Exploring the Future of the SBNS

1
Exploring the Future of the SBNS

• Response to questionnaire
• Response rates
• Workforce
• Subspecialisation
• Issues to address
• Satisfaction
• Key Issues
• Discussion
• Next steps

2
Workforce by Age
3
SBNS MEMBERSHIP
4
In broad terms do you consider that the SBNS
fulfils its aim of promoting the practice of
neurosurgery in the British Isles?
5
Satisfaction Rates by Age
6
Satisfaction Rates by Region
7
Extra-clinical Activities
8
Extra-clinical Activities by ResponseProfession
al Engagement

• Positive 160/92 1.7
• Neutral 36/37 1
• Negative 23/11 2

9
Special Interests
10
Special Interests

• Spine 26
• Paediatrics 18
• Skullbase/pituitary 14.5
• Oncology 13
• Vascular 12
• Functional 10
• CSF disorders 4
• Other 2.5

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Issue 1st Response (157) 1st Response (157) All responses (360) All responses (360)
Training 26 16.5 60 16
Sub-specialisation 17 11.0 33 9.0
EWTD 14 9.0 26 7.0
National Profile 13 8.0 24 6.5
Quality of Care 12 7.5 30 8.0
Single meeting 10 6.5 25 7.0
Paeds SS 10 6.5 19 8.0
Revalidation 9 5.7 16 4.0
National Audit 5 3.0 15 4.0
Research 6 4.0 14 4.0
Work force and workload 5 3.0 9 2.5
CME 4 2.5 11 3.0
Commissioning 4 2.5 16 4.5
Meeting educational value 4 2.5 9 2.5
Vascular services 3 2.0 6 1.5
Professional relationships 2 1.2 10 2.5
Trauma services 2 1.2 3 0.8
NHS - TC 1 0.6 8 2.0
International Profile 1 0.6 7 4.5
CGD guidelines 1 0.6 1 0.3
Mentoring 1 0.6 1 0.3
IOG 1 0.6 3 0.8
National Selection 1 0.6 1 0.3
PP fees and indemnity 6 2.5
Other 2 0.5
No comments 5 3.0 5 1.5

Comment on the three most important issues that
you feel the SBNS should address in the next five
years.
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Key Issues gt 10 responses

• Training 60
• Subspecialisation 33
• Quality of care 30
• EWTD 26
• Single meeting 25
• National profile 24
• Paediatrics SS 19
• Revalidation 16
• Commissioning 16
• National Audit 15
• Research 14
• Professsional relationships 10

13
Training

• Quality of training
• Experience at CCT
• Specialist fellowships
• Bring back BST (1 response)

14
Sub-specialisation

• Negative aspects
• Adult-paediatric split
• Cranial-spinal split
• Subspecialty rotas
• Maintaining emergency competence

15
Quality of Care

• Safe Neurosurgery
• Infrastructure
• Workforce
• National Standards

16
EWTD

• EWTD! EWTD!! EWTD!!!
• Training
• Quality of care

17
Single Meeting

• Subspecialty meeting pressures
• Improve quality of presentations
• Improve CME
• Integration of general and subspecialty meetings

18
National Profile

• Voice of neurosurgery
• Professional side-lining
• Loss of status
• External perceptions of neurosurgery
• Relationships with other specialties

19
Key Issues gt 10 responses

• Training 60
• Subspecialisation 33
• Quality of care 30
• EWTD 26
• Single meeting 25
• National profile 24
• Paediatrics SS 19
• Revalidation 16
• Commissioning 16
• National Audit 15
• Research 14
• Professsional relationships 10