Regional Paediatric Intensive Care by keara

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									                                      North West
                    Specialised Commissioning Group




North West and North Wales
Paediatric Critical Care
Seminar
Wednesday 4 July 2007
Dunkenhalgh Hotel, Clayton-le-Moors




                                                      North West and North Wales
                       Paediatric Critical Care DGH / Lead Centre Interface Group
                                          North West
                            Specialised Commissioning Group




                                CONTENTS


1.    Introduction                                        3

2.    Presentations                                       3

3.    Format of the Day                                   3

4.    Seminar Evaluation                                  4

5.    Suggested Topics for Future Meetings                5

6.    General Feedback                                    6


Appendix A: Seminar Programme                             i

Appendix B: Delegate List                                 ii

Appendix C: Speaker List                                  viii
                                North West and North Wales
                            Paediatric Critical Care Seminar 2006




1.     INTRODUCTION

The North West Paediatric Intensive Care Regional Seminar was held for the eighth year
running at the Dunkenhalgh Hotel, Clayton-le-Moors on the 4 July 2007. The event was
planned and organised by the North West and North Wales Paediatric Critical Care Lead
Centre/DGH Interface Group (also known as the Interface Group).

The seminar was chaired by Dr Steve Kerr, Chair of the Interface Group. (Please refer to
Appendix A for the Programme of the Day).

The seminar was again well represented with 106 delegates in total.   Attending were
representatives from a number of health bodies and professions with clinical, nursing,
commissioning, management and finance backgrounds. (Please refer to list of delegates
attached in Appendix B).



2.     PRESENTATIONS

In a change from previous years paper copies of presentations were not provided in
delegate packs but were circulated electronically to all delegates. This is in an effort to
reduce the amount of resources consumed by the seminar and to give speakers greater
flexibility in producing their presentations. Feedback on this move was requested and, in the
main, responses were supportive. Examples of the responses received are outlined in
Section 6. Copies of the presentations can be requested from Jenny Dodd on
Jennifer.dodd@nwsct.nhs.uk or 01925 406035.



3.     FORMAT OF THE DAY

In a change to previous years’ programmes the round tables discussions in the afternoon
were replaced by a range of talks grouped by theme. The themes were: Influenza; Paediatric
Head Injuries and End of Life Care.




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4.     SEMINAR EVALUATION

Of the 116 delegates (including speakers) attending the event, 71 completed and returned
their evaluation form. The following outlines the feedback received from the evaluation
forms.

4.1    Describing the Event

The evaluation form asked delegates to circle any word(s) on the form, to describe their
experience of the event.
         60



         50



         40


         30



         20



         10


          0
              inspiring

                          friendly


                                     great


                                             worthwhile

                                                          supportive


                                                                       educational

                                                                                     stimulating


                                                                                                     interesting

                                                                                                                   motivating


                                                                                                                                essential

                                                                                                                                            networking


                                                                                                                                                         experience


                                                                                                                                                                      focussed
                                                                                                                                             good for


                                                                                                                                                          learning




Not selected were
               Average                                                                             Disappointing
               Poor                                                                                Too Short
               Intimidating                                                                        Too Long




4.2    Top Tips Delegates Took Away from the Day

 Use of PEBLS if need a PICU bed
 Always treat blocked shunts as an emergency
 To look up bed status on the web each day. To transfer children quickly and safely. Advice re:
  head injured children
 Be more aware when looking after children with altered behaviour who also have a shunt. Don’t
  delay!
 When dealing with children who have shunts etc listen to parent’s concerns and act upon
  information given
 Transfer head injuries, don’t wait for team whenever possible
 Neurosurgeons are keen to listen to your opinion
 Expect the unexpected, plan for it, minimize it.
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 In acute hydrocephalus consider tapping button
 Advanced palliative care team – good idea
 Communication with colleagues, the importance of decision making regarding transfer and
  retrieval.
 Management of head injury and preparation for influenza epidemic.
 Children with shunts can ‘go off’ very quickly. Even neurosurgeons are nervous regarding
  potential.
 Review local plans re: influenza epidemic
 Be worried about flu pandemic and do some planning
 Be honest/open in discussions and always respect other’s opinions.


4.3     Key Points Delegates Learnt from the Day and will Do Tomorrow

 Look at PEBLS (using PEBLS and informing colleagues of it came up again and again in this
  section)
 Find out more about information re: legal side of consent
 Look how many paediatric beds available on the internet ; do more research around head injuries
 I will be more aware of the constraints and difficulties of intensive care beds and transferring of
  children. I will look forward to reading the handouts and keeping my knowledge up to date
 Have influenza vaccine (this also featured a number of times in responses)
 That data collection is relevant to improving PICU status/funding. So do it!
 Ring Connor Mallucci to arrange training
 Retrieval team vs DGH will look at what will benefit each child
 I plan to share all elements of the talks with colleagues
 Discuss with management re: preparation for pandemic flu
 Look further into issues around palliative care. Promote/highlight staffing issues to improve PIC
 Investigate PCT involvement in PIC CAG and their remit
 I intend to devise a learning package for students re: head injuries and assessment and
  management of such injuries. Emphasising the importance of GCS assessment
 More vigorous assessment of children with viral illness ?? and headache??
 Improve speed on neurological transfers
 Staff training/teaching session awareness of blocked shunt. PEBLS website – communicate to
  staff



5.      SUGGESTED TOPICS FOR FUTURE MEETINGS

Delegate comments were as follows:
 Initial stabilisation of critically ill child on paediatric ward of DGH
 Maybe have one round table discussion not a whole afternoon as previously
 Cardiac specialities – guest speakers from AHCH or RMCH
 Shock; burns
 DGH contributions towards bed occupancy in PICUs (i.e. patient transfers)
 HD provision DGHs within the region. How formal or informal the set up is
 1 session looking at specific cases/difficulties experienced by DGHs
 Results of HDU usage in DGHs, staffing levels and skill mix needs of HDU care
 Whatever is current
 More on ventilation/medication in PICU setting
 CPAP/bronchiolis (mentioned a few times)
 CPAP and broncholiosis in DGH; sepsis in DGH prior to PICU
 Better format – round table discussions last year were repetitive
 Meningitis / organ donation
 Role/incidence of high dependency care in the DGH. CPAP in DGH to be or not to be (from a DGH
   perspective!)
 HDV in the DGH – at what point should the children be transferred
 More topics relating to paed high dep within a DGH. Issues regarding nursing care i.e. NCPAP and
   staffing. Do all DGH paed wds take place on NCPAP?
 Standardisation of HDU data/audit. Update of relevant guidelines

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 Clinical governance/risk Mx issues around transport/transfers PICU vs DGH transfer teams




6.      GENERAL FEEDBACK

The majority of delegates found the day interesting, enjoyable and worthwhile. Delegates
reported that in the main the day was well organised and professional. Unfortunately there
were problems with the sound system which were outside of our control, some delegates
mentioned that they struggled to hear some of the speakers. Actions will be taken to rectify
this before next year’s event.

This year the general feedback question asked delegates to comment specifically on the
shift to sending presentations out electronically.

Feedback:
 Very well organised – congratulations in format. Enjoyable and good appendum to network
 Happy about email circulation. Only problem is that we don’t have copies to comments on during
  the talks. The paper is useful but you can’t necessarily remember what that points are about.

 Excellent, well organised event. Felt very privileged to be here

 Sound system poor – difficult to hear speakers at times. Afternoon sessions much better this year –
  presentations more useful than the round tables
 Legal talk very interesting
 Good idea for electronic presentations, better format this year. Progression of talks/topics rather
  than scenarios
 Change in structure
 Yes – brilliant idea. PC access the way forward
 Well ran and presented seminar
 Thankyou and well done to all
 Problems with sound in the morning sessions greatly spoilt the lectures
 It would be useful to have handouts to make notes on during the presentations
 It would be useful to receive presentations as then they can be shared with staff unable to attend
 Excellent venue
 Presentations circulated electronically would be useful and very welcome. Very well structured and
  informative day
 Sound system poor throughout the day – did improve markedly during the afternoon
 Sound very poor – unable to hear the first few hours which was the reason we came – great shame
 Sound system was awful. Unable to hear speakers at the back and at its best was tinny. Better
  sound in the afternoon
 Morning in particular audio terrible! Improved in afternoon. Catering good
 Sound system terrible – the morning sessions were lost. Much improved in the afternoon
 Very fulfilling day. Enough content on each topic and relevant to current practise
 Difficult to hear some of the speakers. PA system needs improving
 Air conditioning and AV need to be sorted out – couldn’t hear speakers very well. Loud AC.
  Electronic presentations excellent idea
 The sound system and air con seemed to be in competition. It didn’t pick up softly spoken people
  well at all.
 Head Injury talks great
 Excellent idea – gives more time to listen instead of taking notes
 V. good idea, as on the day able to listen and enjoy presentation – don’t need ot make notes
 Always professional , good venue, good presenters
 I feel that a more interactive forum would be useful this is a senior and experienced audience who
  could contribute more interesting views. Difficult in the ‘lecture’ forum
 Venue good comfortable. Room cold. Staff friendly, emails welcome. A lot of sitting. Catering
  facilities very good
 Excellent venue – good refreshments well organised, room a little too cold. Email information would
  be appreciated
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 Please look into acoustics.




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                                                                                          APPENDIX A

                     North West and North Wales
                    Paediatric Critical Care Seminar
                               Wednesday 4th July 2007
           Pendle Suite, MacDonald Dunkenhalgh Hotel and Spa
            Blackburn Road, Clayton-le-Moors, Accrington, Lancashire BB5 5JP


                           SEMINAR PROGRAMME
0930   Registration with Refreshments and Bacon & Egg Rolls
       Pendle Bar Area

1000   Welcome and Introduction
       Dr Steve Kerr, Chair of the North West and North Wales Interface Group and Consultant Paediatric
       Intensivist, Royal Liverpool Children’s Hospital NHS Trust

1005   North West Paediatric Intensive Care Review
       Dr Melanie Maxwell, Public Health Consultant, CMSSCT and Roz Jones, Specialised Commissioning
       Manager, CMSSCT

1045   North West Paediatric Intensive Care Transport Project
       Eithne Polke, Transport Project Manager, North West Specialised Commissioning Group

1115   PEBLS – the Paediatric Emergency Bed Location Service: More than just a real
       time system to locate PICU beds
       Dr David Stewart, Consultant Paediatric Intensivist, Manchester Children’s University Hospital.

1130   Tea, Coffee and Elevenses
       Pendle Bar Area

1200   Influenza in Children
       Dr Andrew Riordan, Paediatric Infectious Disease Consultant, Royal Liverpool Children’s Hospital NHS
       Trust

1230   The Impact of an Influenza Epidemic on Paediatric Intensive Care
       Dr Paula Lister, Paediatric Intensive Care Consultant, Great Ormond Street Hospital for Children NHS
       Trust


1300   Lunch
       Cameo Restaurant and Dunklaw Garden Rooms
       (North West PIC Network website will be on display in the Pendle Suite)

       Paediatric Head Injuries
1400   i) Initial Assessment and Stabilization of Severe Paediatric Head Injury
       Dr Nick Payne, Consultant in A&E, South Manchester University Hospitals

       ii) Treatment of Paediatric Neurosurgical Emergencies - a Paediatric
       Neurosurgeon's perspective
       Mr Conor Mallucci, Paediatric Neurosurgical Consultant, Royal Liverpool Children’s Hospital NHS Trust

       End of Life Care
1500   i) Legal Issues Surrounding Limitation and Withdrawal of Life Supporting Therapies
       Georgina Rowley, Senior Solicitor, Hempsons Solicitors

       ii) A Unique Alder Hey Clinic
       Dr Lynda Brook, Paediatric Palliative Care Consultant, Royal Liverpool Children’s Hospital NHS Trust

1555   Closing Remarks
       Dr Steve Kerr, Clinical Director of PICU, Royal Liverpool Children’s NHS Trust

1600   Close and Departure
       (Tea and coffee will be available in the Pendle Bar area prior to departure)


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                                                                                                                                                               APPENDIX B
Delegate List

Title     Name         Surname                      Job Title                             Organisation Title                                        Email


        Patricia    Ainley-Walker   Consultant Paediatrician               Bolton Primary Care Trust                         pat.walker@bolton.nhs.uk

                                                                           Lancashire Teaching Hospitals NHS Foundation
        Alison      Anton           Acting General Manager                                                                   alison.anton@lthtr.nhs.uk
                                                                           Trusts

        Janet       Backland        Ward Manager                           St Helens and Knowsley Hospitals NHS Trust        janet.backland@sthk.nhs.uk

        Alison      Bali            Project Manager                        North West Specialised Commissioning Team         alison.bali@nwsct.nhs.uk

        Patricia    Barcroft        Lead Nurse (HDU) Child Health          East Lancashire Hospitals NHS Trust               judith.hornsby@elht.nhs.uk

        Karen       Baskerville     Sister                                 East Cheshire NHS Trust                           karen.baskerville@echeshire-tr.nwest.nhs.uk

        Janet       Bedford         Clinical Lead                          North Cheshire Hospitals NHS Trust                janet@littlecote.plus.com;janet.bedford@nch.nhs.uk

        Christine   Berry           Senior Staff Nurse                     South Manchester University Hospitals NHS Trust   chris.berry@smuht.nwest.nhs.uk

        Leanne      Binns           Sister, Paediatric A&E                 St Helens and Knowsley Hospitals NHS Trust        leanne.binns@sthk.nhs.uk

        Rebecca     Blackburn       Staff Nurse                            University Hospitals of Morecambe Bay NHS Trust   rebecca.blackburn@mbht.nhs.uk

        Suzanne     Breckell        Lecturer Practitioner                  University of Salford & PICU CMMC                 s.breckell@salford.ac.uk

        Jenny       Breen           Staff Nurse                            Tameside and Glossop Acute Services NHS Trust     jenny.breen@tgh.nhs.uk

        Sue         Brown           Staff Nurse - Children's Unit          Tameside and Glossop Acute Services NHS Trust     wendy.hulse@tgh.nhs.uk

Dr      George      Bugelli         Consultant Anaesthetist                Conwy & Denbighshire NHS Trust                    dr.g.bugelli@cd-tr.wales.nhs.uk




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     Bernadette   Burns           Senior Lecturer                         University of Salford                             b.burns@salford.ac.uk

     Viki         Carter          Sister                                  Countess of Chester NHS Foundation Trust          viki.carter@coch.nhs.uk

                                                                          Central Manchester & Manchester Children's
     Kathryn      Claydon-Smith   Junior Sister PICU                                                                        kathryn.claydon-smith@cmmc.nhs.uk
                                                                          University Hospitals NHS Trust

     Desmond      Collins         HDU Lead Nurse                          Wirral Hospitals NHS Trust                        desmond.collins@whnt.nhs.uk

     Liz          Collins         Ward Manager/Sister                     Wirral Hospitals NHS Trust                        liz.collins@whnt.nhs.uk

Dr   Jane         Connell         Consultant Paediatrician                Stockport NHS Foundation Trust                    jane.connell@stockport.nhs.uk

     Joanne       Connolly        Practice Educator                       University Hospitals of Morecambe Bay NHS Trust   joanne.connolly@mbht.nhs.uk

Dr   Nasreen      Contractor      Consultant, Emergency Medicine          Tameside & Glossop Acute Services NHS Trust       nasreen.contractor@tgh.nhs.uk

     Amanada      Coogan          Ward Manager                            St Helens and Knowsley Hospitals NHS Trust        Amanda.coogan@sthk.nhs.uk

     Sarah        Corsan          Consultant Anaesthetist                 Bolton Hospitals NHS Trust                        sarah.corsan@rbh.nhs.uk

Dr   Mike         Cronin          Consultant Paediatrician                North West Wales, Gwynedd Hospitals               michael.cronin@nww-tr.wales.nhs.uk

                                                                          Lancashire Teaching Hospitals NHS Foundation
     Gill         Crossthwaite    Clinical Educator                                                                         gillian.crossthwaite@lthtr.nhs.uk
                                                                          Trust

     Ismail       Dalal           Staff Nurse (Paediatrics)               Blackpool, Fylde & Wyre Hospital NHS Trust        ishd159@hotmail.co.uk

     Andy         Darbyshire      Consultant Nurse                        Royal Livepool Children's NHS Trust               andy.darbyshire@rlc.nhs.uk

     Sheila       Derbyshire      Staff Nurse                             North Cheshire Hospitals NHS Trust                janet.bedfod@nch.nhs.uk

     Jenny        Dodd            Project Manager                         North West Specialised Commissioning Team         jenny.dodd@nwsct.nhs.uk

     Sally        Duce            Directorate Manager / Lead Nurse        St Helens and Knowsley Hospitals NHS Trust        sally.duce@sthk.nhs.uk




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     Cheryl     Fitzgerald   Ward Manager (Deerplay Ward)               East Lancashire Hospitals NHS Trust

Dr   Andrew     George       Consultant Anaesthetist                    Mid Cheshire Hospitals NHS Trust                  a.george2@btinternet.com

Dr   Kate       Goldberg     Consultant Paediatrician                   Blackpool, Fylde & Wyre Hospitals NHS Trust       Dr.goldberg@bfwhospitals.nhs.uk

     Val        Greaves      Sister                                     South Manchester University Hospitals NHS Trust   val.greaves@smuht.nwest.nhs.uk

     Sarah      Greenhalgh   Team Leader - Paed Nurses in A&E           Bolton Hospitals NHS Trust                        sarah.greenhalgh@rbh.nhs.uk

     Ann        Gregory      Commissioning Manager                      East Lancashire Primary Care Trust                ann.gregory@eastlancspct.nhs.uk

     Elaine     Hibbs        Ward Manager                               Wrightington, Wigan & Leigh NHS Trust             elaine.hibbs@wwl.nhs.uk

     Deborah    Higgins      Nurse practitioner (Paeds)/Sister          East Lancashire Hospital NHS Trust                deborah.higgins@elht.nhs.uk

     Keith      Holloway     Assistant Director                         Oldham Primary Care Trust                         ke.holloway@nhs.net

     Judith     Hornsby      Matron, Child Health                       East Lancashire Hospitals NHS Trust               judith.hornsby@elht.nhs.uk

                                                                        Lancashire Teaching Hospital NHS Foundation
     Amanda     Houldcroft   Sister                                                                                       amanda.houldcroft@lthtr.nhs.uk
                                                                        Trust
                             Sister/Practice Development Nurse
     Llinos     Howatson                                                Conwy & Denbighshire NHS Trust                    llinos.howatson@cd-tr.wales.nhs.uk
                             A&E

     Jayne      Hughes       Senior Staff Nurse                         North East Wales NHS Trust                        martin.mcspadden@new-tr.wales.nhs.uk

     Claire     Hulmes       Staff Nurse                                North Cheshire Hospitals NHS Trust                claire.hulmes@nch.nhs.uk

     Wendy      Hulse        Matron, Children's Services                Tameside & Glossop Acute Services NHS Trust       wendy.hulse@tgh.nhs.uk

Dr   Aradhana   Ingley       Associate Specialist Paediatrician         Conwy & Denbighshire NHS Trust                    aradhana.ingley@cd-tr.wales.nhs.uk

                                                                        Countess of Chester Hospital NHS Foundation
     Paul M     Jameson      Consultant Anaesthetist                                                                      paul.jameson@coch.nhs.uk
                                                                        Trust




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                                                                      Countess of Chester Hospital NHS Foundation
     Ravi        Jayaram      Consultant Paediatrician                                                              ravi.jayaram@coch.nhs.uk
                                                                      Trust

Dr   Ian         Johnson      Consultant Anaesthetist                 Ysbyty Gwynedd                                ian.johnson@nww-tr.wales.nhs.uk

     Pat         Jones        Senior Staff Nurse                      Conwy & Denbighshire NHS Trust

     Ian         Jones        Consultant - A&E Department             Bolton Hospitals NHS Trust                    ian.jones@rbh.nhs.uk

     Sonia       Keane        Ward sister                             Tameside & Glossop Acute Services NHS Trust   sonia.keane@tgh.nhs.uk

     Jane        Kilpatrick   Nurse Clinician                         Stockport NHS Foundation Trust                jane.kilpatrick@stockport.nhs.uk

     Clare       Knight       A&E Sister                              East Cheshire NHS Trust

Dr   David       Lacy         Consultant Paediatrician                Wirral Hospital NHS Trust                     david.lacy@whnt.nhs.uk

     Angela      Lee          Child Health Lecturer                   University of Salford                         a.e.lee@salford.ac.uk

     Siobhan     Leith        Consultant Anaesthetist                 Wirral Hospital NHS Trust                     siobhan.leith@btinternet.com

                              Consultant in Anaesthesia & Intensive
Dr   Chris       Littler                                              Wrexham Maelor Hospital                       c.littler@new-tr.wales.nhs.uk
                              Care Medicine

     Ignatious   Losa         Consultant Paediatrician                East Cheshire NHS Trust                       ignatious.losa@echeshire-tr.nwest.nhs.uk

Ms   Janice      Lovell       Department Manager - Child Health       Bolton Hospitals NHS Trust                    janice.lovell@rbh.nhs.uk

Dr   Ismail      Madi         Consultant                              East Lancashire Hospitals NHS Trust           ismail.madi@elht.nhs.uk

     Diane       Marney       Staff Nurse                             Pennine Acute Hospitals NHS Trust             diane.marney@pat.nhs.uk

     Shelley     Martin       Staff Nurse                             North Cheshire Hospitals NHS Trust            shelley.martin@nch.nhs.uk

     Sandra      McCoy        Retrieval Coordinator                   Royal Liverpool Children's NHS Trust          sandra.mccoy@rlc.nhs.uk




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     Martin       McSpadden    Charge Nurse                             North East Wales NHS Trust                        martin.mcspadden@new-tr.wales.nhs.uk

     Liz          Melia        Commissioning Lead for Urgent Care       Liverpool Primary Care Trust                      liz.melia@liverpoolpct.nhs.uk

     Warren       Millington   Senior Nurse                             Tameside & Glossop Acute Services NHS Trust       warren.millington@tgh.nhs.uk

                                                                        Countess of Chester Hospital NHS Foundation
     Anne         Murphy       Lead Nurse PICU                                                                            anne.murphy@coch.nhs.uk
                                                                        Trust

Dr   Heidi        Northover    Consultant Paediatrician                 Bolton Hospitals NHS Trust                        heidi.northover@rbh.nhs.uk

     Margaret     O'Connor     Registrar
                                                                        South Manchester University Hospitals NHS Trust
     Sri Nagesh   Panasa       Paediatric Specialist Registrar          Pennine Acute Hospitals NHS Trust                 snpanasa@hotmail.com

     Joanne       Park         Staff Nurse                              Southport & Ormskirk Hospital NHS Trust

     Amy          Parker       Staff Nurse                              South Manchester University Hospitals NHS Trust   amy.parker@smuht.nwest.nhs.uk

     Clare        Peckham      Consultant Paediatrician                 University Hospitals of Morecambe Bay NHS Trust   clare.peckham@mbht.nhs.uk

     Freda        Pemberton    Ward manager                             Wrightington, Wigan & Leigh NHS Trust             freda.pemberton@wwl.nhs.uk

     Lisa         Philburn     Ward Sister                              Tameside & Glossop Acute Services NHS Trust       lisa.philburn@tgh.nhs.uk

     Louise       Phillips     Consultant Paediatrician                 Conwy & Denbighshire NHS Trust                    louise.philllips@cd-tr.wales.nhs.uk


     Nandhini     Prakash      Consultant Paediatrician                 Pennine Acute Hospitals NHS Trust                 nandhini.prakash@pat.nhs.uk


     Nerys        Pritchard    Senior Staff Nurse                       Conwy & Denbighshire NHS Trust

     Carol        Quinn        Night Co-Ordinator                       Wirral Hospitals NHS Trust                        carol.quinn@whnt.nhs.uk

     Karl         Rakshi       Consultant Paediatrician                 East Lancsashire Hospitals NHS Trust              karl.rakshi@elht.nhs.uk




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     Tim         Ramsay        Consultant Aneasthetist                    Stockport NHS Foundation Trust                    tim.ramsey@stockport.nhs.uk

     Tina        Randall       Senior House Offcer
                                                                          South Manchester University Hospitals NHS Trust
     Bron        Robinson      Sister                                     Royal Liverpool Children's NHS Trust              bron.robinson@rlc.nhs.uk


     Pauline     Rowe          Staff Nurse                                Wirral Hospitals NHS Trust                        pauline.rowe@whnt.nhs.uk

                                                                          Central Manchester & Manchester Children's
     Mahil       Samuel        Consultant Paediatric Intensivist                                                            mahil.samuel@cmmc.nhs.uk
                                                                          University Hospitals NHS Trust

     Lorraine    Sanderson     Staff Nurse (Paediatrics)                  Blackpool, Fylde & Wyre Hospitals NHS Trust       lorraine.sanderson@bfwhospitals.nhs.uk

     Janine      Sayce         RGN                                        East Cheshire NHS Trust

                                                                                                                            vibha.sharma@wwl.nhs.uk;anne.medlicott-
Dr   Vibha       Sharma        Consultant Paediatrician/Clinical Tutor    Wrightington, Wigan & Leigh NHS Trust
                                                                                                                            foster@wwl.nhs.uk

     Carole      Short         Staff Nurse                                Cheshire & Wirral Partnership NHS Trust
                                                                                                                            carole.short@mcht.nhs.uk
     Savi        Sivashankar   Consultant Paediatrician                   Tameside & Glossop Acute Services NHS Trust       savi.sivashankar@tgh.nhs.uk

Dr   Rupert      Smith         Paediatric Clinician                       Pennine Acute Hospitals NHS Trust                 rupert.smith@pat.nhs.uk

Dr   Peter       Stutchfield   Consultant Paediatrician                   Conwy & Denbighshire NHS Trust                    drpeter.stutchfield@cd-tr.wales.nhs.uk

     Nicola      Swift         Sister                                     Wrightington, Wigan & Leigh NHS Trust             nicola.swift@wwl.nhs.uk

     Angela      Thomas        Staff Nurse                                North Cheshire Hospitals NHS Trust                angela.thomas@nch.nhs.uk

     Christine   Thornton      Paediatric High Dependency Sister          East Lancashire Hospitals NHS Trust               christine55@ntlworld.com


     N ick       Tierney       Clinical Director                          Pennine Acute Hospitals NHS Trust                 nick.tierney@pat.nhs.uk




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     Joyce    Tomkinson    Staff Nurse                                Mid Cheshire Hospitals NHS Trust                  joyce.tomkinson@mcht.nhs.uk

     Karen    Vernon       Sister                                     Stockport NHS Foundation Trust                    lyn.waters@stockport.nhs.uk

     Clare    Walker       Sister / Education &Training Facilitator   East Cheshire NHS Trust                           clare.walker2@echeshire-tr.nwest.nhs.uk

     Nicola   Walton       Sister                                     Southport & Ormskirk Hospital NHS Trust           nicky5bellies@yahoo.co.uk

     Lyn      Waters       Sister                                     Stockport NHS Foundation Trust                    lyn.waters@stockport.nhs.uk

                                                                      Lancashire Teaching Hospitals NHS Foundation
     Alison   Willis       Sister                                                                                       alison.willis@lthtr.nhs.uk
                                                                      Trust

     Debbie   Winstanley   Senior Staff Nurse                         South Manchester University Hospitals NHS Trust   debbie.winstanley@smuht.nwest.nhs.uk


Dr            Khan                                                    East Lancashire Hospitals NHS Trust




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                                                                                                                         APPENDIX C
Speakers


     Title          Name      Surname              Job Title                                Organisation Title               Email


                                        Consultant Paediatric
Dr           Steve         Kerr                                         Royal Liverpool Children's Hospital         Steve.kerr@rlc.nhs.uk
                                        Intensivist
                                                                                                                    Melanie.Maxwell@whnt.n
Dr           Melanie       Maxwell      Public Health Consultant        North West Specialised Commissioning Team   hs.uk

                                                                                                                    PolkeE@cats.nhs.uk
Ms           Eithne        Polke        Transport Project Manager       North West Specialised Commissioning Team
                                                                                                                     david.stewart@cmmc.nhs
                                        Consultant Paediatric
Dr           David         Stewart                                      Manchester Children's University Hospital   .uk
                                        Intensivist
                                                                                                                    Andrew.Riordan@RLC.N
                                        Paediatric Infectious Disease
Dr           Andrew        Riordan                                      Royal Liverpool Children's Hospital         HS.UK
                                        Consultant
                                        Paediatric Intensive Care                                                   ListeP@gosh.nhs.uk
Dr           Paula         Lister                                       Great Ormond Street Hospital
                                        Consultant
                                                                                                                    nick.payne@smuht.nwest.
Dr           Nick          Payne        Consultant in A & E             South Manchester University Hospitals
                                                                                                                    nhs.uk
                                        Paediatric Neurosurgical
Mr           Conor         Mallucci                                     Royal Liverpool Children's Hospital
                                        Consultant
Ms           Georgina      Rowley       Senior Solicitor                Hempsons Solicitors,
                                        Paediatric Palliative Care
Dr           Lynda         Brook                                        Royal Liverpool Children's Hospital         lynda.brook@rlc.nhs.uk
                                        Consultant




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    North West and North Wales
Paediatric Critical Care Seminar 2007




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