Perioperative Medicine Policy, Regions, and Integrated Care Boards: Localising a National Strategy
Release Date: 03/16/2026
TopMedTalk
New Presenter Amy Gomes and Andy Cumpstey interview this year’s WFSA scholars. We speak with Drs Gabriela Queiroz Do Amaral, Emyedu Andrew, Jedniphat Intrapongpan, and Loreen Sharma. The WFSA Scholarship Programme offers valuable opportunities for early-career anaesthesiologists from low- and middle-income countries to attend international and regional meetings. Find out more now about this exciting opportunity here: -- Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between...
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Perioperative Profiles, a popular monthly series on TopMedTalk in which we speak with the giants of perioperative medicine. This month Kate Leslie speaks with Denny Levett, Professor in Perioperative Medicine and Critical Care at the University of Southampton and a Consultant in Perioperative Medicine at Southampton University Hospital NHS Foundation trust (UHS). She discusses her roles in Southampton in perioperative medicine and adult intensive care, and as director of the UK Centre for Perioperative Care (CPOC). Denny recounts growing up in Rye, East Sussex, studying medicine at Cambridge,...
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At the 19th World Congress of the Societies of Anaesthesiologists (WCSA 2026) in Marrakesh, TopMedTalk welcomes Desiree Chappell back alongside Kate Leslie to interview Professor Palesa Motshabi-Chakane, Associate Professor and Head of Anaesthesiology at the University of the Witwatersrand and her colleague, Dr Mullai Slave a PhD candidate at University of the Witwatersrand. They discuss a study of 629 women undergoing cesarean section with spinal anesthesia at Chris Hani Baragwanath Hospital, where 23–33% are HIV positive. Using standard monitoring plus BD APM noninvasive continuous...
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Live from the 19th World Congress of Anaesthesiologists (WCA 2026) in Marrakesh with over 4,000 delegates from 150 countries, TopMedTalk’s Kate Leslie and Mike Grocott interview Professor Adrian Gelb, past World Federation of the Societies of Anaesthesiologists (WFSA) president, about his career from South Africa to Canada and UCSF and his focus on lower-resource settings, patient safety, and WHO engagement. Gelb argues patient safety improvements require system and workflow changes, not just guidelines. The comparison is drawn to road safety reforms and urging anesthesiologists to use their...
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Our coverage of the World Federation of Societies of Anaesthesiologists annual conference begins with an exclusive conversation with this year’s recipients of the WFSA Blood Health Innovation Award, Vijay Anand Ismavel and Ann Miriam Devarathnam. Andy Cumpstey finds out about their collaborative project with Kerala Digital University to develop an intraoperative auto-transfusion device, designed to recycle a patient's own blood during surgery in resource-constrained environments. For more information about this device, see: -- Join us at Evidence Based Perioperative Medicine (EBPOM) World...
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This piece sees the launch of a new series on TopMedTalk: we’re delving further into the world of Artificial Intelligence in healthcare and we’re going to do so at least once a month. Coming from the Association of Anaesthetists in London, Andy Cumpstey welcomes back former TopMedTalk Co-editor in Chief, Desiree Chappell, alongside editor-in-chief Professor Mike Grocott and Associate Professor James Bowness, Consultant in Anaesthesia at University College Hospitals London NHS Foundation Trust and Honorary Associate Professor of Anaesthesia at University College London and clinical...
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Part two of our retrospective on TopMedTalk’s coverage of last year’s fascinating ANESTHESIOLOGY® 2025 in San Antonio, Texas, USA. This is part two of a two part piece. Part 1 is here: This podcast contains clips and discussion from the following podcasts in our free archive: Exciting news from Desiree Chappell Innovations in Anesthesia: GE Healthcare's Advanced Solutions at ANESTHESIOLOGY® 2025 Exploring the Future of Perioperative Care: Insights from ANESTHESIOLOGY® 2025 Perioperative Profile, Steven Shafer Optimizing Pediatric Blood Health: Insights from ANESTHESIOLOGY® 2025 ...
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A look back on the TopMedTalk coverage of last year’s incredible ANESTHESIOLOGY® 2025 in San Antonio, Texas, USA. This is part one of a two part piece. Featuring clips and discussion from the following podcasts: Pediatric Airway Management Advances: Insights from Annery Garcia-Marcinkiewicz The Center for Anesthesia Workforce Studies at ANESTHESIOLOGY® 2025 Understanding Anesthesia Information Management Systems with Dr. David Kennedy Transforming Pain Medicine: An Insight into the Pain Medicine Coalition Clinical Readiness and Training Affiliation in Army Anesthesiology Navigating...
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TopMedTalk is proud to present Perioperative Profiles. This month we speak with Rupert Pearse, OBE, professor of intensive care medicine at Queen Mary University of London and a consultant at Royal London Hospital, known for his research on improving outcomes in high-risk surgical patients. In this fascinating piece we speak about his career in perioperative and critical care medicine. Raised in rural Bedfordshire as a farmer’s son, he switched late from plans to study agriculture to medicine, took a year out working as an auxiliary nurse and carer, and entered St George’s, London, where...
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TopMedTalk are proud to present The Siobhan Mythen Plenary Lecture, taken from our coverage of Evidence Based Perioperative Medicine (EBPOM) Ireland 2025. Professor Ellen O’Sullivan trained in anaesthesiology and intensive care in UK and USA and is now a Consultant Anaesthesiologist at St James’s Hospital Dublin, Ireland, affiliated to Trinity College Dublin. She specializes in airway management and is Director of the Fellowship in Advanced Airway Management and Simulation. She is Past President of the Difficult Airway Society, DAS, and was appointed DAS Professor of Anaesthesia &...
info_outlineAt the Royal College of Anaesthetists’ Centre for Perioperative Care (CPOC) Perioperative Leads Day in London, host Andy Cumpstey speaks with James White, a perioperative medicine clinician (and qualified general practitioner) working within the NHS in Cheshire and Merseyside, serving as Clinical Lead for Perioperative Medicine and contributing to national improvement work with the Centre for Perioperative Care, Simon Rang, consultant anaesthetist at East Kent Hospitals University NHS Trust who also contributes to national healthcare improvement work including with the Centre for Perioperative Care, and Denny Levett, Director of the Centre for Perioperative Care, and a Professor of Perioperative Medicine and Critical Care and Consultant at University Hospital Southampton NHS Foundation Trust and the University of Southampton.
The conversation covers how UK perioperative medicine policy is implemented through evolving NHS structures. They explain the relationship between national policy (Department of Health, NHS England) and delivery via regions, integrated care boards (ICBs), and local trusts, emphasizing integrated pathways spanning primary and secondary care, particularly post-COVID. James outlines five core requirements: early perioperative screening, proactive optimization/prehabilitation, maintaining health while waiting, listing patients only when medically fit, and shared decision-making. The guests discuss how regional and ICB networks share solutions, address variation and barriers (including finances and culture), and use CPOC guidance and resources alongside initiatives like GIRFT to support consistent implementation.
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Join us at Evidence Based Perioperative Medicine (EBPOM) World Congress 2026 in London. Be part of a global conversation as clinicians from around the world gather between 7-9th July at the British Library in London. Three days of evidence-based perioperative medicine, global insights, and expert debate—featuring speakers including Michael Marmot and Ken Rockwood.
Register here -