The National Health Services (NHS) Conference at Leeds 2017: Take Home Messages


The National Health Services of United Kingdom [NHS-UK] held their annual conference of the Colorectal Services and GI and Vascular Surgery at the famous Town Hall at Leeds in UK. The theme of the conference was “Jugaad Innovations”. The following are the take home messages from the conference.


As with many other fields the recent innovations are causing disruptive changes in the Surgical Care arena. The online marketing and sales are slowly replacing the traditional large stores and the various middlemen involved in sales. The lowering of costs of alternate energy could have the world without the need for fossil fuels.
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The 5G internet speeds have made surgical learning easy and advanced. The robotic surgeries could be performed by surgeons thousands of miles away. Similarly the virtual teacher for surgeons could actually help with assisting surgeons who are learning from thousands of miles away pointing out structures and also having a virtual arm to retract tissues and take over dissection if necessary.

The decrease in size and improvement in vision have made endoscopies both diagnostic and also therapeutic painless and easier. Laser knives could deliver precise destruction of malignant tissues without affecting the normal tissues nearby and these could make perforations and leaks obsolete.

Improved understanding of physiology and genetics could help predict things like postoperative ileus and anastomotic leaks so that precautionary measures are possible. An institution at Calcutta is working on a cancer therapy that does not have the usual toxicity associated with such treatment modalities.


The authors of the famous book on Jugaad Innovations were present at the conference to talk about how these frugal and flexible innovations were possible in India; how they published a collection of innovations that went on to become a very popular book and with the recession in the West gave them the opportunity to publish another book entitled, “Jugaad Innovations for the West”.

Jugaad innovations in the surgical fields of India showed laparoscopic surgeries are possible without the expensive standard equipment, gases and general anesthesia; Urology equipment was used for laparoscopic and endoscopic gynecological surgeries and Gas less laparoscopic surgeries [GLLS] made laparoscopic surgeries available in remote and rural areas of India where general anesthesia are not possible.


The way forward is a cooperative venture with the west and the east to have Jugaad innovations implemented that would have the following advantages

  1. The frugal innovations would make surgical care less expensive
  2. The flexible innovations would make inclusive care possible
  3. The passion would make sure the benefits reach the needy

The NHS through its Global Research Group in Surgical Technologies has launched a pilot program to improve the surgical care in Sierra Leone and Rural India promoting innovative care for the management of fractures and wounds in Sierra Leone and Gas Less Laparoscopic Surgeries in India.

gnanaraj Dr. J. Gnanaraj MS, MCh [Urology], FICS, FARSI, FIAGES is a urologist and laparoscopic surgeon trained at CMC Vellore. He has been appointed as a Professor in the Electronics and Instrumentation Engineering Department of Karunya University and is the Director of Medical Services of the charitable organization SEESHA. He has a special interest in rural surgery and has trained many surgeons in remote rural areas while working in the mission hospitals in rural India. He has helped 21 rural hospitals start minimally invasive surgeries. He has more than 150 publications in national and international journals, most of which are related to modifications necessary for rural surgical practice. He received the Barker Memorial award from the Tropical Doctor for the work regarding surgical camps in rural areas. He is also the recipient of the Innovations award of Emmanuel Hospital Association for health insurance programs in remote areas and the Antia Finseth innovation award for Single incision Gas less laparoscopic surgeries. During the past year, he has been training surgeons in innovative gas less single incision laparoscopic surgeries.


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This entry was posted in Primary Care, Primary Care Featured 2, Surgery and tagged , , . Volume: .

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