Audit cycle 3


A joint meeting between BSCN and ANS was held on 3rd November 2016 at Queen Elizabeth Hospital in Birmingham, with 140 delegates attending. Links to all of the powerpoint presentations and posters can be found below.

The programme centred on sessions on NEAD and IONM.  National standards for EEG investigation of NEAD were presented and have now been published.

The IONM session resulted in some suggestions for amendments to the national standards. Departments may obtain their individual results on application from Helen Grover helen.grover

2 talks on how to embark on the IQIPS process were given: the first from the departmental point of view and the second from the assessor’s angle.

A poster competition was held during the lunch break with 2 prizes awarded, one judged by Nick Kane for the BSCN, Kelly StPierre for the ANS and Santi Catania for the national audit group, the other by the delegates. The two winners were Bryony Carr and Andrew Lawley respectively. All posters were of a very high standard and were very varied in subject matter.

The last presentation was of the results of the on-line survey assessing whether the national audit projects and ensuing standards were considered helpful (they were!).

The meeting concluded with a discussion about suitable topics for the following round of projects out of which the following were selected:

Muscle selection for EMG in MND (Dr N Khalil London)

Sleep deprivation EEGs (Dr Andrew Lawley Birmingham)

Ambulatory EEG and Home VT (Dr Munni Ray Leeds)

The next joint national audit conference will take place in Autumn 2018


Welcome (Ros Kandler/Catherine Pang)

Diagnosis of NEAD (Markus Reuber)

Standards for EEG examination for NEAD

Review of literature (Kim Whitehead)

Results of UK survey (Ming Lai)

Results of UK service evaluation (Sarah Lawrence/Ros Kandler)

IQIPS: How to do it

Departmental view (Martyn Thompson)

Assessors view (Sara Callen)

Standards for IONM

Review of literature and background (Peter Walsh)

Results of UK survey (Brett Sanders)

Results of UK audit (Helen Grover)

Are the BSCN/ANS standards helpful? (Jeff Holman)



Ros Kandler - Consultant clinical neurophysioloist, Royal Hallamshire Hospital, Sheffield

Catherine Pang - Highly specialised clinical physiologist, Queen Elizabeth Hospital Birmingham

Markus Reuber - Professor of neurology, Universtiy of Sheffield

Kim Whitehead - Research clinical physiologist, University College Hospital, London

Ming Lai - Consultant clinical neurophysiologist, Royal Victoria Infirmary, Newcastle

Sarah Lawrence - Highly specialised clinical physiologist, Royal Hallamshire Hospital, Sheffield

Martyn Thompson - Highly specialised clinical physiologist, Leeds General Infirmary

Sara Callen - IQIPS technical assessor, UK Accreditation Service

Santi Catania - Consultant clinical neurophysiologist, National Hospital, London

Peter Walsh - Professional service manager, Southmead Hospital, Bristol

Brett Sanders - Highly specilised clinical physiologist, National Hospital, London

Helen Grover - Professional service manager, Norfolk and Norwich Hospital, Norwich

Colin Shirley - Consultant clinical neurophysiologist, Queen Elizabeth Hospital, Birmingham

Jeff Holman, Clinical physiologist, Queen Alexandra Hospital, Portsmouth



Outcome of multimodal cortical electrical stimulation (CES) in pre-surgical evaluation for medically refractory focal epilepsies: A single UK centre experience

Comparison of electrode placement systems for scalp video telemtry for pre-surgical evaluation in patients with medically refractory epilepsy

Ictal SPECT: A Service Evaluation

Service evaluation of Somatosensory Evoked potential (SSEP) recoding in the West Midlands (Prize winner)

An Evaluation of Three Hour EEG Recordings in Neurophysiology

VIdeo-ambulatory EEG in a secondary care centre: A retrospective evaluation of utility in the diagnosis of epileptic and non-epileptic seizures (Prize winner)

Interobserver variation when interpreting prognostic SSEPs: Do we agree when a response is absent

An audit eveluating the utility of ambulatory EEG monitoring

A Retrospective Review of EEG Pattern and Outcome in Post Cardiac Arrest Patients

Impact upon hospital resources: A national study of the utilisation of IONM during the resection of intramedullary spinal lesions

Service evaluation of EEG monitoring on neonatal ICU when hypoxic brain injury suspected & Audit of latency to EEG application  



Optimising the use of EEG in non-epileptic attack disorder: results of a UK national service evaluation. Kandler R, Lawrence S,Pang C, Lai M, Whitehead K; 2018 Seizure 55;57-65

Results of a national survey and audit on intra-operative neurophysiological monitoring during corrective spinal deformity surgery. Grover H, Walsh P, Sanders B, Shirley C; 2017 Journal of the Association of Neurophysiological Scientists: 2; 74-82