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5 ‘C’s: COVID, CAMHS, crises, chaos and collaboration

Speaker: Dr Mike Groszmann

Consultant and Clinical Lead, Child and Adolescent Psychiatry, UCLH and UCL Medical School

Joint Honours, Psychology / Neurosciences (Manchester) and Medicine graduate (Imperial College, London). Psychiatry training at the Royal Free and the Tavistock Child and Adolescent Psychiatry Higher Training Programme (including various psychotherapy models). Special interests in Adolescence, Neuropsychiatry, Psycho-Oncology, Paediatric Liaison and Child and Adolescent Psychotherapy.

Lead Child and Adolescent Psychiatrist managing acute psychiatric admissions to the only North Central London general paediatric ward operational during lockdown, based at Great Ormond Street Hospital. I will share observations, experiences and trends about the pandemic impact on children and young people, relating to mental health requiring medical care; and how services had to reconfigure to maintain safety and meet clinical need

You can watch a recording of the event here

Speaker: Prof Marcel Levi

Prof Levi is Chief Executive of University College London Hospital (UCLH) and Professor of Medicine at UCL.

Prof Levi studied medicine, specialised and completed his PhD in Amsterdam, and is a Fellow of the Royal Netherlands Academy of Science. He worked at the University of Perugia, Italy and the Center for Transgene Technology and Genetherapy, University of Leuven, Belgium. His specific interests are haemostasis and thrombosis, vascular medicine, and angio-edema. He published over 700 articles, received several international research awards, and elected FRCP. He was Dean, University of Amsterdam Faculty of Medicine and Chair, Executive Board, Amsterdam Academic Medical Centre, before moving to UCL in 2017.

CE Prof Levi and colleagues published a review “Coagulation abnormalities and thrombosis in patients with COVID-19” (11/05/2020, Lancet Haematology 7: e438-40).

You can watch a recording of the event here.

Tuesday 30th June: 20:00

Dr Karyn Moshal is a consultant in the Department of Infectious Diseases at Great Ormond Street Hospital for Children NHS Foundation Trust, and Sepsis Lead for the Hospital.

Dr Moshal graduated from the University of Cape Town, trained in General Paediatrics in London (UCL and Imperial affiliated hospitals) and completed a Fellowship in Paediatric Infectious Diseases at the Children’s Hospital, Philadelphia. In 2004 she founded the NGO CHIVA Africa, in response to the HIV pandemic and the crisis in South Africa. She remains Chairman of both the South African and UK Trustees. This organization has trained and mentored more than 20,000 health care professionals – responsible for the care of hundreds of thousands of children – in the provision of quality HIV treatment and long-term management, giving them the practical skills to save lives and improve the quality of life of these young people.   She received Rotary International’s Paul Harris Award, the CHIVAS Humanitarian Award (South Africa) and the South African Achiever Award in the Health Care sector for this work.

Hallucinations, ICU and Recovery of a Covid Patient

Speaker: Laurie Wiseman

Laurie Wiseman was a patient at the Royal Free Hospital for 26 days. He was admitted the day before lockdown in March, diagnosed with Covid 19, spent five days on a ventilator and 12 days in ICU.  He was discharged on 16th April.

61 year-old Laurie has a particular perspective on his experience.  He has been involved in digital health for the past 30 years.  He founded Primal Pictures, creators of the world’s first complete 3D computer graphic model of human anatomy for medical education. and remains at the forefront of digital transformation in healthcare.  How does he view the patient experience?

You can watch a recording of the event here.

The story of COVID-19 and a ‘new’ CPAP respiratory support device

Prof Mervyn Singer is Professor of Intensive Care Medicine at UCL, an emeritus NIHR Senior Investigator, co-editor of the Oxford Textbook of Critical Care, was co-chair of the “Sepsis-3’ international consensus group that redefined sepsis,  and is current Chair of the International Sepsis Forum. He will talk about the engineering of the continuous positive airways pressure (CPAP) device – 10,000 were produced in four weeks.

You can watch a recording of the event here.

Alternative strategies to maintain suppression of Covid-19 transmission in the UK

Speaker: Dr Ellis Friedman [Director of Public Health (retired), expert COVID-19 advisor to the British Medical Association and Treasurer of the Faculty of Public Health]

On June 9, the UK had the worst public perception of handling of the pandemic across a wide range of nations. Is this perception justified?

You can watch a recording of the event here.

Visit of Israeli Colorectal Surgeons

On Monday 2nd March 2020 the Association hosted the group of visiting Israeli Colorectal Surgeons led by Prof Alex Deutsch (Beilinson Hospital, Petach Tikva) and Dr Reuven Weil (Hasharon Hospital, Petach Tikva).

The visit was supported by the Israel, Britain and the Commonwealth Association John Firman Fund and the David Yanir Foundation.

While in the UK they were the guests of Mr Richard Cohen (University College London Hospital), Mr Joseph Nunoo-Mensah (Kings College Hospital) and Mr Andrew Williams (St Thomas’s Hospital), and attending a course at Basingstoke Hospital.

The following visitors (with their hospital affiliation) took part:

Dr Elad Boaz (Shaarei Zedek Hospital, Petach Tikva)
Dr Rabia Darwasha (Barzilai Hospital, Ashkelon)
Dr Yael Feferman (Rabin Medical Centre, Petach Tikva)
Dr Vladimir Gaziantis (Shamir Medical Centre, Tzrifin)
Dr Asaf Harbi (Rambam Hospital, Haifa)
Dr Dror Karni (Haemek Medical Centre, Afula)
Dr Muhammad Mansour (Galilee Medical Centre, Nahariyah)
Dr Igor Markovich (Hasharon Hospital, Petach Tikva)
Dr Mai Mazarieb (Beilinson Hospital, Petach Tikva)
Dr Yaron Rudnicki (Meir Hospital, Kfar Saba)
Dr Ken Dror Shai (Meir Hospital, Kfar Saba)
Dr Alon Wachtel (Kaplan Hospital, Rehovot)
After a reception there was a discussion meeting on the topic of Gut Neuroendocrine Tumours – “NET: for any surgeon or not?”

The session was introduced by Prof Deutsch. Two cases of neuroendocrine tumours were presented, from Drs Feferman and Ken Dror.

This was followed by an authoritative review of the subject from Prof Martyn Caplin (Professor of Gastroenterology and Neuroendocrine Tumour Biology, Royal Free Hospital and University College London) and Prof Maralyn Druce (London Association Chair and Professor of Endocrine Medicine and Consultant Physician and Endocrinologist, Barts Health NHS Trust).

On her return to Israel Dr Fefernan wrote to thank the Association for their hospitality. She said that she was honored to receive the scholarship and was grateful for the opportunities it provided. In the UK she was attached to University College London Hospital. While there she had  learned about the UK healthcare system, and the methods of organization and provision. From a clinical perspective she had the opportunity to observe several operations. She was especially grateful to Mr. Richard Cohen for his personally care and attention.

A visit to the House of Lords had been arranged for the group, and Dr Fefernan said that she was fortunate to be shown round by Lords Polak and O’Shaughnessy, whose stories and insights about small things that reflected centuries of British culture and civilization. The Colorectal Diseases Masterclass (M25) at Basingstoke was very well organized and she felt she had learned a great deal from it. Overall the experience had her abilities as a young colorectal surgeon, and she looked forward to implementing what she had learned both about working conditions and cancer treatment on her return to Israel.

The Jewish Medical Association UK’s Annual General Meeting took place on 10th July 2019. The Guest Speaker was Matthew Gould, CEO for NHSx, a new UK body set up to ensure that staff and patients have the technology they need.  His address was entitled “NHSx – what we’re trying to do, why we’re trying to do it, and what we can learn from Israel”.

After his talk a leading member of the Association, Dr Charlotte Benjamin proposed a vote of thanks.

She summarised Matthew’s address, saying that in his whistlestop tour of NHSx Matthew had described his five point plan, which has evolved from a tour across the UK viewing first hand an array of different IT systems in the NHS. This aimed to (1) Relieve the burden on clinicians, so they can focus on patients; (2) Put services & technology into the hands of citizens; (3)Ensuring that clinical information can be safely accessed anywhere in the system; (4)Improve patient safety across the NHS; and (5)Improve productivity with digital technology.

She said that Matthew had highlighted the current difficulties that he had observed as a result of his personal experience of a family member carrying around their medical notes in a suitcase to ensure that all clinicians in the system would have all their relevant details. However, he shared that there are also some pockets of good practice.

Thus his aim is keep NHSx a small organisation setting standards and driving improvements across the health and social care systems. To do this, he was drawing on his inspirations from his time and experience of medical systems in Israel, namely in Clalit and Maccabi, where there is system interoperability and accessible data to support population health management.

On behalf of the Association she said that we applaud him for this work and look forward to being the recipients of this key enabler on behalf of all UK patients and citizens.

 

More than 100 physicians, including many junior doctors, attended a Medical Halacha Conference organised by Drs David Landau and Jacob Opat in November 2011. The main guest visitor, Rabbi Prof Avraham Steinberg took part in all three main symposia, on Organ Donation, End of Life and General themes respectively. He also lectured on Friday morning on Complementary Medicine, and delivered a very well-attended public lecture to a lay audience on Friday night covering “Halachic Issues in Childbirth and the Newborn”. Speakers from the UK included Prof Antony Warrens, Prof Daniel Hochhauser, Prof David Katz and Rabbi Akiva Tatz. There were study sessions on Friday and Sunday mornings about aspects of Jewish Law relating to medicine.

Following this conference Prof Steinberg met with the chairs of BMA and GMC Ethics Committees, together with senior UK medical ethics experts and representatives of the Muslim and Catholic Medical Associations, at the Board of Deputies offices. At this meeting he described how the Israeli End of Life law, known colloquially as the “Steinberg Law”, had been developed. Later the same day he met with Sir Peter Simpson and Prof Gurch Randhawa from the UK Organ Donation Ethics Committee. Finally he gave a lecture on the topic of “Recent Developments in Jewish Medical Ethics – the Israeli Experience”. In this talk he outlined four examples of how Israeli law on such issues has developed over the years taking cognisance of both medical and halachic concerns.

Following on the success of the conference Drs Landau and Opat have already convened a meeting to arrange a follow – up event in 2012. The intention is that this will include a symposium at a central London venue on the Wednesday evening before the conference in order to attract as wide a medical audience as possible.

Prof Michael Weingarten

Prof Michael Weingarten was educated at Oxford and UCH, and made aliyah in 1973. He has worked in General Practice in Rosh Haayin and is the author of “Changing Health and Changing Culture – The Yemenite Jews of Israel”. He has been Chairman of the Department of Family Medicine at Tel-Aviv University, of the Israeli Association of Family Physicians, and of the Israeli Family Medicine Research Network. He edits the Israel Journal of Family Practice. He has held a Visiting Professorship at McMaster University, Hamilton, Ontario, and has been a Visiting Scholar in the Oxford University Department of Primary Health Care, and the Centre for Ethics and Communications in Healthcare.