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Confirmed Keynote Speakers 2018


The Challenge of the "Difficult to Wean" Patient

Dr Louise Rose, Professor of Nursing at Kings College London, UK and TD Nursing Professorship in Critical Care Research based at Sunnybrook Health Sciences Centre, Toronto, Canada

Dr Rose is an honorary professor at the Lane Fox Respiratory Unit at St Thomas’ Hospital in London and also is the Research Director for the Provincial Centre of Weaning Excellence at the Michal Garron Hospital, Toronto, Canada. She is a PhD prepared nurse with an active research program and over 110 peer-reviewed publications focused on improving outcomes and experience of the ventilated patient in diverse settings including the intensive care unit, emergency department, specialized weaning centre, long-term care, and the community.


The Sustainability of the Critical Care Workforce

Dr Julie Highfield, Consultant Clinical Psychologist in Critical Care (Adult and Paediatric), University Hospital of Wales

Dr Julie Highfield is the Consultant Clinical Psychologist in Critical Care for Cardiff and Vale University Health Board. She works clinically with patients and visitors in critical care and has special interests in rehabilitation and the psychological impact of delirium.  


In addition to this, Julie is the lead for staff wellbeing, and  is involved in ongoing research into staff wellbeing in critical care. She is part of the Intensive Care Society Burnout Working Group, and has recently been involved in advising the wellbeing aspects of the Faculty of Intensive Care Medicine annual survey.

In addition, Julie is the secretary for the British Psychological Society Division of Clinical Psychology, Wales, and through this work has delivered a number of national sustainable workforce events.

Julie has a long experience of working as a psychologist in medical and health settings, and works closely with staff in their experience of working in healthcare, as well as advising managers on matters of workforce wellbeing. 


In this time of austerity there is increasing uncertainty in what is an already complex system of the NHS. Startling figures have emerged over recent years of medical and nursing staff struggling with high levels of burnout and stress. This is also the case in critical care.
In addition, with ongoing advances, intensive care medicine is changing, and our workforce are dealing with increasing complexity.
How do we ensure our workforce wellbeing during these ongoing challenges? The ethos of this presentation is to take a step back from individual approaches that we are so often drawn to, and instead to consider the impact of the system on the individual. It will offer ideas about what leads to unhelpful behaviours and dynamics in organisations and what can sustain helpful behaviours, particularly within critical care, although the underlying approach applies across all of healthcare.
The presentation will bring new ways of understanding team culture, and establishing a workplace that enables wellbeing via trust, safety, belonging, and autonomy. This is a step away from colluding with the “fix the individual approach” that the resilience agenda can unfortunately promote.

Advancing Critical Care: Safe staffing, workforce planning and new roles - ACP/ANP credentialing

Professor Mark Radford
Director of Nursing - Improvement, NHS Improvement

Mark Radford is Director of Nursing (Improvement) for NHS Improvement with a portfolio that covers workforce, quality improvement and Governance. 

Mark has worked in Perioperative, Emergency and Intensive care in the UK and Europe.  He was previously been a Chief Nurse of a University Teaching Hospital and Consultant Nurse in Emergency & Trauma care.  


Mark is Professor of Nursing at Birmingham City and Coventry Universities, and has published research on staffing, advanced practice, perioperative and trauma care.


The NHS England Five Year Forward View (2014) and the NHS England Next Steps on the Five Year Forward View (2017) set out the current challenges experienced by the NHS, its possible future and choices to be made. It is recognised in England that the increase in demand for services is intensifying the pressure on the workforce. It is also acknowledged that there are several issues throughout England and at a regional and/or local level, which have resulted in some significant gaps in the workforce. However, there are significant opportunities to develop the workforce to respond to these challenges, including expanding the development of Advanced Clinical Practice.

The new National multi-professional Advanced Clinical Practice (ACP) framework set out a new and bold vision in developing this critical workforce role in a consistent way to ensure safety, quality, and effectiveness. It has been developed for use across all settings including primary care, community care, acute, mental health and learning disabilities. This framework recognises that the health and care system rapidly evolves to deliver innovative models of care, health and care professionals have adapted, to meet the increasing demands of individuals, families and communities.


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