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Welcome Pack


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In 2016, Jeremy Hunt proposed plans to halve the number of GNBSIs by 2020 by reducing catheter use and promoting hygiene, particularly hand hygiene. This primarily targets E. coli, which represent 55% of all GNBSIs, due to the bacteria being easily prevented by thoroughly washing hands after using the toilet and before handling food, and by restricting catheter use. In November 2016, the health secretary announced a £45m cash injection that was shared by hospitals to reduce infection rates. Hospitals were asked to reduce E. coli infections by 10% and use antibiotics properly. Hunt wanted to improve transparency by forcing hospitals to display E. coli rates and data on wards. He also wanted hospital staff, patients, and visitors to wash their hands regularly and patients with catheters to be given better care. The most common source of infection is via UTI at 45% of infections, whereas gastrointestinal infections only account for 6% of E. coli infections. E. coli is caught by eating infected food (e.g. raw leafy vegetable, undercooked meat, or raw milk products), touching infected animals, contact with infected people, drinking water from poorly treated water supplies, and swimming in infected water. To avoid catching E. coli it is recommended to thoroughly wash hands regularly, and cook meets thoroughly to a minimum internal temperature of 62.6C and minced meats to a minimum of 70C. The government’s plans to prevent NHS infections also include 

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Independent Care Quality Commission inspections focusing on infection prevention based on E. coli rates in hospitals and in the community, and taking action against poor performers. The NHS publishing staff hand hygiene indicators Improving training and information sharing so NHS staff can learn from the best in cutting infection rates Appointing a new national infection lead, Dr Ruth May.

Since 2016, there has been a new drive in encouraging development of new antibiotics. The UK is leading the international fight against resistance by bringing in tough new targets to limit the inappropriate use of antibiotics. Therefore, hospitals and GP offices are being discouraged from prescribing antibiotics to people who don’t need them, for example prescribing them to people with viruses. They are also being encouraged to highlight the importance of following the given instructions when taking antibiotics, as not taking the full course can lead to future resistance. There is also research being done on other reasons why antibiotic resistance is becoming so prevalent, such as a review in 2015 on giving animals being raised for food antibiotics. The review found that in the US more than 70% of antibiotics that are medically important for humans are used in animals. This form of antimicrobial usage is likely to rise because of the economic growth, increasing wealth, and food consumption in the emerging world. A considerable amount of antibiotics are used in healthy animals to prevent infection or speed up their growth. This is particularly the case in intensive farming, where animals are kept in confined conditions. Some last resort antibiotics for humans are being used extensively in animals, and there are no replacements currently on the way. Jeremy Hunt said ‘the best way to make sure antibiotics continue to work is by minimising their use, which means we need to start a new war on avoidable hospital infections’.

In September 2017, thousands of nurses, care home staff, and pharmacists were told how to check for signs and symptoms of sepsis, as part of an NHS plan to improve treatment for the condition. The measures included a clear definition of adult sepsis for clinicians, so sepsis is identified and recorded more quickly; educational materials to ensure awareness among all primary care, pharmacists, and healthcare professionals; and targeting care homes, pharmacists, and other areas of the NHS which deal with frail and older people to prevent sepsis. Jeremy Hunt said that the Department of Health wants ‘the NHS to be the safest healthcare system in the world, and our ability to diagnose and treat sepsis effectively is a key litmus test of progress. While the NHS has taken major steps in recent years to improve how it responds to sepsis – actions that have saved nearly 1000 lives – there is still more work to do to protect the many thousands who develop this dangerous condition each year’. Sir Bruce Keogh said ‘since the publication of our first plan in 2015 [NHS England’s Sepsis Action Plan] a lot has been done and this additional set of proposed actions reflects the desire of health professionals to tackle this dangerous condition’. In December 2016, the secretary of state launched a nationwide campaign to help parents spot the signs of sepsis: ‘We need to get far better at spotting it across the NHS. By raising awareness and improving clinical practice we will save lives in the fight against this horrible illness.’ Dr Ron Daniels, chief executive of the UK Sepsis Trust, said: ‘With sepsis claiming over 37,000 lives annually in England, this awareness campaign is a crucial step forward. Clinicians and members of the public can save thousands of lives every year if they just ask: could it be sepsis?’

Agenda 8:15AM – 9:10AM

9:10AM – 9:20AM

Registration and Morning Coffee Location: The Brewery Lobby/Exhibition Halls – King Georges and Queen Charlotte Chair’s Address Location: Porter Tun Chair: Julia Taylor, BAUN President and Consultant Urology Nurse at Salford Royal Foundation Trust (Confirmed)

9:20AM – 9:40AM

9:40AM – 10:00AM

The View Forward to 2020 Location: Porter Tun Speaker: Ruth May, National Infection Lead for NHS Improvement (Confirmed) Reducing Gram Negative Blood Stream Infections – Is it possible? Location: Porter Tun Speaker: Abid Hussain, Consultant Microbiologist, Associate Medical Director and DIPC at Heart of England NHS Foundation Trust (Confirmed)

10:00AM – 10:20AM

Managing Serious Infection CQUIN Location: Porter Tun

Speaker: Celia Ingham Clark MBE, Medical Director for Clinical Effectiveness for NHS England (Confirmed) 10:20AM – 10:40AM

Sepsis – The Incorporation of Sepsis into Deterioration as a National, Regional and Local Work Stream Location: Porter Tun Speaker: Matt Inada-Kim, National Clinical Sepsis Advisor and Consultant in Acute Medicines at Hampshire Hospitals (Confirmed)

10:40AM – 10:50AM 10:50AM – 11:20AM 11:20AM – 11:40AM

11:40AM – 12:00PM

Question and Answer Panel Session Location: Porter Tun Morning Coffee, Networking, and Poster Viewing Location: Exhibition and Food Halls – King Georges and Queen Charlotte WHO Aware List Location: Porter Tun Speaker: Philip Howard, NHS Improvement HCAI and AMR Project Lead (Confirmed) Defining Inappropriate Prescribing and Collaborative Work to Tackle AMR Location: Porter Tun Speaker: Emma Cramp, Antimicrobial Pharmacist Prescriber for University Hospitals Leicester NHS Trust (Confirmed)

12:00PM – 12:10PM 12:10PM – 12:55PM

12:10PM – 12:55PM

12:10PM – 12:55PM

12:10PM – 12:55PM

12:55PM – 1:55PM 1:55PM – 2:40PM

Transition Workshop Stream 1: Title TBC Location: Porter Tun Sponsor: Avadim Technologies Inc Workshop Stream 2: Title TBC Location: Upper Sugar Room Sponsor: Full Support Healthcare Workshop Stream 3: Title TBC Location: Lower Sugar Room Sponsor: Surfacide Workshop Stream 4: Title TBC Location: Smeaton Vaults Sponsor: Clinical Fabric Solutions Lunch Location: Exhibition and Food Halls – King Georges and Queen Charlotte Workshop Stream 5: Title TBC Location: Porter Tun

1:55PM – 2:40PM

1:55PM – 2:40PM

1:55PM – 2:40PM

2:40PM – 2:50PM 2:50PM – 3:40PM

Sponsor: Accelerate Diagnostics Workshop Stream 6: Title TBC Location: Upper Sugar Room Sponsor: Ideal Medical Solutions Workshop Stream 7: Title TBC Location: Lower Sugar Room Sponsor: Deconsure Workshop Stream 8: Title TBC Location: Smeaton Vaults Sponsor: Diversey Transition Public Sector Stream 1: AMS Location: Porter Tun Speaker: Emma Cramp, Antimicrobial Pharmacist Prescriber, University Hospitals Leicester NHS Trust (Confirmed)

2:50PM – 3:40PM

Philip Howard, NHS Improvement HCAI and AMR Project Lead (Confirmed) Public Sector Stream 2: Sepsis Location: Upper Sugar Room Speaker: Matt Inada Kim, National Clinical Sepsis Advisor and Consultant in Acute Medicines at Hampshire Hospitals (Confirmed)

2:50PM – 3:40PM

Sepsis Practitioners Forum (Confirmed) Jo Mohan, Sepsis Nurse, South Tees NHS (Confirmed) Public Sector Stream 3: Behaviour Change - Preventing Harm From Urinary Catheters Location: Lower Sugar Room Speaker: Dr Tim Chadborn, Head of Behavioural Insights and Evaluation Lead at Public Health England (Confirmed) Anna Sallis, C Psychol, Csci, AFBPsS, Registered Practitioner Health Psychologist (Confirmed)

2:50PM – 3:40PM

Karen Shaw, IPC Lead, Public Health England (Confirmed) Public Sector Stream 4: To Dip or Not To Dip - Improving Management of UTI Location: Smeaton Vaults Speaker: Elizabeth Beech National Project Lead HAI & NHS Improvement Olu Ogunbuyide, NHS Mansfield and Ashfield CCG David Ladenheim, NHS East and North Hertfordshire CCG Louisa Forbes, Lead Nurse Educator, Royal Cornwall Hospital NHS Trust Mandy Slatter, Care Home Pharmacist, Royal United Hospitals Bath NHS Foundation Trust

3:40PM – 4:10PM

Afternoon Coffee, Networking, and Poster Viewing

4:10PM – 5:00PM

Location: Exhibition and Food Halls – King Georges and Queen Charlotte Public Sector Stream 5: AMS Location: Porter Tun Speaker: Emma Cramp, Antimicrobial Pharmacist Prescriber at University Hospitals Leicester NHS Trust (Confirmed)

4:10PM – 5:00PM

Philip Howard, NHS Improvement HCAI and AMR Project Lead (Invited) Public Sector Stream 6: Antimicrobial Resistance - The Role of Diagnostic Stewardship Location: Upper Sugar Room Speaker: Fiona Carragher, Deputy Chief Scientific Officer for NHS England and Chair, UK AMR Diagnostic Collaborative Kordo Saeed, Consultant Clinical Microbiologist, Hampshire Hospitals NHS Trust (Confirmed)

4:10PM – 5:00PM

Liz Cross, NIHR CLAHRC East of England Public Sector Stream 7: Continence - Understanding Urinary Catheters Across The System and Behaviour Change Location: Lower Sugar Room Speaker: Vanessa Whatley, Head of Nursing, Corporate Support Services, Royal Wolverhampton NHS Trust Julia Taylor, BAUN President and Consultant Urology Nurse, Salford Royal Foundation Trust

4:10PM – 5:00PM

5:00PM – 7:00PM

Public Sector Stream 8: Behavioural Change Location: Smeaton Vaults Speaker: Emma Wiley, Microbiologist, UCLH Drinks Reception Location: Queen Charlotte

Breaks Menu 





Arrival Break o Cereal Breakfast Bar o Lemon Curd Brioche o Cinnamon French Toast o Banana Smoothie o Triple Berry and Kiwi Smoothie Mid-Morning Break o Chelsea Bun o Rhubarb and Ginger Muffin o Cranberry and Pecan Cookie o Spiced Sticky Beef Sausage Roll Afternoon Break o Parsnip and Walnut Cake o Chocolate Orange Pot

o o

Cheddar and Sage Scone with Spiced Apple Chutney Pineapple and Palm Sugar Tea Cakes

Food Stalls 





Warm o Spicy fried popcorn chicken, bubble and squeak, ranch slaw with BBQ Sauce o Beef bourguignon, caramelised shallots, smoked pancetta, mushrooms, olive oil mash, and red cabbage o Cauliflower matar aloo masala, steamed basmati rice and crispy red onions (V) Cold o Chorizo, butterbean, tomato with sherry vinegar dressing, and toasted sumac croutons o Roasted cauliflower, sundried tomatoes, baby spinach, orzo, pesto, and fresh parmesan (V) o Seasonal vegetables, whipped feta, and tabbouleh (V) Desserts o Chocolate and Danish pudding with toasted marzipan custard o Baked Spanish cheesecake with cherry compote