.30 Keynote: Quality improvement and understanding measurement: Making it work for clinicians in practice Chair: Jacqui Fletcher, Clinical Strategy Director, Welsh Wound Innovation Centre Matt Tite, Improvement Analyst, Quality Improvement Healthcare Company Ltd Interactive session exploring: The realities of measurement Making use of existing measurement systems Reconciling differences between systems Identifying the purpose of measurement Ensuring the information measured is clinically useful

13.30 - 14.00 Pressure ulcers: Can we achieve consensus on grading and definitions? Jacqui Fletcher, Clinical Strategy Director, Welsh Wound Innovation Centre Is the terminology we use fit for purpose? Can we rely on ‘guesstimates’ (such as 95% avoidable) to benchmark our care? Are the numbers designed to measure improvement or are they simply a “tick box” exercise?

14.00 - 14.45 Setting up a leg ulcer service in the changing NHS Supported by medi UK Chair: Jacqui Fletcher, Clinical Strategy Director, Welsh Wound Innovation Centre Caroline Dowsett, Nurse Consultant Tissue Viability, East London NHS Foundation Trust Gwen Lawrence, Vascular Specialist Nurse, Wirral NHS Trust How to recognise when a leg ulcer service needs to be set up, or to develop an existing service How to monitor and evaluate a service with a focus on measurement PROMS and PREMS to address and evaluate patient needs and satisfaction

14.45 - 15.15 Refreshments and poster viewing 15.15 - 16.00 Incontinence-associated dermatitis vs. pressure ulcers: Latest evidence on correlation Supported by 3M Healthcare Chair: Caroline Dowsett, Nurse Consultant Tissue Viability, East London NHS Foundation Trust Dimitri Beeckman, Professor Nursing Science, Ghent University Understanding the size of the problem Making correct diagnoses Identifying best practice for prevention and treatment

16.00 - 16.45 Surgical site infection: Intensive recording PA R A L L E L TRACK

Chair: Karen Ousey, Reader in Advancing Clinical Practice, University of Huddersfield David Leaper, Emeritus Professor of Surgery, University of Newcastle on Tyne and Visiting Professor, Imperial College London and Cardiff University Judith Tanner, Chair of Clinical Nursing Research, De Montfort University

Is the terminology we use fit for purpose? Are current surgical site prevalence data reliable? Which protocols for prevention are put in place?

16.00 - 16.45 Pressure ulcer metrology: The power of four Supported by Mölnlycke PA R A L L E L TRACK

Chair: Jacqui Fletcher, Clinical Strategy Director, Welsh Wound Innovation Centre Cees Oomens, Professor of Biomechanics & Continuummechanics, Eindhoven University of Technology Examine the four extrinsic factors – Shear, pressure, friction and microclimate Practicalities of implementing prevention protocals

16.45 - 17.30 Maximising innovations: Impact on practice and outcomes Supported by Systagenix Chair: Ailsa Sharp, Lecturer in Adult Nursing, Edinburgh Napier University David Thorne, Managing Director of Blue River Consulting Ltd, Chief Executive, Newcastle Bridges Primary Care and Innovative Federation of Local GP Practices. Lorraine Grothier, Clinical Nurse Specialist Tissue Viability, Central Essex Community Services Do you want to: Discover how to demonstrate fully your impact on clinical practice? Understand what CCGs will be looking for in wound care services? Gain some real life examples of innovation in practice? Come and attend the session

17.30 - 19.30 Exhibition opening/champagne reception Supported by ArjoHuntleigh

TUESDAY 12TH NOVEMBER 07.30 - 08.30 Registration, refreshments, exhibition and poster viewing 08.00 - 08.30 Improving patient outcomes through innovation Supported by Accel-Heal David Chapman Jones, Director of Medicine and Science, Synapse Micro-current Science of micro-current Clinical experiences of micro-current devices

08.30 - 09.00 Cost of wounds in the UK: Reducing the burden Keith Harding, Director, Institute for Translation, Innovation, Methodology and Engagement (TIME), School of Medicine, Cardiff University Evidence-based wound care delivery Engaging commissoners in wound care Applying lessons learned from a new international consensus to the UK

09.00 - 09.45 Larval therapy: The evolution of clinical, scientific and economic evidence in wound bed preparation Supported by BioMonde Chair: Keith Harding, Director, Institute for Translation, Innovation, Methodology and Engagement (TIME), School of Medicine, Cardiff University Ceri Phillips, Professor of Health Economics, Swansea Centre for Health Economics, Swansea University Yamni Nigam, Associate Professor, Biomedical Science, Swansea University Deborah Everitt, Tisssue Viability Nurse, Darent Valley New randomised controlled trial evidence on larvae and debridement A scientific summary of biochemical actions of larval secretions Health economics of debridement options Using larvae to align with NHS priorities


09.45 - 10.30 New evidence to support the role of debridement in the assessment and treatment of skin and wounds Supported by Activa Healthcare Chair: Trudie Young, Director of Education and Training, Welsh Wound Innovation Centre Jeanette Muldoon, Head of Clinical Services, Activa Healthcare Cornelia Wiegand, Biochemist, University Hospital Center Jena, Germany Joanna Swan, Lead Tissue Viability Nurse The role of debridement in leg ulcer, chronic oedema and lymphoedema care, including minimising the risk of infection In vitro evidence to demonstrate how debridement works Debridement to aid assessment and treatment of pressure ulcers and other conditions: the evidence

10.30 - 11.15 Refreshments, exhibition and poster viewing Made Easy Interactive Workshops 11.15 - 11.55 Rotation 1 12.05 - 12.45 Rotation 2

1

A straightforward approach to debridement

Developed by Wounds UK, in association with Urgo Medical

Kumal Rajpaul, Senior Tissue Viability Lead Nurse, King’s College Hospital NHS Foundation Trust Why debride and what are your options? Debridement: A pathway approach A case study approach: Managing sloughy wounds effectively

2How do we track pressure ulcers?

Developed by Wounds UK, in association with HARTMANN

Sue Mason, Clinical Lead Tissue Viability North Division Staffordshire & Stoke on Trent Partnership Trust Sian Fumarola, Senior Clinical Nurse Specialist, Tissue Viability, University Hospital of North Staffordshire Counting pressure ulcers across organisations Developing a live data system for clinical management Implications for practice and policy

skin damage: getting the 3Moisture-associated diagnosis right

honey dressing use in challenging 5Optimising wounds Developed by Wounds UK, in association with Derma Sciences

Irene Anderson, National Teaching Fellow Reader in Learning and Teaching in Healthcare Practice, University of Hertfordshire Lorraine Grother, Tissue Viability Nurse, Central Essex Community Services What is manuka honey and how does it work? When are honey dressings indicated? Selecting an optimal dressing for changing wound conditions: new developments and practical considerations

6Optimising the patient journey through education Developed by Wounds UK, in association with Advanced Medical Solutions

Richard Shorney, Director, Real Healthcare Solutions Leanne Atkin, Lecturer Practitioner, The University of Huddersfield Impact of education on wound assessment and patient outcomes What influences dressing choice? How can clinicians improve patient outcomes?

ulcer prevention: Putting theory into 7Pressure practice

Developed by Wounds UK, in association with Smith & Nephew Rebecca Martin, Lead Nurse, Tissue Viability, Birmingham Community Healthcare Trust Fiona Downie, Nurse Consultant Tissue Viability, Papworth Hospital NHS Foundation Trust The importance of education and knowledge in pressure ulcer prevention Addressing gaps through targeted education Deciding what approach works best for acute and community care

8Wound care innovations in practice

Developed by Wounds UK, in association with Medicareplus International and Synapse Micro-current Liz Ovens, Clinical Service Lead Tissue Viability, Central North West London NHS Foundation Trust Nichola Ivins, Clinical Trials Manager, Wound Healing, Institute for Translation, Innovation and Engagement (TIME), Cardiff University Improving outcomes through innovation A case study approach to using micro-current technology A case study approach to using PHMB as a topical antimicrobial dressing

Developed by Wounds UK, in association with 3M Healthcare

12.45 - 14.00 Lunch, exhibition and poster viewing

Caroline Dowsett, Nurse Consultant in Tissue Viability, Newham Primary Care Trust Lyndsey Allen, Clinical Nurse Specialist Continence, Walsall Healthcare NHS Trust Identifying the causes of skin damage Importance of an accurate diagnosis Introducing a pathway for targeted treatment

14.00 - 14.45 Management of chronic oedema Supported by BSN medical

First rotation:

for temporary abdominal closure 4NPWT and fistulae

Developed by Wounds UK, in association with Smith & Nephew John Timmons, Clinical and Education Manager NPWT, Smith & Nephew Healthcare Ltd Val Henderson, Clinical Lead Tissue Viability, Northumbria Healthcare Foundation Trust Jeanette Milne, Tissue Viability Nurse, South Tyneside Foundation Trust An introduction to abdominal compartment syndrome Role of NPWT for temporary abdominal closure Practical application of an NPWT abdominal dressing kit Hints and tips for isolating and managing fistulae Second rotation:

4Single-use NPWT in the community

Developed by Wounds UK, in association with Smith & Nephew The role of single-use NPWT in the community Practical application of single-use NPWT on venous leg ulcers Advanced dressing techniques with single-use NPWT (pilonidal sinus wounds)

Chair: Janice Bianchi, Medical Education Specialist & Honorary Lecturer, Glasgow University Carol Brailsford, Macmillan Lymphoedema Clinical Nurse Specialist Ray Norris, Clinical Nurse Specialist, North East London Foundation Trust An interactive session exploring the management of chronic oedema and associated conditions which are complicated by obesity Patient and clinician testimonials will demonstrate the benefits of integrated compression therapy and appropriate wound care A clinical panel will debate treatment options, encouraging audience participation

14.45 - 15.30 Infection, resistance and the use of topical antimicrobials Chair: Keith Harding, Director, Institute for Translation, Innovation, Methodology and Engagement (TIME), School of Medicine, Cardiff University Randy Wolcott, Director, South West Regional Wound Care Center, Lubbock, Texas Lessons learned from the international community Problems around resistance Insights into biofilm management What action to take and when

15.30 - 16.15 Refreshments, exhibition and poster viewing


16.15 - 17.00 X Factor Part 3-The Conclusion Supported by Sorbion Matthias Augustin, Director – Institute for Health Services Research in Dermatology and Nursing University Medical Center Hamburg Eppendorf Nigel Dennis Chapman, Retired H M Coroner, Nottinghamshire Paul Jhass, Strategic Wound medicine Project Lead, Kent Community Health Trust Clare Acton, Clinical Lead Tissue Viability, Guys & St Thomas Julian Guest, Director, Catalyst Health Economics Consultants, Northwood and Visiting Professor of Health Economics, King’s College, London Transparency Legal Clinical Economic ……Choose your dressings wisely, the risk is yours!

Should topical antimicrobials be used only on clinically infected wounds or is there justification to use these agents in other circumstances? Developing a cost-effective argument for using antimicrobials in practice Demonstrating improved clinical outcomes

11.15 - 12.00 Innovative strategies from around the UK part 2 Chair: Karen Ousey, Reader in Advancing Clinical Practice, University of Huddersfield

An update from: Yorkshire and Humber Peter Vowden, Consultant Vascular Surgeon, Clinical Director NIHR Healthcare Technology Co-operative for Wound Prevention and Testament, Bradford Teaching Hospitals NHS Foundation Trust & University of Bradford

17.00 - 17.30 Clinical challenges of exudate management

Making research real: Academia and practice working together

Chair: Kathryn Vowden, Nurse Consultant, Acute and Chronic Wounds, Bradford Royal Infirmary Simon Barrett, Tissue Viability Nurse, East Riding of Yorkshire PCT Defensible documentation of exudate: what are the challenges What does viscosity of fluid tell you? Solutions for documentation, best case examples

Karen Ousey, Reader in Advancing Clinical Practice, University of Huddersfield Leigh Fleming, Senior Lecturer, EPSRC Centre for Innovative Manufacture in Advanced Metrology, School of Computing and Engineering, The University of Huddersfield An innovative research group with the philosophy to bed the role of engineers in developing research based skin practice. Academics and practitioners working together to provide safe care for patients

19.00 - 19.45 Pre-Gala Dinner Champagne Reception 19.45 - 23.00 Wounds UK Gala Dinner

12.00 - 12.45 Refreshments, exhibition and poster viewing

WEDNESDAY 13TH NOVEMBER

12.45 - 13.15 Free paper presentations

08.30 - 09.00 Refreshments, exhibition and poster viewing 09.00 - 09.45 Innovative strategies from around the UK part 1 Chair: Jackie Stephen-Haynes, Professor and Consultant Nurse in Tissue Viability, Worcestershire Health and Care NHS Trust

An update from: Scotland Ailsa Sharp, Lecturer in Adult Nursing, Edinburgh Napier University

Wales Keith Harding, Director, Institute for Translation, Innovation, Methodology and Engagement (TIME), School of Medicine, Cardiff University

09.45 - 10.30 Challenging wounds, challenging situations? Chair: Jackie Stephen-Haynes, Professor and Consultant Nurse in Tissue Viability, Worcestershire Health and Care NHS Trust Trudie Young, Director of Education and Training, Welsh Wound Innovation Centre Jan Ryzy, NHS Wales Jackie Stephen-Haynes, Professor and Consultant Nurse in Tissue Viability, Worcestershire Health and Care NHS Trust John McRobert, School of Medicine, Cardiff University Scalds and minor burns from a tissue viability perspective Wounds in patients in care homes – the forgotten sector Managing complex wounds in primary care –roles and responsibilities, complex wound clinics

10.30 - 11.15 Improving outcomes with a modern topical antimicrobial Supported by schülke Chair: Keith Cutting, Visiting Professor, Buckinghamshire New University Michael Braun, Manager Medical Affairs, schülke

The developing role of the pressure area care equipment coordinators in a large NHS acute trust Chair: Ellie Lindsay, President, The Lindsay Leg Club Foundation Natalie Cavanagh, Pressure Area Care Equipment Coordinator, The Pennine Acute NHS Trust Nuala O’Brien, , Pressure Area Care Equipment Coordinator, The Pennine Acute NHS Trust

Regulation of wound healing by micromechanical forces – an introduction Cornelia Wiegand, Biochemist, Department of Dermatology, University Hospital Center, Germany

The management of malodour in fungating malignant wounds using ‘NEOC’ cream Jacqui stringer, Clinical Lead, Support Care Services, The Christie NHS Trust, Manchester

Validation of a new classification system for skin tears Samantha Holloway, Senior Lecturer, Cardiff University School of Medicine

Preparing to meet the challenge of promoting skin integrity in an aging population – Results of a fivetrust wound care survey John Stephenson, Senior Lecturer, Biomedical Statistics, School of Human and Health Sciences, University of Huddersfield

13.15 - 14.00 The Wounds UK Great Debate: Do all patients with wounds have a right to be managed by a specialist service? Chair: Keith Harding, Director, Institute for Translation, Innovation, Methodology and Engagement (TIME), School of Medicine, Cardiff University Karen Ousey, Reader Advancing Clinical Practice, University of Huddersfield Jacqui Fletcher, Clinical Strategy Director, Welsh Wound Innovation Centre

14.00 - 14.15 Conference close


BOOK I NG FORM PE R S O N A L D E TA I L S

Please fill in your name, job title and place of work as you would like them to appear on the delegate list. Please use block capitals. (If you wish to book more than one place, please photocopy this form or write other names on a separate sheet.) Title: Full name: Post /job title: Place of work: Special dietar y/access requirement s: Day time telephone: Day time fa x: Email address: (Confirmation will be sent via email)

Correspondence address: Postcode: 3-day rate (including Gala Dinner*): £319 (inc. VAT) 1-day rate (Tuesday only, including Gala Dinner*): £270 (inc. VAT) Poster presenter rate (including Gala Dinner*): £175 (inc. VAT) Gala Dinner only rate: £70 (inc. VAT) Please select the T WO Made Easy workshops you would like to at tend (one from each rotation): Rotation 1 (11.15 -11.55): A straight for ward approach to debridement How do we track pressure ulcers? Moisture-associated skin damage: get ting the diagnosis right NPW T for temporar y abdominal closure and fistulae (Rotation 1 only) Optimising honey dressing use in challenging wounds Optimising the patient journey through education Pressure ulcer prevention: put ting theor y into practice Wound care innovations in practice

Rotation 2 (12.05 - 12.45): A straight for ward approach to debridement How do we track pressure ulcers? Moisture-associated skin damage: get ting the diagnosis right Single-use NPW T in the communit y (Rotation 2 only) Optimising honey dressing use in challenging wounds Optimising the patient journey through education Pressure ulcer prevention: put ting theor y into practice Wound care innovations in practice

Please indicate if you will be taking up your complimentar y Gala Dinner ticket: Yes No I confirm that I am a healthcare professional *required I confirm that I am happy for Wounds UK and Wounds International to use the contact details provided here to send me information about their ser vices

TERMS AND CONDITIONS Cancellations and substitutions must be received in writing. Cancellations must be received by Monday 21 Oc tober 2013 and will be refunded less a 20% processing fee. Af ter this date we regret that registration fees will not be refunded. This event is for healthcare professionals spending 50% or more of their time working in an NHS set ting only. Places will be allocated on a first- come, first-ser ved basis. The organisers reser ve the right to refuse an application for space and cancel or amend event s at any time. * A ticket to the Gala Dinner is of fered on a compliment ar y basis with each 3- day, 1- day and poster presenter rate purchased. There is no reduc tion available for non-at tendance of the gala dinner. Completed booking forms should be posted or fa xed to: The Event s Team, Wounds UK, 1.03 Enterprise House, 1–2 Hat fields, London, SE1 9PG Tel: +44 (0) 20 7627 1510 Fa x: +44 (0) 20 7627 1570 Email: enquiries@woundsgroup.com

O N L I N E B O O K I N G A V A I L A B L E A T:

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