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Clinical Practice
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Management
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Disclaimer

Management


  • I have been Clinical Director of Surgery since 1990 and during that time have been involved in the unification of the Trust Hospitals in Sheffield. In 2001 I was re-appointed Clinical Director of Surgery for the joint Trust.
  • In 1995 I was awarded 'Medical Manager of the Year' by the British Association of Medical Managers
  • I have lectured on medical management courses nationally including those at the Royal College of Surgeons of England and Keele University.

I have served in the following capacities for the Trust:-

1990 - 2001 Medical Executive Committee/Clinical Executive for Central Sheffield University Hospitals Trust
1990 - 1995 'Health Care Policy Study Group'
1990 - 1995 Operating Department Management Executive
Committee
1991 - 1995 Executive Committee of Surgical Division of Sheffield
1991 - 1994 Clinical Adviser to IBEES (Institute of Biomedical Equipment Evaluation and Services)
1993 - 1995 Member of Acute Strategic Planning and Purchasing Group (SPPG), Sheffield Health Authority
1995 - 1999 Research and Development Committee Executive Group
Central Sheffield University Hospitals Trust
1996 - 2000 Sheffield Health Authority, Acute Policy Implementation Group
1998 - 2000 Joint Strategic Planning Group - Development of Clinical Services within Sheffield
2000 - 2001 Clinical Services Project Team - Merging of Trusts
2001 to date Clinical Management Board - Sheffield Teaching Hospitals Trust
   

As Clinical Director I have introduced several new initiatives especially with regard to 'Consultant Activity Packs' and these initiatives have been the subject of publications in Health Service Journals:-

Costing operations
Thomas WEG, Ross B
Lancet 1991;337:921

Who's afraid of informed consent
Kerrigan DD, Thevasagam RS, Woods TO, Welch IM, Thomas WEG,
Shorthouse AJ, Dennison AR
Br Med J 1993;306:298-300


Personal Performance Index (PPI) for surgical morbidity
Bowditch MG, Keel J, Dennison AR, Thomas WEG
Br J Surg 1994; 81:1804


Why we sacrificed our sacred cows
Thomas WEG
Fundholding 1995;4:14-15

Corporate involvement in contract achievement
Thomas WEG
Clinicians in Management 1995;4:2-4


What makes a good medical manager
Thomas WEG
Surgery (Scalpel) 1996;14(3):1-2


The change in surgical training
Thomas WEG
Hospital Update (Suppl.) 1996;3:4


The relationship between pathologists and surgeons
Thomas WEG
Association of Clinical Pathologist News 1996 (Autumn) 47


The place of basic skills workshops in surgical training
Thomas WEG
Br J Hosp Med 1996;55:346-348


Basic Surgical Skills Course: an educational success story
Thomas WEG
Ann.Roy.Coll.Surg.Eng.(suppl) 1999;81:195-196


Cholecystectomy - does sub-specialisation alter workload?
Goodfellow PB, Thomas WEG, Majeed AW, Johnson AG
Proc.Ass.Upper.GI.Surg. 1999


Core skills, courses and competency
Thomas WEG
Ann.Roy.Coll.Surg.Eng. (suppl) 2000;82:18-20

A strategy for teaching surgical skills
Thomas WEG
Surgery 2000;18:7:ii


Moving the Goalposts
Craig K, Thomas WEG
Health Service Journal 2001;III:5748:32-33


I have regularly lectured and presented on clinical management issues:-

Culture shock of specialty based management from a medical standpoint
`Management development for clinical directors'
Health Service Management Centre, University of Birmingham.
June and October 1991


Management issues in general surgery
`Medicine for Managers', Sheffield. July 1991

Internal Trading - opportunities or threat?
Expectations of a clinical Director, Doncaster. June 1992

GP access to Radiology: Bonuses/threat to hospital clinician
British Institute of Radiology, Sheffield. June 1992

The role of the Clinical Director
Management course for senior surgical registrars, Royal College of Surgeons of England. November 1992.

Casemix in contracting - a clinical director's perspective
Conference on `Contracting strategy for provider trust', London.
February 1993

Strategy for Planning Surgical Services
Management Course for Senior Registrar's in Surgical Specialties, Keele University. April 1993

The Strength and weaknesses of Clinical Directorate's - A Clinical Director's Perspective
Conference on `Clinical Directorate's - how are they working and what is their future' London. May 1993

What sort of NHS do we want?
SCHARR, Sheffield. July 1993

Managing NHS services and contracts
Management Course of Senior Registrar's in Surgical Specialties, Royal College of Surgeons, London. December 1993 and December 1994

Responding to Fundholder requests : a problem of supply and demand
"Dealing with GP Fundholder requests, what are the options for Clinical Directorates"
London. November 1994

Responding to Fundholders Requests - a problem of supply and demand
"Bridge over troubled waters"
Fundholding Conference for North East and South East Thames Region, Dartford. February 1995

Organisation and management of surgical services
Keele University, April 1995

Ethical standards and professional conduct
Sheffield Cathedral, November 1995

Corporate involvement in contract management
Bassetlaw Hospital, Worksop, February 1996

Healthcare Management in Romania
SCHARR, Sheffield, September 1996

The organisation and management of surgical services: A clinical director's perspective
Keele University Management Course for Specialist Registrars
Royal College of Surgeons of England, December 1996

Surgical Education/Update and Future Develpments
Annual Surgeons Panel, association of Surgeons of Great Britain and Ireland
Bournemouth, April 1997

Day Case Surgery - Who benefits?
15th International Gastrointestinal Surgery Workshop, Davos, Switzerland
March 1998

The Management Agenda and Priorities for Surgical Services
Management Seminar for Consultant Surgeons
Keele University, May 1999

The Organisation amd Management of Surgical Services
Clinical Management Course for Specialist Registrars
Keele University, July 1999

Teaching and assessing practical surgical skills (Invited Lecturer)
Conference on 'Medical Education as a Continuum'
Nijmegen, the Netherlands April 2000

Core skills and competency testing
Symposium on 'Training, Technology and Revalidation'
Malmo, Sweden May 2000

The Delivery of Surgical Services
Management Course for Surgical Registrars
Keele University, June 2000

Surgical Education - Delivering the Package
'European Day'
Royal College of Surgeons of England
London, July 2000

Presidential Address - 'Skills, Spills, and Surgical Thrills'
Surgical Section of the Royal Society of Medicine
London, November 2000

Operative Competency - Can we measure it?
East Midlands Surgical Society
November 2000

Operative Competency - Should we measure it?
Sheffield Medico-Chirurgical Society
November 2000

Assessing surgeons
Association of Surgeons in Training
Sheffield, February 2001

Surgical Training in the United Kingdom
Joint Intercollegiate Meeting, Barbados
March 2001

The challenge of surgical training
Joint Meeting of Royal Society of Medicine and Jordanian University Hospital
Amman, Jordan
May 2001

Competency Assessment - is it working?
Royal College of Surgeons of England Roadshow
Nottingham, June 2001

Identifying and remedying poor performance
'Surgery 2001'
London, June 2001

The Consultant Contract - Paradigms Lost?
Sheffield Health Authority 2nd Annual Conference
July 2001

How should we assess Surgical Competency?
Royal Perth Hospital, Australia
August 2001


W E G (Bill) Thomas MS FRCS