About this event

  • Date and time Thu 8 Apr 2021 from 9:00am to 30 Jun 2021 at 3:00pm
  • Location Online
  • Organised by Palliative Care

This 6 day course is spread over 6 webinars and will provide a robust grounding in all aspects of therapeutics in palliative medicine. Each of the webinars will consist of two 2 hour sessions, making up 24 hours altogether of incredibly valuable content.

Days 1, 2 and 3 of the course are framed around the World Health Organisation analgesic ladder, pharmacology of step I, II and III drugs and co-analgesics, current evidence base, and application in clinical practice. The programme is supplemented by talks on specialist topics from experts. These specialist topics vary from year to year and have previously included: management of seizures, pain control in substance misusers, pain physiology and cord compression.

Days 4, 5 and 6 are broadly themed. The three topic areas are: metabolic and endocrine abnormalities, gastro-intestinal day including management of nausea and vomiting and bowel obstruction, drug management of anxiety, depression and terminal agitation. Included over the 3 days are specialist topics from expert speakers such as prescribing in patients with liver failure, renal impairment, recognition and management of delirium.

Pharmacology is a key theme woven into the programme, this ensures that participants have a thorough understanding of how drugs work and how they are handled by the body.

The course is highly interactive using a variety of teaching methods. The core group of tutors (Independent Teaching Group for Palliative Medicine, ITGPM) is supplemented by guest speakers.

Due to the success of last year's event, we recommend booking your place quickly to avoid missing out.

Agenda

Thursday 8 April 2021

Welcome and introduction

Dr Clare Smith, Consultant in Palliative Medicine, Imperial NHS Trust 

WHO ladder: Evidence base and guidelines

Dr Sarah Yardley, Consultant in Palliative Medicine and Honorary Senior Clinical Lecturer, Central & North West London NHS Foundation Trust 

Pharmacology 1: Pharmacodynamics and kinetics

Dr Clare Smith, Consultant in Palliative Medicine, Imperial NHS Trust and Mrs Melinda Presland, Consultant Pharmacist, Palliative and End of Life Care, Oxford University Hospitals NHS Trust

Palliative Care Emergencies

Dr Antonia Field-Smith, Consultant in Palliative Medicine, West Middlesex University Hospital

Lunch break
Step I drugs: Pharmacology II

Dr Clare Smith, Consultant in Palliative Medicine, Imperial NHS Trust 

Step II opioids: Pharmacology II

Dr Clare Smith, Consultant in Palliative Medicine, Imperial NHS Trust 

Drugs off licence, off label, CDs; taking CDs abroad; CDs and driving – new guidance from DVLA

Mrs Melinda Presland, Consultant Pharmacist, Palliative and End of Life Care, Oxford University Hospitals NHS Trust

Closing remarks
Monday 26 April 2021

Welcome and introduction
Step III opiods

Dr Clare Smith, Consultant in Palliative Medicine, Imperial NHS Trust and Dr Sarah Frearson, Consultant in Palliative Medicine, Clinical lead for Palliative Medicine, Imperial College Healthcare NHS Trust

Methadone

Dr Clare Smith, Consultant in Palliative Medicine, Imperial NHS Trust

Lunch break
Opioid conversion exercises

Dr Rachel Craig, Consultant in Palliative Care, Royal Free Hospital and Chandni Halai, Palliative Care Pharmacist, North London Hospital and Barnet Hospital

Summary session and hot topics on opioids

Dr Clare Smith, Consultant in Palliative Medicine, Imperial NHS Trust

Tuesday 11 May 2021

Welcome and introduction
Nausea and vomiting. Pharmacology / Clinical management

Ms Jennifer Chan, Pharmacist, Barking, Havering and Redbridge University Hospitals NHS Trust and Dr Philip Lodge, Consultant in Palliative Medicine, Royal Free Hospital and Marie Curie Hospital, Hampstead

Comfort break
Malignant bowel obstruction: The evidence and Clinical cases in breakout groups

Dr Jas Gill, Consultant Palliative Medicine, Harefield Hospital, Royal Brompton & Harefield Clinical Group part of Guy’s and St Thomas’ NHS Foundation Trust and Dr Angela Halley, Consultant in Palliative Medicine, The Royal Marsden NHS Foundation Trust

Lunch and comfort break
Case discussion
Constipation

Dr Joanne Droney, Consultant, Symptom Control and Palliative Care Team, Royal Marsden NHS Foundation Trust

Feeding tubes at the end of life: Legal aspects, evidence base and ethics

Dr Harriet Roebuck, Consultant Palliative Medicine, Colchester Hospital and St Helena Hospice

Comfort break
Anticoagulation

Dr Antonia Field-Smith, Consultant in Palliative Medicine, West Middlesex University Hospital

Close of meeting
Friday 21 May 2021

Welcome and introduction
Pathophysiology of pain

Professor Catherine Urch, Imperial College Healthcare NHS Trust, Divisional Director Surgery, Cancer, Cardiovascular Trust Lead Cancer 

Prescribing in patients with renal impairment

Dr Anne-Louise Jennings, Consultant in Palliative Medicine, Imperial College Healthcare NHS Trust

Pain cases introduction

Dr Ruth Miles, Consultant in Palliative Medicine, Greenwich and Bexley Community Hospice and Dr Clare Smith, Consultant in Palliative Medicine, Imperial NHS Trust

Lunch break

Breakout rooms for discussions on cases

Pharmacology III

Dr Clare Smith, Consultant in Palliative Medicine, Imperial NHS Trust

Neuropathic pain: the evidence base

Dr Ruth Miles, Consultant in Palliative Medicine, Greenwich and Bexley Community Hospice 

Malignant spinal cord compression

Dr Vinod Mullassery, Consultant Clinical Oncologist, Guys and St Thomas' NHS Foundation Trust

Close of meeting
Thursday 3 June 2021

Welcome and introduction
Managing diabetes at the end of life

Professor Karim Meeran, Professor of Endocrinology, Imperial College and Dr Humaira Jamal, Consultant in Symptom Control and Palliative Medicine, Peace Hospice Care and Central London Community Healthcare Trust

Hypercalcaemia

Dr Clare Smith, Consultant in Palliative Medicine, Imperial NHS Trust and Dr Humaira Jamal Consultant in Symptom Control and Palliative Medicine, Peace Hospice Care and Central London Community Healthcare Trust

Steroid pharmacology and clinical use

Chandni Halai, Palliative Care Pharmacist, North London Hospital and Barnet Hospital and Dr Alexandra Rogers, Consultant in Palliative Medicine, St John's Hospice

Lunch break

Breakout rooms with steroid and hypercalcaemia worksheets

Steroid and hypercalcaemia worksheet discussion
Prescribing in liver disease

Dr Polly Edmonds, Consultant in Palliative Medicine, King’s College Hospital NHS Foundation Trust

Cannabinoids

Dr Sarah Cox, Consultant in Palliative Medicine, Chelsea & Westminster Hospital, NHS Foundation Trust

Close of meeting
Wednesday 30 June 2021

Welcome and introduction
Recognising and supporting people with delirium and dementia and end of life dementia care

Dr Amanda Thompsell, Consultant Old Age Psychiatrist 

Management of anxiety

Dr Ben Clarke, Consultant in Palliative Medicine, Cambridge University Hospitals Foundation Trust

Management of epilepsy and seizures at the end of life

Dr Jeremy Rees, Consultant Neurologist and Dr Jane Neerkin, Consultant in Palliative Medicine, University College London Hospital

Lunch break

Breakout rooms and worksheets on terminal agitation cases

Management of depression

Dr Katy Burke, Consultant in Palliative Medicine, University College London Hospital NHS Foundation Trust and Central and North West London Foundation Trust 

Syringe pumps: Practical tips and Pharmacology of terminal agitation

Mrs Fiona Dorrington, Macmillan Principal Pharmacist, Frimley Health NHS Foundation Trust and Thames Hospice 

Terminal agitation: Pharmacology of drugs/clinical aspects

Dr Clare Smith, Consultant in Palliative Medicine, Imperial NHS Trust and Mrs Fiona Dorrington, Macmillan Principal Pharmacist, Frimley Health NHS Foundation Trust and Thames Hospice 

Close of meeting

Location

Online

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