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Breast Surgery as Day Surgery: A joint BADS/HCUK Conference

This virtual conference will take place on Thursday 8th September 2022 Back

Thursday 8th September 2022.

A reduced delegate rate of only £100 + VAT is available to all BADS members for this event. Please quote HCUK100BADS when booking.

Book Now      Programme 

Find out more about virtual attendance

A wide range of breast procedures can be delivered safely as a day case. When the Department of Health recommended prioritising day case breast surgery in 2007, emphasis was placed on non-oncoplastic procedures. However, innovation by surgical teams since, has successfully applied a day surgery ‘mind-set’ to the management of a growing number of oncoplastic procedures, which can release valuable inpatient resource for women who require postoperative monitoring following complex reconstructive surgeries. Despite these benefits, wide variation in day surgery performance persists nationally, usually, as a result of health professional and nursing misperceptions.

The current Covid-19 pandemic has placed unprecedented strain on hospital services, staff and facilities with hospitals having to redesign, pathways and physical spaces, with recommendations on prioritisation of a range of breast surgical procedures. Reevaluating current breast surgery pathways by asking the question ‘why is inpatient admission necessary’ can simultaneously address the variation in breast surgery day case rates, which preceded the pandemic and contribute to the recovery of elective surgery in the NHS.

Attendance at this conference, which has been produced by the British Association of Day Surgery, will enable delegates to develop a day case management pathway for breast surgery and potential to improve trust management of breast surgical demand and capacity. The basic elements of a day surgery pathway will be presented including the evaluation of the quality of care provided. Specific details of multi-disciplinary care specific to breast surgery management will be presented by acknowledged experts in the field from a variety of backgrounds, reflecting the importance of the multi-disciplinary team in successful delivery of day surgery care for these patients.

100% of delegates at the last conference on this subject would recommend the conference to a colleague.

Attending this conference will enable you to: 

  • Hear about changes identified by the GiRFT breast workstream to help tackle variations in the way breast surgery is currently delivered in the UK
  • Understand how introducing day case breast surgery enhances patient-centred care and strengthens the therapeutic relationship
  • Learn from outstanding practice in day case non-oncoplastic and oncoplastic breast surgery
  • Understand how you can improve day case breast surgery service in your unit
  • Identify key strategies for patient selection
  • Self assess and reflect on your own practice
  • Network with colleagues who are working to improve and optimise their breast surgery day case service 
  • Supports CPD professional development and acts as revalidation evidence. This course provides 5 Hrs training for CPD subject to peer group approval for revalidation purposes

Programme & Speakers

10.00 Chair’s welcome and introduction
Miss Jo Marsden
President British Association of Day Surgery
Consultant Breast Surgeon (retired), formally of, King’s College Hospital NHS Foundation Trust

10.15 Optimising your day surgery pathway
Dr Theresa Hinde
Consultant Anaesthetist, Clinical Director of Day Surgery
Torbay & South Devon NHS Foundation Trust

  • Key elements of a day surgery pathway
  • Patient suitability for day surgery
  • Planning for successful day surgery

10.45 Using audit to deliver and evaluate your service: using the model hospital to improve outcomes
Dr Mary Stocker
Past President British Association of Day Surgery
Consultant Anaesthetist
Torbay and South Devon NHS Foundation Trust

  • Why data is Invaluable – benchmarking in day surgery
  • How to optimise day surgery - which procedures may be considered appropriate
  • Using the model hospital and how this can improve outcomes

11.15 Current UK breast day case performance: Insights from the GiRFT breast workstream
Miss Tracey Irvine
Senior Clinical Advisor for The GiRFT Breast Workstream
Consultant Oncoplastic Breast Surgeon
Royal Surrey County Hospital NHS Foundation Trust

  • What is GIRFT?
  • Findings and Recommendations from the National Report on Breast Surgery GIRFT 2019
  • Implementing Recommendations from the Report – the way forwards

11.45 Questions & Answers, followed by Comfort Break & Virtual Networking

12.15 Improving the day case pathway for non-reconstructive breast surgery
Dr Antonia Mayell
Consultant Anaesthetist
The University Hospitals Coventry and Warwickshire NHS Trust

  • Our experience of implementation of a day surgery service in a large
    university trauma hospital
  • Successes and limitations of the service
  • Unplanned admissions and day surgery rates - following the British Association of Day Surgery Guide

13.00 Questions & Answers, followed by Lunch Break & Virtual Networking

13.45 Expanding the patient pool: day case oncoplastic and reconstructive surgery
Ms Mei-Ju Hwang
Consultant Breast Surgeon
Betsi Cadwaladr University Health Board

  • Our journey as a unit introducing a day case service
  • Our experience introducing OPBS
  • Using audit and data to evaluate and improve our service going forwards

14.30 Day case oncoplastic surgery and patient experience at The Hampshire Hospitals NHS Foundation Trust
Ms Rosie Stanton
Consultant Breast Cancer and Breast Reconstruction Surgeon
The Hampshire Hospitals NHS Foundation Trust

  • A complete day case breast cancer service for the day one consultant
  • Using qualitative patient feedback to drive change
  • Making patient communication as good as possible

15.15 Questions & Answers, followed by Comfort Break & Virtual Networking

15.45 Covid-19 and its impact on surgery
Dr Justin Kua
NIAA HSRC Clinical Research Fellow
ICU Clinical Fellow, The London Clinic
Anaesthetic SpR

  • Impact of Covid-19 on surgery
  • The timing of surgery

16.15 How Covid-19 has improved our day case breast surgery
Miss Lisa Caldon
Consultant Breast Surgeon
The Rotherham NHS Foundation Trust

  • The Rotherham NHS Foundation Trust Experience

16.45 Questions & Answers, followed by Close

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Comments from delegates at the last event

“Thought provoking and challenging especially seeing success in other units”

“Excellent - all the positive data regarding day surgery has challenged my view and will discuss with colleagues how we can move to doing this”