BOA Big Debate/Question Time

4.50pm – 6.20pm BST, 17 September 2024 ‐ 1 hour 30 mins

Room: Hall 8

BOA Session

Question Time – Physician Associates in Trauma and Orthopaedics: Ensuring a Safe and Collaborative Future

Chairs: Paul Buckley & Hiro Tanaka

Agenda:

16:50 - 16:55 Welcome and introduction Paul Buckley

16:55 - 17:05 Experience of working with Physician’s Associates in T&O Cheryl Baldwick

17:05 - 17:15 BOTA perspective of the challenges / benefits of PAs. How can regulation/scope help? Oliver Townsend

17:15 - 17:25 Frontline experience of working as a PA Patrick Thies

17:25 - 17:35 What can the BOA do to ensure a safe and collaborative future and avoid the mistakes of RCP? Partha Kar

17:35 - 17:45 The BOA’s role in guiding regulation and scope Fergal Monsell

17:45 - 18:20 Q&A Paul Buckley

Speakers

Cheryl Baldwick

Consultant Orthopaedic Surgeon , Royal Devon University NHS foundation

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Paul Buckley

Lay Trustee, British Orthopaedic Association

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Hiro Tanaka

Consultant Orthopaedic Surgeon

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Partha Kar

Consultant, Diabetes and Endocrinology, Portsmouth Hospitals University NHS Trust

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Fergal Monsell

Consultant Orthopaedic Surgeon, Bristol Royal Hospital for Children

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Patrick Thies

Physician Associate Orthopaedic Surgery, Royal Orthopaedic Hospital Foundation Trust Birmingham

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Oliver Townsend

ST5 BOTA Sustainability and Workforce Rep , Salisbury NHS Foundation Trust

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Cheryl Baldwick

Consultant Orthopaedic Surgeon , Royal Devon University NHS foundation

I trained in London, Oxford and Sydney and have been a consultant in North Devon since 2008. My clinical practice is in general trauma and shoulder & elbow surgery. Over the course of my career, I have held several leadership roles, starting as many people do, with rota management as a trainee. Some posts have been in medical education, and I spent several years as our Foundation Training Programme Director. I have had a number of operational management roles and am currently sharing an interim Medical Director post with a colleague, alongside being Deputy Medical Director for a large directorate.

Since 2014, I have been a member of the BOA Trauma Committee, contributing to the development of BOASTs and chairing a number of multi-disciplinary fragility fracture reviews around the UK. I was elected as a BOA Trustee three years ago and now chair the Trauma Committee. I work in a small rural Trauma Unit and, while involved in the BOA, I have always highlighted issues relating to smaller units and promoted generalisability in the guidance the Trauma Committee has released.

Paul Buckley

Lay Trustee, British Orthopaedic Association

Paul Buckley retired from the General Medical Council at the end of 2020 after almost 25 years with the organisation, for 16 of which he was a Director and member of the Senior Management Team. In his most recent role he was responsible for the development of the GMC’s corporate strategy and overseeing its policy work including a major regulatory reform programme, and leading other key functions including Equality, Diversity and Inclusion, business planning, research and data. He was also a Director and Managing Director of GMC Services International Ltd, a consulting subsidiary. Paul now works in consultancy and non-executive roles in healthcare. In particular,in addition to his role with the BOA he is the independent chair of the Chief Executive Board of the Scope of Practice and Education partnership which is coordinating work to advance the counselling and psychotherapy profession for adults across six organisations. He was previously a member of the Citizen’s Partnership of the Healthcare Safety Investigation Branch.

Hiro Tanaka

Consultant Orthopaedic Surgeon

Hiro Tanaka is a consultant orthopaedic surgeon in Newport, South Wales. He is passionate about improving the quality of surgical training and promoting clinical leadership in the NHS. He designed the BOFAS Principles Course on behalf of the Education Committee in 2010 and continues to be a member of the committee. He is Chairman of the Education and Revalidation Committee of the BOA and is an examiner for the FRCS (Orth).

Partha Kar

Consultant, Diabetes and Endocrinology, Portsmouth Hospitals University NHS Trust

Professor Partha Kar is the Type 1 Diabetes & Technology lead for NHS England and co-lead of the Getting it Right First Time (Diabetes) and Consultant, Diabetes & Endocrinology in Portsmouth
In his role with NHS England-He has helped to expand use of technology in Type 1 Diabetes- namely use of Flash Glucose/CGM & implementation of use of CGM in T1D pregnancy along with use of online digital self-management platforms- while recently leading on real world data collection on Closed Loops for subsequent NICE review. He has worked subsequently with NICE on updating relevant guidelines in non-invasive glucose monitoring access in Type 1 and Type 2 Diabetes.
His other work has involved introduction of frailty into Quality Of Framework (QoF) treatment targets, Diabulimia pilot projects in the NHS; championing “Language Matters” and helping to create an overview of Diabetes care in Primary Care Networks.
Recent work has included principles of Peer support for Type 1 Diabetes as well as a Decision Support Tool for those with Type 1 Diabetes
He is one of the leading users of social media in diabetes care- and writes a monthly blog for the British Medical Journal.
He has also been recognised as one of the most influential figures from the ethnic minority population across healthcare in the UK by the Healthcare Service Journal in 2020,2021, 2022 & 2023
He received an OBE for services to Diabetes care in 2021
His has worked with NICE regards opening up access to "Artificial Pancreas" to those with Type 1 Diabetes- and leading on the 5 year implementation plan

Fergal Monsell

Consultant Orthopaedic Surgeon, Bristol Royal Hospital for Children

Fergal Monsell graduated without distinction from the Welsh National School of Medicine. He completed higher surgical training at the University of Manchester and has been a Consultant at the Royal Hospital for Children, Bristol since 2004. He is involved in the management of paediatric patients with a special interest in limb deformity and trauma.
He has made a greater than average contribution to the canon of lower-level evidence and has been awarded degrees at Master and Doctorate level.
He has a longstanding interest in education, is Director of the Avon Centre for Musculoskeletal Education and Projector at the Grand Academy.

Patrick Thies

Physician Associate Orthopaedic Surgery, Royal Orthopaedic Hospital Foundation Trust Birmingham

Patrick Thies is an Orthopaedic Physicians Associate (PA) with 24 years of experience - 16 years practicing in the US and eight years in the UK. With a military background, he spent 21 years in the US Army, the final nine years as a PA. He works at the Royal Orthopaedic Hospital in Birmingham.

Patrick's expertise spans a wide range, initially focusing on general orthopaedics including shoulder, hip and knee procedures, along with fracture care. Over the years, he has honed his skills and now assists in the hip and knee arthroplasty unit, with a particular emphasis on robotics.

His work extends across various healthcare settings, from wards to outpatient clinics and operating theatres, where he applies his extensive knowledge and expertise to provide exceptional care to his patients.

Oliver Townsend

ST5 BOTA Sustainability and Workforce Rep , Salisbury NHS Foundation Trust

I am a Trauma & Orthopaedic Specialty Trainee in Wessex, and the current BOTA Sustainability & Workforce Representative. I have worked with both the RCS England and BOA as a trainee representative on defining the scope of practice for PAs in both Surgery and in Trauma & Orthopaedics.