newsletter december 2010 - bcs · proposed jbs3 guidelines. presenting various recommendations,...

NewsletterDecember 2010

British Association for Cardiovascular Prevention and Rehabilitation

Contact: BACPR, c/o BCS 9 Fitzroy Square, London W1T 5HW. Tel: 020 7380 1919 email: [email protected] Web: www.bcs.com/bacr

BACR Conference Liverpool 2010

Photographer: With thanks to Dr Kate Willmer (CPAGB, AFIAP, PPSA)

Index

P2 Note from the Editor

P2 From the President

P3-5 BACR Conference 2010 report

P6 BACPR Conference 2011 announcement

P10 BACPR Education

P11 Retiring Council members

Acknowledgements

Diary of Events 2011

P7 New Department of Health Guidance

P8 NACR Update

BHF News

P9 British and Canadian Association report

Announcing our New Name

Message from the EditorWelcome to this special edition Newsletter, which aims to bring you news of some of our activities over the past few months as well as make several important announcements. Thank you to everyone who has contributed. We very much hope you find the content informative as well as an enjoyable read.

The BACR annual conference 2010, hosted by Liverpool, once again proved to be highly successful. Our annual conference remains a key event in our annual diary, aspiring to provide an important networking opportunity in conjunction with a stimulating conference programme. A special thanks to Dr Kate Willmer, for taking such wonderful pictures of the event to share with all of our members, and to all our keynote speakers, abstract and poster presenters for their invaluable contributions. To follow on, we’re delighted to announce the 2011 Annual Conference in Brighton, which we hope will be even better. This next event is particularly exciting as we will be hosting the BHF/BACPR Award for Cardiac Rehabilitation. Everyone should consider entering their service and joining this collaborative opportunity to raise the profile of cardiac rehabilitation across all our nations.

In addition, it’s important times for us with the launch of the Department of Health’s Commissioning Pack for Cardiac Rehabilitation, a considerable achievement under the leadership of Professor Patrick Doherty. We’ve also welcomed the fourth NACR Annual Audit report, covering England, Wales and Northern Ireland, which shows there is an increase in the percentage of patients who took part in cardiac rehabilitation but also that it is clear that there is a long way to go before cardiac rehabilitation is part of the routine treatment pathways for the majority of cardiac patients. Finally, we include news of current and future education opportunities, an insight into the Canadian Association for Cardiac Rehabilitation and forthcoming diary dates.

The CRUK newsletter is no longer being produced, although noteworthy this is currently under review. In the meantime BACPR aims to provide regular newsletters to our members and would welcome your feedback, news and contributions. Please do get in touch.

Wishing you all a happy Winter period and 2011.

Jenni Jones, President Elect

Dear Members,NAME CHANGE TO: THE BRITISH ASSOCIATION FOR CARDIOVASCULAR PREVENTION AND REHABILITATIONThe most notable recent piece of news is that we have now received our certificate from Companies House to formally call ourselves the British Association for Cardiovascular Prevention and Rehabilitation (BACPR). Over the next month we will be registering the name change with the Charities Commission and from the New Year we will start to implement the various administrative details and communication matters that coincide with this important mile-stone.We are currently working on re-designing the logo and will send proposed designs out to the members to help us decide on the final design.Other key events and actions of your Council were highlighted in the Annual Report which was distributed at the Conference and sent out in the last e-News but if you missed this you can go to our website domain to read it: www.bcs.com/bacrBACR Council wishes you a happy, safe and peaceful forthcoming holiday period. Whatever amount of leave you will be able to take in the next few weeks hopefully you will take on the same advice that you give your clients and patients; the importance of relaxation and finding time for health promoting non-work related social interaction.On behalf of all the Council, our greetings to you for the season and the happiest of New Years in 2011 John Buckley, President

From the President



BACR Conference 2010 by Paul Smith, Iain Todd and Linda Speck

"Hard to reach or easy to miss? Improving access to our services"Thursday 7 - Friday 8 October 2010, Liverpool

The 2010 BACR Annual Conference saw Liverpool's waterside Crowne Plaza Hotel play host to 220 delegates arriving for the UK's leading cardiac rehabilitation conference.

The conference begun with a pre-conference session bringing everyone up to speed on the tariff for cardiac rehabilitation and the commissioning packs for Cardiac Rehabilitation, by Professor Patrick Doherty and Linda Binder.

Professor Gill Furze, BACR Conference Lead provided the official opening of Conference by welcoming delegates to Liverpool and introducing what promised to be a rich and stimulating programme focusing on the challenges of engaging under-represented patient groups within cardiac rehabilitation. This was swiftly followed by BACR President, Dr John Buckley's outline of the Association's current direction and 'CARE' vision, which attempts to 'Continue the campaign' for Cardiac Rehabilitation, 'Augment our professional recognition', 'Reach out' to all professions and 'Engage more' with the Association's membership.

Professor Bob Lewin - Professor of Rehabilitation,

University of York

Providing an update on the National Audit of Cardiac Rehabilitation, Professor Bob Lewin highlighted that whilst cardiac rehabilitation remains a Cinderella service, more recent reports demonstrate an improvement in uptake, with 41% of patients from target groups having taken part in 2008-2009, compared to 38% in 2007. Professor Lewin emphasised that contrary to the commonly reported concern that few people from BME groups attend, there is no evidence of a disparity in uptake across ethnic groups. The under-representation of women in cardiac rehabilitation provided a particularly poignant take home message, given the fact that whilst women make up 32% of referrals, only 26% actually participate.

The first keynote session of the conference was delivered by Professor Jeff French who provided an interesting presentation of the relevance of social marketing techniques to cardiac rehabilitation services. He drew on some theories of social psychology, advocating their applicability to increasing patient uptake and addressing the challenge of making cardiac rehabilitation more user-friendly. He rightly identified the need to design services to better promote health behaviour change and increase patient insight, rather than simply providing relevant information. The importance of a patient-centred approach with patient identified needs was viewed as key to the provision and delivery of cardiac rehabilitation services.

Professor Jeff French - Founder and Director, National Social

Marketing Centre

As current chairman for the new Joint British Societies guidelines (JBS3) on Cardiovascular Disease Prevention in Clinical Practice, Professor John Deanfield was well-placed to outline the recommendations of the proposed JBS3 guidelines. Presenting various recommendations, Professor Deanfield highlighted that JBS experts are considering a number of other radical changes to the guidance, including a switch to calculating CVD risk over a lifetime rather than over 10 years, and a likely recommendation for earlier use of antihypertensive combinations.Professor John Deanfield - Chair,

JBS3 Working Group

Dr Kiran Patel, Consultant Cardiologist at Sandwell & West Birmingham NHS Trust and Chair of Trustees for the South Asian Heart Foundation provided a valuable insight into the very real challenge of addressing cardiovascular disease among South Asians in UK. With myocardial infarctions in under 40 year olds being 5 times more common in South Asians than any other ethnic group, Dr Patel went on to highlight the particular challenges encountered in engaging South Asians in cardiac rehabilitation. He made an appeal for commissioning of culturally relevant and sensitive services for South Asian communities within UK.

Dr Kiran Patel - Chair of Trustees, South Asian Health Foundation

Five presentations were accepted following submission of abstracts relevant to the theme of "Breaking down the barriers in cardiac rehabilitation". The first of these presentations were delivered on Day 1 of the conference with the remainder on the second day. Anne Welsh began by describing the buddy system established at Action Heart, Dudley, an initiative to train former patients to support individuals requiring further assistance in settling in to the outpatient programme. Ex-patients have undergone a 25 hour training course in order to undertake their successful supportive role, distinct from that of programme staff.



BACR Conference 2010

Day 2 began with a rallying call from Roger Boyle, reviewing progress against the NSF targets for CHD 10 years on. The news in relation to the nation's health was a little depressing; progress on smoking cessation (but "another 30 years to go"), some progress on physical activity in the young and elderly (but we remain "a nation of indolent people"), one quarter of men and one fifth of women still at risk from untreated hypertension, and the prevalence of diabetes increasing. In contrast there is improved access to angiography, echocardiography, and PPCI, fewer admissions with heart failure and a 50% reduction in mortality over the last 10 years. Uptake of Cardiac Rehabilitation is higher in the UK than most of Europe, but well below target. Roger challenged us to address this by shifting towards community and home-based rehab. CR remains very much "unfinished business" as far as the NSF is concerned.

Professor Roger Boyle (CBE) - National Director for Heart Disease and Stroke

Patrick Doherty provided an overview of the DH response to this "unfinished business", its first commissioning pack. Key messages include a move away from the concept of 4 phases of rehab to one where assessment of need is followed by a care plan based on patient choice and menu-based rehabilitation around core components of lifestyle change, risk factor management, medical treatments, and psychosocial well-being, underpinned by education and long-term strategies. Delivery is seen as a formative process with no set time-frame and success is based on a range of outcomes reflecting the core components rather than on attendance alone. Key indicators will include uptake, completion, re-admission rates, and patient satisfaction.

In the second of the five abstracts relevant to the theme of "Breaking down the barriers in cardiac rehabilitation", despite offering a choice of home-based rehabilitation using the Heart Manual or hospital based classes, Hayes Dalal's presentation highlighted an increasing number of elderly people with comorbidities or heart failure who were considered unsuitable for either. The CAPTURE project adds home-based personalised physiotherapy input to the mix and has reversed the trend in "non-suitable" patients.

Third, Reena Devi described a web-based alternative to traditional rehab in which patients can complete a risk assessment on line, and be provided with a personal rehabilitation plan. Tools include secondary prevention advice, access to a chat room or e-mail link to the local CR team, on-line exercise diaries, and quizzes to provide feedback. A pilot study in which patients were asked to wear activity monitors showed significant increases in activity over 5 METS and positive feedback from patients.

Fourth, Barbara Conway outlined a research project investigating the barriers to uptake and engagement in cardiac rehabilitation among people from lower socio-economic backgrounds. From semi-structured interviews with ten participants a number of emerging themes were identified, including cardiac incidents and illness perceptions, dislike of groups, poor predicted future quality of life, feelings of isolation and fear of hospitals. It was concluded that new ways of delivering services may need to be developed to reach individuals who do not currently access services.

Fifth and finally of the abstract presentations, Dr Iain Todd described a project which redesigned the cardiac rehabilitation service in Lothian to improve access for previously under-represented groups. The new comprehensive service provides home-based post discharge rehabilitation followed by assessment for and attendance at outpatient groups. Phase III programmes are held in community venues in areas of higher deprivation and incidence of CHD. An audit of service uptake revealed that the new service countered the effects of social deprivation and minimised the impact of age and gender of patients.


Professor Patrick Doherty - National Clinical Lead for CR, NHS Improvement

Oral Abstract Presenters for the British Journal of Cardiology Prize

Anne Welsh Dr Hayes Dalal Reena Devi

Barbara Conway Dr Iain Todd



BACR Conference 2010

We tried for the first time a 'Meet the Experts Session', presenting four different case studies. The panel consisted of Dr Susan Connolly, Consultant Cardiologist, Imperial College Healthcare NHS Trust, Paul Smith, Specialist Nurse, Hywel Dda NHS Trust, Alison Mead, Specialist Dietitian, Imperial Healthcare NHS Trust Annie Holden, Health Divison Manager, Mytime Active and Dr Gail Bohin, Clinical Psychologist, Gloucestershire Hospitals NHS Foundation Trust.

Meet the Experts panel

The afternoon session focused on the prevention agenda and began with a description of the "Health Checks" programme by Heather White. This initiative provides risk assessment and management for all 40-74 year olds targeting diabetes, CHD, stroke, and chronic renal disease. Applied to all PCTs this programme has the potential to lead to earlier detection of diabetes and renal disease and prevent vascular death and morbidity. The programme uses social marketing techniques to identify ways of accessing those patients who don't visit their GPs.

Malcolm Walker had the unenviable task of following John Ryan with the final session of the conference and the even trickier question of how to get cardiologists interested in cardiac rehabilitation. Not surprisingly, the answer is…with great difficulty.


Heather White - Deputy Head of Vascular Programme, NHS

Improvement

This theme was continued by the next speaker, Shashi Carter, who described an innovative approach to persuading men to have a health check. Shashi highlighted the higher all cause mortality among men of all age groups, even in diseases where the incidence is higher among women, such as skin cancer. Shashi's project targets men in community and work place settings with a basic health MOT. She described using a comedian, John Ryan, to deliver health messages in working men's clubs as a means of persuading them to engage. John then gave us a demonstration. Unfazed by the fact that his audience was 90% female, he delivered a very clever comedy routine using some of the audience as props. Several council members past and present were suitably humiliated in front of their peers, but it was notable that certain key members of council, clearly forewarned, chose to stand at the back of the hall during this session rather than take their usual seats at the front!

Shashi Carter - Senior Health Development Officer, Coventry City Council & John Ryan - Comedian

Dr Malcolm Walker - Consultant Cardiologist, UCLH

The concluding session at the end of the conference on Day 2 involved awarding prizes for best practice. The British Journal of Cardiology Prize for the best oral abstract was awarded to Barbara Conway. The best poster prize was awarded to Amanda Buttery and colleagues from Guy's and St Thomas' NHS Foundation Trust and King's College London for 'Access to Cardiac Rehabilitation for Patients with Heart Failure: A National Survey of Service Provision and Health Professionals' Beliefs'. A prize for the 2010 BACR Travel Award was awarded to Christine Bathurst, a Community Cardiac Rehabilitation Nurse in West Kent Primary Care Trust.

Prize winners

Barbara Conway (British Journal of Cardiology Prize Winner)

Amanda Buttery (Best Poster Prize)

The next annual conference will be in Brighton on October 6th and 7th 2011.



Announcing the Annual BACPR Conference 2011

Thursday 6th and Friday 7th October 2011 at the Thistle Hotel, Brighton. Partnership working to improve careIn these budget conscious times, how can we work together to work smarter? What can we learn from our affiliated organisations?In addition to thrilling keynote speakers, there will be sessions on:

• AACVPR update by Professor Barry Franklin• Highlights from EuroPRevent 2011• Stepped approach to dealing with psychological problems • Heart failure prevention and management by the British Society of Heart Failure • CR Team Behaviour Change; An essential ingredient to developing effective partnerships by Professor Bob

Reid • Parallel sessions from partner organisations

Latest views on physical activity and exercise by the BACPR Exercise Professionals GroupCardiovascular Nursing in Prevention and Rehabilitation by the British Association of Nursing in Cardiovascular Care Primary care - its role in prevention from the Primary Care Cardiovascular Society Diet and weight management in cardiovascular disease by UK Heart Health

And following huge demand from last year, JOHN RYAN will entertain us after dinner with his uproarious comedy. This is not to be missed!

Please watch out for registration forms in the New Year.


All cardiac rehabilitation programmes will be invited to nominate their programme as an example of 'innovative practice' in early 2011. From here 10 programmes will be shortlisted, followed by an open vote involving engaging patients, health professionals and an expert panel resulting in three finalists.

The three finalists will have three members of their team fully funded to attend the BACPR conference 2011 and will present their programmes. This wonderful opportunity to celebrate cardiac rehabilitation will culminate in a GALA DINNER on the 6th October where the winning team will receive £2000, with runner up prizes too.

Announcing the BHF/BACPR Award for Cardiac Rehabilitation



A new trail blazing Commissioning Pack for Cardiac Rehabilitation was launched on October 21st by the Secretary of State for Health Andrew Lansley at the National Association of Primary Care conference in Birmingham.

This is the first of a new series of commissioning support packs and is ready to be used by commissioners, whether they are existing PCTs or shadow GP Commissioning Consortia. The commissioning pack was developed by the Department of Health and NHS Improvement with substantial input from patients and expert clinicians. It is evidence based and defines what 'best practice' Cardiac Rehabilitation (CR) looks like and how it can be delivered cost effectively. One of the strengths of the cardiac rehabilitation commissioning pack is that it includes a set of robust templates which can be adapted to suit local needs. This will free up Consortia to focus on outcomes and services pertinent to their patients and clinical burden trends in their patch.

To accompany the commissioning pack the British Heart Foundation (BHF) and NHS Improvement have jointly developed a guide to help patients and their families and carers understand what may be expected from involvement in a CR programme. The booklet is available for download at: http://www.bhf.org.uk/news_and_campaigning/our_campaigns/cardiac_rehab.aspx

The Cardiac Rehabilitation Commissioning Pack includes:1. An evidence-based service specification template that sets out how to

design services to improve patient outcomes2. A costing tool that commissioners can use to determine how much money

could be saved by implementing the service3. Service redesign and procurement guidance and templates developed to

reduce bureaucracy and the amount of time spent on administration.

The Cardiac Rehabilitation Commissioning Pack can be downloaded at:http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/Browsable/DH_117500

Support for ImplementationNHS Improvement supported the development of the Cardiac Rehabilitation Commissioning Pack alongside other key stakeholders and is now playing a central role in the implementation and roll out of the pack across the NHS in England. In the first instance, this work has involved recruiting 10 project sites to help test the utility of the pack in real life settings. Effective commissioning should reduce the current variations in the services available to patients, whilst ensuring the shape of CR services reflects best clinical evidence and optimal use of resources. This will raise both quality and productivity of CR services and will help to meet the challenge of providing timely access to good quality, patient-centered CR.

NHS Improvement and the National CR Project Teams in the recruited sites will work together over the next 18 months to share progress including information, resources, lessons and learning in order to spread good practice in the delivery of high quality CR services across the country.

The NHS Improvement CR team includes:

• Professor Patrick Doherty, National Clinical Lead• Dr Jane Flint, National Clinical Advisor• Julie Harries, Director• Sarah Armstrong-Klein, National Improvement Lead

Further information on the National Projects, including contact details for the team, can be found on the NHS Improvement website cardiac rehabilitation pages at: www.improvement.nhs.uk/heart/cardiacrehabilitation

For further details contact Sarah Armstrong-Klein, National Improvement Lead and BACR Council Member (Co-opted), NHS Improvement at [email protected]

New Department of Health guidance: Cardiac Rehabilitation Commissioning Pack

• Linda Binder, National Improvement Lead• Mel Varvel, National Improvement Lead• Lesley Manning, PA



Dr Mike Knapton's foreword and the executive summary by Professor Bob Lewin highlight that the fourth National Audit of Cardiac Rehabilitation covering England, Wales and Northern Ireland continues to show significant reductions in waiting times for cardiac rehabilitation and an increase in the numbers of people taking part. Overall, 41% of heart patients from the target groups (heart attack, bypass surgery and angioplasty) took part during 2008-2009, building on the 38% that took part during 2007-2008. In absolute terms this is over 5000 more patients receiving cardiac rehabilitation compared to last year.

The percentage of coronary artery bypass patients taking part rose again to 76% but there was no significant change in the number of patients taking part following angioplasty which remains particularly low at 28%.

The recently published NICE guideline on Chronic Heart Failure (August 2010) recommends cardiac rehabilitation for many of the heart patients that live with heart failure. Disappointingly, there has been no improvement in the numbers of patients with heart failure attending cardiac rehabilitation (1%). Likewise only 4% of patients with angina were referred to cardiac rehabilitation.

To access the full report: http://www.cardiacrehabilitation.org.uk/nacr/docs/2010.pdf

NACR Update

The BHF are pleased to announce three new publications with information particularly for South Asians. All 3 publications are available in English, Bengali, Gujarati, Hindi, Punjabi, and Urdu.

BHF News

Smoking, shisha and chewing tobacco - how to stop

South Asians have a higher risk of developing and dying prematurely from coronary heart disease and smoking is one of the main risk factors for the disease. This booklet explains the health risk of smoking, cigarettes, pipe tobacco or shisha and chewing tobacco. In this booklet we also give advice on how to stop smoking.

Angina and what you can do about it

Aimed at the Asian community and available in five South Asian languages (Urdu, Hindi, Gujarati, Punjabi and Bengali), this booklet explains what angina is, the treatments for it and how to prevent it getting worse. It is also available in English.

Looking after your heartThis booklet explains how, by making simple changes to your lifestyle, you can look after your heart and reduce your risk of developing certain heart conditions, such as coronary heart disease (angina and heart attack), or of having a stroke.

For more information contact Isobel Booth, Resources Manager - Heart Health Resources and Community Support, British Heart Foundation. Tel: 020 7554 0364; email: [email protected] or visit the website: bhf.org.uk



At the end of October, BACR President John Buckley, travelled to Montreal following an invitation by the Board of the Canadian Association for Cardiac Rehabilitation (CACR) to participate in their Annual Conference. His visit involved three elements: i. an oral presentation of his research on heart rate indexes during shuttle walking tests, ii. a keynote invited presentation on physical activity and obesity, and iii. attending their Board meetings to explore potential collaborations with BACR

John said "the parallels and challenges between CACR and BACR are uncanny”:

British and Canadian Associations have much in Common

John with Incoming CACR President Bob Reid, Past-President Paul Oh, and CACR Executive Director Marilyn Thomas, at the CACR Annual Conference, Montreal, 23rd October, 2010

• They are organised as an affiliate group under a parent group; the Canadian Cardiovascular Society

• The membership is largely made up of nurses and then physiotherapists and exercise professionals

• Most services around the country are led by specialist nurses

• They face service delivery challenges of an ethnically diverse population distributed in urban pockets, with the challenges of many poorly resourced rural services

• CR services operate within a resource-limited state-run health service, which has the challenge of the different provinces procuring and managing services with different systems (as we have with England, N. Ireland, Scotland and Wales)

• Patient uptake is between 30–40%, with data collected from a nationally- run registry (very similar to NACR) which is supported by charitable funds and industry sponsorship

• Their Board is run by a group of multi-professional volunteers made up of the same professions represented on BACR Council

• They respect that delivery of CR needs to focus more on a bio-psycho-social approach to helping patients better self manage, and be motivated and skilled to live a healthier lifestyle

• They continue to face the challenge in convincing key clinical decision makers in regional settings to accept that CR has strong evidence as a "best buy" that can achieve significant clinical outcomes

Within their membership and activities, the dietitians are better represented than in the UK, and it was interesting that the two key sponsors of their conference were Kelloggs and General Mills Foods, who provided healthy breakfasts and lunches for the delegates. They have an extremely comprehensive up-to-date set of guidelines but they are extremely envious of BACR's education programme, especially the inter-professional nature of the way our courses are delivered and that we offer a specific exercise instructor qualification.

John hopes that we can develop continued communications with the CACR as we may be of help to each other in finding solutions to our similar challenges. The attendance and keynote of CACR President Bob Reid at our Brighton Conference is hoped to be part of developing this partnership.



Forthcoming courses Reducing the Risk of Cardiovascular Disease and Managing Weight: A Dietary and Behavioural Approach, 21st January 2011, Central London

This 1 day course aims to explore the assessment and prescription of dietary and weight management advice for the CVD group. The course focuses on assessing dietary intake, converting dietary evidence into practical and usable strategies for helping patients and their families to make appropriate changes to their diet to reduce their risk and help with weight management. The practical focus of the day will provide useful tips and suggestions that can be implemented into clinical practice.

'Excellent tips on delivery of information to patients - will definitely make changes to my delivery of all my healthy eating talks. Excellent team of facilitators' Course delegate October 2010

Psychological Issues for Health Professionals working in Cardiac Rehabilitation 11th/12th March 2011, Central London

An evidence and practice-based 2 day course designed to help multidisciplinary team members increase their confidence in identifying psychological issues, and to explore ways of incorporating psychological principles within cardiac rehabilitation programmes. This course is designed for cardiac rehabilitation professionals who already have experience of working in cardiac rehabilitation settings.

'Having attended this course with another team member we came back with ideas to implement both immediately and in the long term. We have used the tools within a new patient progress record to help our patients set goals that are important and achievable. The new commissioning toolkit for cardiac rehabilitation launched in November 2010 puts goal setting with patients as a high priority and this course provides the tools and tips to help meet these requirements ' Course Delegate March 2010

The BACPR also has an extensive educational programme which includes:

• How to Ensure your Cardiac Rehabilitation Programme Meets BACR Standards

• Physical Activity and Exercise in the Management of Cardiovascular Disease

Part I: Principles and Practicalities

Part II: Advanced Applications

• Physical Activity and Exercise Advice in Heart Failure

Please contact [email protected] for more details and application forms on all the above courses or if you would like to host one of the courses in your area in return for a small fee and a free place.

www.bacreducation.co.uk

BACPR Education

Delivering quality training courses for health and exercise professionals on the management of cardiovascular disease.

Delegates will receive comprehensive peer reviewed course material and all courses are delivered by specialist professionals from the UK who are currently involved in the area of cardiovascular

rehabilitation.



For those of us who have recently taken up positions on Council, we are grateful to the experience and guidance of our longer serving Officers for guiding and supporting us, specifically Judith Edwards (Secretary) and Linda Edmunds (Treasurer). Sadly, Judith and Linda finished their time on Council in October, 2010, having given an unwavering devotion to BACR for over four years. On behalf of all the Council and our membership we are very grateful for their assistance.

Retiring Council Members

Judith Edwards, and Linda Edmunds

We are delighted to announce that in recognition of considerable dedication and the immense work involved in leading our annual conference for many years Ann Ross was awarded an outstanding service award and lifetime membership.

With thanks to Professor David Brodie for many years of support to the conference planning team. You will be greatly missed on the Conference Committee.

Finally a sincere thanks to Linda Binder for her many years of support to BAPCR council. We welcome Sarah Armstrong-Klein who will now represent NHS Improvement.

Acknowledgements

Professor David Brodie Ann Ross

Thank you for your continued support to our Association. Wishing each of you a very merry Christmas and a happy New Year. We look forward to working

together in 2011 in our overall goal to provide people with high quality care in cardiovascular disease prevention and rehabilitation.

From all the BACPR Council

ESC Council on Cardiovascular Nursing and Allied ProfessionsApril 1st and 2nd 2011, Brussels, Belgium

EuroPReventApril 14th - 16th 2011, Geneva

BCS Annual ConferenceJune 13-15th 2011, Manchester

ESC CongressAugust 27th-31st 2011, Paris

Diary of Events 2011PCCS Annual ConferenceSeptember 28th - 30th 2011, Bristol

BACPR Annual Conference October 6th and 7th 2011, Brighton

BSH Annual Autumn Meeting November 24th and 25th 2011, London

Linda Binder


newsletter december 2010 - bcs · proposed jbs3 guidelines. presenting various recommendations,...

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