About this event

  • Date and time Tue 10 Jan 2023 from 9:00am to 4 Jul 2023 at 5:00pm
  • Location Royal Society of Medicine
  • Organised by Palliative Care

This 6 day in-person course is spread over 6 episodes with the aim of providing a robust grounding in all aspects of pharmacology and therapeutics in palliative medicine. The course material is evidence based where possible so that participants become acquainted with the body of literature that relates to practice in this field. Each of the sessions will consist 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, bone metastases, and malignant spinal 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.

*Please note this course is tailored towards palliative medicine doctors, GPs and pharmacists. Therefore, when registering please submit a piece of identification that highlights your work in one of the above areas to palliative@rsm.ac.uk. Thank you.

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

Agenda

View the programme - Day 1 (10.01.2023)

Registration, tea and coffee
Welcome and introduction

Dr Clare Smith, Palliative Care Section, Royal Society of Medicine and Dr Antonia Field-Smith, Consultant in Palliative Medicine, West Middlesex University Hospital

Session 1

WHO ladder

Dr Sara Robbins, Palliative Medicine Consultant, Imperial College Healthcare NHS Foundation Trust and President-Elect, Palliative Care Section, Royal Society of Medicine

Panel discussion

Dr Clare Smith and Dr Sara Robbins 

Tea and coffee break

Session 2

Pharmacology I

Dr Melinda Presland, Consultant Pharmacist, Oxford University Hospitals NHS Foundation Trust

Pharmacology II

Dr Melinda Presland, Consultant Pharmacist, Oxford University Hospitals NHS Foundation Trust

Panel discussion

Dr Sara Robbins and Dr Melinda Presland 

Lunch break

Session 3

NSAID Clinical application/consideration

Dr Clare Smith, Dr Melinda Presland and Dr Antonia Field-Smith

Drugs off licence, off label and CDs

Dr Melinda Presland 

Panel discussion

Dr Clare Smith and Dr Melinda Presland

Tea and coffee break

Session 4

Palliative care emergencies

Dr Antonia Field-Smith

Closing remarks
Close of meeting
View the programme - Day 2 (07.02.2023)

Registration, tea and coffee
Welcome and introduction

Dr Clare Smith, Palliative Care Section, Royal Society of Medicine and Dr Sarah Frearson, Consultant in Palliative Medicine, Clinical lead for Palliative Medicine, Imperial College Healthcare NHS Foundation Trust 

Session 1

Step III opioids

Dr Clare Smith and Dr Sarah Frearson

Panel discussion

Dr Clare Smith and Dr Sarah Frearson

Tea and coffee break

Session 2

Methadone

Dr Clare Smith

Opioid conversions

Ms Roni Patel, Senior Specialist Pharmacist, Palliative Care and Cancer Services, Marie Curie Hospice, Hampstead and Ms Rachel Craig, Consultant in Palliative Care, Royal Free Hospital 

Panel discussion

Dr Clare Smith, Ms Roni Patel and Ms Rachel Craig 

Lunch break

Session 3

Summary session on opioids

Dr Clare Smith

Panel discussion

Dr Clare Smith

Tea and coffee break

Session 4

Update on management of bone metastasis

Dr Lucy Ison, Palliative Medicine Registrar

Complex cases – pain management

Dr Clare Smith and Dr Sarah Frearson

Panel discucssion
Closing remarks
Close of meeting
View the programme - Day 3 (04.07.2023)

Registration, tea and coffee
Welcome and introduction

Dr Clare Smith, Palliative Care Section, Royal Society of Medicine and Dr Ruth Miles, Consultant in Palliative Medicine, Greenwich and Bexley Community Hospice

Session 1

Pain physiology and tapentadol

Professor C (Kate) Urch, Chief Medical Officer, UHSussex and Professor Palliative Medicine, University Hospitals Sussex NHS Foundation Trust

Tea and coffee break

Session 2

Pharmacology III
Melinda Presland, Consultant Pharmacist, Oxford University Hospitals NHS Foundation Trust
Palliative care drugs in renal impairment

Dr Heena Khiroya, Consultant in Palliative Medicine, St John’s Hospice

Anticoagulation

Andrew Godfrey, The Royal Marsden

Lunch

Session 3

Clinical use of ketamine

Dr Clare Smith

Treating neuropathic pain: The evidence base and panel discussion

Dr Ruth Miles

Tea and coffee break

Malignant spinal cord compression with panel discussion

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

Close of meeting
View the programme - Day 4 (25.04.2023)

Registration, tea and coffee
Welcome and introduction

Dr Clare Smith, Palliative Care Section, Royal Society of Medicine and Dr Alexandra Rogers, Consultant in Palliative Medicine, West Hertfordshire Teaching Hospitals NHS Trust

Metabolic and endocrine workshop

SIADH/ Na+ imbalance    

Managing diabetes at the end of life

Professor Karim Meeran, Professor of Endocrinology, Deputy Director of Medical Education and Lead Clinician for Endocrinology, Imperial College London and Dr Humaira Jamal, Consultant in Palliative Care Medicine, Central London Community Healthcare Trust and Peace Rennie Grove

Panel discussion
Tea and coffee break

Cannabinoids

Dr Sarah Cox, Consultant in Palliative Medicine, Chelsea and Westminster NHS Hospital and President, Association for Palliative Medicine

Panel discussion
Lunch

Prescribing in patient with liver impairment

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

Steroid - clinical use

Dr Alexandra Rogers

Panel discussion
Tea and coffee break

Hypercalcaemia

Dr Clare Smith

Panel discussion
Close of meeting
View the programme - Day 5 (16.05.2023)

Registration, tea and coffee
Welcome and introduction

Dr Clare Smith, Palliative Care Section, Royal Society of Medicine and Dr Angela Halley, Consultant in Palliative Medicine, The Royal Marsden NHS Foundation Trust

Nausea and vomiting - pharmacology

Ms Jennifer Chan, Pharmacist, Whipps Cross Hospital and Mr Josh de Caux, Highly Specialist Pharmacist – Care of the Elderly, Barts Health NHS Trust

Nausea and vomiting - clinical management

Dr Philip Lodge, Consultant in Palliative Medicine, Royal Free Hospital and Marie Curie Hospice

Tea and coffee break

Bowel obstruction: Evidence base

Dr Angela Halley

Bowel obstruction: Cases

Dr Angela Halley

Lunch

Constipation

Dr Joanne Droney, Consultant in Palliative Medicine, The Royal Marsden

Break

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

Dr Sophie Miller, Palliative Medicine Consultant, St George's Hospital

Tea and coffee break

Anticoagulation

Dr Andy Godfrey, Consultant Haematologist, The Royal Marsden

Closing remarks
View the programme - Day 6 (06.06.2023)

Registration, tea and coffee
Welcome and introduction

Dr Clare Smith, Palliative Care Section, Royal Society of Medicine and Dr Rachel Craig, Consultant in Palliative Medicine, The Royal Free, Camden Community and Marie Curie Hospice

Recognising and supporting people with delirium and dementia

Dr Amanda Thompsell, Consultant Old Age Psychiatrist, West London Mental Health Trust

Drug treatment of depression

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

Panel discussion
Tea and coffee break

Management of anxiety

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

Syringe drivers – compatibility, diluents etc

Mrs Fiona Dorrington, Macmillan Principal Pharmacist Palliative Care, Wexham Park Hospital and Thames Hospice

Panel discussion
Lunch

Terminal agitation: Pharmacology of drugs

Mrs Fiona Dorrington

Terminal agitation; Clinical aspects and panel discussion

Dr Clare Smith, Dr Rachel Craig and Dr Fiona Dorrington

Tea and coffee break

When and how to stop drugs for patients towards the end of life

Dr Laura Hopkins, ST6 Geriatric Medicine, Hammersmith Hospital, Imperial College Healthcare NHS Trust

Close of meeting

Location

Royal Society of Medicine, 1 Wimpole St, Marylebone, London, W1G 0AE, United Kingdom

Domus - reception

While you’re attending this event

Why not stay in the comfort of our hotel, Domus Medica, book dinner in the restaurant, or even hire one of our private dining rooms to socialise with your peers?

RSM members enjoy access to our enviable club facilities. For more information, please contact our team at domus@rsm.ac.uk or restaurant@rsm.ac.uk.

Find out more