Welcomefrom the BCS President

Prof Simon Ray

Deaths during the year

Minutes ofAnnual General Meeting 2019

Report from the Honorary Secretary

Prof Nick Linker

Membership is down 101 members with 39 less new applications

Membership 2020

Membership Model 2020Current Category Changing to 2020-2021 Fee Notes

Ordinary Ordinary (no change) £270 Fee frozen; category expanded to include all cardiovascular healthcare professionals

Joint BACPR (non-consultant), BANCC,

SCST & TripartiteJoint £50

Standardised fee of £50; existing joint members transferred automatically and category expanded to include eligible members of any society affiliated to the BCS (proof of current Affiliate Society membership will be required). Detail to be provided to all existing Joint members by 10 June

Joint BACPR (consultant) Discontinued (Ordinary) N/A Members will be transferred to Ordinary membership of the BCS; subscription fee to BACPR must be made separately via the BCS

International Online £100 Fee decrease of £5 p/a; category to include online-only and International members. Conference attendance will be at an additional, albeit discounted rate

Extraordinary Emeritus Free Change of title and some benefits received (details currently being communicated to members)

Honorary Honorary Free Change to some benefits received (details currently being communicated to members)

Joint BJCA Associate (BJCA) £105 Fee frozen; BJCA members to receive an enhanced membership offering designed to improve support to trainees

Non-Clinical Discontinued (Ordinary, Online or Joint) N/A

Members will not be transferred automatically; members have been contacted and will have the option to take up Ordinary or Online membership. Joint membership is also available to eligible members of Affiliate Societies

Digital TransformationThe BCS partnered with Squiz in 2018 for delivery of a new website, CRM system and conference management system.

Progress so far has had a number of delays but the web site has been launched and work is ongoing to finalise the membership systems.

Work is continuing on the Conference website and the development of the Affiliated Societies websites.

We are in negotiation with Squiz at this time to finalise the work and obtain a robust timescale for this. To facilitate this we have established DPOG.

Responsive website, ‘mobile first’ build approach so is compatible with multiple devices and browsers. Video Embedding, Simplified Navigation, New Community Calendar, dedicated Annual Conference website and other digital resources. DCMC established to develop these.

ACCEA UpdateOwing to the COVID-19 pandemic and its impact on NHS staff, the Advisory Committee on

Clinical Excellence Awards took the decision to suspend the awards this year.

Changes to the Constitution of the BCSOver the last few months there have been a number of changes made to the Constitution of the

BCS (“the Rules”) to reflect the change in membership categories.

In addition, there have been changes to the Committee / Working Group sections to ensure that members attend a minimum of 75% of meetings and play an active part in the business of the

Committee / Working Group. I have written to all Committee Chairs to advise them of the changes in the Rules.

2020 BCS Election ResultsPresident Elect

Prof John Greenwood

Vice President, Corporate Finance and Development, ElectDr Cara Hendry

Council without PortfolioDr Daniel Sado

NB: Ballot for all other contested elections was deferred due to COVID-19. It will recommence in June 2020.

2020 BCS Election ResultsAppointed Trustees 2020-21

Prof Simon Ray (President) Sir Bruce Keogh (non-executive)

Prof John Greenwood (President, elect) Mr Paul Turner (non-executive)

Dr Guy Lloyd (Honorary Secretary) Ms Melissa Coutino (non-executive)

Dr Andrew Archbold (VP Clinical Standards) Mr Malcolm Bell (non-executive)

Prof Andre Ng (VP Education & Research) Prof Peter Weissberg (non-executive)

Dr Alison Calver (VP Training) Mr David Lawrence (non-executive)

Dr Derek Harrington (VP Corporate Finance & Development)

Dr Cara Hendry (VP Corporate Finance & Development, elect)

2020 BCS Election Results

Accept the resignations from the Board of:

Prof Nick Linker (Honorary Secretary)Prof John Greenwood (VP Education & Research)

Up next: VP Clinical Standards -Dr Andrew Archbold

Report from:

Vice President of Clinical StandardsDr Andrew Archbold

Clinical Standards DivisionResponsible for matters relating to the clinical practice of cardiology

Provides expert clinical cardiology advice to external organisations such as NICE & the ESC in their development of clinical guidelines, technology appraisals, and position statements

Clinical Standards Committee Guidelines & Practice Committee

Development of clinical & professionalstandards for UK cardiologists

Clinical Standards Committee• BCS Endorsement

British Heart Valve Society document, “Network based care for Heart Valve Disease: a service framework for the care of patients with heart valve disease”, endorsed by the BCS after peer review by the CS Committee

• BCS Engagement

Engagement with SarcoidUK through the CS Committee as it seeks to write a Cardiac Sarcoidosis Consensus Statement regarding the management of cardiac sarcoidosis and to conduct an audit to provide information about the current availability of cardiac sarcoidosis services.

Guidelines & Practice Committee

• Chaired by Dr Neil Swanson

• Contributed to about 40 formal consultations, plus other requests for BCS input, in the last 12 months

British Thoracic Society consultation regarding its Clinical Statement on Pulmonary Sarcoidosis. Submitted 20 December 2019 (Neha Sekhri, Oliver Guttman, Jagdeep Singh, Neil Swanson, Andrew Archbold).  Review of NICE technology appraisal guidance TA420; Ticagrelor for preventing atherothrombotic events after myocardial infarction. Response submitted 20 Dec 2019 (Neil Swanson, Andrew Archbold).  Proposed Single Technology Appraisal Draft Scope Consultation: Dapagliflozin for treating heart failure with reduced ejection fraction ID1656. Response submitted 18 December 2019 (Neil Swanson, Sanjeev Bhattacharyya, Jagdeep Singh, Paul Kalra, Andrew Turley, Andrew Archbold)   NICE consultation on the safety and efficacy of intravascular lithotripsy for calcified coronary arteries during percutaneous coronary intervention [IP1758/1]. Joint response with the British Cardiovascular Intervention Society submitted 12 December 2019 (Neil Swanson, Helen Routledge, Andreas Baumbach, Nick Curzen, Andrew Archbold).  National Patient Safety Team enquiry: Intra‐aortic balloon pump balloon rupture. Liaison between December 2019‐February 2020 (Andrew Wragg, Saqib Chowdhary, Brian Clapp, Nick Linker, Simon Ray, Andrew Archbold). 

Selected submissions Dec 2019

Formalising the process for managing BCS input to consultations

• Requests for BCS input come from a range of bodies and societies for various different purposes

• The requests reach BCS through a variety of avenues, often with a limited timeframe for responding, e.g. NICE/NHSE Rapid COVID-19 Guidelines

• It is crucial that high quality advice is provided by the BCS in order to ensure, as far as is possible, that the final documents are themselves high quality and relevant to cardiologists in the UK

• The process for fielding and responding to requests for input to consultations by the BCS has been formalised and its governance enhanced, with internal peer review and sense checking of its submission, so that BCS responses are always of the desired quality

Guidelines & Practice CommitteeUK Peer Review of ESC Clinical Practice Guidelines

Submitted nominations for UK reviewers of the ESC guidelines which are currently in development:

• 2020 ESC Guidelines on Non-St-Segment Elevation Acute Coronary Syndromes

• 2020 ESC Guidelines on Atrial Fibrillation

• 2020 ESC Guidelines on Adult Congenital Heart Disease

• 2020 ESC Guidelines on Sports Cardiology and Physical Activity in Patients with Cardiovascular Disease

• 2021 ESC Guidelines on Cardiac Pacing and Cardiac Resynchronization Therapy

• 2021 ESC Guidelines for the Diagnosis and Treatment of Acute and Chronic Heart Failure

• 2021 ESC/EACTS Guidelines for the Management of Valvular Heart Disease

• 2021 Joint European Guidelines on Cardiovascular Disease Prevention in Clinical Practice

Demitting committee members 2020Clinical Standards Guidelines & Practice

Dr Sharad Agrawal (co-opted) Dr Farzin Fath-Ordoubadi

Dr Tom Cahill Dr Nina Karia

Dr Brian Clapp Dr Jagdeep Singh

Dr Siddharta Mangi

Ballot for contested elections was deferred due to COVID-19. It will recommence in June 2020.

Up next: VP Corporate Finance & Development – Dr Derek Harrington

Report from:

Vice President, Corporate Finance & Development

Dr Derek Harrington

Unaudited Financial Statements Summary

Year ending 31 Dec 2019

Unaudited Statements of Financial ActivitiesFor year ended 31 Dec 2019

Total Income £2.62m (9.1% increase on 2018)

Total Expenditure £2.59m (6.8% increase on 2018)

Operating Surplus £0.03m (£0.02m deficit in 2018)

Net Surplus (including investment gains) £0.64m

(£0.29m deficit in 2018)

Unaudited Balance Sheet SummaryFor year ended 31 Dec 2019

Cash Balance £348k (2018: £442k)

Investment portfolio £4.656m (2018: £3.941m)

Total free reserve £5.214m (2018: £4.680m)

Funds total £6.930m (2018: £6.301m)

Financial Summary 29th May 2020- Impact of COVID-19 on investments

Investment portfolio valuation as at 29th May 2020: £4.258m

(Dec 2019: £4.656m)

Budget Summary 2020- Budget for 2020 is predicted as neutral.

- We remain committed to our goal, as set out at last year’s AGM, to consistently bring operational costs in line withincome by 2022.

- The key areas that will enable the financial sustainability for the society are:- Increasing member numbers- Delivering profitable or break even education courses- Continuing a successful partnership with the BMJ- Supporting and support from Affiliate groups - Support from partners, including industry, for continued and alternative methods of delivering educational content

to members- Income from and growth of an investment portfolio

- The overall position of BCS reserves is healthy and is sufficient to cover over two years of annual resources and theanticipated downturn in the economy.

- The current cash flow indicates that the Society has sufficient funds in 2020, with no need to draw down capital fromthe investments fund.

Reappointment of auditors Buzzacott LLP for 2020

(any objections to be raised in writing within 2 weeks)

Up next: VP Education & Research – Prof John Greenwood

Report from:

Vice President for Education & ResearchProf John Greenwood

Chair: Prof John Greenwood

• Prof Simon Ray, Prof Nick Linker, Dr Alison Calver

• Dr Mark Westwood, Dr Shouvik Haldar,

• Dr Jaydeep Sarma, Dr Matt Daniels, Prof Andre Ng, Dr Dawn Adamson, Dr Laura Dobson, Dr Bethan Freestone, Prof Andrew Clark, Dr Arjun Ghosh, Dr Kate English, Dr Kazim Rahimi, Prof Pier Lambiase

• Dr Matthew Ryan, Dr Benedict Wiles, Dr Rosita Zakeri

• Prof Metin Avkiran,

• Clare Cartwright, Carolyn Hargreaves, Rachael O’Flynn, Lauren Banks, Jasdeep Bhamber

BCS Annual Conference (Programme Committee):

• Much of the content will be rolled-over to June 2021• Thomas Lewis Lecture 2021 - Salim Yusuf – ‘Environment, risk factors and health systems --- relative

impact on CVD and mortality’ • BCS Lecture 2021 – David Newby – ‘Car Sick: The Cardiovascular Effects of Air Pollution’ • Opening lecture 2021: Prof, Sir Andrew Haines ‘Cardiovascular disease on a changing planet’

• Planned new initiatives:a) Strategic move to embedded mini-conferences (Imaging Council, BSH, BHRS, BCIS, BCCA)b) Combined GP / Patient day (PCCS & CCP-UK)c) Nuclear and CTCA level I coursesd) AHP, nurses, cardiac scientists dedicated abstract track. e) CPCS - symbiotic Training Day

Theme for BCS 2020: ‘Cardiology and the Environment’

Remaining plans for 2020:

BCS Awards day – RCP/virtual• YIA – 27 Applications• MDECA – 5 Applications• Total Abstracts – 223 submissions

• Basic Science – 46• Clinical Abstracts – 177:

• ACHD/valve disease/pericardial disease/cardiomyopathy – 23

• Acute coronary syndromes & Interventional Cardiology – 45

• Allied Health Professionals/Nursing/Health Scientists – 7

• Cardiac Rhythm Management – 29

• Heart Failure – 29

• Imaging – 21

• Stable IHD/Prevention/Hypertension/Lipids – 23

CaReMe (cardio/renal/metabolic group) sessionIndustry symposium on Heart Failure

BCS Awards Day: Friday, 16th October 2020: Location: RCP. Council Chamber for meeting (max 100),

Programme:

09:00 Welcome address

09:10 ‘Best of the Best’ oral Abstracts (3 presentations from 7 categories; 6min talk, 4min Q’s)

09:10-09:40 ACS and PCI

09:40-10:10 CRM

10:10-10:30 Heart Failure

10:30-11:00 Coffee

11:00-11:30 Imaging

11:30-12:00 ACHD, valves, cardiomyopathy, pericardial dx

12:00-12:30 Stable chest pain, CV prevention, hypertension, lipids

12:30-13:00 Allied health professionals, nursing, health scientists

13:00 Lunch

14:00-14:30 MDECA (Dr Christopher Miller; University of Manchester)

14:30 Young Investigator Award presentations – 90min (8min presentation, 7min Q’s)

14:30-14:45 Dr Natalie Haywood (University of Leeds): The endothelium as a paracrine modulator of adipose function: a role for endothelial igf-1r in the setting of nutritional obesity.

14:45-15:00 Dr Jillian Simon (University of Oxford): Oxidized PKARIα protects against ischemia-reperfusion injury by inhibiting lysosomal-triggered calcium release.

15:00-15:15 Dr Richard Jabbour (Imperial College London): In-vivo grafting of large Engineered Heart Tissue patches for cardiac repair.

15:15-15:30 Dr Klemen Ziberna (University of Oxford): Diabetes mellitus generates the substrate for atrial fibrillation by causing a localised conduction block.

15:30-15:45 Dr João Augusto (Barts Heart Centre): Machine learning wall thickness measurement in hypertrophic cardiomyopathy exceeds performance of world experts.

15:45-16:15 Tea

16:15 Prize giving (photos)

Web Editors prizes (3 awards) Best of the Best oral abstract prizes (7 awards) YIA prizes (usually 3 awards) MDECA BCS Mackenzie medals (Professor, Sir Nilesh Samani & Professor Barbara Casadei)

Extended and revamped portfolio of courses:• Cardiology Review Course (SH, JG, Rajiv Gulati (Mayo))

• A Career in Cardiology (Aung Myat)

• National Training Day (Dan Sado)

• ACHD (Kate English, Sarah Bowater)

• A Year in Cardiology (SH & JG)

Plus new courses: • Early Consultant Career course (Dr Shouvik Haldar & Dr Simon Pearse)

• Digital Cardiology (Dr Amitava Banerjee & Dr Shouvik Haldar)

• Cardio-oncology

• ECG course

Digital Knowledge Centre/Hub European Board for Accreditation in Cardiology (EBAC)

Education Committee (Chair: Shouvik Haldar)

BHF CRC

BHF CRCBHF Grant awarded in 2019 to the BCS to host (on behalf of all societies) a clinical research network to prioritise the best clinical research questions

• Facilitated meetings to enhance collaboration

• Integrated IT system and database

• Patient and Service User Involvement

• Research Development Support

• Sponsored Learning Sessions

“Turn key” to design and execute cross-cutting national impactful clinical trials

BHF ‐CRC Oversight Board

NHS E Representatives

BCS Representatives

ProgrammeAssuranceBHF‐CRC Executive

COO and CL

Core: Network COO and Clinical Lead BCSRepresentative

Heart Rhythm & Pacing

Lead and/or team members from BHRS

Hypertension

Lead and/or team members from BIHS

Valve Disease

Lead and/or teammembers from BHVS

Clinical Sciences

Lead and/or teammembers from BAS and 

BSCR

Professional Societies

Heart Failure

Lead and/or teammembers 

from BSH

Cardio‐Oncology

Lead and/or teammembers from BCOS

Congenital & Inherited

Lead and/or teammembers from BCCA and 

AICC

BHF Representatives

BHF‐ CRC Steering Group

Chaired by Clinical LeadCore: Executive and Chairs of Individual CSGs

Patient Public Group Chairs

The delivery Partner

CSGs

BCS

Hosting networkstaff, IT facilities,meeting facilities

3rd party involvement

NIHR Representatives

InterventionalCardiology

CardiacSurgery

Vascular Surgery Imaging Prevention &

RehabilitationClinical Trials Epidemiology

Patient & Pubic Engagement

BHF AppointedChair

PatientRepresentatives

‐ Disease Groups

‐ Cross Cutting Themes

CRC Programme Structure

Progress and Next Steps

• Developing IT infrastructure

• Supporting initial clinical study group meetings with engaged societies

• Develop the CRC strategy and operational priorities

• Set up microsite: www.bhfcrc.org• Staff Appointments

• COO, Allyson Arnold• Coordinator, Rani Buskell• Clinical Lead, Prof Rod Stables

• Facilitated first meetings – Steering Group, Oversight Board

Up next: VP Training – Dr Alison Calver

Report fromCardiology SAC Chair

Vice President (Training)

Dr Alison Calver

• New Curriculum• Recruitment

• EEGC• CCT

• CESR• Effects of COVID-19 on training

Work of SAC 2019/20

New Curriculum• GIM compulsory• Training stays at 5 years after IM3• 5 Themes for Service (replaces Advanced Modules)• Maintains current structure to a large degree• 2/3 years core, 2/3 years Theme for Service• No separate academic track• No points system• First trainees will be appointed to ST4 in 2022• GIM runs through the whole training programme in all

training years

Recruitment

• Largely cancelled due to COVID-19• NTNs awarded via scoring of application form• National process agreed by all Deans• All specialties the same• Concerns expressed in many areas• Time will tell if candidates are of the usual calibre

EEGC• Cancelled in June 2020 due to COVID-19• Plans to re-stage in Oct/Nov 2020• For the cohort booked into June sitting only• 6 substituted UK questions again• GMC Quality Assure• UK Chair: Dr Mark Westwood• European Chair: Dr Chris Plummer• CESR applicants – discussions continue

Total CCTs

0

10

20

30

40

50

60

70

80

90

100

Total Female Dual CCT (G(I)M)

Subspecialty

0

5

10

15

20

25

30

35

40

Subspecialty

G(I)M: 2 Academic Training: 2 ACHD: 4ACHD: 2 Pregnancy: 1 PCI: 4EP+/‐Devices: 4 Devices Only: 2 Heart Failure: 2Imaging: 4 Imaging: 2 ICC: 1

Subspecialty: Imaging

0

2

4

6

8

10

12

14

16

18

20

Echo MRI CT Nuclear

CESR• 22 applications in 2019• 18 completed: 8 new, 10 reviews• 8 granted CESR, 10 rejected• 15 male: 3 female• 4 applications still live 3 male: 1 female• Substantial workload

Effects of COVID-19

• Trainees redeployed across UK• Practical procedures interrupted• Cardiology training “paused”• Experience gained can count for generic capabilities –

leadership, management • COVID-19 ARCP outcomes are available• Some trainees will need extra time

SAC Structure• VP and SAC Chair – Dr Alison Calver• SAC Vice Chair – Dr Mark Westwood• Curriculum Lead – Dr John Paisey• Recruitment Lead – Dr Brian Clapp• CESR Lead – Dr John Morris• Fully Committed TPDs• 3 Trainees and Lay member

Thank you

Up next: Heart Journal –Editor-in-Chief, Catherine Otto

heart.bmj.com

AGM 2020

heart.bmj.com

Heart Milestones 2019-2020 Acceptance rate for original research remains 12% Median time to first decision of 6 days (29 days for peer-reviewed research) Most read articles :

• Optimum nutritional strategies for cardiovascular disease prevention and rehabilitation (BACPR)• Role of advanced left ventricular imaging in adults with aortic stenosis• Angina: contemporary diagnosis and management

Frequent media coverage of articles published in Heart Heart podcasts 2X a month with 2000 to > 6000 listeners for each Recent topics include

• Coping with Covid-19 – advice from a New York City Intensivist• Cardiology in the Covid-19 era -- looking after ourselves so we can look after our patients• COVID in Seattle – hope for the best, prepare for the worst.

Heart also now has over 34K Twitter followers

heart.bmj.com

COVID Challenges

Dramatic increase (>30%) in submissions with stay-at-home orders All COVID-related papers are fast-tracked Editorial team stretched with many pulled for clinical duties

• Others on Editorial Team stepped up to keep review times short• Editorial Team members took on additional responsibilities as needed• Editorial Staff are providing outstanding support • Web-based editorial approach and geographically dispersed editorial team have stood us in

good stead in these difficult times.

heart.bmj.com

COVID papers in HeartReview Cardiovascular manifestations and treatment considerations in COVID-19

Editorials Flattening the curve in COVID-19 using personalised protective equipment: lessons from air

pollution COVID-19 and Acute Myocardial Injury: The Heart of the Matter or an Innocent Bystanders? Cardiovascular Disease and COVID-19: Implications for Prevention, Surveillance, and Treatment Getting to the heart of the matter of COVID-19

Original Research Is there any impact of underlying cardiovascular diseases on hospitalized COVID-19 patients? Association of cardiovascular disease and cardiac injury with mortality risk in COVID-19 Impact of cardiovascular disease and cardiac injury on in-hospital mortality in COVID-19 patients

heart.bmj.com

Looking forward Heart is your journal -- our goal is a journal that clinicians want to read and researchers want to

publish in.

Heart publishes research across the spectrum of clinical cardiovascular disease.

Heart continues to improve the quality of published research by providing resources to authors before submission as well as enhancing data presentation during the review process.

Heart provides a rapid and fair review process that encourages authors to submit to the journal.

Heart embraces digital media to promote education and science in cardiovascular medicine.

Input, feedback and suggestions from readers, authors and BCS members are always appreciated. Please free to contact me directly at cmotto@uw.edu

Up next: President of the BCS –Prof Simon Ray

President’s Report

Simon Ray

BCS Five Year Strategic Plan 2020-24

Five Year Vision: To be the leading voice for UK Cardiology

Strategic Aims: Activities and resources will be focused on delivering three strategic aims.

Strategic Aims 2020-241. Enhancing the quality of care

(Influencing national policy on key issues. Raising Standards of professional practice)

2. Supporting and adding value to members working within the profession(Providing an exceptional/high quality membership package)

3. Delivering high quality education and training in cardiology across the range of cardiology.

Looking ahead..Review of 5 year strategy in light of COVID-192021 - ESC meeting returns to London2021 - BCS Conference returns to Manchester2021 - BHF 60th Anniversary2022 - BCS Centenary year

BCS Emerging Leaders Program (ELP)

Annual Conference

Thank you to our sponsorsCourses

Early Consultant Career

A Year in Cardiology

Digital Cardiology

UK Heart Failure Investigators Research Network

Thank You

Special thank you to…The BCS Staff

Date of next meeting

Wednesday 9 June 2021

12:30 – 13:30

At Manchester Central