1. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Closing Remarks Professor Jaideep J Pandit Clinical Lead, NAP5

2. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Summary The largest study on AAGA ever conducted International study (UK & Ireland) The most robust data on spontaneous reports 64 recommendations for practice - directed to individual anaesthetists, hospitals and national organisations

3. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ ~100 implications for research Spanning: audits, questionnaires, repeat studies, pyschological aspects, neuroscience, pharmacology, clinical trials, monitoring, legal dimensions, consent (even philosophy and history) Should help drive the specialty’s research agenda for next decade…

4. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ But who is to implement recommendations and take on the research? Unlike NAP4 (DAS) no ‘natural’ spec soc Need to encourage collaborations: OAA/ SIVA/ ACTA (directly involved) DAS/ SOBA/ Neuro have an interest Collaborations with pyschology, neuroscience, pharmacology, basic science are necessary ….?

5. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Thanks Each panellist has spent 100s of hours on this project, lasting from inception almost 4 yrs LCs probably an equal time searching reports – massive diligence, care, attention! RCOA & AAGBI have lent huge infrastructure to make it happen: efficiency of Maddy, Sharon, Mary and Sonia for recent media CMOs; NIGB; ethics, devolved nations, etc, etc ‘unseen’ help from Jairaj & Karthik (website) Patients who so kindly gave us so much detail

6. NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ NAP5 The 5th National Audit Project ■ ■ ■ ■ ■ Being chosen to lead this project a real privilege Learned to much We hope we have given you many things to think about Not the end but hope the beginning of a real, longlasting project to understand how anaesthetics work, don’t work and the very nature of human consciousness Thank you