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This article looks at what is being done to understand inequality so it can be reduced, and patient outcomes in perioperative care can be improved.
Authors:
- Dr James Durrand, RCoA Centre for Research and Improvement Fellow; Perioperative Quality Improvement Programme (PQIP); Resident Anaesthetist (ST6), South Tees Hospitals NHS Foundation Trust
- Dr Eimhear Lusby, Honorary Research Fellow, University College London; ST6 Anaesthetist, University Hospitals Sussex NHS Foundation Trust
- Dr Adam Hunt, MPhil/PhD Student, University College London and Resident Anaesthetist, The Royal Marsden NHS Foundation Trust
- Professor S Ramani Moonesinghe, PQIP Chief Investigator
The circumstances in which we are born, grow, live, work and age profoundly influence our health. These complex, reciprocal, and dynamic interactions begin in utero and develop continuously throughout life.
Recognition that socioeconomic deprivation drives poorer health was fundamental to the establishment of the UK NHS in 1948. The key causal relationships and how to intervene in them have been debated since then.
Seventy-five years later, people from more deprived backgrounds still experience less beneficial interactions with the NHS. Individuals present later and with more severe disease. Unhealthy behaviours, including smoking, physical inactivity and poor diet, are more common and often cluster. In turn, rates of chronic ill health and multimorbidity are higher. Wider advances in key disease areas have been unevenly distributed across socioeconomic groups. Consequently, deprived patients continue to die younger.
This article provides an update on the implementation of the EGM's recruitment resolutions.
Dr Elisa Bertoja, Chair of the RCoA CQ&R Board, takes on the role of guest editor and introduces us to this year's research-themed issue.
The Faculty reviews what it should and could do to support and foster research.
Author: Dr Dhruv Parekh, FICM Board Member and Academic Lead
Research activity is beneficial to patients, enabling earlier diagnosis, effective treatments, and care pathways.
More ‘research-active’ hospitals have lower mortality rates, an effect that isn’t limited to research participants. This benefit extends to healthcare professionals, helping to develop solutions for real NHS problems and increasing job satisfaction.
The pandemic thrust our specialty into the spotlight, and our workforce weren’t only at the forefront of delivering clinical care, but also of recruitment to practice-changing studies. Research leaders from our specialty made impactful contributions to develop this evidence and lead the response.
Our full selection of back digital issues has you covered and will keep you up-to-date and informed on what’s happening in our specialty.
Our full selection of back digital issues will keep you up-to-date and informed on what’s happening in our specialty. We hope you continue enjoying your membership magazine.
Dr Elisa Bertoja, Chair of the RCoA CQ&R Board, takes on the role of guest editor for this year's research-themed issue. We hope you enjoy reading this issue as much as we've enjoyed putting it together.
This article shows us there are encouraging signs of revival with national initiatives and structural changes helping rebuild a foundation for academic activity.
Author: Professor Joyce Yeung, Director, RCoA Centre for Research & Improvement; NIHR National Specialty Lead for Anaesthesia, Perioperative Medicine, and Pain Management; Professor of Anaesthesia and Critical Care Medicine, University of Warwick
Anaesthesia and perioperative research in the UK have undergone notable transformation over the past two decades. Once described as facing a ‘severe crisis’ due to diminishing academic output and an increasingly stretched workforce, the specialty has since seen encouraging signs of revival.
Nationally coordinated initiatives and structural changes have helped rebuild a foundation for academic activity. Still, progress hasn’t been without its challenges, and many barriers remain.
From decline to rebuilding
The ACSA process involves self-assessment, an on-site review by an ACSA review team and further evidence submission in order to achieve accreditation.