ACCEA FORM A (Application Form) Employer-Based Award
CLINICAL EXCELLENCE AWARDS SCHEME – APPLICATION FORM
2012 Round
It is the consultant’s responsibility to ensure that this form is fully completed – all boxes to be completed
Part 1 to be completed by the applicant
Surname:
Parkinson
Employer(s) name(s) with number
of sessions per employer
(Lead NHS employer first)
University of Morecambe Bay
Hospitals NHS Foundation Trust
10.5 PAs
BMI The Lancaster Hospital
Meadowside
Lancaster
1 PA
Forename:
Professional Title:
Ian
Dr
List of consultant appointments in date order
05/01/2008
University of Morecambe Bay Hospitals NHS
Foundation Trust
Locum consultant in anaesthetics
02/11/2009
University of Morecambe Bay Hospitals NHS
Foundation Trust
Substantive consultant in anaesthetics with a
special interest in obstetric anaesthesia
Application type: Level applying for:
New
CEA Level 1
Accredited Specialties (main first)
Anaesthetics
Year appointed to the consultant grade
2008
Primary Medical Qualification (Date and
Institution)
MBChB 1996, Edinburgh
Subsequent Qualifications
(Date and Institution)
Primary FRCA, April 2001, RCOA
Final FRCA, November 2004, RCOA
Current level
NO AWARD
Year awarded
Ethnic origin
Please select
GMC/GDC Reg No.
4332343
Preferred address for correspondence
Anaesthetics Department, Royal Lancaster
Infirmary
Work tel (Direct Line)
01524583517
Email
[email protected]
You cannot fill this form out without using the Guide to the Scheme, to which you must adhere strictly
PERSONAL STATEMENT
Give up to four examples that summarise your achievements. These should be since your last award. (Box limited to 1350
characters).
I am the clinical lead for Obstetric Anaesthesia on the RLI site and I am heavily involved in the governance of this service. A key
development I have made in this area has been the development of a web-based patient follow-up 'app', in conjunction with the IT
department. We now use this app for continuous, ongoing realtime audit of the care we give to women in theatre and on labour ward.
I have had a keen interest in the governance of procedural sedation, across the trust since my appointment as a consultant. I wrote the
trust guildeline on adult sedation and I have now developed my role in this cross-disciplinary area. Over the last 2 years I have spoken
at a national anaesthetic meeting and written an editorial on this issue for a national medical journal. I was a member of the Academy
of Royal Medical Colleges national working party on procedural sedation, which published October 2013.
I am the lead consultant for the programme to replace anaesthetic machines across the trust.This six hundred thousand pound, 10-year
rolling programme is replacing our existing stock with anaesthetic machines employing the very latest technology. Key aims are to
improve patient safety and to encourage greater efficiency in our use of anaesthetic volatile agents, which should stimulate financial
savings and improved environmental impact.
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JOB PLAN
List agreed programmed or other activities relevant to the NHS. The Plan should itemise the number of remunerated direct
clinical care PAs, the number of remunerated supporting PAs (SPAs), the number of other remunerated sessions / PAs for
activities described in this application with a description of what these are, and also list unremunerated activities. (Box limited
to1350 characters).
I have a 10.5 Programmed Activity (PA) contract which is split into 8 Direct Clinical Care PAs and 2.5 Supporting Professional
Activities (SPAs). I spend the majority of my clinical time (~6 PAs) in elective or emergency theatre anaesthetic sessions and the preand post- operative care of these patients. I provide clinical care on labour ward for one session a week on labour ward and I hold an
obstetric anaesthesia clinic every two weeks. I am on call for emergencies on a 1 in 14 basis and this is reflected as 0.5 PAs of my
contract.
I am the obstetric anaesthetic lead at the RLI (this role does not carry a sessional allowance). Responsibilities include coordinating
local audit and input to national audit programmes, attendance at Divisional Risk Management and Guideline development groups,
critical incident review and education of the multidisciplinary team.
My educational activities include educational supervision and clinical supervision for anaesthetic specialist trainees and provision of
specialist study modules in anaesthesia for undergraduate students.
My actual work follows my job plan, though I frequently stay later than expected if operating lists or other clinical activities run later
than planned and I am flexible with my free time in supporting the clinical and governance activities of the department.
Domains
If you are applying for levels 1-9 you can include additional information for Domain 3 OR Domain 4 OR Domain 5.
Please provide additional information for one domain only.
DOMAIN 1: DELIVERING A HIGH QUALITY SERVICE (see Guide) (Box limited to 1350 characters).
I believe that I deliver high quality patient care in the theatre, labour ward and clinic environment. I am an effective communicator
both with patients and with members of the multidisciplinary team and I lead the theatre or labour ward teams efficiently.
In our last obstetric patient satisfaction survey more than 95% of our patients are satisfied with their epidurals and more than 99% are
satisfied with their in-theatre care. Audit shows we are providing good pain relief in 89% of epidurals and that we provide appropriate
and effective analgesia after caesarean sections. I am proud to be part of a team maintaining these standards of care.
My formal patient feedback exercise this year was almost uniformly excellent including comments on being trustworthy, giving
thorough explanations, putting patients at ease and being open to questions.
I am pleased that my colleagues rate me as 'good' on every aspect of my practice in 360 degree feedback; all the comments received
were positive including: ‘excellent communicator’; 'open and approachable'; 'well liked'; 'good supervisor'. In another feedback
exercise, I was ranked as one of the top performers in the anaesthetic department in the domains of treating staff with respect,
communication with patients and crisis management in theatre.
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DOMAIN 2: DEVELOPING A HIGH QUALITY SERVICE (see Guide) (Box limited to 1350 characters)
I coordinate the ongoing follow-up audit of all our obstetric patients, which has shown excellent patient satisfaction figures to date; I
have developed a web-based 'app', so that this patient data can be gathered at the bedside using a tablet computer. This database gives
the department continuous, realtime audit of the service we deliver to our patients. I have improved our systems for collecting data for
the National Obstetric Audit Database and the UK Obstetric Surveillance Study, so that this is now extracted from patient coding data;
this has improved the trust's compliance with these national audit projects.
I regularly review critical incidents in obstetrics and I attend the Women and Childrens Division Risk Management Group and
Guideline Development Group. I am part of a small party who have developed a new Early Warning Score chart for obstetrics, which
is about to go into use across the trust.
I led the introduction of patient-controlled epidural analgesia for labour, across the trust; including a comprehensive educational
programme. This system promotes patient autonomy and audit shows that we are providing effective pain relief.
My involvement with procedural sedation governance (locally and nationally) and my role in the renovation of our second obstetric
theatre are detailed in domains 3 and 4.
DOMAIN 3: MANAGING AND LEADING A HIGH QUALITY SERVICE (see Guide) (Box limited to 1350 characters)
If a candidate at any national level completes form F to illustrate their leadership and management achievement it is not necessary to
fill in domain 3; simply enter “see form F”.
I am the clinical lead anaesthetic machines replacement and I have been fully engaged with this programme at every stage, from
organising initial 'road shows' of competing manufacturers, to leading the competency based training of staff, through to
troubleshooting issues during clinical introduction. These machines and training have been delivered on time and at a considerable
saving on initial cost estimates.
I led anaesthetic input to the extensive renovation programme of our second Womens Unit Theatre. I helped to identify the clinical
risks associated with this environment, which was cold, small and undignified for our patients. Through liason with obstetrics,
midwifery and the estates departments, we now have a modern, warm and pleasant theatre, where maternity cases can be carried out
safely.
As obstetric anaesthesic RLI lead, I attended the trust maternity clinical strategy group and I have set-out a costed business case to
address the shortfalls in anaesthetic staffing in obsterics; this has been presented to the the board. I have designed a forward plan and
improved our obstetric anaesthetic audit as described in domain 2.
I am the trust lead for procedural sedation, wrote the trust guideline and routinely audit critical incidents in this area; I was a member
of the AoRMC working party on this topic (see domain 4).
DOMAIN 4: CONTRIBUTING TO THE NHS THROUGH RESEARCH AND INNOVATION (see Guide) (Box limited to
1350 characters)
If a candidate at any national level completes form D to illustrate their research achievement it is not necessary to fill in domain 4;
simply enter “see form D”.
I was a member of the Academy of Royal Medical Colleges working party on procedural sedation, setting national standards and
guidance on this important issue for patient safety. I drafted the section 'Audit and Quality Assurance', setting standards on clinical
incident reporting and suggested auditable outcomes. I also drafted the section on hospital trust sedation committees and contributed
to the development and editing of the document.
I was the trusts prinicipal investigator in the ENIGMA-II international, multicentre study on the effects of nitrous oxide on cardiac
morbidity after major surgery. I have just received thanks for our participation in this trial and confirmation that ths results will be
published shortly in the Lancet.
I lead the trust's contribution to the National UK Obstetric Surveillance Study and National Obstetric Audit Database and compliance
with these national audits is now much improved.
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Within the last 5 years, indicate how many publications you have had, how many of these were in peer reviewed journals and
list the 3 most important ones. No other text is allowed. (Text limit 1350 characters)
In the past 5 years I have had the following significant publications. The first is a national standards document, the second an editorial
and the third a review article. The latter two are from national circulation, peer reviewed journals.
Safe sedation practice for healthcare procedures
Academy of Medical Royal Colleges, October 2013
(Member of working party)
Non-anaesthetist administration of propofol for conscious sedation: Caught NAAPing
Ian Parkinson, British Journal of Hospital Medicine, Vol. 73:12, December 2012, pages 666-667
Cleaning, disinfection and sterilisation of anaesthetic equipment
Sethu Verebandran and Ian Parkinson, Anaesthesia and Intensive Care Medicine, Vol. 11:11 November 2010, pages 451-454
DOMAIN 5: CONTRIBUTING TO THE NHS THROUGH TEACHING AND TRAINING (see Guide)
(Box limited to 1350 characters)
If a candidate at any national level completes form E to illustrate their teaching and training achievement it is not necessary to fill in
domain 5; simply enter “see form E”.
On the trust level, education of the multidisciplinary obstetric team is one of my key concerns. I led the introduction of scenario based
learning to the labour ward and I am now involved with the introduction of the PROMPT obstetric multidisciplinary course to the
trust; participant feedback from this course has been excellent. I led the multidisciplinary educational programme around the
introduction of patient-controlled epidural analgesia including lectures, small-group tutorials and hands-on sessions.
I regularly supervise undergraduate students for SSM and SAMP modules in anaesthesia; I am a clinical and educational supervisor
for anaesthetic specialist trainees who rotate to the hospital; I provide North-West regional tutorials on obstetrics for specialist trainees
about to undertake their FRCA examinations and attend regional practice viva and OSCE examinations.
I am a MOET (Management of Obstetric Emergencies and Trauma) instructor and teach on this national course, for senior specialists,
every year. I recently spoke at a large national anaesthetic conference on the subject of procedural sedation.
I have just completed the final module of a Post-Graduate Certificate in Medical Postgraduate Education at Edge Hill University and I
plan to further develop my educational role in the future.
Verification of Completion
I declare that to the best of my belief this information is accurate and I am not aware of any disciplinary or professional
conduct and performance issues against me
Full Name
Dr Ian Parkinson
Signature :
(The applicant needs to print a hard copy, which needs to be signed and retained.)
Assessment by domain
For each of the domains please indicate your assessment of the candidate in terms of contribution to work for the primary employer
and the wider environment of health care locally, eg in the SHA or Deanery. You are not asked to judge national or international
contributions, for which ACCEA will receive advice separately.
X
U
C
P
E
No contribution in this domain
Has not delivered contractual obligations at a level expected
Delivers contractual expectations at a level expected
Some aspects of delivery have been clearly over and above expectations
Outstanding delivery of service
Domains
4
1. Please select
2. Please select
3. Please select
Please give your reasons if you have marked any domain U, P or E
(box limited to500 characters)
5
4. Please select
5. Please select
GIVE YOUR ASSESSMENT OF THE CANDIDATE OVERALL FOR THIS LEVEL OF AWARD
(Please give your reasons for your assessment of the candidate – box limited to 500 characters)
Please select
a) Is the consultant to the best of your knowledge working to the standards of professional and personal conduct
required by the GMC and/or the GDC?
Please select
Has the consultant during the last 12 months
b) had a formal appraisal
c) agreed his/her job plan
d) fulfilled his/her contractual obligations
e) complied with the private practice code of conduct?
Please select
Please select
Please select
Please select
f) Are you aware of any actual or potential disciplinary or professional proceedings inside or outside the Trust?
If the answer to (a-e) is No or the answer to (f) is Yes, further details must be supplied.
(Box limited to about 500 characters)
Please select
Name of person completing this form:
Position Held:
I, as Chief Executive, certify that the contents of Part 2 are accurate. The comments represent the considered opinion of the employer.
Chief Executive Name:
Direct Line tel:
Direct email address:
Date:
Chief Executive of:
Signed by Chief Executive
Note to Chief Executive: Please sign personally and date the copy which the candidate will retain.
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