Activity Survey Harriet Kemp Research & Audit Federation of Trainees

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Presentation transcript:

Activity Survey Harriet Kemp Research & Audit Federation of Trainees

Aims Up-to-date denominator data Changes in practice since NAP5 (2013) Working patterns in anaesthesia Anaesthetic-specific Day of the week

Response Scaling factor Annual caseload = 3,126,067 58.7% female

Specialty of main procedure

Obesity

Day of week by urgency

Day of the week by ASA grade

Workload by specialty Highest proportion of specialty workload at weekend Obstetrics (30.5%) Orthopaedics/Trauma (13.7%) General Surgery (13.1%) Highest proportion of overall weekend workload Orthopaedics/Trauma (23.4%) Obstetrics (20.4%) General surgery (17.2%)

Obstetrics

Location of induction Induction (GAs) Theatre induction 77.3% in anaesthetics room 18.8% in theatre No change since NAP5 Theatre induction Obstetrics (92.3%) Thoracic (35.8%) Dental (34.7%)

Depth of anaesthesia monitoring 12% of all GA cases Most frequent use Cardiac (42.9%) NAP5

Neuromuscular monitoring GA cases with NMBA 36.7% Peripheral Nerve Stimulator 2.8% quantitative monitoring 64.6% reversal agent

Conclusions Increasing elective weekend working Direct senior involvement in high proportion of emergency cases but fewer at weekend than during the week Increasing use of DOA monitoring No increase in NM monitoring

Thank You