Representing and supporting Medical Oncologists in the UK

35th Annual General Meeting of the Association of Cancer Physicians

Thursday 24th September 2020 Via Zoom www.theacp.org.uk @acpuk Programme Apologies for Absence/New Members Meetings and Publications Prizes Fellowships Accounts Burnout and Resilience Trainees Sub-Committee UK Chemotherapy Board Specialist Advisory Committee COVID-19 @acpuk Closer Working with RCR #ACPAGM20 www.theacp.org.uk New Members New Members (1)

Karam Aboud Velindre Cancer Centre Oyeyemi Akala University Hospitals Leicester NHS Trust Zohra Ali Royal Marsden Hospital Zena Alizzi UCLH Angelos Angelakas The Christie Ian Beh University Hospitals NHS Foundation Trust Roya Behrouzi North West of England, UK Vishal Bhalla Gloucestershire Oncology centre David Burke NIMDTA Thomas Carter UCLH Emma Cattell NHS Rahul Chowdhary Wolverhampton nhs trust James Clark Imperial College Kirsty Clarke Worcester Acute Hospitals NHS Trust Vanessa Clay The Christie Hospital Danielle Guys and St Thomas NHS foundation trust Emma Crewe Royal Marsden David Cunningham Royal Marsden Michael Davidson Royal Marsden Hospitals NHS Trust Lynsey Drewett University of Cambridge, Department of Oncology Joanne Evans Imperial College Healthcare NHS Trust Dean Fennell & university hospitals of Leicester nhs Trust Caroline Fong Royal Marsden Hospital Abigail Gee Royal United Hospital Bath Aisha Ghaus Beatson West of Scotland Cancer Centre Max Gibb North Wales Cancer Treatment Centre Joanna Hack HACK @acpuk Keith Howell Leeds Cancer Centre Prerana Huddar Christie NHS Foundation Trust #ACPAGM20 Kathryn Humphries Huddersfield Royal Infirmary www.theacp.org.uk New Members New Members (2)

Fiona James LTHT Sudha Karanam University of Birmingham NHS Trust Syed Karim City Hospital, Nottingham. L S Prasad Kellati Royal Preston Hospital Hannah Kirk Bristol Cancer Insitute Jonathan Kwok Oxford University Hospitals Reem Mahmood Bradford Teaching Hospitals NHS Foundation Trust ILYAS Mansoori Hull university teaching hospital, Queen's Centre , Oncology . Sally Martin Leeds Cancer Centre Shagufta Mirza Hull University Teaching Hospital NHS Trust Laura Morrison The Royal Free Hospital Abdul Muhith North West London Deanery- Royal Marsden Nabeel Naban St Georges University Hospital Tamsin Nash The Beatson West of Scotland Cancer Centre Ailsa Oswald NHS Lothian Sangeetha Perumal James Paget university hospital Rishie Ramkissoon University Hospitals Coventry and Warwickshire NHS Trust Dulani Ranatunge Hull University Teaching Hospital NHS Trust Xia Ren Beatson West of Scotland Cancer Center Helen Robbins Queen Elizabeth Hospital Birmingham Maaz Tahir Sadiq University Hospitals Birmingham Paul Shaw Velindre cancer centre Omar Sheikh Nottingham City Hospital Fatima Shurmahi Portsmouth Hospitals NHS Trust Amal Singh Royal Marsden NHS Foundation Trust Aman Singh Belfast City Hospital Mesel Veli University College London Hospitals NHS Foundation trust Harriet Walter University Hospitals Leicester Laura Woodhouse Christie Hospital @acpuk Toby Woolley Betsi Cadwaladr University Health Board Xiangfei Yan Edinburgh Cancer Centre #ACPAGM20 YOU YONE St James's University Hospital www.theacp.org.uk Khawaja Zahid Queens centre of Oncology and Hematology, Castle Hill Hospital Meetings and Oct 2018 – Acute Oncology Workshop Published Nov 2019 Publications May 2019 – Workshop on Choices in End of Life Care Published in 2020

September 2019 – Workshop on Future of Acute Oncology RCR/RCP/ACP document being finalised

October 2019 – Workshop on Cancer and Fertility On schedule for publication in 2020

@acpuk #ACPAGM20 www.theacp.org.uk NEW IN 2020

New online platform from EBN Health. All ACP titles available to members. Fully searchable and downloadable Prizes McElwain and President’s Prizes Annual competition for trainees for clinical or basic research. Prize £1000 + free registration at NCRI meeting with presentation

2020 Winners:

Helen Hockings Lennard Lee Chara Stavraka

@acpuk #ACPAGM20 www.theacp.org.uk Fellowships FACP(UK) ACP has established Fellowships: FACP (UK)

Fellows are distinguished contributors to medical oncology or to another aspect of cancer science, cancer healthcare, strategy or planning and act as senior advisers to, and ambassadors for, the ACP

Two categories – Fellows and Honorary Fellows

Nominations reviewed and approved by ACP Executive

Sixteen awards in 2020 – to be announced shortly

@acpuk #ACPAGM20 www.theacp.org.uk Accounts and Management Treasury Report: 2018 Annual Report and accounts submitted to Charity Commission. 2019 Accounts being finalised by accountants

Board of Trustees Board of Trustees established (led by Alison Jones)

Association Management Association management, including membership database and collection of annual subs, now undertaken by SAS – please respond to requests for information and annual payment

Future Plans Plans to increase secretariat support and consider appointment of a part time ACP clinical fellow

@acpuk #ACPAGM20 www.theacp.org.uk Burnout and Resilience Oncology is a rewarding profession but caring for patients with cancer can also be demanding and stressful

ESMO survey in European young oncologists >70% showed signs of burnout. Similar data for US. Implications for already stretched workforce

Susie Banerjee (Royal Marsden) leads ESMO Resilience Taskforce to look at measures and interventions to help prevent and tackle burnout and a member of the ACP Exec

Materials to support individual and organisational solutions to be available on ACP website @acpuk #ACPAGM20 www.theacp.org.uk ACP Trainees Committee Sub-committee of the executive committee Daniel Hughes (Chair) Mark Baxter Alison May Berner Rachel Broadbent Jenny Cotton Helen Hockings Laura Feeney Adam Januszewski Hamzeh Kayhanian Jonathan Lim Jemma Longley Leena Mukherjee @acpuk Anna Olsson-Brown #ACPAGM20 Nicola Thompson www.theacp.org.uk ACP Trainees Committee Recent activities and achievements • National survey of trainees, published in May 2020 • Ongoing development of trainee materials for ACP website • Closer collaboration with ESMO • Launch of monthly teaching webinars (starting Oct 2020), to be recorded and published on EBN platform @acpuk #ACPAGM20 www.theacp.org.uk UK Chemotherapy UK Chemotherapy Board Conference, 26th November, London - Annual conference led Board (UKCB) – and hosted by the UKCB http://www.commissioningcancer.co.uk/

Represented by Professor Gordon Cook (RCPath) currently Chair of the UKCB, Janine Mansi represents Ruth Board and the ACP and Ruth Board represents RCP Janine Mansi New initiatives: • Medically related osteonecrosis of the jaw (MRONJ) guidance • DPD testing policy in liaison with NHSE Genomics • Outpatient mx of glycaemic control – in final stages • Low risk neutropenic sepsis pathway in liaison with AO • UKCB website - https://www.ukchemotherapyboard.org/

Ongoing work or previous guidance: • Chemotherapy e training modules have been fully supported by the UKCB • Immunotherapy – best practice – led/supported by Ruth Board • Patient held chemotherapy diaries – updated version. Supported by and available from CRUK • National regimen-specific consent forms – progressing well. Ongoing funding through CRUK. All solid tumour regimens available except sarcoma hosted on CRUK website • ACP/UKCB support for a UKONS RAG triage tool for acute oncology emergencies: http://www.ukons.org/acute-oncology-forum

Ongoing liaisons: @acpuk • CRG #ACPAGM20 • SACT PHE www.theacp.org.uk SAC – Specialist Advisory ‘Specialty Sub-committee of the Joint Royal College Committee of Physicians Training Board’

Contribute to the development of specialist training policy and supervise the deliver of training to standards set by JRCPTB

Chair – Dr Jackie Newby (Royal Free)

@acpuk #ACPAGM20 www.theacp.org.uk Curriculum and Shape of Training Update

Dr Jackie Newby Chair, Medical Oncology SAC Current situation

 Curriculum Proposals for Medical and Clinical Oncology  Stage 1 approval issued GMC April 2019  Overarching proposal  Group 2 model for both with contribution to acute unscheduled care via training in Acute Oncology  Common first year of training between the 2 specialties  Stage 2 approval issued (provisional) July 2020  Full Curriculum Document and submission  Awaiting final approval pending a couple of, hopefully minor issues addressed August 2020  Implementation date August 2021  Any new ST3  Anyone >12m from CCT will transition Key elements of new curricula

 Dividing the high-level learning outcomes (known as capabilities in practice, or CiPs) of the curricula into 3 groups:  Generic (common to all specialties);  Shared/Common Oncology (same for Medical and Clinical Oncology) and  Medical or Clinical Oncology specific (unique to specialty)  Complete alignment of the ARCP assessment grids for the end of the common ST3 year to facilitate transfer between the specialties  Complete alignment of the shared learning outcome areas of the curricula throughout training  An explicit commitment to training in Acute Oncology for all trainees Key elements of new curricula

Entry after 2 yrs Int Identical ACRP grids for end of ST3 Med (Transfer between specialties subject to formal process)

No change to length of training for either specialty Recruitment into the 2 specialties separately COVID-19

During the pandemic the ACP has contributed to and advised on guidance documents.

A repository of relevant key documents has been collated and established on the ACP website

@acpuk #ACPAGM20 www.theacp.org.uk Representing and supporting Medical Oncologists in the UK

Questions

www.theacp.org.uk @acpuk