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BNMS President's blog - July 2022

Posted By Caroline Oxley, 12 June 2025

After a week of high stakes political moves you will be pleased to know the leadership team of the BNMS has no similar problems and that council has not resigned on mass! We continue to be fully functioning and are representing you to our best ability.
 
A national review in radiopharmacy is going to take place and the DHSC are working with the BNMS and UKRG as major stakeholders which is good to see. The scope is currently being defined which I will make sure covers our major issues. Importantly we need to get our radiopharmacy provision right sized for both our future diagnostic work and the emerging theranostic services. As I’m sure you will know there are significant risks in radiopharmacy where we have suffered from under provision. In England there are about 5 Ga 68 generators, in France there are 60!
 
As the current covid wave is building our services are coming under covid pressures again. This wave is expected to peak around September. I would like to remind you of the BNMS covid guidance which is on our website and will be useful for this wave. Please read it if you have not already.
 
Following our theme of holding meetings throughout the UK the autumn meeting in Swansea at the National Waterfront Museum. It is open for registration and the outline programme looks great. I would encourage you to attend, you could even combine it with a visit to the beautiful Gower peninsular. It takes place on 11-12 November and will include clog dancing I am told – there are so many reasons to attend! It is currently open for abstract submission.
 
Finally, as schools break up and the summer holidays being I wish all a well-earned break and hope you get some quality relaxation to recharge your batteries as we have much to do in our community in the coming year in our fast-moving discipline.

Prof Richard Graham

BNMS President

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BNMS President's blog - June 2022

Posted By Caroline Oxley, 12 June 2025

I write this as I’m sitting on the train having returned from SNMMI in Vancouver. I am a little jet lagged but also inspired by what is going on in nuclear medicine worldwide and I hope I can communicate my excitement to you. The meeting had about 3000 in person and 3000 virtual delegates which was a good turnout. The commercial exhibition was buzzing with various new pieces of kit being launched. The opening ceremony was something else with native Canadian dancing – roll on the Morris dancers at the next BNMS!
 
Theranostics remains the hottest topic with many sessions on this – particularly Lu177 PSMA. There is great concern worldwide about the infrastructure, equipment and staffing needed to deliver these services if prostate cancer theranostics is as big as predicted. Particularly, if it works better than standard treatment in lower stage patients.
 
The BNMS session on parathyroid imaging was delivered by myself, Stewart Redman and John Buscombe. It was very well received and stimulated a good debate at the end of the session about the optimal way to image parathyroid adenomas with some people arguing for FCH PET-CT as a one stop! I think it is unlikely NHS England would go for that.
 
They say never meet your heroes, but this was impossible at this meeting. Universally they were all very approachable and keen to hear the news from the UK. Richard Whal is the current SNMMI president and wanted to know about BREXIT and the effect on UK nuclear medicine making me give a speech at the international leaders dinner. I was happy to report that our services have not imploded as a result but do continue to have staffing issues which BREXIT has not helped.
 
At BNMS council recently the formal feedback from the Glasgow meeting was reviewed and bar the lunches was universally positive. We even are likely to turn a small profit. Vineet Prakash has now stepped down from his leadership of the SEC and I would like to thank him for the fantastic job that he has done. Brent Drake continues to lead the SEC and is now joined by Ian Armstrong as co-chair. Ian thank you for stepping up, I am sure you will contribute to the continued success of the SEC.
 
We have a joint SPECT-CT meeting with the Royal Free on 6 July which looks to be an excellent virtual study day which I would recommend and the registration for the Autumn BNMS meeting in Swansea is now open and looks great too. Get your dancing clogs on!

Prof Richard Graham

BNMS President

 

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BNMS President's blog - May 2022

Posted By Caroline Oxley, 12 June 2025

As I return from the BNMS Spring meeting in Glasgow I know UK nuclear medicine is in good shape. The energy was palpable and level of engagement was very high. We had in excess of 500 delegates which really made the meeting feel busy and productive.

It was a honour to present the BNMS awards this year with the BNMS celebrating the great achievements of several of our members. The list of winner can be found on our website. It was great awards dinner in the Glasgow science museum and my voice even held out which was not a given as there was no PA system and I had spent 2 days talking constantly!

Phil Blower, one of our award winners, commented that there was more basic science at the meeting this year than in recent times and that this was a very positive step. This allows the clinicians and the scientists to work in partnership which has to be a good thing. Please keep the science coming to our meeting.

The buzz of the commercial exhibition was good to see  - the ratio of delegates to space was about right. Industry seemed pleased with how the conference worked for them. Thank you to industry for their support, the meeting could not happen without them.

Nick Steven's performance in the fun run is worth a notable mention given he was the oldest competitor and he won it! Nick is role model to us all! Well done Nick.

Glasgow proved to be an excellent venue and I am sure we will return. The benefit of face-to-face were obvious and the after party at Radisson Red would not have worked so well in virtual format!

There are too many people to thank individually but I would like to give honourable mentions to Vineet Prakash, Brent Drake, the SEC committee, Charlotte Weston and Caroline Oxley without whom the meeting could not have happened. This was one of the best BNMS meetings I have been to. I am representing you at SNMMI next month in Vancouver and will report back in next month's blog.

Prof Richard Graham

BNMS President

 

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BNMS President's blog - April 2022

Posted By Caroline Oxley, 12 June 2025

Our Glasgow meeting is almost upon us, we have over 400 registrants already and our events are reaching capacity too so I would encourage you to register now if you have not done so already. The programme looks great and there is even a fun run so you will effectively be attending a health farm while having your mind expanded in all areas of nuclear medicine!
 
Lu177 PSMA has been given compassionate use approval – there are links on the BNMS website giving the details of this. Great news for our specialty and the prequal to the likely full NICE approval expected in the Autumn. The likely rate limiting step initially will be access to diagnostic PSMA scans. We all need to be doing what we can to build capacity in this regard so that men with prostate carcinoma can have access to the correct treatment.
 
The BNMS is going to establish a visiting professor role for radiologists and nuclear medicine physicians to raise the profile of our discipline to radiology trainees to encourage them to follow our path. All radiology subspecialities are short of trainees now so we need to do everything we can to encourage trainees that nuclear medicine/radionuclide radiology is where they should land. We have much to offer for a future career.
 
Diagnostic waiting times are still a problem in the UK with PET-CT services still struggling to deliver the expected SLAs. I would like to thank you all for your hard work in providing PET-CT capacity. PET-CT is ever more important, particularly in cancer pathways, while this is good for our services it is hard to deliver against the demand. We need to plan for the continued expansion of this vital modality.
 
I look forward to seeing as many of you as I can in person in Glasgow. It will be a BNMS meeting to remember!

Prof Richard Graham

BNMS President

 

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BNMS President's blog - March 2022

Posted By Caroline Oxley, 12 June 2025

I’m am sure we are very worried about the war in Ukraine and the plight of the Ukrainian people. The European Society of Radiology is running a campaign to support Médecins Sans Frontières work there so please donate if you feel able https://www.myesr.org/article/3430 . Raw materials for radiopharmaceutical production come form both Ukraine and Russia which could be a problem in a few months if the situation does not improve. We are working with Industry on this already.

Jilly Croasdale  who is a senior radiopharmacist in Birmingham is our President elect. Jilly has been an excellent BNMS treasurer and I am sure she will be a brilliant President. I know the BNMS is in safe hands and I would like to give my congratulations to Jilly. I would also like to thank Charnie Kalirai, a senior physicist from Nottingham, who is taking over from Jilly as BNMS Treasurer. Charnie has been a significant contributor to the BNMS during has time on council and I am confident he will keep us in good financial shape. John Buscombe has stepped down as Past President but has kindly agreed to stay on as NICE representative for the BNMS. John has been a fantastic President for our organisation and really advanced the societies’ causes under his expert and energetic leadership. Thank you John so much for all you have done for the BNMS.

We are working hard in the area of PET-CT commissioning to define standards for future commissioning which I thank Gary Cook for leading on. I am leading a working group on the commission of new PET-CT tracers to derive a better process that allows our patients to benefit earlier from new tracers. We will then use this document to lobby the central NHS for a better and more streamlined process.

We continue to push for technologist professional registration, Jon Buscombe and Chirs Mayes have been attending meetings representing the BNMS on this recently. I have also been pressing had on the issue at the NHS National Imaging Workforce Board.

Tomorrow I fly to Glasgow for a preconference visit with the organising team of our spring meeting.  I am sure it will be a great meeting and if you have not registered I would urge you to do that now. Both the academic and social aspects of the program look amazing and it will be great to be together in person. See you in Glasgow.

Prof Richard Graham

BNMS President

 

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BNMS President's blog - February 2022

Posted By Caroline Oxley, 12 June 2025

We are in the middle of radiopharmaceuticals shortages -both Molybdenum and Iodine 131. The BNMS has been working with DHSC, UKRG and industry to mitigate the supply issues. Molybdenum supply is already improving. I would like to thank Jilly Croasdale for leading the vital work on this for the BNMS. I would also like to congratulate Jilly on becoming BNMS President-elect. Jilly is very experienced in all matters nuclear medicine from her work both as BNMS Treasurer and as a radiopharmacist.  I know Jilly will be a great leader of our community and we are very fortunate that she has found the time to take on this important role. There are statements from the BNMS on our website front page around the current radiopharmaceutical supply situation and suggested mitigations that you my wish to read.
 
Gary Cook from St Thomas’ PET-CT centre has kindly agreed to lead the BNMS task and finish group on defining standards in PET-CT service provision. This is a really important project which we hope will inform the procurement of PET-CT services in the future whether this is national or local. We are keen to make sure our patients get the he quality of service they deserve and that vital aspects of the whole service, such as physics support, are not diminished.
 
We have had a very large number of abstract submissions for spring meeting in Glasgow which is fantastic to see. The meeting is really shaping up to be a memorable event form both a learning and socialising perspective. I urge you to register for the meeting if you have not done so already and I looking forward to seeing you all there.
 
I am speaking on the future if theranostics at the winter SNMMI meeting next week which now sadly I will be attending from my house rather that being in Florida! As a result of giving the talk I have done much reading around theranostics and I really can see this to be a big part of what we will do in the future as a community. This will be a pillar of personalised medicine particularly in cancer care. We hope that NICE will approve Lu177-PSMA for NHS use in the autumn which will potentially be the vanguard for mainstream theranostics in the UK. This is a really exciting time to be working in Nuclear Medicine!

Prof Richard Graham

BNMS President

 

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BNMS President's blog - January 2022

Posted By Caroline Oxley, 12 June 2025

Everyone is working flat out in nuclear medicine now. With up to 10% absences due to ill-health and covid-19 coupled with unprecedented demand for our services we are all feeling the pressure. The BNMS is working hard on your behalf to increase workforce recruitment and retention to help counteract these pressures. I know you feel dedication to your patients but hope that you do not exhaust yourselves in the process of caring for them. I think there is light at the end of the tunnel – the omicron wave appears to have peaked which will result in us getting back to a more normal situation soon. What I do know is our patients and referring clinicians are unreservedly grateful for the key diagnostic and therapeutic services you all contribute to. It is worth focusing on this when times are hard.
 
The nominations for president of the BNMS will close on 31 January 2022. If you are interested in leading nuclear medicine in the UK this is a great role from which to contribute nationally and internationally. Any prospective candidates are always welcome to talk to me regarding what the role entails.
 
Thank you for taking part in our workforce survey. The results of this will be published in nuclear medicine communications. The BNMS will use these data to help argue for improvements in staffing, services and equipment throughout the UK. Your time completing the survey was well spent and I thank you for that.
 
The professional standards committee continues to work tirelessly on you behalf and has recently approved an update to bone scintigraphy guidelines which will be published shortly. This is just one of the many guidelines that the BNMS publishes annually which define best practice and help you deliver and develop your services.
 
Lots of work is happening regarding the spring meeting in Glasgow. It promises to be a great event and I would encourage you to submit abstracts to increase your stakeholding in the event. I hope to see as many of you as possible there. This will be our first opportunity for a large face to face meeting for some time and is likely to be memorable for that alone. In these covid times one realises the privilege it is to meet up with colleagues and friends to discuss our exciting specialty - something I previously took for granted.

Prof Richard Graham

BNMS President


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BNMS President's blog - December 2021

Posted By Caroline Oxley, 12 June 2025

As we approach the festive season it is good to reflect on what Nuclear Medicine in the UK has achieved over the last year. Under very difficult circumstances of the pandemic we have adapted the services we offer and generated extra capacity, particularly in cancer pathways, to provide the care that our patients need. Nuclear Medicine has never been more important and with the potential growth in theranostics  this will continue grow at a faster rate.
 
The BNMS are significant stakeholders in the recently published Review of molecular radiotherapy services in the UK. This joint document from BNMS, RCR, RCR and IPEM highlights the issue facing the UK and requirement for capacity building and levelling up of patient access. I would like to thank John Buscombe for leading this important piece of work. We are planning to define what the PET-CT service commissioning standards should be and we are looking for some volunteers to establish a multi-disciplinary working group to deliver this. This would lend itself to people who have recently been involved in national tendering processes. Please email your interest to Charlotte Weston.
 
I have just come out of our first meeting of a BNMS led working group to propose a better process for the commissioning of new PET-CT tracers. This groups has wide representation including patient charities and will produce a manifesto which we will use to influence commissioners. This is an important piece of work which we hope will help patients access new PET tracers and received the personalised care that this can enable.
 
We continue to lobby on training and registration of technologists and are continually highlighting this issue to the NHS and HEE. We are also looking for a new host for the Kings’s Nuclear Medicine MSc to enable the training of nuclear medicine physicians and technologists. If you have ideas on this please let Charlotte Fowler know.
 
I know things will become more difficult for us all in the coming weeks with the Omicron variant but I do hope you remain well and get a well-earned break with your friends and family. I would like to thank the BNMS Office, BNMS officers, council and all our committee members for the hard work that they do on behalf of you, our membership. I would also like to thank you all for the support you show the BNMS and care that you provide to your patients and services.

Prof Richard Graham

BNMS President

 

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BNMS President's blog - November 2021

Posted By Caroline Oxley, 12 June 2025

We are in good company have chosen Glasgow for our meeting. I think COP26 is a  good warm up act for the key meeting in Glasgow next year: BNMS Spring meeting! Joking aside Glasgow is a great venue and I am sure our meeting will be a great success so I urge you both to submit abstracts by 26 Jan 22 and to attend the meeting. Although in the virtual space you can learn plenty you do miss out on those informal conversations in the wings with colleagues and with industry, and the social aspects of the meeting too. We as community need to make sure we are doing everything we can from a climate change perspective in the practice of nuclear medicine. Time to start thinking about what we should do going forward.
 
Our next Autumn meeting will be in Swansea on 11/12 November 2022 which is being led by Neil Hartman. I know we can expect amazing Welsh hospitality, much dancing as well as great nuclear medicine.  I would like to thank Neil for putting his hand up. This continues are theme of meetings throughout the UK which can be no bad thing.
 
Despite the pandemic the BNMS finances are in good shape as result of careful management by Jilly Croasdale and Charlotte Weston.  Not all societies have been so fortunate and this is nothing we should have taken for granted. The BNMS is well positioned to deliver its mission as we emerge from the pandemic.  
 
We have been working with a group who are keen to establish a nuclear reactor in Wales to provide medical isotopes and ensure UK supply in our post Brexit era. I am sure you would all agree this would be great for UK nuclear medicine if it comes to fruition. We have written to the new Secretary of State for Health – Sajid Javid – highlighting the issue of nuclear medicine technologist professional registration and hope he will be more receptive than his predecessor. We are working with IPEM and SCOR on this campaign too.
 
I attended EANM virtually which was inspiring by virtue of what is going on in European Nuclear Medicine. The biggest topic of the conference was theranostics and potential of our speciality to deliver for patients in this space; selecting the patients who will benefit most from novel therapies and monitoring their response to treatment. There are many potential applications and a lot of excitement around this. There was a call to arms to increase the multidisciplinary therapy workforce and infrastructure  in order to make this a reality.
 
Finally, thank you all for the vital work you continue to do for our patients  in these challenging times. The practice of nuclear medicine has never been more important in patient care.

Prof Richard Graham

BNMS President

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BNMS President's blog - October 2021

Posted By Caroline Oxley, 12 June 2025

The BNMS virtual meeting went as well as a virtual meeting can. There were so many excellent sessions to attend with difficult choices to be made between the 2 streams. We have had excellent feedback about the meeting and I would like to thank Sabina Dizdarevic, Vineet Prakash and Brent Drake for leading the team that delivered it. A huge amount of work but definitely worth it! Sabina is now steeping down from the scientific and education committee which she has served so well for many years.
 
I cannot wait until the Glasgow meeting next spring. While virtual meetings are OK they are just not the same and we are all missing face to face interaction. I am looking forward to seeing you all in person in Glasgow. The venue is excellent, and Glasgow has easy communication links. I would like to thank our industry partners for their continued support of the virtual meetings which have not been as productive for them, and I am sure we are all looking forward to networking with them in person in Glasgow so that we can take nuclear medicine forward together.
The work on pushing the argument for the professional registration of technologists continues as does the campaign to improve access to nuclear medicine therapy. We hope to be successful in both regards! The decision whether to commission Luteitium-177 PSMA is the next big decision the NHS will make in that is in our sphere of practice. Nice plans to issue its verdict in September 2022. We as a community need to get behind this and provide any data and insights, we can that informs this decision.
 
Demand in diagnostic nuclear medicine, particularly in the cancer arena, continues to outstrip capacity. I know many services are trying to generate extra capacity and I tank you all for this important work that you are doing which supports acute care and elective recovery.
 
Finally, nominations are open for President elect and I would encourage anyone who is eligible to stand to consider it as it is a great privilege to lead the BNMS and a position from which you can ultimately improve patient care nationally and internationally.

Prof Richard Graham

BNMS President

 

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