"Incorporating Minutes - PDF"
CONFIRMED MINUTES OF MEETING OF THE NORTH WEST REGIONAL TRANSFUSION COMMITTEE INCORPORATING NORTH WALES Held on Monday 13th October 2008 at Haydock Park Racecourse, Merseyside ------------------------------------------------------------------------------------------------------------------------ Present Lesley Adams MCHFT Leighton Hospital Elaine Addison Blackpool Victoria Hospital David Alderson Chair (DA) Trafford General Hospital Sanchia Baines Royal Preston Hospital Pete Baker Royal Liverpool University Hospital Stuart Blackwell NW RTC Lay Representative Gill Cassie Royal Preston Hospital Tony Davies NHSBT Mike Desmond (MD) Liverpool Heart & Chest Hospital Clare Dundas Salford Royal Hospital Sumaya Elhanash Royal Oldham Hospital Jack Flevill Macclesfield Hospital Rebecca Gerrard (RG) NHSBT Mike Goldberg Arrowe Park Hospital Jan Gorry Aintree Hospitals NHS Foundation Trust Marie Green Trafford General Hospital Steve Griffiths MCHFT Leighton Hospital Claire Grinnell Spire Manchester Hospital Tracey Hall Alder Hey Children s Hospital Sophia Holden Royal Preston Hospital Andy Houghton Royal Liverpool University Hospital Peter Hudson Blackpool Victoria Hospital Eithne Hughes Glan Clwyd Hospital Brian Jackson Manchester Royal Infirmary Laura Johnstone Stepping Hill Hospital Mark Lyon NHSBT Louise McCreery Wrighton, Wigan & Leigh NHS Trust Christine McQuillan Aintree Hospitals NHS Foundation Trust Mary Metcalfe Manchester Royal Infirmary Jane Murphy (JM) NHSBT Moira Norton Countess of Chester Hospital Julie Oakes Royal Preston Hospital Sharran Payne Royal Bolton Hospital Jenny Rodger Wrexham Maelor Hospital Deepak Sadani NHSBT Vikki Sandland NHSBT Mark Storah Tameside Hospital NHS Foundation Trust Lesley Sutton (LS) Wythenshawe Hospital Elaine Thompson West Pennine Tom Trimble Trafford General Hospital Ruth Turner Macclesfield Hospital Jane Uttley Manchester Children s Hospital Julie Yates Warrington Hospital 1. Apologies Therese Callaghan Hillary Leggat Vanessa Martlew Emma Milser Catherine Quine Paul Sharples Dr Wardle 2. Minutes of RTC Meeting 17.04.08 The minutes of the last meeting were agreed. Action: To be changed to confirmed on website. (JM) 2.1 Action List: All completed 6.6 Contingency planning group not formed, template to be produced from earlier work done by Dr Love. (MD) Wigan to be asked to share lessons from contingency planning exercise at next RTC. 7.2 NBTC Chairman not written to Chief Executives as all correspondence has to go through NHS Gateway. 3. Feedback from HTC s 3.1 NPSA SPN Transfusion Competencies Discussed along with the issue of keeping staff up to date and competent. Training is ongoing and competency assessments cannot be done by e-learning. Glan Clwyd Hospital shared an experience of assessing an FY1 doing pre-sampling assessment who passed, but then 5 days later took a sample for FBC from the wrong patient and labelled it incorrectly. NPSA SPN No.14 Writing Group are to have an extraordinary meeting in January 09 to address outstanding issues e.g. should hospitals say that no staff should undertake blood transfusion practice unless they have passed the relevant assessments, and what to do re the issue of competency assessment where electronic tracking is in place as the current frameworks are not applicable. Action: Await outcome of January 2009 meeting. 3.2 Medics as sole prescribers It was stated that it does not legally have to be a medic who prescribes blood. A workshop is being held in Birmingham, 17th October 2008 on Nurse Prescribing. However, it is expected that prescribing by nurses will be defined to specific nurses in specific situations. Comment made that perfusionists also need guidance. 3.3 Guidelines re Use of FFP and Platelets in Cell Salvage Request made for any hospital that has guidance on this. At Wythenshawe, cell salvage is done in relation with TEG. Suggested that it would be advantageous for Dr Shwe to speak to Sarah Haynes, Autologous Transfusion Co-ordinator, at Wythenshawe Hospital regarding this. Action: Arrange for Dr Shwe to speak with Sarah Haynes. (LS) 3.4 Fibrin Sealants and Traceability Is it a blood product or not? A number of fibrin sealants are used in cardiac surgery and the same process is used as with heart valves the label off the bag is stuck in the patient notes. It might be a good idea to survey hospitals about the procedures NW RTC incorporating North Wales 2 Confirmed Minutes th 13 October 2008 currently being used? 3.5 Shock Packs/ Formula Replacement Some hospitals discussing this. Not currently recommended by BBTS, awaiting national guidelines. 4. Working Group Reports 4.1 Audit No further regional audits are being undertaken at present due to the number of national audits/surveys underway. 4.2 Education and Training Next meeting being held on 26th November 2008. 4.3 Paediatric Meeting held at Alder Hey on 28th August 2008 which was very positive. Discussed the comparisons between transfusion triggers/policies/practices at both Alder Hey and RMCH. Issued raised with regards to the transfer of patients between trusts and the standardisation of documentation. Next meeting being held on 15th January 2009 at RMCH. 5. Role of RTC Education Group/ Education for Junior Doctors RG reported they had tried to obtain medical input to RTC Education Group but had no volunteers. Ideas sought for future projects/education days/work from the group but none were suggested. 6. NHSLA Presentation Presentation given by Gill Feerick which is available on the RTC website. NW RTC website link: http://www.transfusionguidelines.org/index.asp?Publication=RTC&Section=28&pagei d=1057 6.1 Q & A following presentation:- Q Does report go to the HealthCare Commission? A The report gets posted on the NHSLA website and can be used by them. Q What if there is a conflict between the Trust s Training Needs Analysis and policy? A Need standardisation of policies and TNA in transfusion, action plans and evidence. 7. Suggested New Working Group on Policies/ Guidelines Mike Desmond volunteered and recommended that the group would benefit from input from a Consultant Haematologist. David Alderson to mention this at the next NW Consultant Haematology group meeting. Action: Any volunteers for a working group to look at policies/guidelines to contact Rebecca Gerrard or Jane Murphy. Agenda item at next sub group meeting. (DA) 8. Key Elements from NBTC Report The NBTC acknowledged comments about audit fatigue. However, it was emphasised audits are not an exercise but a continuing process to improve standards in all clinical aspects of blood transfusion and that message should be reinforced within the regions. NW RTC incorporating North Wales 3 Confirmed Minutes th 13 October 2008 Regarding NHSBT service delivery, transport of blood is a major item. There is a requirement to work together to reduce the number of deliveries and wastage of blood products. There are specific issues regarding improving blood transfusion training for medical staff, the transfer of competencies between Trust employers and what happens if staff fail competency assessments. A RTC Chairs meeting is being held in June 2009 to focus on this. Transfusion Practitioners have heavy workloads and the NPSA SPN transfusion competencies assessments are contributing to this. A letter is being written re lack of junior doctors transfusion training from NBTC to DH. Transfusion Laboratory Managers group looking at a national policy for transferring blood with patients and to include when it is appropriate to do so. The Transfusion Awareness Day on 7 November 2008 is being advertised, important particularly in relation to keeping patients informed about transfusion. An online survey to assess the implementation of the recommendations in the HSC 2007/001 Better Blood Transfusion: Safe and Appropriate Use of Blood will be sent to Hospital Transfusion Teams early in November. The results will presented at a Better Blood Transfusion Seminar in London on 3 March 2009. The next SHOT annual meeting will be held on 30 June 2009. 9. NHSBT Hospital Liaison Suggested that members review the Key Performance Indicators document and if have any issues to contact a member of the Hospital Liaison Team. Stock levels are at a good level of 48,400 but O Neg at 3 days and B Neg at only 2.7 days. 10. Feedback from TLM s & TP s No issues raised by either group. 11. UK Transfusion Laboratory Collaborative Discussed point regarding staffing levels and qualification and how this can be achieved in small hospitals. Action: Comments needed for taking forward. (DA) 12. BSMS Data BSMS seeking feedback from RTC s and hospitals on usefulness of data. It was agreed data on O neg can be misleading when put as a %. Moving towards deanonimisation. A letter will be sent to Medical Directors shortly regarding this. 13. RTC Budget Spent approximately £1,500, funding:- BSMS road show delegate expenses places on national conferences The RTC will continue to try and fund places for hospital representatives to attend education conferences. Please let the RTC know of any such events with a view to funding being provided. Delegates will be expected to feedback learning at next RTC meeting. NW RTC incorporating North Wales 4 Confirmed Minutes th 13 October 2008 14. Papers for Information 2 papers circulated with the agenda for information:- Coagulation & Trauma Masterclass Flyer Audit of Red Cell Use in hospitals in the South West and West Midlands regions. 15. A.O.B. Non raised 16. Date of Next Meeting Provisionally planned for April 2009 at Haydock Park. Date to be confirmed. NW RTC incorporating North Wales 5 Confirmed Minutes th 13 October 2008