BRITISH CONGENITAL CARDIAC ASSOCIATION BCCA Business meeting Date: 24/11/2005 Venue: Barbican Centre, London The members were welcomed and the meeting opened by Professor Marc de Leval. Dr Eric Rosenthal and the organising committee from Guy’s Hospital were congratulated on an excellent annual scientific meeting. 1. Election results The results of the BCCA Elections were declared as follows: Drs AG Stuart (Secretary) and Drs Frances Bu’lock, Gurleen Sharland and Brian Craig (Council Members) were reelected to serve a further 2 years. As Honorary Secretary, Dr Stuart may serve a 3rd year. Dr Trevor Richens, Dr James Gnanapragasam and Professor Martin Elliott were elected as members of BCCA Council for 2 years and will be eligible to stand for re-election in November 2007. Dr Jo de Giovanni was elected as Honorary Treasurer for 2 years and will also be eligible for re-election in 2007. Mr Bill Brawn was elected as Vice-President and will take over as President of BCCA in November 2007. Dr Gareth Morgan has been elected as the co-opted trainee representative and Dr Sara Thorne as co-opted representative for adult congenital heart disease. The retiring members of the BCCA Council (Drs John O’Sullivan, Dr Rob Martin and Phil Rees) were thanked by the membership for their hard work over the preceding 4 years. Similarly, Dr Tony Salmon was thanked for his excellent contribution to the Association in his 4 years as Honorary Treasurer. Dr John Gibbs (Vice President) was welcomed in his future role as President of BCCA following the 2005 Annual Scientific meeting. 2. Retiring President’s Address In his retiral address, Prof Marc de Leval outlined some of the achievements of his Presidency. In particular, the broadening of the scope of BPCA to become BCCA and include a wide spectrum of professionals working in congenital heart disease. He described many ongoing challenges and highlighted the need to establish a firm financial and coding base for our specialty. Professor de Leval also reminded us of our responsibilities to help patients with congenital heart disease in less developed countries. A responsibility he will be taking forward personally through increased involvement with the Chain of Hope charity programme. (www.chainofhope.org). Professor de Leval was thanked by the membership for his excellent leadership and invaluable contribution to the BCCA as President from 2003 – 2005. 3. New member applications The following 39 applicants were welcomed into membership of the BCCA after being proposed by a BCCA member and the application reviewed by the BCCA Council. Dr John Ellis OM Ms Pam Wilkinson IM Dr Stanley Zengeya OM Dr Dom Hares TM Dr C McMahon OM Dr E Tsapakis OM Dr M Hamilton OM Dr G Morris OM Dr S Chen OM Dr E Thomas OM Dr M Jawad OM Mr D Barron OM Prof R Razavi OM Ms Debbie Rawlins OM Ms Saskia Eaton TM Ms Amy Chambers TM Prof John Redmond OM Dr S Mathur OM Dr G Sinyangwe OM Dr N Brennan OM Dr J Mookerjee OM Dr B McGlossan OM Dr V Karrppaswamy OM Dr H Abd Moneim OM Dr Faisal Sattar OM Dr D Taliotis OM Dr H Cornelissen OM Mr Nigel Drury OM Dr Harinder Gill OM Dr Owen Miller OM Ms Karen Sheehan OM Dr A McBrien TM Mr Freddie Wood OM Dr Isobel Boyd OM Dr Brian Grant OM Dr Vita Zidere OM Mr Andrew McLean OM Dr Aljamand Shauq OM Dr J Su-Ling Lim OM The applicants were approved for membership and welcomed to the Association. 4. National Curriculum An update on the national curriculum was given to the membership by Professor Bob Anderson. He described the plan to extend the existing multidisciplinary education in Great Ormond St Hospital to the congenital heart community. Professor Anderson had discussed a proposal to seek funding for this from the British Heart Foundation. Preliminary discussions with Professor Peter Weissberg has proved promising. A BCCA Working Group chaired by Dr Gurleen Sharland has been set up to develop an e-learning curriculum. Pump prime funding has been provided by BVM Medical for the next three years. This will be used to provide the infrastructure to develop the programme. It was anticipated that each participating unit would be charged approximately £250 to bridge to the central unit in Great Ormond Street. This would allow monthly lectures to be transmitted to multiple units throughout the country. The lectures will be stored on the website Cardiacmorphology.com. It is planned for the BCCA to act as custodian of the core curriculum data. Professor Anderson also described the intention to link with the new N3 NHS network. It was stated that this educational initiative is intended to be multidisciplinary with material suitable for several groups. Ms Kerry Cook will lead the nursing educational input in collaboration with the BCCA Working Group. Dr Sharland will lead an application to the British Heart Foundation for further funding. Dr Frances Bu’lock will write to individual centres to establish what their existing IT capability is and the local need for hardware and resources to allow participation in the e learning programme. 5. Payment by Results update Dr Rodney Franklin gave an update on the new Payment By Results tariff system. Dr Franklin is the BCCA representative on the DOH Expert Working Group which has been tasked to produce new HRG (Health Related Group) codes for congenital heart disease. These codes (HRG4) will include different levels of complexity for cardiac surgery (4) and cardiac catheterisation (3) for congenital heart procedures. This will lead to the development of new procedure codes for OPCS 4. The new codes will not include intensive care, which will be associated with additional new HRG codes. This new system is likely to be introduced in 2008/9. Dr Franklin was optimistic that the new codes will improve coding but pointed out that these will not influence the tariffs produced by each code. He described the proposed system for the coming financial year in which the coding system for congenital heart procedures is inadequate. Dr Oliver Stumper then gave a presentation from the Birmingham unit with detailed costings for cardiac catheterisation procedures. This emphasised the gross discrepancy between income achieved and expenses sustained from a congenital heart unit cardiac catheterisation programme. A prospective evaluation of 501 cases concluded that there would be a shortfall of between £170,000 and £617,000 depending on whether specialist “mark-up” funding of 53% could be obtained. Dr Stumper concluded that urgent action was needed and this was endorsed by the membership. Professor John Deanfield has led a group meeting with the Department of Health (Marion Kerr) to try to improve the situation. Dr Franklin informed the membership that there would be a 53% top up for paediatric cardiac procedures (19% for adult congenital heart procedures) but this was likely to be inadequate. 6. Treasurer’s Report Dr Tony Salmon provided a provisional treasurers report. The Association is in good financial health with approximately £50,000 in the savings account. Dr Salmon described the difficulties experienced in identifying subscriptions and linking them to individual members. This was due to the payment of annual subscriptions by standing order. He described the intention to switch to a direct debit system, which will allow defaulters to be identified. This will involve writing to every member and asking for a new direct debit mandate to be substituted for the existing standing order system. 7. Pulmonary Vein Stenosis Study Dr Piers Daubeney gave an update on the multicentre BCCA study on pulmonary vein stenosis. The research fellow, Dr Anna Seale, has now visited the majority of the participating centres. The provisional data analysis has not yet been completed. Dr Daubeney thanked the members for their cooperation in this project. 8. Skills for Health Initiative Ms Kerry Cook, Chair of the Paediatric Cardiac Nurses Association, described the Skills for Health Initiative which is being coordinated through Coventry University. This will be a 24 week modular course in core skills in congenital heart disease. It will be e-based and aimed at multiple disciplines base around the patient journey. A bid has been submitted for a web designer and 6 patients journeys are at the draft stage. Representatives from different professional groups (physios, technicians, perfusionists, psychologists etc) have been sought to join a stakeholder group. The aim is to address the different competencies relevant for each group. The BCCA membership welcomed this initiative. 9. SAC Update Dr John Gibbs gave a brief update on the SAC committee and the developments in training in paediatric cardiology. He mentioned the proposed 3 year training programme in paediatric cardiology. 10. CMR Interest Group Dr Charles Peebles described the formation of a new for people interested in CMR scanning in congenital heart disease. An informal arrangement of the group will be held on 25/11/05 at the Barbican Centre. 11. Bristol Meeting Dr Andy Tometzki gave a brief video presentation describing the next BCCA Annual Meeting in Bath. This will be held on 22nd-23rd November. 12. Future BCCA Annual Meetings In 2007 the Annual Scientific Conference will be in Leeds (Dr J Parsons). Bids for the 2008 meeting were requested and Birmingham has shown preliminary interest.