Podcasts about university hospital southampton

This piece is part four of a four part series on “Implementation, what works and what doesn't?”. Part one is here: https://topmedtalk.libsyn.com/joyce-yeung-why-dont-we-implement-trial-results-ebpom-world-congress Part two is here: https://topmedtalk.libsyn.com/professional-organisations-the-ebb-and-flow-of-eras-ebpom-world-congress And part three is here: https://topmedtalk.libsyn.com/implementation-what-works-and-what-doesnt-nhs-leader-perspective-incentives-and-penalties-ebpom-world-congress The recording is taken from the Evidence Based Perioperative Medicine (EBPOM) World Congress. For more about EBPOM and the incredible work they do go here: www.ebpom.org The Q&A session, Chaired by John Whittle, features; Imogen Fecher-Jones, Lead Nurse Perioperative Services, University Hospital Southampton, Joyce Yeung, Professor of Anaesthesia and Critical Care Medicine at the University of Warwick, Tim Miller, Professor of Anesthesiology at Duke University Medical Center and David Probert, Chief Executive Officer at University College London Hospitals NHS Foundation Trust.

 In this podcast Dr Rob Lown, Consultant Haematologist at University Hospital Southampton talks to Lymphoma Action's Anne Hook about the monoclonal antibody rituximab. Dr Lown explains what rituximab is and how it works to treat lymphoma, both as part of a chemotherapy regimen and as maintenance therapy. Dr Lown describes why ritixumab was considered a ‘game changer' in the treatment of B-cell lymphomas, and who may be given it as part of their treatment. Side effects of rituximab, the challenges of  long-term treatment, biosimilars and newer antibodies such as Obinutuzumab are also discussed. Lymphoma Voices is a series of podcasts for people living with lymphoma, and their family and friends. In each podcast, we are in conversation with an expert in their field, or someone who has been personally affected by lymphoma, who shares their thoughts and experiences. Lymphoma Action is the only charity in the UK dedicated to supporting people affected by lymphoma. We are here to make sure that everyone affected by the condition receives the best possible information, support, treatment and care. Our services include a Freephone helpline, support group network, Buddy Service, medical information, conferences for those affected by lymphoma, and education and training for healthcare professionals. We would like to thank all of our incredible supporters whose generous donations enable us to offer all our essential support services free of charge. As an organisation we do not receive any government or NHS funding and so every penny received is truly valued. From everyone at Lymphoma Action and on behalf of those affected by lymphoma, thank you. For further information visit: www.lymphoma-action.org.uk

Evidence Based Perioperative Medicine (EBPOM)'s annual global conference in London was a huge success this year. TopMedTalk were there and this is one of the conversations we recorded for you. The Perioperative Quality Initiative (POQI) continues to address the implementation gap between perioperative research and clinical practice, offering clinicians synthesized, accurate recommendations. Since its inception in 2016, POQI has conducted 16 conferences, focusing on various perioperative topics like fluid management, blood pressure control, and nutrition. Presented by Andy Cumpstey with his guests Andy Shaw, Chairman, Department of Intensive Care and Resuscitation at The Cleveland Clinic, Cleveland, Ohio, Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS) and Imogen Fecher-Jones, lead nurse and project manager for the Perioperative Medicine Service and Preassessment at University Hospital Southampton.

SummaryDavid Jones, Director of Estates and Facilities at the University Hospital of Southampton, discusses the impact of backlog maintenance in healthcare buildings on patient harm. During the interview, he shares his research on the link between estate infrastructure and patient outcomes, highlighting the need for evidence-based design in older hospitals. David explains his use of AI and data analysis to identify infrastructure incidents and their impact on patient care. He emphasizes the importance of collecting data and presenting evidence to influence policy and secure funding for backlog maintenance. He also encourages facilities managers to engage in research and advocate for the value of their role in healthcare facilities.TakeawaysBacklog maintenance in healthcare buildings can have a direct impact on patient outcomes and safety.There is a lack of evidence-based research on the link between estate infrastructure and patient harm.Collecting data on infrastructure incidents and their impact on patient care is crucial for securing funding for backlog maintenance.Facilities managers should engage in research and advocate for the value of their role in healthcare facilities.Check out David's Doctoral Research Survey hereChapters00:00Introduction and Background02:57The Impact of Backlog Maintenance on Patient Outcomes06:08The Need for Evidence-Based Design in Older Hospitals09:14Using AI and Data Analysis to Identify Infrastructure Incidents12:05Influencing Policy and Securing Funding for Backlog Maintenance14:55The Role of Facilities Managers in Healthcare FacilitiesInterested in closing the skills gap? Check out our friends at Interplay Learning!

In this episode we are joined by the delightful Dr Liz Donovan who has had a stellar career as a paediatric consultant and neonatologist, as well as being the Director of Medical Education at University Hospital Southampton. Liz came out of retirement to return to Southampton to work on a very special project, supporting medics through a coaching programme.   The Doctors' Development Unit offers support to senior clinicians within the trust. A pool of consultants have been trained as coaches by us here at Your Coaching Journey and are making good use of their coaching skills in their work with their consultant colleagues.   Liz has been heading up the coaching consultant team at Southampton, and has been delighted with the results of the coaching that has been conducted there. An independent evaluation of the effectiveness of the coaching within the trust has recently been carried out. The evaluation revealed some remarkable findings in terms of the social return on the investment that has been made and the efficacy of the coaching.   Liz will be sharing some of the report's findings with us, along with her own reflections on the art of coaching.   Resources: You can contact Liz about this research by emailing her at Liz.Donovan@uhs.nhs.uk   Enjoy the podcast? It would be great if you left us a review here. (link to apple podcast)   Contact Details Find out about our Doctors' Transformational Coaching Diploma Connect with the hosts: Tom: www.linkedin.com/in/tomdillondoctorstranformationalcoachingdiploma/ Email: tomdillon@yourcoachingjourney.co.uk   Helen: www.linkedin.com/in/helenleathers/ Email: helenleathers@yourcoachingjourney.co.uk   Follow ‘Your Coaching Journey' on Instagram or Linkedin: www.instagram.com/yourcoachingjourney/ www.linkedin.com/company/your-coaching-journey/   Do You Have a Question? From time to time we will have an episode where we answer listeners' questions about coaching.   If you have a question, please send it to us using one of our email addresses above and you may get a mention in a future episode. (If you want to remain anonymous, that's absolutely fine, just let us know)

We're everything Southampton! This episode features a very funny chat with comedian Daniel Foxx before his show Unfortunate - The Untold Story of Ursula the Sea Witch, hits the stage at the Mayflower Theatre this summer - it's not for kids! And we find out lots more about the fascinating things that go on at University Hospital Southampton Research from Professor Chris Kipps, Clinical Director of Research & Development. Word of mouth is the lifeblood of this podcast, so we'd be so so grateful if you'd leave us a review and pass it on to a friend. So so many thanks Zoe & Tom x

One of the benefits of the use of online platforms for meetings is the ability to record and disseminate talks more widely. This is an edited version of a talk given by Dr Andy Curry, Consultant Cardiothoracic Intensive Care Consultant at University Hospital Southampton, covering the origins of Extra Corporeal Membrane Oxygenation (ECMO) right up to the present day. Throughout the talk, he gives real world experience, coupled with a knowledge of the literature to communicate all you could ever want to know about this fascinating and potentially very exciting therapy.  References Peek GJ, Clemens F, Elbourne D, Firmin R, Hardy P, Hibbert C, Killer H, Mugford M, Thalanany M, Tiruvoipati R, Truesdale A, Wilson A. CESAR: conventional ventilatory support vs extracorporeal membrane oxygenation for severe adult respiratory failure. BMC Health Serv Res. 2006 Dec 23;6:163. doi: 10.1186/1472-6963-6-163. PMID: 17187683; PMCID: PMC1766357. Stub D, Bernard S, Pellegrino V, Smith K, Walker T, Sheldrake J, Hockings L, Shaw J, Duffy SJ, Burrell A, Cameron P, Smit de V, Kaye DM. Refractory cardiac arrest treated with mechanical CPR, hypothermia, ECMO and early reperfusion (the CHEER trial). Resuscitation. 2015 Jan;86:88-94. doi: 10.1016/j.resuscitation.2014.09.010. Epub 2014 Oct 2. PMID: 25281189. Belohlavek J, Smalcova J, Rob D, et al. Effect of Intra-arrest Transport, Extracorporeal Cardiopulmonary Resuscitation, and Immediate Invasive Assessment and Treatment on Functional Neurologic Outcome in Refractory Out-of-Hospital Cardiac Arrest: A Randomized Clinical Trial. JAMA. 2022;327(8):737–747. doi:10.1001/jama.2022.1025 Martje M. Suverein, M.D., Thijs S.R. Delnoij, M.D., et al. Early Extracorporeal CPR for Refractory Out-of-Hospital Cardiac Arrest. The INCEPTION trial. N Engl J Med 2023; 388:299-309. DOI: 10.1056/NEJMoa2204511 The Alfred ECPR Role Cards The Bottom Line ECMO Reviews  

This week's podcast is another “from the TopMedTalk table” at the recent World Prehabilitation Society annual conference held this year in London. We've been getting a feel for the issues people were discussing by listening to some of the people who took time to pop over and say hello. This week sees us speaking to Imogen Fecher-Jones, lead nurse and project manager for the Perioperative Medicine Service and Preassessment at University Hospital Southampton and Nicholas Tetlow, exercise physiologist at UCLH and an honorary research fellow at UCL.

In this episode, Adrian Byrne,Chief Information Officer at the University Hospital Southampton, discusses how 3M M*Modal speech-recognition software can provide fast and cost-effective clinical documentation and how this innovative technology is freeing up nurses' and doctors' time so they can focus on patient care.

Welcome to the sixth episode of season two of Conversations in Fetal Medicine, where we talk to Mr David Howe. It's the last episode of this season, but not the end of the podcast - season three is already being planned! David is a recently retired consultant obstetrician who specialised in complex fetal problems and prenatal diagnosis.Training and education:Undergraduate training in BristolPost-graduate training in obstetrics and gynaecology, WessexSub-specialty training, Birmingham Women's HospitalExperience:Mr Howe worked for University Hospital Southampton since February 1996 until 2023. He was responsible for complex fetal problems and prenatal diagnosis, and ran a clinic for monochorionic twins. He was also the obstetric lead for the joint obstetric cardiac clinic.Alongside his role as a consultant in obstetrics, Mr Howe was an honorary senior lecturer in fetomaternal medicine.Key achievementsEstablishing the Wessex fetal and maternal medicine serviceClinical director for obstetrics and gynaecology, 2001 to 2006Divisional director of women and children's services, 2006 to 2007Developing a sub-specialty service and sub-specialty training programme in fetal and maternal medicineISUOG trainee membership - free for first two years then reduced fee: https://www.isuog.org/membership/trainees.htmlWe have not included any patient identifiable information, and this podcast is intended for professional education rather than patient information (although welcome anyone interested in the field to listen). Please get in touch with feedback or suggestions for future guests or topics: conversationsinfetalmed@gmail.com, or via Twitter (X) or Instagram via @fetalmedcast. Music by Crowander ('Acoustic romance') used under creative commons licence. Podcast created, hosted and edited by Dr Jane Currie. 

Wessex LMCs Medical Director Dr Edd Rendell, and Nurse Advisor Zoe Tobin, talk to Cherry Alvian, Paediatric Allergy GRID registrar at University Hospital Southampton about Egg allergy in children, including – New guidance around the management of mild cases of paediatric egg allergy in primary care Guidance and considerations around vaccinating children with a confirmed egg allergy Signposting to relevant sources of support and guidance for both health care professionals and parents of Egg allergic children. Further resources mentioned in the podcast can be located here- Egg Allergy in Children – Primary Care Guidance (what0-18.nhs.uk)

The big talking point at The World Congress of Evidence Based Perioperative Medicine (EBPOM) 2023 was the results of the ‘OPtimisation of Peri-operaTive CardIovascular Management to Improve Surgical outcomE II (OPTIMISE II)' trial. The OPTIMISE II trial is an international, multi-centre, pragmatic, randomised controlled trial with an open study group allocation, to determine whether cardiac output-guided fluid therapy, with a low dose inotrope infusion is clinically effective when compared to usual care in patients undergoing major gastrointestinal surgery. This podcast captures the moment the world has been waiting for as this global trial (with over 30 participating centres in Australia, Canada, Germany, Jordan, Poland, Romania, Spain, Switzerland, US and the UK) which launched in January 2017, reports its results. Presented by Desiree Chappell, Monty Mythen and Mark Edwards, Consultant in Anaesthesia and Perioperative Medicine, University Hospital Southampton, Honorary Senior Clinical Lecturer, University of Southampton. We speak to Rupert Pearse here:https://topmedtalk.libsyn.com/topmedtalks-to-rupert-pearse-esaic-2023 This story is one of the first TopMedTalk ever covered! Our second podcast (back in 2017) covers it here: https://topmedtalk.libsyn.com/monty-boston-pod-two This podcast was recorded “as live” at EBPOM 2023 in London. Expect to find more excellent free content from that meeting soon on TopMedTalk. However, if you can't wait, why not try going deeper by joining up or getting a ticket to one of our forthcoming conferences: www.ebpom.org The official website for the trial is here: https://optimiseii.org/

Consultant Urologist Tim Dudderidge, who works with TFTC and is based at University Hospital Southampton, joins OnFocus today. Tim is an innovator in focal therapy and has coinvestigated most of the clinical trials and studies that have built the evidence base for focal therapy and advanced its adoption and practice. He has recently completed his appointment as Clinical Champion for Prostate Cancer UK, and he's here to discuss what he learned and what implications this might have for patient care.

This fundamental conversation is given a fresh perspective during one of the stand out moments of the recent Evidence Based Perioperative Medicine (EBPOM) Dingle conference. How do we define evidence in the era of big data? Can we further improve the speed at which we do trials and yet still gather reliable data? In the wake of COVID-19 what new innovations can be made to how we trial and test vital medical help? Chaired by Ramani Moonesinghe, OBE, Professor of Perioperative Medicine at University College London, Consultant in Anaesthetics and Critical Care Medicine at UCL Hospitals, this piece features; Mark Edwards, Consultant in Anaesthesia & Perioperative Medicine, University Hospital Southampton, Honorary Senior Clinical Lecturer, University of Southampton, Mike Grocott, Professor of Anaesthesia and Critical Care Medicine, University of Southampton and Matt Wilson, Anesthetist, UCL Hospitals and University College London and a PhD candidate.

Consultant Urologist Tim Dudderidge joins OnFocus to discuss recent trends in technology and research. Tim works with the Focal Therapy Clinic and is based at University Hospital Southampton. He's an innovator in focal therapy and has coinvestigated most of the clinical trials and studies that have built the evidence base for focal therapy and advanced its adoption and practice. Last year he was appointed as Clinical Champion for Prostate Cancer UK, which will give him even more impact on innovative clinical practice across the NHS. In this episode, Tim shares his views on some of the key issues driving practice in diagnosing and treating prostate cancer, and how this is impacting both patients and clinicians.

This week we continue our new sub-series all about COVID-19 in children. In the first episode, Dragon Bytes hosts Dr Tom Cromarty and Dr Assim Javaid speak to Dr Alasdair Munro (Paediatric registrar and Senior Clinical Research Fellow in paediatric infectious disease at the University Hospital Southampton)about the virus and vaccines. Part 2 of 2.

This week we kick off a new sub-series all about COVID-19 in children. In the first episode, Dragon Bytes hosts Dr Tom Cromarty and Dr Assim Javaid speak to Dr Alasdair Munro (Paediatric registrar and Senior Clinical Research Fellow in paediatric infectious disease at the University Hospital Southampton)about the virus and vaccines. Part 1 of 2.

TFTC Urological Consultant Tim Dudderidge, based at University Hospital Southampton, joins On Focus to discuss some of the new technologies that are coming through that we can expect to see impacting the experience and outcomes for men with prostate cancer. Tim is an innovator in focal therapy and has coinvestigated most of the clinical trials and studies that have built the evidence base for focal therapy and advanced its adoption and practice. He has recently been appointed as Clinical Champion for Prostate Cancer UK, which will give him even more impact on innovative clinical practice across the NHS.

This is the second in a two part podcast series discussing Adult Congenital Heart Disease (ACHD) and how these patients may present to the Emergency Department (ED). Dr Sam Fitzsimmons, our guest on the podcast, is a Consultant in Adult Congenital Heart Disease at University Hospital Southampton. There is more information in this blog post. In this episode we discuss Eisenmenger Syndrome, Transposition of the Great Arteries and Coarctation of the Aorta. 

This is the first in a two part podcast series discussing Adult Congenital Heart Disease (ACHD) and how these patients may present to the Emergency Department (ED). Dr Sam Fitzsimmons, our guest on the podcast, is a Consultant in Adult Congenital Heart Disease at University Hospital Southampton. There is more information in this blog post. Look out for Part 2, which will be released next week, where we discuss Eisenmenger Syndrome, Transposition of the Great Arteries and Coarctation of the Aorta.  Background With advances in paediatric cardiac surgery, more and more patients with complex congenital heart disease are surviving to adulthood: in the 1950s you might expect a survival rate of about 10%, whereas now this is more like 85%. In fact, there are more patients in the adult congenital heart disease population than there are in the paediatric one (with 2.3 million adults vs 1.9 million children in Europe). Many patients with Adult Congenital Heart Disease are young and able to live a relatively normal life. This means that they can travel and take part in just the same sort of activities as those without ACHD. They may well turn up in your Emergency Department one day, regardless of whether you are a tertiary centre or a district general hospital (DGH). They are experts, and know their disease well, but this does not abstain you from a responsibility to know about them too! When these patients become unwell, they can go downhill very fast and you may not have the chance to discuss with them their exact lesion and its management. The anatomy and physiology of these patients is abnormal, so they may present in atypical ways, and may not respond to usual medical interventions: in fact, some of our usual treatments may even be harmful. However, starting with our usual 'ABC' approach is by far the best way to go, whilst gathering more information and contacting their specialist centre. Many patients will have their last clinic letter and ECG with them (which will also have the direct dial number of their specialist). And if they, or their relative, say there is something wrong you must believe them and do all you can to make sure they are fully investigated.     The presence of scars may give you some clues as to the patient's underlying condition and previous surgical repairs. (BMJ 2016; 354: i3905)   A General Approach Do your usual ABC assessment. Pay particular attention to the respiratory rate - this should be normal. Give oxygen if they look unwell. They should have a 'normal' blood pressure - any hypotension should be taken as abnormal and investigated. The Fontan Circulation This is not a condition in itself, but in fact the resulting circulation after a series of operations that could've been performed due to a number of different underlying conditions:   Tricuspid Atresia Double Inlet Left Ventricle Atrio-ventricular Septal Defect – unbalanced Pulmonary Atresia Hypoplastic Left Heart Syndrome In essence these patients are born with a single functioning ventricle, that has to be utilised to supply the systemic side of the circulation, whilst the Fontan acts as a passive means of returning blood to the pulmonary circulation.   It was first devised in the early 1970s by Dr Francis Fontan, so the majority of patients with this are in their mid thirties and younger. Potential reasons for admission to the ED - Fontan circulation 1, Arrythmia As the patient is entirely dependent on their systemic ventricle to work optimally, any disturbance of the delivery into it is very poorly tolerated. Thus, any arrhythmia is life threatening, even a mild atrial tachycardia. These patients need to be returned to sinus rhythm as quickly as possible and the recommended method for this is DC cardioversion in expert hands. Fontan patients have an incredibly fragile circulation and any change in their respiratory physiology can be life threatening, especially if it increases their pulmonary pressures (and thus prevents the passive flow within the Fontan circulation). These patients are not candidates for sedation in the ED and should have an experienced anaesthetist to manage them during the procedure. Beware if the patient comes in and tells you they are fasted! This means they have been in this situation before and needed DC cardioversion. 2, Haemoptysis Over time the patient develops venous hypertension within the Fontan connection. This causes the formation of collateral vessels, that may link into the bronchial arterial tree. If the patient presents in shock treat them as you would any other patient with emergency blood transfusion. Any haemoptysis, however small, may herald the beginning of a massive bleed. These patients need further investigation, probably a CT chest with contrast. These vessels may then be coiled by interventional radiology. 3, Cyanosis If the patient has a non fenestrated Fontan they should have normal oxygen saturations. However, if there is a fenestration there will be shunting and therefore a reduction in oxygenation. For patients this is trade of between being pink or blue, each of which have complications. Dr Sam Fitzsimmons Dr Sam Fitzsimmons is a Consultant Cardiologist in Adult Congenital Heart Disease (ACHD) at the University Hospital Southampton, UK. Sam also subspecialises in pulmonary hypertension and maternal cardiology. Working within a tertiary surgical ACHD centre, Sam delivers an ACHD on call service for emergency admissions, inpatient care, routine outpatient follow-up, intra-operative imaging and post-surgical care, as well as specialist clinics in Pulmonary Hypertension and Maternal Cardiology. Sam holds a Honorary Senior Clinical Lecturer post with the University of Southampton as she is passionate about teaching and in particular, she is enthusiastic about helping demystify congenital heart disease for many non-specialist to improve patient care. Sam is well published in peer review journals, cardiology textbooks and specialist guidelines.    

"It was successful early on within the National Health Service.. [because] you could eliminate the cost of some unhelpful, unnecessary tests... referrals to other "-ologists"... in our system that works, because more work is just more work. It's not more money." Is the business case for prehabilitation a "slam dunk", as some enthusiasts claim? If so how do you measure value versus volume, is value always a subjective term and can the balance between the two be addressed? How does the NHS's "internal market" compare to the US's fee for service environment? Furthermore, where are the sensible limits of prehabilitation, how far do we take it before we move forward to an operation? This piece has been available to EBPOM London attendees since it was first recorded in the earlier part of the year. For exclusive access to other similar pieces now and in the future please visit www.ebpom.org Presented by Monty Mythen and Kay Mitchell, Senior Research Manager for critical care research, NIHR Biomedical Research Centre, University Hospital Southampton, UK, with their guests, David Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC), Sol Aronson, tenured Professor, Duke University and Jeff Vender, Emeritus, Harris Family Foundation Chairman of the Department of Anesthesiology at NorthShore University Health System, Evanston, Illinois and Clinical Professor at the University Of Chicago Pritzker School Of Medicine in Chicago, Illinois  

This is a recording from a live webinar ran on 03 February 2021Dr Camilla Janssen presents an hour-long webinar aimed at GPs, Health Care Physicians and Allied Health Professionals. This webinar covers:COVID Oximetry @ home - Dr Caroline O'Keeffe, GP lead for COVID Hot Hub and Virtual Ward, North Hampshire.Long COVID – Dr Robin Harlow, HIOW Long COVID primary care lead, Clinical Director for Primary Care Development SHFT, GP Partner Willow Group, PCN Clinical Director Gosport Central. Karen West, Physiotherapist and AHP lead for South East.Paeds COVID - Sanjay Patel, Infectious Disease Consultant at University Hospital Southampton and Healthier Together Lead.You can watch back the webinar recording and access the slides here: https://www.wessexlmcs.com/covid19webinars

For Lady Carnarvon's first podcast of 2021 she catches up with her Hampshire neighbour and friend actress Sarah Parish. Close followers of life at the 'real Downton Abbey' will know Sarah spoke at Lady Carnarvon's 'Script to Screen' event in 2018. As well as a highly successful TV and film actress Sarah is a fundraiser. Along with her husband Jim Murray she set up The Murray Parish Trust in 2014 in memory of their late daughter Ella-Jayne who died of congenital heart failure in 2009. The charity has raised millions of pounds to support Paediatric Emergency Medicine at the University Hospital Southampton.

2020 was a big year for prehabilitation, the advent of a global pandemic has only increased the importance of this exciting field of medicine. Various questions from EBPOM 2020 attendees were tackled by the panel: Can you use "Timed Up and Go" (TUG) and The Duke Activity Status Index (DASI) to screen out unnecessary cardio-pulminary exercise testing (CPET)? What exactly is prehabilitation and what's its natural scope? How important is nutrition? Is it possible to standardise these areas more? What areas are being significantly worked on in prehabilitation medicine in the UK this year? What about - in these COVID 19 times - remote screening and assessment? Also, what about the possibilities regarding aerosolisation, particularly of COVID-19, during CPET? Can prehabilitation work to minimise time spent in hospital? Presented by Mike Grocott, Professor of Anaesthesia and Critical Care Medicine at the University of Southampton with Karen Kerr, Consultant Anaesthetist, Departmental Lead for CPET, Sheffield Teaching Hospitals (STH) and featuring panelists; Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS), June Davis, Director of Allied Health Solutions, Allied Health Professions Advisor (part time) for Macmillan Cancer Support and a professional advisor to the Care Quality Commission and Steve Wootton, OBE, Associate Professor in Nutrition at the University of Southampton with an honorary appointment with University Hospital Southampton in Clinical Nutrition.

"It was successful early on within the National Health Service.. [because] you could eliminate the cost of some unhelpful, unnecessary tests... referrals to other "-ologists"... in our system that works, because more work is just more work. It's not more money." Is the business case for prehabilitation a "slam dunk", as some enthusiasts claim? If so how do you measure value versus volume, is value always a subjective term and can the balance between the two be addressed? How does the NHS's "internal market" compare to the US's fee for service environment? Furthermore, where are the sensible limits of prehabilitation, how far do we take it before we move forward to an operation? This piece has been available to EBPOM London attendees since it was first recorded in the earlier part of the year. For exclusive access to other similar pieces now and in the future please visit www.ebpom.org Presented by Monty Mythen and Kay Mitchell, Senior Research Manager for critical care research, NIHR Biomedical Research Centre, University Hospital Southampton, UK, with their guests, David Selwyn, Deputy Medical Director at Nottingham University Hospitals NHS Trust and Director of The Centre for Perioperative Care (CPOC), Sol Aronson, tenured Professor, Duke University and Jeff Vender, Emeritus, Harris Family Foundation Chairman of the Department of Anesthesiology at NorthShore University Health System, Evanston, Illinois and Clinical Professor at the University Of Chicago Pritzker School Of Medicine in Chicago, Illinois

This year was always expected to be a big one for prehabilitation, the advent of a global pandemic has only increased the importance of this exciting field of medicine. Various questions from EBPOM 2020 attendees were tackled by the panel: Can you use "Timed Up and Go" (TUG) and The Duke Activity Status Index (DASI) to screen out unnecessary cardio-pulminary exercise testing (CPET)? What exactly is prehabilitation and what's its natural scope? How important is nutrition? Is it possible to standardise these areas more? What areas are being significantly worked on in prehabilitation medicine in the UK this year? What about - in these COVID 19 times - remote screening and assessment? Also, what about the possibilities regarding aerosolisation, particularly of COVID-19, during CPET? Can prehabilitation work to minimise time spent in hospital? Presented by Mike Grocott, Professor of Anaesthesia and Critical Care Medicine at the University of Southampton with Karen Kerr, Consultant Anaesthetist, Departmental Lead for CPET, Sheffield Teaching Hospitals (STH) and featuring panelists; Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS), June Davis, Director of Allied Health Solutions, Allied Health Professions Advisor (part time) for Macmillan Cancer Support and a professional advisor to the Care Quality Commission and Steve Wootton, OBE, Associate Professor in Nutrition at the University of Southampton with an honorary appointment with University Hospital Southampton in Clinical Nutrition.

Tanya has rheumatoid arthritis, a compromised immune system and heart problems. Getting the virus is a risk she cannot take and this is the tenth week that she's been isolating at home with her husband and teenage daughter. But how long will this last and will she have to self isolate in her own home away from her family for the foreseeable future, if her daughter goes back to school? Tanya talks to Claudia about the impact of the pandemic on her life and says why those in the shielding group must not be forgotten. The arrival of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) in the human population has popularised vocabulary that was previously the preserve of scientists and medics. In just a matter of weeks, phrases like the R Number, Herd Immunity, Case Fatality Rate and All Cause Mortality have become part of everyday language. A new pandemic lexicon has emerged. Inside Health regular Dr Margaret McCartney and Professor Carl Heneghan, Director of the Centre for Evidence Based Medicine at the University of Oxford, discuss the meanings of these very precise descriptions and reveal their personal bugbears, the misuse of such terms. And in her final visit for this series to University Hospital Southampton, Inside Health's Erika Wright, talks again to Trevor Smith, Divisional Director for Medicine, about the enormous challenges ahead as the hospital adapts to living with Covid-19. And she talks about the Banksy art work currently hanging at the hospital which reveals a Super Nurse displacing the traditional comic book superheroes, Batman and Spiderman. Healthcare workers have been lionised as heroes, putting themselves on the front line, risking their own lives, to save others. It's a sentiment which troubles some. Dr Michael FitzPatrick, a gastroenterologist in Oxford and Co-chair of the Royal College of Physicians Trainees Committee, describes why heroes are almost entirely the wrong comparators for healthcare workers. Producer: Fiona Hill Clips used in programme: Batman theme by Danny Elfman (composer) from Batman (1989) Copyright Warner Bros. Avengers Theme by Alan Sivestri (composer) from The Avengers copyright Disney Clip from Infinity War , Joe Russo, Anthony Russo (Directors) Copyright Disney Clip from Justice League by Zac Snyder and Joss Whedon (Directors) Copyright Warner Bros Clip from Iron Man by Jon Favreau (director) copyright Disney Clip from Avengers Endgame by Joe Russo, Anthony Russo (directors). Copyright Disney

Claudia Hammond on the longest known stay for a Briton with COVID-19 in intensive care. A month ago Respiratory Physiotherapist Gemma Bartlett at University Hospital Southampton highlighted the case to Inside Health. At that stage the patient was at day 28: now Erika Wright catches up with Gemma again for a good news update on the patient who is at a staggering 58 days on a ventilator and has been speaking for 3 weeks. There are many unknowns about COVID-19 but one aspect that is not disputed is how the virus has laid bare pre-existing health inequalities. It does not effect us all in the same way and those with underlying health conditions such as heart disease, obesity and diabetes are at a higher risk of poorer outcomes if they get the virus. Linda Bauld from Edinburgh University and Chair in Behavioural Research at Cancer Research UK says this is the time to reset the health inequalities clock. And Laura Bartley, who began having severe symptoms of agoraphobia five years ago, explains her experience of lockdown. Plus resident sceptic GP Margaret McCartney explains her concerns about the current Covid-19 testing strategy.

*)Trump: Coronavirus worse for US than Pearl Harbor, 9/11 US President Donald Trump says fallout from the coronavirus pandemic has hit America worse than Pearl Harbor and 9/11. Trump again lashed out at China, saying the global crisis could have been prevented. The US has over 1.2 million Covid-19 cases and more than 74,000 fatalities so far. *)Venezuela’s Maduro says US plotted to overthrow him Venezuelan President Nicolas Maduro appeared on national TV, showing the passports of two US mercenaries accused of being part of an attempted coup. Venezuelan state TV also showed one mercenary saying he was instructed to seize control of Caracas airport and take Maduro to the US. The US has denied involvement and says it will do everything it can t secure the release of its citizens. *)Iraq lawmakers approve new government Mustafa Kadhemi took office as Iraq's new prime minister after breaking months of political deadlock. Kadhemi will begin his term without a full cabinet after several ministerial candidates were rejected. Former PM Adel Abdul Mahdi resigned last year during widespread anti-government protests. *)Kenya floods kill at least 194 Floods and landslides killed nearly 200 people in western Kenya and displaced 100,000, while damaging critical infrastructure. High water levels at two dams forced the evacuation of villagers at risk, officials said. Kenya's meteorological department says heavy rain is expected to continue in already hard-hit areas in coming weeks. And finally… *)Banksy honours frontline nurses in new piece Banksy’s new artwork was unveiled on the wall of a corridor of University Hospital Southampton in south England. It shows a boy in dungarees playing with the figurine of a nurse in a superhero cape. The painting was also verified by the anonymous street artist on his Instagram account.

The Coronavirus pandemic has seen a high level of anxiety among pregnant women and their families. So, what can pregnant women expect when the time to give birth does come? Jo Mountfield is Vice President of the Royal College of Obstetricians and Gynaecologists and a consultant obstetrician at University Hospital Southampton. She explains what maternity services might look like and why mums-to-be should still seek help if they’re concerned. We also hear from a new mother who gave birth on 30th March. Running a household in the coronavirus lockdown can feel a bit like we’re back in the 1950’s. Calling over the fence to borrow a cup of sugar has once more become a reality as some foods are now in short supply, and there’s ‘rationing’ of items in supermarkets, although some of those restrictions are now lifting. But every last breadcrumb counts if you don’t want to or indeed can’t leave the house. Dietician, Priya Tew and baking legend, Mary Berry share their tips on how to maintain a healthy diet and make the most of what you’ve got. When the first world war broke out the suffragettes suspended their campaign for Votes for Women to join the war effort. Pioneering couple, Louisa Garrett Anderson and Flora Murray moved to France and set up two small military hospitals with a staff of volunteer women surgeons, medics and nurses, amidst fierce opposition. Their medical and organisational skills so impressed they were asked by the War Ministry to return to London and establish a new military hospital in the heart of London’s West End. Wendy Moore’s book 'Endell Street' is about the lives of the pioneering couple and the hundreds of remarkable women who worked with them. Grace Davidson is a British soprano who specialises in the performance and recording of Baroque music. Grace is one of the soloists on a new album for Holy Week. A durag is a type of scarf, typically used to protect and maintain different styles of black hair, like dreadlocks or braids. It can be also worn as a fashion statement, and has been a staple part of black culture. But durags have also had their fair share of controversy, with some people making affiliations to gang culture. Last week, Rihanna made history – and a statement – by wearing a durag for her photoshoot on the front cover of British Vogue. Is this a turning point for how the durag is perceived in both popular culture and high fashion? Kenya Hunt is a Fashion Director at Grazia UK. Funmi Fetto is a Contributing Editor at British Vogue and the Beauty Director at the Observer Magazine. Co-parenting can be difficult at the best of times. But the outbreak of COVID 19 and the latest government advice to stay indoors, has forced some separated families to make some difficult choices. If you and your ex-partner share the caring responsibilities of your children, what’s the best way to manage? Ex-partners, Natalie Duvall and Daniel Dubier, and single mother, Endy Mckay, join Jenni to share their experience of the last couple of weeks. Julia Samuel has worked for the last thirty years as a psychotherapist, first for the NHS and then in private practice. Her second book, 'This Too Shall Pass: Stories of Change, Crisis and Hopeful Beginnings' has just been published. She talks to Jenni about how people are coping and how to manage in this time of tremendous change. Presenter: Jenni Murray Producer: Rosie Stopher Editor: Kirsty Starkey

The UK’s leading charity supporting those affected by eating disorders BEAT estimates that around 1.25 million people in the UK have an eating disorder. They’ve seen a 30% increase for demands in services in light of the Coronavirus. With so much emphasis on food shortages and stockpiling, how are those with eating disorders going to be affected ? Listener Amy Nguyen is an Anorexia survivor, Megan Jayne Crabbe a mental health and lifestyle blogger and Jess Griffiths is one of BEAT’s Clinical Associate Trainers. Covid-19 has also seen a high level of anxiety among pregnant women. Jo Mountfield Vice President of the Royal College of Obstetricians and Gynaecologists and a consultant obstetrician at University Hospital Southampton explains what maternity services might look like and why mums to be should still seek help if they’re concerned. When the first world war broke out the suffragettes suspended their campaign for Votes for Women to join the war effort. Pioneering couple Louisa Garrett Anderson and Flora Murray moved to France and set up two small military hospitals with a staff of volunteers. It was so successful the War Ministry asked them to return to London and establish one there. Wendy Moore’s book Endell Street is about the lives of the pioneering couple and the remarkable women who worked with them. Writer Nicole Taylor talks about her new BBC Drama ‘The Nest’. And in today's Woman's Hour Corona Diary we hear from Rachel Snow-Miller about what it's like celebrating Passover under lockdown . Presenter Jenni Murray Producer Beverley Purcell Guest; Wendy Moore Guest; Nicole Taylor Guest; Amy Nguyen Guest; Megan Jayne Crabbe Guest; Jess Griffiths Guest; Rachel Snow-Miller

Claudia Hammond reports on Covid-19 and "moral injury" - when the virus peaks, some healthcare staff will find themselves in a situation never faced before, forced to make decisions they would never normally have to make. This puts them at risk of a so-called “moral injury” which might harm their mental health. It’s more often associated with life in the armed services and Neil Greenberg, Professor of Defence Mental Health at Kings College London, explains how he's applying lessons from research in the military to support staff starting work at the new Nightingale Hospital in London. And some of the million recipients of letters saying they should shield themselves by not going out at all for 12 weeks are people who have asthma. Margaret McCartney examines the evidence for how those with asthma receiving letters were selected. Plus the latest dispatch from University Hospital Southampton: consultant Chris Hill explains that the emergency department has been split into Red and Blue areas based on the probability of arrivals having Covid-19. And what’s happening to mental health services during this time of crisis when seeing someone face-to-face needs to be avoided as much as possible? Claudia finds out from psychiatrist Dr Sri Kalidindi. Producer: Erika Wright

When hospitals are full of patients, they're said to be "hot". The coronavirus crisis will push up the temperature of hospitals across the UK and in the first in a special series of weekly dispatches from the medical front line, producer Erika Wright will be taking the temperature of University Hospital Southampton - or The General - in Hampshire (which services almost two million people in the south of England) as they cope with the influx of Covid-19 patients. In this first dispatch, Erika talks to the Divisional Director for Medicine, Dr Trevor Smith, who says as patients have been moved out of this large teaching hospital to make space for coronavirus patients, the hospital's current temperature reading is "cold", but all staff know that this will soon change. This virus is deeply frightening for everybody, but often for older people and those with underlying health conditions it is even worse. The fear is that if hospitals are overflowing, then crude cut-offs by, for example, age, might determine who does or doesn't, get a a bed in intensive care. But Dr Mark Roberts, consultant in acute and geriatric medicine and chair of the British Geriatric Society in Northern Ireland, tells Claudia that health care professionals don't and wouldn't make such arbitrary decisions based on age. Instead, he says, decisions about access to intensive care beds (or in-patient care) will continue to be made at the bedside, with compassion, and with a focus on who has the greatest capacity to benefit. Some people have already decided that they won't go to hospital if NHS services are overwhelmed but they do want reassurance that they would get urgent care at home should they become seriously ill. Retired GP Dr Lyn Jenkins has written to the Prime Minister calling for this to be addressed as a priority. He's in good health, only 69 years old, but believes that he has a moral obligation not to use up scarce hospital resources if critical care beds can be given to younger people. For those who need it, he wants a quick response team to bring pain relief and supplementary oxygen and importantly, the presence of another person, a carer, so people who were very sick wouldn't be alone. GP and Inside Health regular Dr Margaret McCartney talks to Claudia about supplies of personal protective equipment and whether long-promised supplies are finally arriving and she delves into the evidence to find out whether the loss of a sense of smell or taste could be a symptom of coronavirus. Listener Rachel says she can't smell cheese, garlic or lavender oil and she's worried that she could have the virus. Producer: Fiona Hill

A doctor warned that diving into water quickly may result in serious injuries. Evan Davies, a spinal surgeon from the University Hospital Southampton, warned against the possible dangers of diving into shallow water or plunging headfirst into water from slides. His warning followed his encounters with cases of injuries, paralysis, and even death reported from vacation spots and water parks. Davies cited the case of a man who got on a water slide at a water park in Spain. The man slid down headfirst, and upon hitting the water, his head jerked forward. This accident ended up breaking two bones in his neck and caused him to experience temporary paralysis. The doctor also operated on a man who dove into shallow water in Croatia. The patient hit rocks hidden in the water and injured his spine. Spinal cord injuries are critical because the nerves in the spine allow the senses to function and the body to move. These injuries can cause damage to the nerves, which disables the transmission of signals from the brain. When the brain loses connection with certain parts of the body, patients may not be able to feel or move, and they may even become paralyzed. According to Davies, when people enjoy themselves on vacation, they often overlook potential dangers around them. Injuries resulting from these dangers may be devastatingly life-changing and irreversible even with surgery. Davies also emphasized that the lack of danger warnings in vacation spots and water parks may trigger health hazards. He therefore advised vacationers to carefully assess their environment and avoid anything that might jeopardize their health and safety.

Dr James Galloway talks to Dr Chris Holroyd, consultant rheumatologist at University Hospital Southampton, UK, about the new and updated BSR biologic DMARD safety guidelines in inflammatory arthritis. This guideline provides updates on screening before commencing a biologic, particularly the requirement for every patient to be screened for tuberculosis, using a tuberculin skin test (TST) or IFN-γ release assay (IGRA). In addition, there are changes for vaccination requirements before starting a biologic, and what to do before surgery.

Dr James Galloway talks to Dr Chris Holroyd, consultant rheumatologist at University Hospital Southampton, UK, about the new and updated BSR biologic DMARD safety guidelines in inflammatory arthritis. This guideline provides updates on screening before commencing a biologic, particularly the requirement for every patient to be screened for tuberculosis, using a tuberculin skin test (TST) or IFN-γ release assay (IGRA). In addition, there are changes for vaccination requirements before starting a biologic, and what to do before surgery.

Dr James Galloway talks to Dr Chris Holroyd, consultant rheumatologist at University Hospital Southampton, UK, about the new and updated BSR biologic DMARD safety guidelines in inflammatory arthritis. This guideline provides updates on screening before commencing a biologic, particularly the requirement for every patient to be screened for tuberculosis, using a tuberculin skin test (TST) or IFN-γ release assay (IGRA). In addition, there are changes for vaccination requirements before starting a biologic, and what to do before surgery.

Dr Michael Griksaitis joined University Hospital Southampton in 2011, and is experienced in all aspects of paediatric critical care. He has a particular interest in paediatric cardiac patients. He is passionate about teaching and training, both at an undergraduate and postgraduate level. He is an Honorary external clinical lecturer at Durham University, Clinical lead for organ donation (paediatrics) at University Hospital Southampton and Co-lead for paediatric critical care outreach in the Wessex and Thames Valley Operational Delivery Network

John Hell is a Neurointensivist at University Hospital Southampton and very kindly gave up an afternoon to record his thoughts and share his considerable wisdom about Diffuse Axonal Injury. I also managed to get him to discuss some other topics including the choice of induction agents and intravenous fluids in patients with head injury. Please listen, enjoy and comment. We'd love to hear from you, and don't forget to visit the blog site for additional information, slides and content. vb Iain Beardsell

The attendees on this session picked a 'post it' from the flipcharts and researched a 'tool/platform' that they'd never heard of. This is their results of 5 minutes research... #UHSTDLE

Friends from University Hospital Southampton share their research on some 'new' tools / platforms etc #UHSTDLE

Elaine Lennan talks to ecancer at ICCN 17, in Prague, about her recent publication in ecancermedicalscience, ‘Best practice in nurse-led chemotherapy, standardising services, as well as electronic prescriptions and nurse-physician communication.