Mr Richard Krysztopik South West The South West region is Devon, Cornwall, Somerset, Wiltshire, Avon and Gloucestershire. Cancer remains a major workload for many of our members. The complexity of care pathways and delivery of care is well recognised. This has also been highlighted by our enthusiasm to participate in research and data collection. ROMIO is close to completing recruitment and further our understanding of surgical approaches to oesophageal cancer. NOGCA provides a regular snapshot of our activity and it has been interesting to see how the South West has seen an increasing use of endoluminal therapies for early malignant disease. Although none of us are outliers in the rangeofdataanalysed,theinevitablecomparisonbetween sites has stimulated interesting debate in the region and useful reflection of our individual working methods and what we can learn from each other. In early September our annual educational meeting will study the challenges faced by OG/HPB patients undergoing major surgery and how we identify risk and how we can modify and reduce risk. In other news, the overwhelming nature of some MDTs has been sensibly recognised by our commissioning bodies and a number of workstreams are underway to help improve and streamline MDT workload. Benign UGI surgery is still the mainstay of practice for the majority of our members. We continue to learn from each other in these areas. Previous meetings have led to improved understanding and suggested pathways for managing severe acute pancreatitis. These pathways continue to evolve as our busy hospitals recognise it requireschangestoworkpatterns,jobplansandworkforce to achieve best practice. Whilst interesting to learn from each other’s practice, a number of members in the region are looking at ways of gathering and comparing data on clinical outcomes for this aspect of our members work. AUGIS is using HES data to help compare and benchmark activity, PROMs for antireflux surgery is being trialled in a few units. This area of our work deserves the same attention as cancer and bariatric practice. GORD is a huge area of interest. Later this year we will host a meeting looking at the selection, work up, surgical approaches and outcome of patients with GORD. As always, your ideas, comments and suggestions are welcome. Please contact me (richard.krysztopik@nhs. net). I look forward to seeing as many of you as possible at our annual meeting in Liverpool. AUGIS Summer 2019 Newsletter 22 Reports from the Regional Representatives Cynthia Borg South Thames I was elected as AUGIS South Thames Regional Representative in March this year. In this region, we have several upper GI units providing state of the art oesophago-gastric/hepatobiliary cancer, bariatric, benign and emergency upper GI services. We however communicate infrequently between different centres. I will be setting up a program of regular regional meetings for surgeons, trainees and allied health professionals to enable sharing of expertise as from this autumn. I also ensure that members from all areas of upper GI surgery are represented on council. Please contact me on my email: Cynthia.borg@gmail.com if you are interested to present in the regional meetings or for any other matter. Mr Krishnamurthy Ravi Trent After a busy 2018, we have focussed on consolidating the AUGIS membership in the Trent region and updating the database. This has now been successfully completed. We intend to focus on encouraging Consultants practicing in Upper GI Surgery and trainees who have a declared Upper GI interest to join AUGIS in the forthcoming months. There have been several local meetings which have been of a very high quality with excellent speakers. Regional AUGIS Trent education day held in Nottingham in May 2018 was a great success. A regional Trent day focussing on emergency Gastrointestinal Surgery is planned for November 2019. This will hopefully have the same level of enthusiasm and participation from Consultants and trainees from all the Hospitals in the region as was witnessed at the AUGIS Trent education day. This educational event is being planned as a combined meeting with ACPGBI. The annual Midlands HPB meeting will be taking place at the Radisson Blu East Midlands Airport starting at 6.30pm on Friday 5th July. All consultants, trainees and specialist nurses with an interest in HPB surgery are invited. Places are limited and anyone interested in attending should contact alfie.adiamah@doctors.org.uk. AUGIS Summer 2019 Newsletter 23 Reports from the Regional Representatives