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. (
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

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 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.

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