agm slides 2020 final version [v2] (1) · new community calendar, dedicated annual conference...
TRANSCRIPT
Welcomefrom the BCS President
Prof Simon Ray
Deaths during the year
Minutes ofAnnual General Meeting 2019
Report from the Honorary Secretary
Prof Nick Linker
Membership is down 101 members with 39 less new applications
Membership 2020
Membership Model 2020Current Category Changing to 2020-2021 Fee Notes
Ordinary Ordinary (no change) £270 Fee frozen; category expanded to include all cardiovascular healthcare professionals
Joint BACPR (non-consultant), BANCC,
SCST & TripartiteJoint £50
Standardised fee of £50; existing joint members transferred automatically and category expanded to include eligible members of any society affiliated to the BCS (proof of current Affiliate Society membership will be required). Detail to be provided to all existing Joint members by 10 June
Joint BACPR (consultant) Discontinued (Ordinary) N/A Members will be transferred to Ordinary membership of the BCS; subscription fee to BACPR must be made separately via the BCS
International Online £100 Fee decrease of £5 p/a; category to include online-only and International members. Conference attendance will be at an additional, albeit discounted rate
Extraordinary Emeritus Free Change of title and some benefits received (details currently being communicated to members)
Honorary Honorary Free Change to some benefits received (details currently being communicated to members)
Joint BJCA Associate (BJCA) £105 Fee frozen; BJCA members to receive an enhanced membership offering designed to improve support to trainees
Non-Clinical Discontinued (Ordinary, Online or Joint) N/A
Members will not be transferred automatically; members have been contacted and will have the option to take up Ordinary or Online membership. Joint membership is also available to eligible members of Affiliate Societies
Digital TransformationThe BCS partnered with Squiz in 2018 for delivery of a new website, CRM system and conference management system.
Progress so far has had a number of delays but the web site has been launched and work is ongoing to finalise the membership systems.
Work is continuing on the Conference website and the development of the Affiliated Societies websites.
We are in negotiation with Squiz at this time to finalise the work and obtain a robust timescale for this. To facilitate this we have established DPOG.
Responsive website, ‘mobile first’ build approach so is compatible with multiple devices and browsers. Video Embedding, Simplified Navigation, New Community Calendar, dedicated Annual Conference website and other digital resources. DCMC established to develop these.
ACCEA UpdateOwing to the COVID-19 pandemic and its impact on NHS staff, the Advisory Committee on
Clinical Excellence Awards took the decision to suspend the awards this year.
Changes to the Constitution of the BCSOver the last few months there have been a number of changes made to the Constitution of the
BCS (“the Rules”) to reflect the change in membership categories.
In addition, there have been changes to the Committee / Working Group sections to ensure that members attend a minimum of 75% of meetings and play an active part in the business of the
Committee / Working Group. I have written to all Committee Chairs to advise them of the changes in the Rules.
2020 BCS Election ResultsPresident Elect
Prof John Greenwood
Vice President, Corporate Finance and Development, ElectDr Cara Hendry
Council without PortfolioDr Daniel Sado
NB: Ballot for all other contested elections was deferred due to COVID-19. It will recommence in June 2020.
2020 BCS Election ResultsAppointed Trustees 2020-21
Prof Simon Ray (President) Sir Bruce Keogh (non-executive)
Prof John Greenwood (President, elect) Mr Paul Turner (non-executive)
Dr Guy Lloyd (Honorary Secretary) Ms Melissa Coutino (non-executive)
Dr Andrew Archbold (VP Clinical Standards) Mr Malcolm Bell (non-executive)
Prof Andre Ng (VP Education & Research) Prof Peter Weissberg (non-executive)
Dr Alison Calver (VP Training) Mr David Lawrence (non-executive)
Dr Derek Harrington (VP Corporate Finance & Development)
Dr Cara Hendry (VP Corporate Finance & Development, elect)
2020 BCS Election Results
Accept the resignations from the Board of:
Prof Nick Linker (Honorary Secretary)Prof John Greenwood (VP Education & Research)
Up next: VP Clinical Standards -Dr Andrew Archbold
Report from:
Vice President of Clinical StandardsDr Andrew Archbold
Clinical Standards DivisionResponsible for matters relating to the clinical practice of cardiology
Provides expert clinical cardiology advice to external organisations such as NICE & the ESC in their development of clinical guidelines, technology appraisals, and position statements
Clinical Standards Committee Guidelines & Practice Committee
Development of clinical & professionalstandards for UK cardiologists
Clinical Standards Committee• BCS Endorsement
British Heart Valve Society document, “Network based care for Heart Valve Disease: a service framework for the care of patients with heart valve disease”, endorsed by the BCS after peer review by the CS Committee
• BCS Engagement
Engagement with SarcoidUK through the CS Committee as it seeks to write a Cardiac Sarcoidosis Consensus Statement regarding the management of cardiac sarcoidosis and to conduct an audit to provide information about the current availability of cardiac sarcoidosis services.
Guidelines & Practice Committee
• Chaired by Dr Neil Swanson
• Contributed to about 40 formal consultations, plus other requests for BCS input, in the last 12 months
British Thoracic Society consultation regarding its Clinical Statement on Pulmonary Sarcoidosis. Submitted 20 December 2019 (Neha Sekhri, Oliver Guttman, Jagdeep Singh, Neil Swanson, Andrew Archbold). Review of NICE technology appraisal guidance TA420; Ticagrelor for preventing atherothrombotic events after myocardial infarction. Response submitted 20 Dec 2019 (Neil Swanson, Andrew Archbold). Proposed Single Technology Appraisal Draft Scope Consultation: Dapagliflozin for treating heart failure with reduced ejection fraction ID1656. Response submitted 18 December 2019 (Neil Swanson, Sanjeev Bhattacharyya, Jagdeep Singh, Paul Kalra, Andrew Turley, Andrew Archbold) NICE consultation on the safety and efficacy of intravascular lithotripsy for calcified coronary arteries during percutaneous coronary intervention [IP1758/1]. Joint response with the British Cardiovascular Intervention Society submitted 12 December 2019 (Neil Swanson, Helen Routledge, Andreas Baumbach, Nick Curzen, Andrew Archbold). National Patient Safety Team enquiry: Intra‐aortic balloon pump balloon rupture. Liaison between December 2019‐February 2020 (Andrew Wragg, Saqib Chowdhary, Brian Clapp, Nick Linker, Simon Ray, Andrew Archbold).
Selected submissions Dec 2019
Formalising the process for managing BCS input to consultations
• Requests for BCS input come from a range of bodies and societies for various different purposes
• The requests reach BCS through a variety of avenues, often with a limited timeframe for responding, e.g. NICE/NHSE Rapid COVID-19 Guidelines
• It is crucial that high quality advice is provided by the BCS in order to ensure, as far as is possible, that the final documents are themselves high quality and relevant to cardiologists in the UK
• The process for fielding and responding to requests for input to consultations by the BCS has been formalised and its governance enhanced, with internal peer review and sense checking of its submission, so that BCS responses are always of the desired quality
Guidelines & Practice CommitteeUK Peer Review of ESC Clinical Practice Guidelines
Submitted nominations for UK reviewers of the ESC guidelines which are currently in development:
• 2020 ESC Guidelines on Non-St-Segment Elevation Acute Coronary Syndromes
• 2020 ESC Guidelines on Atrial Fibrillation
• 2020 ESC Guidelines on Adult Congenital Heart Disease
• 2020 ESC Guidelines on Sports Cardiology and Physical Activity in Patients with Cardiovascular Disease
• 2021 ESC Guidelines on Cardiac Pacing and Cardiac Resynchronization Therapy
• 2021 ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure
• 2021 ESC/EACTS Guidelines for the Management of Valvular Heart Disease
• 2021 Joint European Guidelines on Cardiovascular Disease Prevention in Clinical Practice
Demitting committee members 2020Clinical Standards Guidelines & Practice
Dr Sharad Agrawal (co-opted) Dr Farzin Fath-Ordoubadi
Dr Tom Cahill Dr Nina Karia
Dr Brian Clapp Dr Jagdeep Singh
Dr Siddharta Mangi
Ballot for contested elections was deferred due to COVID-19. It will recommence in June 2020.
Up next: VP Corporate Finance & Development – Dr Derek Harrington
Report from:
Vice President, Corporate Finance & Development
Dr Derek Harrington
Unaudited Financial Statements Summary
Year ending 31 Dec 2019
Unaudited Statements of Financial ActivitiesFor year ended 31 Dec 2019
Total Income £2.62m (9.1% increase on 2018)
Total Expenditure £2.59m (6.8% increase on 2018)
Operating Surplus £0.03m (£0.02m deficit in 2018)
Net Surplus (including investment gains) £0.64m
(£0.29m deficit in 2018)
Unaudited Balance Sheet SummaryFor year ended 31 Dec 2019
Cash Balance £348k (2018: £442k)
Investment portfolio £4.656m (2018: £3.941m)
Total free reserve £5.214m (2018: £4.680m)
Funds total £6.930m (2018: £6.301m)
Financial Summary 29th May 2020- Impact of COVID-19 on investments
Investment portfolio valuation as at 29th May 2020: £4.258m
(Dec 2019: £4.656m)
Budget Summary 2020- Budget for 2020 is predicted as neutral.
- We remain committed to our goal, as set out at last year’s AGM, to consistently bring operational costs in line withincome by 2022.
- The key areas that will enable the financial sustainability for the society are:- Increasing member numbers- Delivering profitable or break even education courses- Continuing a successful partnership with the BMJ- Supporting and support from Affiliate groups - Support from partners, including industry, for continued and alternative methods of delivering educational content
to members- Income from and growth of an investment portfolio
- The overall position of BCS reserves is healthy and is sufficient to cover over two years of annual resources and theanticipated downturn in the economy.
- The current cash flow indicates that the Society has sufficient funds in 2020, with no need to draw down capital fromthe investments fund.
Reappointment of auditors Buzzacott LLP for 2020
(any objections to be raised in writing within 2 weeks)
Up next: VP Education & Research – Prof John Greenwood
Report from:
Vice President for Education & ResearchProf John Greenwood
Chair: Prof John Greenwood
• Prof Simon Ray, Prof Nick Linker, Dr Alison Calver
• Dr Mark Westwood, Dr Shouvik Haldar,
• Dr Jaydeep Sarma, Dr Matt Daniels, Prof Andre Ng, Dr Dawn Adamson, Dr Laura Dobson, Dr Bethan Freestone, Prof Andrew Clark, Dr Arjun Ghosh, Dr Kate English, Dr Kazim Rahimi, Prof Pier Lambiase
• Dr Matthew Ryan, Dr Benedict Wiles, Dr Rosita Zakeri
• Prof Metin Avkiran,
• Clare Cartwright, Carolyn Hargreaves, Rachael O’Flynn, Lauren Banks, Jasdeep Bhamber
BCS Annual Conference (Programme Committee):
• Much of the content will be rolled-over to June 2021• Thomas Lewis Lecture 2021 - Salim Yusuf – ‘Environment, risk factors and health systems --- relative
impact on CVD and mortality’ • BCS Lecture 2021 – David Newby – ‘Car Sick: The Cardiovascular Effects of Air Pollution’ • Opening lecture 2021: Prof, Sir Andrew Haines ‘Cardiovascular disease on a changing planet’
• Planned new initiatives:a) Strategic move to embedded mini-conferences (Imaging Council, BSH, BHRS, BCIS, BCCA)b) Combined GP / Patient day (PCCS & CCP-UK)c) Nuclear and CTCA level I coursesd) AHP, nurses, cardiac scientists dedicated abstract track. e) CPCS - symbiotic Training Day
Theme for BCS 2020: ‘Cardiology and the Environment’
Remaining plans for 2020:
BCS Awards day – RCP/virtual• YIA – 27 Applications• MDECA – 5 Applications• Total Abstracts – 223 submissions
• Basic Science – 46• Clinical Abstracts – 177:
• ACHD/valve disease/pericardial disease/cardiomyopathy – 23
• Acute coronary syndromes & Interventional Cardiology – 45
• Allied Health Professionals/Nursing/Health Scientists – 7
• Cardiac Rhythm Management – 29
• Heart Failure – 29
• Imaging – 21
• Stable IHD/Prevention/Hypertension/Lipids – 23
CaReMe (cardio/renal/metabolic group) sessionIndustry symposium on Heart Failure
BCS Awards Day: Friday, 16th October 2020: Location: RCP. Council Chamber for meeting (max 100),
Programme:
09:00 Welcome address
09:10 ‘Best of the Best’ oral Abstracts (3 presentations from 7 categories; 6min talk, 4min Q’s)
09:10-09:40 ACS and PCI
09:40-10:10 CRM
10:10-10:30 Heart Failure
10:30-11:00 Coffee
11:00-11:30 Imaging
11:30-12:00 ACHD, valves, cardiomyopathy, pericardial dx
12:00-12:30 Stable chest pain, CV prevention, hypertension, lipids
12:30-13:00 Allied health professionals, nursing, health scientists
13:00 Lunch
14:00-14:30 MDECA (Dr Christopher Miller; University of Manchester)
14:30 Young Investigator Award presentations – 90min (8min presentation, 7min Q’s)
14:30-14:45 Dr Natalie Haywood (University of Leeds): The endothelium as a paracrine modulator of adipose function: a role for endothelial igf-1r in the setting of nutritional obesity.
14:45-15:00 Dr Jillian Simon (University of Oxford): Oxidized PKARIα protects against ischemia-reperfusion injury by inhibiting lysosomal-triggered calcium release.
15:00-15:15 Dr Richard Jabbour (Imperial College London): In-vivo grafting of large Engineered Heart Tissue patches for cardiac repair.
15:15-15:30 Dr Klemen Ziberna (University of Oxford): Diabetes mellitus generates the substrate for atrial fibrillation by causing a localised conduction block.
15:30-15:45 Dr João Augusto (Barts Heart Centre): Machine learning wall thickness measurement in hypertrophic cardiomyopathy exceeds performance of world experts.
15:45-16:15 Tea
16:15 Prize giving (photos)
Web Editors prizes (3 awards) Best of the Best oral abstract prizes (7 awards) YIA prizes (usually 3 awards) MDECA BCS Mackenzie medals (Professor, Sir Nilesh Samani & Professor Barbara Casadei)
Extended and revamped portfolio of courses:• Cardiology Review Course (SH, JG, Rajiv Gulati (Mayo))
• A Career in Cardiology (Aung Myat)
• National Training Day (Dan Sado)
• ACHD (Kate English, Sarah Bowater)
• A Year in Cardiology (SH & JG)
Plus new courses: • Early Consultant Career course (Dr Shouvik Haldar & Dr Simon Pearse)
• Digital Cardiology (Dr Amitava Banerjee & Dr Shouvik Haldar)
• Cardio-oncology
• ECG course
Digital Knowledge Centre/Hub European Board for Accreditation in Cardiology (EBAC)
Education Committee (Chair: Shouvik Haldar)
BHF CRC
BHF CRCBHF Grant awarded in 2019 to the BCS to host (on behalf of all societies) a clinical research network to prioritise the best clinical research questions
• Facilitated meetings to enhance collaboration
• Integrated IT system and database
• Patient and Service User Involvement
• Research Development Support
• Sponsored Learning Sessions
“Turn key” to design and execute cross-cutting national impactful clinical trials
BHF ‐CRC Oversight Board
NHS E Representatives
BCS Representatives
ProgrammeAssuranceBHF‐CRC Executive
COO and CL
Core: Network COO and Clinical Lead BCSRepresentative
Heart Rhythm & Pacing
Lead and/or team members from BHRS
Hypertension
Lead and/or team members from BIHS
Valve Disease
Lead and/or teammembers from BHVS
Clinical Sciences
Lead and/or teammembers from BAS and
BSCR
Professional Societies
Heart Failure
Lead and/or teammembers
from BSH
Cardio‐Oncology
Lead and/or teammembers from BCOS
Congenital & Inherited
Lead and/or teammembers from BCCA and
AICC
BHF Representatives
BHF‐ CRC Steering Group
Chaired by Clinical LeadCore: Executive and Chairs of Individual CSGs
Patient Public Group Chairs
The delivery Partner
CSGs
BCS
Hosting networkstaff, IT facilities,meeting facilities
3rd party involvement
NIHR Representatives
InterventionalCardiology
CardiacSurgery
Vascular Surgery Imaging Prevention &
RehabilitationClinical Trials Epidemiology
Patient & Pubic Engagement
BHF AppointedChair
PatientRepresentatives
‐ Disease Groups
‐ Cross Cutting Themes
CRC Programme Structure
Progress and Next Steps
• Developing IT infrastructure
• Supporting initial clinical study group meetings with engaged societies
• Develop the CRC strategy and operational priorities
• Set up microsite: www.bhfcrc.org• Staff Appointments
• COO, Allyson Arnold• Coordinator, Rani Buskell• Clinical Lead, Prof Rod Stables
• Facilitated first meetings – Steering Group, Oversight Board
Up next: VP Training – Dr Alison Calver
Report fromCardiology SAC Chair
Vice President (Training)
Dr Alison Calver
• New Curriculum• Recruitment
• EEGC• CCT
• CESR• Effects of COVID-19 on training
Work of SAC 2019/20
New Curriculum• GIM compulsory• Training stays at 5 years after IM3• 5 Themes for Service (replaces Advanced Modules)• Maintains current structure to a large degree• 2/3 years core, 2/3 years Theme for Service• No separate academic track• No points system• First trainees will be appointed to ST4 in 2022• GIM runs through the whole training programme in all
training years
Recruitment
• Largely cancelled due to COVID-19• NTNs awarded via scoring of application form• National process agreed by all Deans• All specialties the same• Concerns expressed in many areas• Time will tell if candidates are of the usual calibre
EEGC• Cancelled in June 2020 due to COVID-19• Plans to re-stage in Oct/Nov 2020• For the cohort booked into June sitting only• 6 substituted UK questions again• GMC Quality Assure• UK Chair: Dr Mark Westwood• European Chair: Dr Chris Plummer• CESR applicants – discussions continue
Total CCTs
0
10
20
30
40
50
60
70
80
90
100
Total Female Dual CCT (G(I)M)
Subspecialty
0
5
10
15
20
25
30
35
40
Subspecialty
G(I)M: 2 Academic Training: 2 ACHD: 4ACHD: 2 Pregnancy: 1 PCI: 4EP+/‐Devices: 4 Devices Only: 2 Heart Failure: 2Imaging: 4 Imaging: 2 ICC: 1
Subspecialty: Imaging
0
2
4
6
8
10
12
14
16
18
20
Echo MRI CT Nuclear
CESR• 22 applications in 2019• 18 completed: 8 new, 10 reviews• 8 granted CESR, 10 rejected• 15 male: 3 female• 4 applications still live 3 male: 1 female• Substantial workload
Effects of COVID-19
• Trainees redeployed across UK• Practical procedures interrupted• Cardiology training “paused”• Experience gained can count for generic capabilities –
leadership, management • COVID-19 ARCP outcomes are available• Some trainees will need extra time
SAC Structure• VP and SAC Chair – Dr Alison Calver• SAC Vice Chair – Dr Mark Westwood• Curriculum Lead – Dr John Paisey• Recruitment Lead – Dr Brian Clapp• CESR Lead – Dr John Morris• Fully Committed TPDs• 3 Trainees and Lay member
Thank you
Up next: Heart Journal –Editor-in-Chief, Catherine Otto
heart.bmj.com
AGM 2020
heart.bmj.com
Heart Milestones 2019-2020 Acceptance rate for original research remains 12% Median time to first decision of 6 days (29 days for peer-reviewed research) Most read articles :
• Optimum nutritional strategies for cardiovascular disease prevention and rehabilitation (BACPR)• Role of advanced left ventricular imaging in adults with aortic stenosis• Angina: contemporary diagnosis and management
Frequent media coverage of articles published in Heart Heart podcasts 2X a month with 2000 to > 6000 listeners for each Recent topics include
• Coping with Covid-19 – advice from a New York City Intensivist• Cardiology in the Covid-19 era -- looking after ourselves so we can look after our patients• COVID in Seattle – hope for the best, prepare for the worst.
Heart also now has over 34K Twitter followers
heart.bmj.com
COVID Challenges
Dramatic increase (>30%) in submissions with stay-at-home orders All COVID-related papers are fast-tracked Editorial team stretched with many pulled for clinical duties
• Others on Editorial Team stepped up to keep review times short• Editorial Team members took on additional responsibilities as needed• Editorial Staff are providing outstanding support • Web-based editorial approach and geographically dispersed editorial team have stood us in
good stead in these difficult times.
heart.bmj.com
COVID papers in HeartReview Cardiovascular manifestations and treatment considerations in COVID-19
Editorials Flattening the curve in COVID-19 using personalised protective equipment: lessons from air
pollution COVID-19 and Acute Myocardial Injury: The Heart of the Matter or an Innocent Bystanders? Cardiovascular Disease and COVID-19: Implications for Prevention, Surveillance, and Treatment Getting to the heart of the matter of COVID-19
Original Research Is there any impact of underlying cardiovascular diseases on hospitalized COVID-19 patients? Association of cardiovascular disease and cardiac injury with mortality risk in COVID-19 Impact of cardiovascular disease and cardiac injury on in-hospital mortality in COVID-19 patients
heart.bmj.com
Looking forward Heart is your journal -- our goal is a journal that clinicians want to read and researchers want to
publish in.
Heart publishes research across the spectrum of clinical cardiovascular disease.
Heart continues to improve the quality of published research by providing resources to authors before submission as well as enhancing data presentation during the review process.
Heart provides a rapid and fair review process that encourages authors to submit to the journal.
Heart embraces digital media to promote education and science in cardiovascular medicine.
Input, feedback and suggestions from readers, authors and BCS members are always appreciated. Please free to contact me directly at [email protected]
Up next: President of the BCS –Prof Simon Ray
President’s Report
Simon Ray
BCS Five Year Strategic Plan 2020-24
Five Year Vision: To be the leading voice for UK Cardiology
Strategic Aims: Activities and resources will be focused on delivering three strategic aims.
Strategic Aims 2020-241. Enhancing the quality of care
(Influencing national policy on key issues. Raising Standards of professional practice)
2. Supporting and adding value to members working within the profession(Providing an exceptional/high quality membership package)
3. Delivering high quality education and training in cardiology across the range of cardiology.
Looking ahead..Review of 5 year strategy in light of COVID-192021 - ESC meeting returns to London2021 - BCS Conference returns to Manchester2021 - BHF 60th Anniversary2022 - BCS Centenary year
BCS Emerging Leaders Program (ELP)
Annual Conference
Thank you to our sponsorsCourses
Early Consultant Career
A Year in Cardiology
Digital Cardiology
UK Heart Failure Investigators Research Network
Thank You
Special thank you to…The BCS Staff
Date of next meeting
Wednesday 9 June 2021
12:30 – 13:30
At Manchester Central