Royal Free London NHS Foundation Research Articles

Helping core medical training doctors achieve procedural competencies.

Medical EducationVolume 51, Issue 11 p. 1171-1172 Really Good Stuff: Lessons learned through innovation in medical education Helping core medical training doctors achieve procedural competencies Philip Coakley, Corresponding Author Philip Coakley philipcoakley@doctors.org.uk Correspondence: Philip Coakley, Department of Anaesthetics, Royal Free London NHS Foundation Trust, Pond Street, Hampstead, London NW3 2QG, UK. Tel: 07958 407 182; E-mail: philipcoakley@doctors.org.ukSearch for more papers by this authorMegan Hall-Jackson, Megan Hall-JacksonSearch for more papers by this authorElizabeth Carty, Elizabeth CartySearch for more papers by this author Philip Coakley, Corresponding Author Philip Coakley philipcoakley@doctors.org.uk Correspondence: Philip Coakley, Department of Anaesthetics, Royal Free London NHS Foundation Trust, Pond Street, Hampstead, London NW3 2QG, UK. Tel: 07958 407 182; E-mail: philipcoakley@doctors.org.ukSearch for more papers by this authorMegan Hall-Jackson, Megan Hall-JacksonSearch for more papers by this authorElizabeth Carty, Elizabeth CartySearch for more papers by this author First published: 30 August 2017 https://doi.org/10.1111/medu.13419Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume51, Issue11November 2017Pages 1171-1172 RelatedInformation

'I aim to inspire our new nurses'.

Isobel Mason is a nurse consultant in gastroenterology at the Royal Free London NHS Foundation Trust and inflammatory bowel disease (IBD) nurse development manager at the charity Crohn's & Colitis UK. Having qualified at the Royal Free in 1990 and worked in acute medicine before specialising in gastroenterology, she is now chair of the RCN Gastrointestinal Nursing Forum.

Google DeepMind and healthcare in an age of algorithms

Data-driven tools and techniques, particularly machine learning methods that underpin artificial intelligence, offer promise in improving healthcare systems and services. One of the companies aspiring to pioneer these advances is DeepMind Technologies Limited, a wholly-owned subsidiary of the Google conglomerate, Alphabet Inc. In 2016, DeepMind announced its first major health project: a collaboration with the Royal Free London NHS Foundation Trust, to assist in the management of acute kidney injury. Initially received with great enthusiasm, the collaboration has suffered from a lack of clarity and openness, with issues of privacy and power emerging as potent challenges as the project has unfolded. Taking the DeepMind-Royal Free case study as its pivot, this article draws a number of lessons on the transfer of population-derived datasets to large private prospectors, identifying critical questions for policy-makers, industry and individuals as healthcare moves into an algorithmic age.

Outcomes of domestic violence screening at an acute London trust: are there missed opportunities for intervention?

ObjectivesDomestic violence screening is advocated in some healthcare settings. Evidence that it increases referral to support agencies or improves health outcomes is limited. This study aimed to (1) investigate the...

Promoting lifestyle behaviour change and well-being in hospital patients: a pilot study of an evidence-based psychological intervention

Lifestyle risk behaviours show an inverse social gradient, clustering in vulnerable groups. We designed and piloted an intervention to address barriers to lifestyle behaviour change among hospital patients. We designed our intervention using effective components of behaviour change interventions informed by psychological theory. Delivered by a health psychologist based at the Royal Free London NHS Foundation Trust, the 4-week intervention included detailed baseline assessment, personalized goal setting, psychological skills development, motivation support and referral to community services. Primary outcomes were feasibility and patient acceptability. We also evaluated changes to health and well-being. From 1 July 2013 to 31 September 2014, 686 patients were referred, 338 (49.3%) attended a first appointment and 172 (25.1%) completed follow-up. Furthermore, 72.1% of attenders were female with the median age 55 years and poor self-reported baseline health. After 4 weeks, self-efficacy, health and well-being scores significantly improved: 63% of lifestyle goals and 89% of health management goals were fully achieved; 58% of referrals to community lifestyle behaviour change services and 79% of referrals to other services (e.g. Citizen's Advice Bureau) were accepted; 99% were satisfied/very satisfied with the service. Our hospital-based intervention was feasible, acceptable and showed preliminary health and well-being gains.

Heavy/light chain immunoparesis identifies systemic AL amyloidosis patients with poor survival outcomes

e192 PO-193 Heavy/light chain immunoparesis identifies systemic AL amyloidosis patients with poor survival outcomes S. Sachchithanantham, O. Berlanga, A. Alvi, N. Wassef, S. Mahmood, R. Sayeed, J. Gillmore, H. Lachmann, C. Whelan, P. Hawkins, A. Wechalekar National Amyloidosis Centre, University College London Medical School, London, UK; The Binding Ste Group Ltd, Birmingham, UK; Department of Biochemistry, Royal Free London NHS Foundation trust, London, UK

Post-exposure prophylaxis against Ebola virus disease with experimental antiviral agents: a case-series of health-care workers

Although a few international health-care workers who have assisted in the current Ebola outbreak in west Africa have been medically evacuated for treatment of Ebola virus disease, more commonly they were evacuated after potential accidental exposure to Ebola virus. An urgent need exists for a consensus about the risk assessment of Ebola virus transmission after accidental exposure, and to investigate the use of post-exposure prophylaxis (PEP). Experimental vaccines have occasionally been used for Ebola PEP, but newly developed experimental antiviral agents have potential advantages. Here, we describe a new method for risk assessment and management of health-care workers potentially exposed to Ebola virus and report the use of experimental antiviral therapies for Ebola PEP in people. We devised a risk assessment and management algorithm for health-care workers potentially exposed to Ebola virus and applied this to eight consecutive individuals who were medically evacuated to the UK from west Africa between January, and March, 2015. PEP with antiviral agents was given to health-care workers assessed to have had substantial risk exposures to Ebola virus. Participants were followed up for 42 days after potential exposure. Four of eight health-care workers were classified as having had low risk exposures and managed by watchful waiting in the community. None of these health-care workers developed Ebola virus disease. The other four health-care workers had intermediate or maximum risk exposures and were given PEP with antiviral agents. PEP was well tolerated with no serious adverse effects. None of these four health-care workers, including two with maximum risk exposures from penetrating injuries with freshly used hollow-bore needles, developed Ebola virus disease. Standardised risk assessment should be adopted and consensus guidelines developed to systematically study the efficacy and safety of PEP with experimental agents. New experimental antiviral treatments are a viable option for PEP against Ebola. Royal Free London NHS Foundation Trust.

Royal Free London: Falling infection rates through evidence and education

The Royal Free London NHS Foundation Trust has seen infection rates fall significantly over the past decade. Aysha Mendes spoke with Janice Scott, infection prevention and control specialist nurse at the trust, to explore how the Royal Free has achieved these improvements in care

P075. A predicitive model for axillary non-sentinel node involvement by one-step nucleic acid amplification (OSNA) and tumour-related factors in the treatment of breast cancer

P075. A predicitive model for axillary non-sentinel node involvement by one-step nucleic acid amplification (OSNA) and tumour-related factors in the treatment of breast cancer Shramana Banerjee, Timothy Davidson, NormanWilliams, Soha ElSheikh, My-Annh Tran-Dang, Debashish Ghosh, Stephen Davison, Mohammed Keshtgar 1 Royal Free London NHS Foundation Trust, London, UK University College London, London, UK

British Association of Dermatologists' guidelines for the management of onychomycosis 2014.

British Association of Dermatologists’ guidelines for the management of onychomycosis 2014 M. Ameen, J.T. Lear, V. Madan, M.F. Mohd Mustapa and M. Richardson Royal Free London NHS Foundation Trust, Pond Street, London NW3 2QG, U.K. Manchester Academic Health Science Centre (MAHSC), University of Manchester, 46 Grafton Street, Manchester M13 9NT, U.K. Salford Royal NHS Foundation Hospital, Stott Lane, Salford M6 8HD, U.K. British Association of Dermatologists, Willan House, 4 Fitzroy Square, London W1T 5HQ, U.K. Mycology Reference Centre Manchester, University Hospital of South Manchester, Southmoor Road, Manchester M23 9LT, U.K.

The impact of routine next generation sequencing testing for familial hypercholesterolaemia – 5 months service experience

The impact of routine next generation sequencing testing for familial hypercholesterolaemia – 5 months service experience

History of Neurosurgery at The Royal Free Hospital in London

The recent move of the neurosurgical services from The Royal Free London NHS Foundation Trust in Hampstead to The National Hospital for Neurology and Neurosurgery at Queen Square signified the end of an era of neurosurgery in North London. It also represents also another chapter in the history of the remarkable North London hospital that is The Royal Free Hospital. This short article looks at the history of the Department of Neurosurgery at The Royal Free Hospital and the factors contributing to the reorganisation of neurosurgical services in North London.

SBK Healthcare: how to set up and deliver nurse-led renal services

A conference discussing the tools required to deliver new service models and ensure their ongoing effectiveness took place on 27 November 2013 in Manchester. David Curran, Renal Lead Nurse at the Renal Transplantation Unit in the Royal Free London NHS Foundation Trust summarises the seminars he led to support renal nurses in planning and delivering new services.

Follicular mucinosis treated with topical 0.1% tacrolimus ointment

Clinical and Experimental DermatologyVolume 39, Issue 2 p. 227-228 Viewpoints in dermatology ● Correspondence Follicular mucinosis treated with topical 0.1% tacrolimus ointment J. Kluk, J. Kluk justinek@doctors.org.uk Department of Dermatology, Royal Free London NHS Foundation Trust, Pond street, London, NW3 2QG UKSearch for more papers by this authorN. Krassilnik, N. Krassilnik Department of Pathology, Royal Free London NHS Foundation Trust, Pond street, London, NW3 2QG UKSearch for more papers by this authorS. R. McBride, S. R. McBride Department of Dermatology, Royal Free London NHS Foundation Trust, Pond street, London, NW3 2QG UKSearch for more papers by this author J. Kluk, J. Kluk justinek@doctors.org.uk Department of Dermatology, Royal Free London NHS Foundation Trust, Pond street, London, NW3 2QG UKSearch for more papers by this authorN. Krassilnik, N. Krassilnik Department of Pathology, Royal Free London NHS Foundation Trust, Pond street, London, NW3 2QG UKSearch for more papers by this authorS. R. McBride, S. R. McBride Department of Dermatology, Royal Free London NHS Foundation Trust, Pond street, London, NW3 2QG UKSearch for more papers by this author First published: 20 November 2013 https://doi.org/10.1111/ced.12244Citations: 3 Conflict of interest: none declared. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat No abstract is available for this article.Citing Literature Volume39, Issue2March 2014Pages 227-228 RelatedInformation