Exploring the Future of the SBNS Response to

Exploring the Future of the SBNS Response to questionnaire Response rates Workforce Subspecialisation Issues to address Satisfaction Key Issues Discussion Next steps Workforce by Age 20% 42% <10 yrs 10-20 yrs >20 yrs 38% SBNS MEMBERSHIP 4% 6% Full 8% Associate Previous member 82%

Never a member In broad terms do you consider that the SBNS fulfils its aim of promoting the practice of neurosurgery in the British Isles? 7% 1% 8% Very successful 27% Successful Neutral Unsucessful Very unsuccessful 57% Satisfaction Rates by Age 80% 70% 60% 50% Positive 40% Neutral 30% Negative 20% 10% 0% <10 yrs

10-20 yrs >20 yrs Satisfaction Rates by Region 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Positive Neutral Negative Extra-clinical Activities 60 50 40 30 20 10 0 SBNS FRCS MRCS SAC

NSF TPD CD OPB Extra-clinical Activities by Response: Professional Engagement Positive Neutral Negative 160/92 36/37 23/11 1.7 1 2 Special Interests Specialty Spinal Paediatrics Oncology Vascular Pituitary Skull Base Functional Trigeminal neuralgia CSF Disorders Endoscopy Stereotactic radiosurgery Management General Neurosurgery

Medical Education Epilepsy Trauma Craniofacial st 1 Interest 43 26.0% 29 18.0% 21 13.0% 19 12.0% 12 7.4% 11 7.0% 11 7.0% 3 2.0% 3 2.0% 3 2.0% 2 1.2% 1 0.6% 1 0.6% 1 0.6% 1

0.6% 0 0 161 nd 2 Interest 19 15.00% 5 4.00% 22 18.00% 12 10.00% 4 3.20% 18 15.00% 8 6.50% 4 3.20% 7 5.70% 1 0.80% 3 2.50% 5 11 3

122 4.00% 9.00% 2.50% rd 3 Interest 16 27.0% 1 1.6% 7 11.8% 8 13.5% 4 6.7% 6 10.0% 4 6.7% 1 1.6% 2 3.3% 4 6.7% 1 4 1 59 1.6%

6.7% 1.6% Special Interests Spine Paediatrics Skullbase/pituitary Oncology Vascular Functional CSF disorders Other 26% 18% 14.5% 13% 12% 10% 4% 2.5% Issue Comment on the three most important issues that you feel the SBNS should address in the

next five years. 1st Response (157) 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 S&S 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 - T&C 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% 5 1.5% No comments 5 3.0% Key Issues > 10 responses

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

10 Training Quality of training Experience at CCT Specialist fellowships Bring back BST (1 response) Sub-specialisation Negative aspects Adult-paediatric split Cranial-spinal split Subspecialty rotas Maintaining emergency competence Quality of Care Safe Neurosurgery Infrastructure Workforce National Standards EWTD EWTD! EWTD!! EWTD!!! Training Quality of care

Single Meeting Subspecialty meeting pressures Improve quality of presentations Improve CME Integration of general and subspecialty meetings National Profile Voice of neurosurgery Professional side-lining Loss of status External perceptions of neurosurgery Relationships with other specialties Key Issues > 10 responses Training Subspecialisation

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

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