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SUMMER MEETING ONLINE – 17th & 18th June 2021
Speakers’ Details and Presentation Summaries
The following details are in programme order. Use the PDF search button to quickly find a session or speaker.
OPEN SESSION – NATIONAL ASTHMA AND COPD AUDIT
PROGRAMME
Thursday 17th June: 08:00-09:00
Dr James Calvert qualified in Medicine from Oxford Session aims and overview
University in 1992. He studied Public Health as a 1) To summarise the main findings of the 2020/21
Fulbright Scholar at Harvard University before NACAP reports.
completing his PhD in Asthma Epidemiology in South 2) To outline the QI support opportunities offered by
Africa and London. NACAP to clinical and audit teams.
He was a Consultant Respiratory Specialist in Bristol
from 2006-2021. He is now a Respiratory Consultant Professor Roberts will present a summary of key
and Medical Director of Aneurin Bevan University reported findings from across the audits from the last
Health Board in Wales. 12 months, highlighting areas for further
James has worked with colleagues in the South West improvement. He will speak about the impact of
and at NHS England to improve access to integrated COVID-19 on standards of care and on audit
services for respiratory patients. He has Chaired the participation, along with plans to improve automated
British Thoracic Society (BTS) Professional and extraction of NACAP data.
Organisational Standards Committee and has been Dr Calvert will talk about the QI programme to be
the BTS National Audit Lead. He has a longstanding launched this year.
interest in quality improvement in health care and has A discussion will follow around ideas for improving
worked with the BTS, NHS Improving Value, the Royal NACAP support to clinical and audit teams.
College of Physicians (RCP) and the University of
Bristol in this field. He was National Specialty Advisor
for Severe Asthma from 2017-2020 and continues to
lead the National Asthma Audit at the Royal College of
Physicians.
Professor Mike Roberts is the Clinical Director of the
National Asthma and COPD Audit Programme, for the
Royal College of Physicians, and has led national audit
in this field since 2001. He has held consultant posts
with Barts Health, Princess Alexandra Hospital and
Essex Partnership University Trust. He is Managing
Director of UCL Partners Academic Health Science
System and Deputy Director of the NIHR North
Thames Applied Health Research Collaboration.
Speakers’ Details & Presentation SummariesSUMMER MEETING ONLINE – 17th & 18th June 2021
Speakers’ Details and Presentation Summaries
The following details are in programme order. Use the PDF search button to quickly find a session or speaker.
SYMPOSIUM – YEAR IN REVIEW
Thursday 17th June: 09:30-11:00
Dr Alanna Hare is a Consultant in Sleep and Pulmonary infection and COVID-19
Respiratory Failure at the Royal Brompton Hospital in This session will provide an overview of developments
London. She graduated from Selwyn College, in respiratory infections over the previous 12 to 18
University of Cambridge in 1999, and completed her months, including those in COVID-19 and non-
postgraduate training at Imperial College London in pandemic infections.
2002.
She is Chair of the British Thoracic Society Education Dr Martin Allen is a Respiratory Physician at
and Training Committee and Treasurer of the British University Hospital of North Staffordshire.
Sleep Society. She sits on the Board of the Sleep He has interests in a variety of respiratory diseases
Council. She was made Honorary Clinical Senior including COPD, ventilatory support / weaning and
Lecturer at NHLI 2018. sleep medicine, originating from his research into
sleep and physiological changes.
Dr John Park is a Consultant at Oxford Universities He has fulfilled a variety of management and
NHS Foundation Trust and is lead for Lung Cancer. He transformational roles within the hospital, including
trained in the London and Oxford Deaneries. He CD and Medicine Divisional Head.
completed a PhD in pulmonary vascular and structural He holds a variety of national roles including: sitting
remodelling at Imperial College London, National on the British Thoracic Society Board, Chair of the
Heart and Lung Institute. John is Honorary Treasurer Respiratory EWG on Coding, sits on the Respiratory
of the BTS having previously been Chair of the BTS CRG, contributes to the Respiratory Long-Term Plan,
Education and Training Committee. leading on pneumonia, works with the AHSN, is the
GIRFT National Clinical Lead for Respiratory Medicine
Dr David Connell a Consultant Physician in Respiratory and the NSA for physiological measurement.
Medicine at NHS Tayside with clinical interests
incorporating complex lung infections, particularly GIRFT – themes and outcomes: a review so far
tuberculosis, chronic pulmonary aspergillosis, and The objectives of this presentation are to:
non-tuberculous mycobacteria. He also works in - review the GIRFT methodology;
medical high dependency and acute medicine, and - discuss methods of data extraction and data flow;
has interests in the delivery of care in both chronic - highlight variations in care across English hospitals
and acute respiratory infections, including influenza, and some of the reasons;
and more recently COVID-19. He was the Clinical Lead - highlight recommendations to improve care,
for Winter Planning during the pandemic winter of including COVID;
2020-21 at NHS Tayside, and is Chair of the Pulmonary - discuss opportunities for system working.
Infection Specialist Advisory Group of the British
Thoracic Society. During the first year of the
pandemic, he was a co-opted member of the UK New
and Emerging Respiratory Virus Threats Advisory
Group (NERVTAG).
Speakers’ Details & Presentation SummariesSUMMER MEETING ONLINE – 17th & 18th June 2021
Speakers’ Details and Presentation Summaries
The following details are in programme order. Use the PDF search button to quickly find a session or speaker.
SYMPOSIUM – MDT EXPERTISE: BEYOND THE DRUGS
Thursday 17th June: 09:30-11:00
had on levels of physical activity in COPD patients will be
Alison Armstrong, Nurse Consultant (Long Term Ventilation) made.
Newcastle upon Tyne.
Alison is the Nurse Consultant within the regional North-East Jennifer Murphy is a highly specialist Speech and Language
Assisted Ventilation Service. Therapist for laryngeal disorders, based at Newcastle upon
She represents nursing on a number of groups. She has a Tyne Hospitals. She is passionate about improving care for
national role as Co-chair for the BTS Nurse Specialist Advisory patients with upper airway disorders, through supporting
Group, as well as being an active member on their Education earlier identification, and developing interventions and
and Training Committee. services to optimise patient care. She is an Honorary
Alison is the host of the Specialists in Long-term Ventilation at Lecturer at Newcastle University and over the last three years
Home (SiLVaH) National Network, which is a non-medical has been awarded three academic grants. This has enabled
group for those working in the support of patients on home her to complete a Master’s in Public Health and Health Service
mechanical ventilation. Research at Newcastle University, host several patient
Alison has an MSc in Practice Development, and her main engagement research groups, and commence the early
interest lies in assuring good quality of life for her complex development work of a complex intervention for inducible
client group. laryngeal obstruction.
Dr Karen Heslop-Marshall is a Nurse Consultant working in The larynx: friend or foe?
Newcastle upon Tyne. Karen’s main area of expertise is the This session will explore the role of the larynx, for voice,
psychological impact of respiratory disease. Karen completed breathing and beyond. It aims to promote early identification
a postgraduate diploma in cognitive behavioural therapy (CBT) of laryngeal disorders within the respiratory population; and
in 2003 and developed a CBT treatment for patients with provide an insight into different treatment options. The
respiratory problems who face psychological difficulties. Karen presentation will include an overview of laryngeal anatomy
completed a National Institute of Health Research (NIHR) PhD and physiology, with examples of ‘normal’ and disordered
Clinical Academic Training Research Fellowship from 2011 to laryngeal physiology and function. Videos of laryngeal
2016. Her PhD research was the largest RCT into CBT for COPD examinations will be shown to demonstrate how Speech and
patients who experience anxiety and depression. Karen was a Language Therapists differentially diagnose laryngeal
co-applicant of the NIHR TANDEM HTA Study using CBT and disorders, and showcase what impact laryngeal retraining
pulmonary rehabilitation. exercises have upon the larynx.
Matthew Armstrong is a post-doctoral research fellow Rachael Moses is a Consultant Respiratory Physiotherapist
working at the University of Northumbria Newcastle. He with an expert background in complex weaning, long term
recently completed his PhD that investigated the feasibility, ventilation, airway clearance and advanced care planning.
acceptability, and efficacy of a physical activity behavioural Rachael is fortunate to sit on a number of national
modification intervention alongside pulmonary rehabilitation organisations, including the Chartered Society of
and cognitive behavioural therapy in COPD patients with low Physiotherapy Council and Honorary Student President, NHSE
baseline physical activity levels. Patient Safety Group, NCEPOD Study Advisor, Co-Chairs the
Since completing his PhD, Matthew is the lead coordinator of National HMV-UK Committee, is a Placement Co-ordinator for
several studies including the investigation of accessible Medical Aid for Palestinians and Multimedia Editor for Thorax
community COVID-19 education and physical therapy for BMJ. She has most recently been appointed as President-Elect
individuals with long COVID-19 as well as the delivery of virtual of the British Thoracic Society.
physical activity promotion alongside core strength training in
healthy middle-aged individuals. Long term non-invasive ventilation – evidence to practice:
how hard can it be?
Physical activity and how to improve it Long term ventilation is considered an essential life sustaining
The aim of this presentation is to understand the complexity of intervention for people living with progressive long term
physical activity in patients with COPD, investigating how and respiratory conditions requiring breathing support. There is
why these patients become and remain physically inactive, and significant evidence for long term non-invasive ventilation in
consider the methods required to improve it. Such methods some patient cohorts, such as those with neuromuscular
including the addition of physical activity behavioural disease, but the evidence may be lacking in other patient
modification strategies and cognitive behavioural therapy to groups.
standard care pulmonary rehabilitation will be discussed. An This session will explore the current evidence among different
acknowledgment to the impact that COVID-19 shielding has patient groups as well as translating this into clinical practice
and will include patient experiences.
Speakers’ Details & Presentation SummariesSUMMER MEETING ONLINE – 17th & 18th June 2021
Speakers’ Details and Presentation Summaries
The following details are in programme order. Use the PDF search button to quickly find a session or speaker.
SYMPOSIUM – PLEURAL MALIGNANCY: DIAGNOSIS AND
MANAGEMENT – TIME FOR A RE-THINK
Thursday 17th June: 09:30-11:00
Professor Najib M Rahman, Professor of Respiratory Kevin is an NHS Scotland Research (NRS) Senior
Medicine, Lead for Pleural Diseases, Director, Oxford Research Fellow and leads a translational research
Respiratory Trials Unit, University of Oxford and programme focused on pleural disease. He has a
Oxford Centre for Respiratory Medicine, Churchill particular interest in mesothelioma and is Principal
Hospital, Oxford, Deputy National CRN Lead for Investigator of the CRUK PREDICT-Meso International
Respiratory Disease, NIHR CRN. Accelerator Network.
Having qualified in Oxford, Najib underwent the
medical SHO rotation at Queen’s Medical Centre, Modern cytological diagnosis of MPE – time to go
Nottingham, and re-joined Oxford as a Specialist straight to thoracoscopy?
Registrar in 2003. He undertook a DPhil and MSc in Pleural fluid cytology testing is embedded as a key
this period and was appointed Director of the Oxford early step in the investigation of suspected pleural
Respiratory Trials Unit and Consultant Lead for Pleural malignancy. This term covers a large number of
Disease in Oxford in 2011. He was appointed as individual tests, which vary by intent (diagnostic, sub-
Professor of Respiratory Medicine in 2018, and is typing, predictive marker), yield and clinical relevance.
currently running randomised and observational This lecture will summarise recent data regarding the
studies in pleural infection, pneumothorax and relative value of these tests in commonly encountered
malignant pleural effusion. Najib is trained in clinical scenarios, including some in which a ‘direct to
thoracoscopy, thoracic ultrasound and clinical trials biopsy’ approach is reasonable.
methodology, and has published over 250 papers with
citations of >6000. He is Co-chair of the BTS Pleural Dr Rahul Bhatnagar is a Consultant Respiratory
Guidelines 2021, Chair of the BTS Pleural Intervention Physician at North Bristol NHS Trust and an Honorary
Committee, and Chair of multiple ERS guidelines on Senior Lecturer at the University of Bristol Academic
pleural disease. Respiratory Unit. He has a research interest in clinical
trials in pleural disease, with an emphasis on
Dr Eleanor Mishra is Pleural Lead at Norfolk and malignant effusions and their management, pleural
Norwich University Hospital and Honorary Lecturer at infection, and thoracic ultrasound. He previously led
the University of East Anglia. She is part of the British the IPC-Plus and TAPPS randomised trials, and was
Thoracic Society committee revising the pleural named as a Royal College of Physicians
disease guidelines. She is also on the Executive Quincentennial Lecturer in 2018.
Committee of the UK Pleural Society, and in this role,
organises the annual Pleural Research Day. For her Definitive MPE management: is in-patient
DPhil, she led two practice changing trials for patients pleurodesis dead?
with malignant pleural effusions. This talk will address recent studies relating to
pleurodesis strategies, particularly those looking at
Professor Kevin Blyth is Professor of Respiratory ambulatory approaches to malignant effusion
Medicine at the University of Glasgow. He splits his management. Educational aims include:
time between the CRUK Beatson Institute/University - understanding the historical place of inpatient
of Glasgow and the Queen Elizabeth University pleurodesis; early studies of indwelling pleural
Hospital, where he leads the Glasgow Pleural Disease catheters; and the rationale for outpatient MPE
Unit. He founded and is Director of the Macmillan management;
Scottish Mesothelioma Network, which coordinates - describing the evidence from recent randomised
clinical care and access to trials for mesothelioma trials relating to IPCs and talc pleurodesis.
patients in Scotland.
Speakers’ Details & Presentation SummariesSUMMER MEETING ONLINE – 17th & 18th June 2021
Speakers’ Details and Presentation Summaries
The following details are in programme order. Use the PDF search button to quickly find a session or speaker.
SYMPOSIUM – SILICOSIS IN 2021: NEW CHALLENGES FROM AN
“OLD” DISEASE
Thursday 17th June: 11:30-13:00
Dr Chris Barber is a Respiratory Consultant with a Learning objectives; this talk will allow you to be:
clinical and research interest in occupational lung 1) updated on the current UK evidence in relation to
disease. His time is split between NHS clinical work in silicosis;
Sheffield and HSE sessions at the Centre for 2) understand strategies to help identify patients
Workplace Health in Buxton. early, including the use of health surveillance.
He is a member of the Group of Occupational
Respiratory Disease Specialists (GORDS), and the Dr Johanna Feary is a Senior Clinical Fellow at the
current chair of the BTS Occupational and National Heart and Lung Institute, Imperial College
Environmental Lung Disease Specialist Advisory and Honorary Respiratory Consultant at Royal
Group. Brompton Hospital. She carried out a large
epidemiological study of laboratory animal allergy as
Dr Peter Reid trained in Belfast, London and part of an NIHR post-doctoral fellowship. Her clinical
Edinburgh and was appointed to the Western General interests include the assessment and management of
Hospital in 2000. He has an interest in occupational occupational lung disease, and difficult asthma. She is
lung disease and is a member of GORDS. a member of GORDS (Group of Occupational
Respiratory Disease Specialists) and, until recently, a
Professor David Fishwick is a Consultant Respiratory member of the BTS SAG for Occupational and
Physician in Sheffield and an Honorary Professor of Environmental Medicine.
Occupational and Environmental Respiratory
Medicine at the University of Sheffield. He also works Emerging health issues due to silica exposure
as the Chief Medical Adviser for the Health and Safety This talk will be case-based and provide a broad
Executive. He is a past chair, and current member of outline of the range of respiratory diseases caused by
the BTS Occupational Lung Disease SAG. He is also Co- exposure to silica. The primary focus will be on the
director of the Centre for Workplace Health and has emerging international problem of artificial stone
active research interests in all aspects of occupational silicosis, other aggressive forms of silicosis and the
lung diseases. association between silica exposure and connective
tissue diseases.
Early detection and case management
Silicosis remains a disease of global importance. Often
diagnosed late, there are no specific treatment
approaches that are able to significantly alter the
natural history. It is consequently key to identify this
condition early, and consider workplace changes both
for the affected individual and also for other
potentially exposed workers. This talk will explore
some of these issues globally, and summarise where
we are at in the UK in terms of early identification of
silicosis.
Speakers’ Details & Presentation SummariesSUMMER MEETING ONLINE – 17th & 18th June 2021
Speakers’ Details and Presentation Summaries
The following details are in programme order. Use the PDF search button to quickly find a session or speaker.
SYMPOSIUM – CLINICAL GRAND ROUND
Thursday 17th June: 11:30-13:00
CHAIRS & JUDGES
Dr Alanna Hare is a Consultant in Sleep and Professor Jon Bennett. From a non-medical
Respiratory Failure at the Royal Brompton Hospital in background, Jon still has to pinch himself about how
London. She graduated from Selwyn College, lucky he was to have found medicine, even in our
University of Cambridge in 1999, and completed her strange COVID-19 and post COVID-19 world. He is
postgraduate training at Imperial College London in grateful to have found respiratory medicine and to
2002. have had great support from the BTS and his
She is Chair of the British Thoracic Society Education respiratory colleagues throughout his career. Jon has
and Training Committee and Treasurer of the British been a consultant since 2000, firstly in Derby, and
Sleep Society. She sits on the Board of the Sleep then from 2004 in the nationally renowned Glenfield
Council. She was made Honorary Clinical Senior Hospital where he continues to age disgracefully.
Lecturer at NHLI 2018. Jon is a COVID-19 survivor – swab negative – terrible
self-technique, antibody positive. He can be seen
Rachael Moses is a Consultant Respiratory doing his bit for the environment; cycle commuting
Physiotherapist with an expert background in complex most days to and from Glenfield Hospital. As a native
weaning, long term ventilation, airway clearance and Wulfrunian, he has the curse of supporting the mighty
advanced care planning. Wolverhampton Wanderers.
Rachael is fortunate to sit on a number of national Clinical interests include: lung cancer, interventional
organisations, including the Chartered Society of respiratory procedures, medical education, general
Physiotherapy Council and Honorary Student respiratory medicine.
President, NHSE Patient Safety Group, NCEPOD Study
Advisor, Co-Chairs the National HMV-UK Committee, Dr John Park is a Consultant at Oxford Universities
is a Placement Co-ordinator for Medical Aid for NHS Foundation Trust and is lead for Lung Cancer. He
Palestinians and Multimedia Editor for Thorax BMJ. trained in the London and Oxford Deaneries. He
She has most recently been appointed as President- completed a PhD in pulmonary vascular and structural
Elect of the British Thoracic Society. remodelling at Imperial College London, National
Heart and Lung Institute. John is Honorary Treasurer
Alison Armstrong, Nurse Consultant (Long Term of the BTS having previously been Chair of the BTS
Ventilation) Newcastle upon Tyne. Education and Training Committee.
Alison is the Nurse Consultant within the regional
North-East Assisted Ventilation Service. FINALISTS
She represents nursing on a number of groups. She 1) Cardiac failure and asymmetrical effusions. To tap
has a national role as Co-chair for the BTS Nurse or not to tap?
Specialist Advisory Group, as well as being an active Dr Michael Shiel, Morriston Hospital, Swansea
member on their Education and Training Committee.
Alison is the host of the Specialists in Long-term 2) Pompe and circumstance: the diagnostic challenge
Ventilation at Home (SiLVaH) National Network, which of respiratory failure in patients post-COVID
is a non-medical group for those working in the pneumonitis
support of patients on home mechanical ventilation. Dr Lydia Guhaniyogi, University Hospital of Wales,
Alison has an MSc in Practice Development, and her Cardiff
main interest lies in assuring good quality of life for
her complex client group. 3) A rare cause of tracheal ulceration
Dr Joy Creaser-Thomas, Morriston Hospital, Swansea
Speakers’ Details & Presentation SummariesSUMMER MEETING ONLINE – 17th & 18th June 2021
Speakers’ Details and Presentation Summaries
The following details are in programme order. Use the PDF search button to quickly find a session or speaker.
SYMPOSIUM – TB AND NON-TUBERCULOUS
MYCOBACTERIUM: CHALLENGES TO TREATMENT
Thursday 17th June: 11:30-13:00
Dr Shahideh Safavi is a Clinical Assistant Professor in disciplinary TB network. He contributes to outbreak
Respiratory Medicine at University of Nottingham. Her response as part of the UK Emergency Medical Team.
research interest is in the development of magnetic
resonance imaging biomarkers of respiratory diseases. The challenge of latent TB
She is currently doing a post-doc at University of This talk will:
Nottingham funded by the Royal Society of Medicine. 1) review the biological and public health principles
underpinning the concept of latent TB infection (LTBI);
Dr Anna Rich. Having studied in Cambridge, almost all 2) summarise practical aspects and emerging research
of her post-graduate medical training has been in developments in the diagnosis and management of
Nottingham. She completed an RCP Fellowship with LTBI;
an MD in lung cancer epidemiology in 2010, and took 3) briefly discuss complex unresolved questions, such
up a consultant post in February 2011. As a as appropriate approaches to LTBI in the context of
Respiratory Consultant, her time is split between lung drug-resistant TB.
cancer and tuberculosis. Her interest in TB stems
from a childhood in Nigeria, and work experience in Dr Martin Dedicoat is a Consultant Infectious Diseases
Ethiopia and Malawi. Anna enjoys working within a Physician in Birmingham, UK. He also works part time
multidisciplinary TB team, and the challenges, both as Consultant in Tuberculosis (TB) Prevention for the
clinical and social, that come with this diverse patient UK Health Security Agency in the National TB Unit.
group. Martin trained in London, Ecuador, Birmingham and
South Africa. He is TB lead for Birmingham and Solihull
Non-tuberculous mycobacterium: an overview of and a member of the BTS TB SAG, Joint TB Committee
guidelines and MDRTB Advice Group. His main research interests
Non-tuberculous mycobacteria (NTM) are a are in TB prevention and contact tracing.
fascinating clinical entity and their prevalence is
increasing. Anna’s aim is to provide an overview of the Global epidemiology of drug resistant TB
available guidelines, both national and international, Drug resistant tuberculosis (TB) continues to be a
and use clinical cases to explore their practical significant health problem worldwide. The number of
implementation, relevance and limitations. diagnosed cases has risen over the past few years due
to increasing access to diagnostics. The ongoing
Dr Derek Sloan is an Infectious Diseases physician COVID-19 pandemic has affected TB control
who works at the University of St Andrews and in NHS worldwide and has reversed many of the gains made
Fife. His research interests include clinical trials of new over the past five years. This presentation will focus
treatments for tuberculosis, collaborating with on the changes in drug resistant TB epidemiology and
partners from the PanAfrican Consortium for the future measures being implemented to help move the
Evaluation of Anti-tuberculosis Antibiotics (PanACEA) world towards the goal of TB eradication.
and the Global TB Alliance. He has worked clinically on
TB control in England and Scotland, and in several
African countries (Kenya, South Africa, Malawi and
Uganda). He contributes to the BTS MDR-TB Clinical
Advisory Service and co-chairs Scotland’s multi-
Speakers’ Details & Presentation SummariesSUMMER MEETING ONLINE – 17th & 18th June 2021
Speakers’ Details and Presentation Summaries
The following details are in programme order. Use the PDF search button to quickly find a session or speaker.
OPEN SESSION – PATHWAYS TO RESEARCH FOR RESPIRATORY
PROFESSIONALS
Thursday 17th June: 13:30-14:15
Professor Anthony de Soyza is an Academic Dr Akhilesh Jha is a Clinical Lecturer in Experimental and
Clinician/Physician-Researcher and an Honorary Consultant Respiratory Medicine at the University of Cambridge. His
Physician at Newcastle upon Tyne Hospitals NHS research uses human challenge models to investigate
Foundation Trust. He has undertaken UK Chief Investigator innate immunity to viral infection and its dysregulation in
roles and recently started international lead investigator airway disease, for which he was awarded the Royal Society
roles. This maps to his role as National Specialty lead for the of Medicine’s Young Respiratory Investigator Award. He is a
NIHR National Respiratory Group working for the UK member of the BTS Science and Research Committee and a
National Institute for Health Research Clinical Trials Junior Editor-in-Training for the American Journal of
Network. He has recently taken on Chair of the NIHR Respiratory and Critical Care Medicine. He is keen to
Health Technology Assessment in Hospital medicine develop a national network of respiratory early career
prioritisation panel and welcomes discussion on the HTA! professionals for collaborative research projects.
Dr Alex Dipper is a South West based Respiratory Registrar Professor Najib M Rahman, Professor of Respiratory
and Clinical Research Fellow at the Academic Respiratory Medicine, Lead for Pleural Diseases, Director, Oxford
Unit, North Bristol NHS Trust. She is undertaking a PhD in Respiratory Trials Unit, University of Oxford and Oxford
the management of malignant pleural effusions. She is co- Centre for Respiratory Medicine, Churchill Hospital, Oxford,
chair of the PRISM Respiratory Trainee Research Network, Deputy National CRN Lead for Respiratory Disease, NIHR
established in 2017 and the first respiratory collaborative CRN.
trainee research network in the UK. Having qualified in Oxford, Najib underwent the medical
SHO rotation at Queen’s Medical Centre, Nottingham, and
Dr Karen Heslop-Marshall is a Nurse Consultant working in re-joined Oxford as a Specialist Registrar in 2003. He
Newcastle upon Tyne. Karen’s main area of expertise is the undertook a DPhil and MSc in this period and was
psychological impact of respiratory disease. Karen appointed Director of the Oxford Respiratory Trials Unit
completed a postgraduate diploma in cognitive behavioural and Consultant Lead for Pleural Disease in Oxford in
therapy (CBT) in 2003 and developed a CBT treatment for 2011. He was appointed as Professor of Respiratory
patients with respiratory problems who face psychological Medicine in 2018, and is currently running randomised and
difficulties. Karen completed a National Institute of Health observational studies in pleural infection, pneumothorax
Research (NIHR) PhD Clinical Academic Training Research and malignant pleural effusion. Najib is trained in
Fellowship from 2011 to 2016. Her PhD research was the thoracoscopy, thoracic ultrasound and clinical trials
largest RCT into CBT for COPD patients who experience methodology, and has published over 250 papers with
anxiety and depression. Karen was a co-applicant of the citations of >6000. He is Co-chair of the BTS Pleural
NIHR TANDEM HTA Study using CBT and pulmonary Guidelines 2021, Chair of the BTS Pleural Intervention
rehabilitation. Committee, and Chair of multiple ERS guidelines on pleural
disease. He is Deputy Chair of the National Institute for
Professor John Hurst is Professor of Respiratory Medicine Health Research CRN National Respiratory Group.
at University College London, and Honorary Consultant
Respiratory Physician at Royal Free London NHS Foundation Session overview
Trust. He is National Lead for COPD with the Royal College Do you and your colleagues discuss topics for research that
of Physicians National Asthma and COPD Audit would benefit your patients, but are unsure where to start?
Programme. John is Editor in Chief of the European This open session is aimed at all members of the multi-
Respiratory Monograph. He is currently a member of BTS professional team. You will hear from early career
Council. His clinical and research interests centre on investigators who are working on research and quality
exacerbations of COPD. He is Deputy Chair of the National improvement projects. Hear how they got started, how
Institute for Health Research CRN National Respiratory research questions are set, and the wider benefits of
Group. collaboration.
Speakers’ Details & Presentation SummariesSUMMER MEETING ONLINE – 17th & 18th June 2021
Speakers’ Details and Presentation Summaries
The following details are in programme order. Use the PDF search button to quickly find a session or speaker.
MINI SHORT COURSE – OXYGEN (PART 1): IN THE HOSPITAL
Thursday 17th June: 14:30-16:00
Alison Armstrong, Nurse Consultant (Long Term Emergency oxygen therapy
Ventilation) Newcastle upon Tyne. The BTS Oxygen Guidelines recommend target oxygen
Alison is the Nurse Consultant within the regional saturations 88-92% in most patients hospitalised with
North-East Assisted Ventilation Service. She COPD exacerbation, and their introduction was
represents nursing on a number of groups. She has a temporally associated with a sustained drop in
national role as Co-chair for the BTS Nurse Specialist hospital mortality rates. In patients managed with
Advisory Group, as well as being an active member on oxygen, admission oxygen saturations above 88-92%
their Education and Training Committee. are associated with higher risk-adjusted in-hospital
Alison is the host of the Specialists in Long-term mortality, including in those with normocapnia.
Ventilation at Home (SiLVaH) National Network, which Patients with bronchiectasis, morbid obesity,
is a non-medical group for those working in the neuromuscular disease and chest wall deformity share
support of patients on home mechanical ventilation. similar risks and thus the same target oxygen
Alison has an MSc in Practice Development, and her saturation range. Across a wide range of other
main interest lies in assuring good quality of life for conditions, the IOTA meta-analysis showed that
her complex client group. compared to liberal oxygen therapy, conservative
oxygen target saturations were associated with better
Dr Rachel Dancer is a Consultant in Acute Medicine at survival, but more recent RCTs in acute coronary
Warwick Hospital. She previously completed her syndrome and critical illness have not confirmed harm
training in Respiratory Medicine in Birmingham. She from liberal oxygen therapy. It is most important that
has many interests, including acute respiratory oxygen is prescribed and administered within a target
medicine and smoking cessation. range, appropriately monitored to avoid hypoxia and
hyperoxia.
Professor Stephen Bourke is the Clinical Lead for
COPD and NIV in Northumbria Healthcare NHS
Foundation Trust and Honorary Professor of
Respiratory Medicine, Newcastle University. He leads
a COPD research programme which includes the
development of prognostic scores to risk stratify
patients with severe exacerbations of COPD for
mortality (DECAF) and readmission (PEARL), an RCT of
hospital at home selected by low-risk DECAF score
and a 10-centre NIV Outcomes study.
Speakers’ Details & Presentation SummariesSUMMER MEETING ONLINE – 17th & 18th June 2021
Speakers’ Details and Presentation Summaries
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JOINT BTS/BSTI SYMPOSIUM – THORACIC ULTRASOUND:
THE NOW AND THE NEW
Thursday 17th June: 14:30-16:00
Ema Swingwood is currently an NIHR Clinical hospitals. From 1991 to 1992, he spent time
Academic Research Fellow at the University of the at Vancouver General Hospital, Canada, as part of a
West of England thoracic imaging fellowship.
(UWE). Her substantive post is as the Respiratory Professor Padley is a cardiac and thoracic radiologist,
Pathway Lead Physiotherapist at University Hospitals specialising in thoracic and vascular imaging and
Bristol and Weston NHS Foundation Trust. Her area of intervention, and general body imaging.
clinical expertise and interest is ventilation, weaning He leads the interventional radiology service and co-
and complex airway clearance. leads lung cancer and cardiac CT services. In his role at
Having completed the Advanced Cardiorespiratory Chelsea & Westminster Hospital, he provides general,
Physiotherapy MSc programme at University College thoracic and interventional radiology.
London (UCL) in 2012, Ema has continued her He provides interventional radiology services related
research focusing on the use of Mechanical to lung cancer and vascular intervention.
Insufflation-Exsufflation (MI-E) and other cough Professor Padley's current research interests include:
augmentation strategies. Her current PhD work percutaneous ablation of lung tumours; dose
focuses on the use of MI-E in the intubated optimisation in CT; novel imaging techniques in
population. paediatric lung disease; and MRI of the large and
Extra-curricular activities include contributions to the small airways.
Undergraduate Physiotherapy programme at UW, and
post-graduate teachings at University College London. Simon Hayward is a Specialist Practice Development
She sits on the BTS Education and Training Physiotherapist in Lung Ultrasound at Blackpool
Committee, PHE Independent High-Risk Aerosol Teaching Hospitals NHS Foundation Trust.
Generating Procedures Panel, ICS WARE project as the Most of Simon’s experience has been in acute NHS
AHP representative and is the ongoing Chair of the respiratory services and he has been using lung
Association of Chartered Physiotherapists in ultrasound (LUS) to inform his clinical practice since
Respiratory Care. 2013. In 2016 he initiated an LUS training programme
aimed primarily at physiotherapists. To date >200
Professor Simon Padley has been a Consultant physiotherapists have attended his “Introduction to
Radiologist at Royal Brompton, Harefield and Chelsea Lung Ultrasound” courses which are run around the
and Westminster hospitals since 1994 and is also an UK and Europe.
Honorary Consultant at The Royal Marsden Hospital. In 2017 Simon became a member of the Intensive
In 2015, Professor Padley became Director of Care Society’s (ICS) Focused Ultrasound Intensive Care
Radiology at the Royal Brompton and Harefield NHS (FUSIC) Committee as the Allied Health Professions
Foundation Trust. He is also Professor of Practice in (AHP) representative. He also runs the Physiotherapy
Diagnostic and Interventional Radiology at Imperial Lung Ultrasound (+PLUS) Specialist Interest Group.
College London, in the Lung Division for the National
Heart and Lung Institute. TUS: a physiotherapist’s perspective
He studied physiology at King's College London, and Simon will discuss the evolution of TUS as a tool for
medicine at Westminster Hospital Medical School respiratory physiotherapists and where the profession
(now part of Imperial College London), graduating in currently stands with its adoption of TUS into practice.
1984. He completed further training in radiology at Simon will also share the experiences of 20 TUS
Addenbrooke's, Papworth, and Westminster accredited respiratory physiotherapists following
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receipt of their answers to the question: “What is the Disease in Oxford in 2011. He was appointed as
single most important aspect of your practice that TUS Professor of Respiratory Medicine in 2018, and is
allows you to do now, that you couldn’t do before currently running randomised and observational
gaining your accreditation?” To conclude, Simon will studies in pleural infection, pneumothorax and
highlight upcoming work and potential areas for malignant pleural effusion. Najib is trained in
development. thoracoscopy, thoracic ultrasound and clinical trials
methodology, and has published over 250 papers with
Professor Najib M Rahman, Professor of Respiratory citations of >6000. He is Co-chair of the BTS Pleural
Medicine, Lead for Pleural Diseases, Director, Oxford Guidelines 2021, Chair of the BTS Pleural Intervention
Respiratory Trials Unit, University of Oxford and Committee, and Chair of multiple ERS guidelines on
Oxford Centre for Respiratory Medicine, Churchill pleural disease.
Hospital, Oxford
Deputy National CRN Lead for Respiratory Disease, TUS: a physician’s perspective
NIHR CRN. This talk will discuss the basics of training in thoracic
Having qualified in Oxford, Najib underwent the ultrasound according to the new BTS guidelines, and
medical SHO rotation at Queen’s Medical Centre, then discuss the clinical utility of thoracic ultrasound
Nottingham, and re-joined Oxford as a Specialist in current practice. Potential future directions for
Registrar in 2003. He undertook a DPhil and MSc in ultrasound use by the physician will be covered on the
this period and was appointed Director of the Oxford basis of new and recently published data.
Respiratory Trials Unit and Consultant Lead for Pleural
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SYMPOSIUM – ASTHMA: AN MDT APPROACH
Thursday 17th June: 14:30-16:00
Dr Matthew Martin is an NIHR Clinical Lecturer at the patients for biologic therapies. He also provides care to
Nottingham Respiratory Biomedical Research Centre and patients with other respiratory conditions including: cystic
Respiratory Registrar at Nottingham University Hospitals fibrosis, COPD and interstitial lung disease.
NHS Trust. He completed a PhD on the phenotyping of
asthma and cough at the University of Nottingham in 2017. Professor Adel Mansur is Consultant Physician and
His research interests include phenotyping of asthma and Honorary Professor, University Hospitals Birmingham and
investigating the underlying mechanisms and patient University of Birmingham, UK.
experience of asthma attacks. Adel graduated from Tripoli/Libya Medical College and
undertook postgraduate medical training in Glasgow and
Dr Runa Ali is a Consultant Physician in Respiratory Dudley and higher medical and respiratory training in Leeds
Medicine and Allergy at Barts Health. She is Co-chair of the and West Midlands. He was awarded a doctorate in asthma
North Central and East London Severe Asthma Network and genetics by the University of Leeds in 1998 and has been
Trust Clinical Lead for Allergy. She led the Severe Asthma Consultant Physician at Birmingham Heartlands Hospital
Service from 2013-2016. since 2002 and was recently awarded an Honorary Chair in
Runa trained in London and undertook a PhD at the Respiratory Medicine by the University of Birmingham. He
National Heart and Lung Institute, Royal Brompton holds special interest in severe and difficult to treat asthma
Hospital. She is an Honorary Clinical Senior Lecturer, Queen and has been the lead for the Birmingham Regional Severe
Mary College University of London and has been principal Asthma Service which covers the West Midlands and
investigator in multi-centre trials. beyond since 2002. He has developed a multidisciplinary
Runa has acted for Her Majesty’s Coroner as Expert approach to management of difficult to treat asthma and
Witness. She is an Allergy UK Health Advisory Board an active research programme composed of strands
member, and was on the Executive Council of the British ranging from asthma genetics, biomarkers in asthma,
Society for Allergy and Clinical Immunology (BSACI) and the diagnostics, adherence, phenotyping, asthma therapeutics
Joint Committee for Immunology and Allergy at the Royal including biologics, psychosomatic disorders, upper airway
College of Physicians. dysfunction and allied co-morbidities. He has authored
approximately 100 peer review articles.
Dr Helen Hope, Principal Clinical Psychologist. Helen
currently leads the psychology service within the Professor Andrew Menzies-Gow is the Director of the Lung
Manchester Severe Asthma and Airways Service for Division at the Royal Brompton Hospital and a Professor of
individuals living with severe asthma, inducible laryngeal Practice (Respiratory Medicine) at Imperial College where
obstruction, tracheomalacia and/or breathing pattern his research interests include novel therapies for severe
disorders. She has worked in respiratory medicine, asthma and eosinophilic lung disease. He is the National
specifically severe asthma, since October 2014. In addition, Clinical Director for Respiratory Disease for NHS England
she has worked in additional respiratory services including and Improvement and Chair of the Adult Specialised
lung transplant and long-term ventilation. Within the last Respiratory Clinical Reference Group for NHS England
12 months, Helen has co-developed and co-led an interim Specialised Commissioning.
inpatient-based psychology service for individuals admitted
with COVID-19 and also contributed to the long-COVID Claire Slinger, Consultant Speech and Language Therapist,
pathway design and development. Professional Advisor to Royal College of Speech and
Language Therapists (Field of Adult Respiratory care).
Douglas Johnson has worked as a pharmacist in secondary Claire’s areas of interest include inducible laryngeal
care for almost seven years having graduated from the obstruction (ILO) and chronic cough management. She is
University of Nottingham in 2013 and qualifying as a currently working as Consultant SLT and Service Lead for
pharmacist in 2014. Currently, he works as a Specialist Preston Complex Breathlessness (Airways) Multi-
Clinical Pharmacist in Respiratory Medicine at Nottingham Disciplinary Team, Lancashire Chest Centre, Royal Preston
University Hospitals NHS Trust. As part of his role, he is a Hospital, Lancashire Teaching Hospitals Trust.
member of the Nottingham Severe Asthma Service
Multidisciplinary Team which meets monthly to assess
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MINI SHORT COURSE – OXYGEN (PART 2): OUT OF HOSPITAL
Thursday 17th June: 16:30-18:00
other than COPD may respond differently to altitude-
Alison Armstrong, Nurse Consultant (Long Term related hypoxaemia. Finally, there is much greater
Ventilation) Newcastle upon Tyne. availability of portable oxygen concentrators (POCs). A
Alison is the Nurse Consultant within the regional North- wide variety of such devices now provide differing flow
East Assisted Ventilation Service. She represents nursing rates and modes of delivery, and not all are suitable for
on a number of groups. She has a national role as Co- all individual patients.
chair for the BTS Nurse Specialist Advisory Group, as well
as being an active member on their Education and Dr Carlos Echevarria is a respiratory physician with an
Training Committee. interest in COPD and CF. He completed his PhD in COPD
Alison is the host of the Specialists in Long-term exacerbation, focussing on risk prediction and hospital at
Ventilation at Home (SiLVaH) National Network, which is home services; he has recently studied the association of
a non-medical group for those working in the support of oxygen saturations at admission and inpatient death in
patients on home mechanical ventilation. this group.
Alison has an MSc in Practice Development, and her
main interest lies in assuring good quality of life for her Smoking and oxygen
complex client group. This presentation will look at the indications and
contraindications of long-term oxygen therapy in
Dr Rachel Dancer is a Consultant in Acute Medicine at patients with COPD. It will consider the clinical benefits
Warwick Hospital. She previously completed her training and potential hazards of using long-term oxygen therapy
in Respiratory Medicine in Birmingham. She has many in patients who smoke and also consider the ethical
interests, including acute respiratory medicine and implications of this approach.
smoking cessation.
Vicky Campbell is Respiratory Consultant Nurse clinically
Dr Robina Coker is Consultant and Honorary Senior leading a community multi-disciplinary specialist
Lecturer in Respiratory Medicine at Hammersmith respiratory team in Stoke on Trent and
Hospital and Imperial College London, and Clinical Staffordshire. She has a career of 27 years working
Director of NWL NIHR Clinical Research Network. equally in acute hospital care and community. Vicky is an
Robina established the BTS Air Travel Working Party in HOS-AR lead and actively assesses patients for
2000, and chaired it until 2011. In 2018 she was oxygen, supporting patients living with respiratory
appointed Chair of the new BTS Air Travel Committee. In disease plus other long-term conditions. She is a
November 2019 Robina was awarded the 2019 Bronze member of the West Midlands Home Oxygen Group and
Medal from the Royal Aeronautical Society, in Staffordshire's Respiratory Clinical Network. She
recognition of her achievements in developing provides educational support
recommendations to improve safety for passengers with across community and primary care settings and for
lung disease undertaking commercial air travel. local universities.
Publication of the BTS Clinical Statement, ‘Air Travel and
Respiratory Disease’, is expected in 2020. Ambulatory oxygen
The purpose of this session is to reflect on the guidance
Oxygen and air travel for ambulatory oxygen therapy (AOT) assessment and
This presentation will highlight the challenges of use as recommended in the BTS Home Oxygen
commercial air travel for passengers with respiratory Guidelines and Quality Standards for Home Oxygen use
disease, with particular reference to the risk of in Adults. Through this there will be the practical
hypoxaemia. considerations of assessing patients during the
It will emphasise developments in three areas over the pandemic coupled with the need for a compassionate
last decade. The first is the attempt to define more assessment of a person's needs and the challenges this
precisely the role of the hypoxic challenge test. The presents for Home Oxygen Services. This presentation
second is increasing recognition that patient groups will also briefly consider the person’s ambulatory oxygen
needs inside and outside the home.
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SYMPOSIUM – PULMONARY REHABILITATION: A 2021 VISION
Thursday 17th June: 16:30-18:00
investigating different rehabilitation strategies for
Professor Ioannis Vogiatzis, Professor of Rehabilitation patients with chronic respiratory disease.
Sciences, Department of Sport, Exercise and
Rehabilitation, Faculty of Health and Life Sciences Comprehensive pulmonary rehabilitation beyond COPD
Lead, Multidisciplinary Research Theme (MDRT) The content of this presentation will include an overview
on Integrated Health and Social Care. of the evidence-base for pulmonary rehabilitation in
Ioannis is an internationally recognised scientist in the chronic respiratory diseases including but not limited to
area of pulmonary rehabilitation in respiratory disease. bronchiectasis, interstitial lung disease and asthma.
He contributes his expertise to educational and research Where possible, the adaptation of exercise prescription
curriculum development activities undertaken by the or content of the education programme for different
European Respiratory Society (ERS). He has co-authored diseases will be addressed. Workforce skills, programme
six Official Position Statements on clinical exercise and structure and national issues including capacity will also
pulmonary rehabilitation in respiratory patients, which be discussed.
have been published by the American Thoracic and Educational aims:
European Respiratory Societies. He is Secretary of the 1) to understand the evidence-base for pulmonary
Respiratory, Clinical Care and Physiology Assembly of the rehabilitation for select chronic respiratory diseases
ERS, a member for the COPD Development Group of the (bronchiectasis, interstitial lung disease, asthma);
World Health Organisation (WHO) Rehabilitation 2) to understand what is required at service and national
Programme, and member of the Specialist Advisory level to deliver comprehensive pulmonary rehabilitation
Group for Pulmonary Rehabilitation of the British for non-COPD chronic respiratory diseases.
Thoracic Society.
Dr Rachael Evans is an Associate Professor at the
Dr Theresa Harvey-Dunstan, Assistant Professor of University of Leicester and Honorary Consultant
Physiotherapy and Academic Plan Lead for UG Respiratory Physician at Glenfield Hospital, Leicester, UK.
Physiotherapy, Physiotherapy and Rehabilitation Her doctorate investigated combined exercise
Sciences, School of Health Sciences, Queen’s Medical rehabilitation for patients with COPD and heart failure.
Centre Nottingham. She continued research into exercise and chronic disease
Theresa has a teaching and research interest in during both her post-doctoral fellowship in Toronto,
respiratory rehabilitation, exercise outcomes and Canada and her NIHR clinical lectureship in Leicester. She
measures of frailty. She has a clinical background in the currently holds an NIHR Clinician Scientist Fellowship.
acute and chronic management of people with medical She is the European Respiratory Society Pulmonary
respiratory conditions and has a particular interest in Rehabilitation (PR) Group Secretary, a member of the
COPD. Her PhD explored the repeatability and American Thoracic Society PR Assembly Programme
responsiveness of exercise outcomes to pulmonary Committee and a member of the BTS PR Guideline
rehabilitation (PR), bronchodilation or usual care. As a Committee.
physiotherapist, she is keen to understand and develop
physiotherapeutic strategies for respiratory illness, Cardiac and pulmonary rehab – same same but
including the rehabilitation of long term and complex different
conditions and co-morbidities. She is Co-chair of the BTS Cardiac rehabilitation and pulmonary rehabilitation are
PR Specialist Advisory Group. two internationally established services and are typically
delivered by a different workforce. The aims of the
Dr Claire Nolan is a Senior Research Physiotherapist at services, the target populations, and outcomes will be
Harefield Respiratory Research Unit. She is also the Co- discussed. As the prevalence of multi-morbidity
chair of the BTS Pulmonary Rehabilitation Specialist increases, perhaps new models of care are required?
Advisory Group. Her research interests are pulmonary This talk will cover the potential benefits and challenges
rehabilitation, functional performance and physical of combining services to provide comprehensive care for
activity and she is currently working on projects a wider group of patients.
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SYMPOSIUM – CRITICAL CARE AND BEYOND
Thursday 17th June: 16:30-18:00
Professor Sanjay Agrawal is a Consultant in from the Faculty of Intensive Care Medicine, the
Respiratory and Intensive Care Medicine at the Intensive Care Society and the British Thoracic Society
University Hospitals of Leicester NHS Trust (UHL), and produced a set of evidence-based guidelines, based
has worked in critical care units for over 25 years. on the GRADE system, on the treatment of ARDS.
Intensive care short- and long-term outcomes have This presentation will summarise the
always been an important consideration and even recommendations in these guidelines with updates on
more so now with the COVID-19 pandemic. new evidence, including recent studies in patients
with COVID-19.
Professor Andrew Bentley is a Consultant in Intensive
Care and Respiratory Medicine at Wythenshawe Dr Caroline Sampson is Consultant in Anaesthesia,
Hospital, Manchester University NHS Foundation Critical Care and Adult ECMO.
Trust. He is an Honorary Professor at the University of Caroline trained in anaesthesia and critical care in
Manchester and clinical lead for the Long-Term London and the Midlands, and has been a Consultant
Ventilation Service with a particular interest in at Glenfield Hospital since 2014. Alongside general,
weaning from prolonged mechanical ventilation. He cardiac and ECMO intensive care duties, she retrieves
has spent many years in hospital management roles patients with severe acute respiratory failure both
and supporting national advisory groups in critical conventionally and using mobile ECMO. Her specialist
care and home ventilation. Andrew has worked with interests lie in SARF and adult ECMO alongside
the Intensive Care Society for two terms and chaired medical education and critical care follow-up. Caroline
the Society’s Research Foundation. More recently he is currently the Deputy Director for Adult ECMO at
champions critical care research as Great Manchester Glenfield Hospital and runs the ECMO fellowship
CRN Specialty Lead for Critical Care. programme and follow up clinics.
Dr Simon Baudouin is Consultant in Respiratory Respiratory critical care outcomes
Medicine and Home Ventilation at the Royal Victoria This presentation will cover:
Infirmary, Newcastle upon Tyne. He is a Trust Board 1) defining critical care outcomes;
Member of the Intensive Care National Audit and 2) the ugly truth of (prolonged) critical care;
Research Centre (ICNARC) and a member of the 3) the optimist respiratory specialist vs the pessimistic
British Thoracic Society Standards of Care Committee. intensivist:
He has been a Board member of the Faculty of a) COPD
Intensive Care Medicine and a Council member of the b) Pulmonary fibrosis
Intensive Care Society. c) Muscular dystrophy
His research interests include rehabilitation following d) Outcomes in COVID-19
critical illness, sepsis and peri-operative care. Learning objectives are:
1) to improve understanding of the limits of critical
ARDS: what works and what doesn’t? An update on care;
current treatment recommendations 2) to understand the complexity of decision making
The Acute Respiratory Distress Syndrome is a common for ICU admission and escalation in respiratory
problem in the critically ill causing severe hypoxaemic patients;
respiratory failure. The COVID-19 pandemic has 3) to understand the likely benefits versus risks of
resulted in large numbers of patients with ARDS being critical care when planning future care for certain
admitted to critical care units throughout the world. chronic respiratory conditions;
Before the COVID-19 pandemic a joint working group 4) To understand the outcomes of severe COVID-19
requiring critical care.
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