Kyowa Kirin would like to welcome you to attend a fully sponsored meeting which aims to increase awareness of opioid induced constipation (OIC).


28th February 2019
Henry Wellcome Auditorium

Wellcome Collection, 183 Euston Road, London NW1 2BE


Moventig®Naloxegol prescribing information.


The meeting will discuss the clinical and fiscal implications of managing and treating OIC whilst improving outcomes for patients. This meeting has been aimed at those who manage the treatment of or local guidelines for opioid induced constipation. This includes:

• Palliative Care Specialists
• Gastroenterologists
• Pain Specialist
• Specialist Care Nurses
• Commissioners
• Medicines Management Teams


The event is a great opportunity to better understand how OIC differs from functional constipation and how to effectively identify and treat patients with OIC in line with NICE guidance.

The meeting will share best practice, demonstrating how to identify patients with OIC and how diagnosis can be easily implemented in the clinical setting.

Through the meeting, case studies will be shared to highlight the patient and economical implications mismanagement of OIC.

The meeting will also review how targeted treatments could be included within local guidelines to help improve patient outcomes and reduce unnecessary care costs.

CPD Accreditation
4 hours educational content application in process.

Meeting Agenda





Consultant in Palliative Medicine, Royal Surrey County Hospital.



Neuro-Gastroenterologist, UCL and UCLH

Opioid Induced Constipation: How it differs from constipation and what this means for treatment options and guidelines


Palliative Medicine, Woking and Sam Beare Hospices

When is OIC really OIC? Why it matters to the patient to get it right


Consultant Gastroenterologist,
University Hospital of North Midlands

Is OIC a primary or secondary care issue?


Head of Prescribing,
NHS East
Leicestershire and Rutland


Associate Director of Medicines
Management, DGS and Swale CCGs

Embedding NICE recognised treatment
options in local guidelines

Meeting Close 5:30pm

6:00 - 7:00pm

Networking and ‘ask the expert’ session:

Your chance to spend time with the speakers and ask questions on a one to one basis.

In this session you can arrange a time with:

Dr Andrew Davies, Consultant in Palliative Medicine

Professor Anton Emmanuel, Neuro-Gastroenterologist

Dr Charlotte Leach, Palliative Medicine

Dr Adam Farmer, Consultant Gastroenterologist
Vishal Mashru, Head of Prescribing

Diar Fattah, Associate Director of Medicines Management

Dr Shaheen Khan, Consultant and Clinical Lead for Palliative Care at Guy’s and St Thomas’ NHS Foundation Trust

Dr Andrew Dickman, Consultant Pharmacist, Royal Liverpool Hospital, Liverpool

About the speakers and expert panel


Consultant in Palliative Medicine, Royal Surrey County Hospital

Dr Davies is a Consultant in Palliative Medicine at the Royal Surrey County Hospital (and St. Luke’s Cancer Centre), and a Visiting Reader at the University of Surrey. Dr Davies is also the President of the Association of Palliative Medicines. Dr Davies is interested in evidence-based Palliative Medicine, overseeing a diverse clinical research programme (e.g. clinically-assisted hydration, opioid-induced constipation, circadian rhythm disorders). He is a long standing educational trainer, and the new Chair of the Palliative Medicine SCE examination board. Dr Davies has a clinical interest in supportive care and cancer survivorship (as well as palliative care and end-of-life care), and is the President-Elect of the Multinational Association for Supportive Care in Cancer. He is also the Chair of the MASCC Annual Meeting in 2019 (San Francisco, USA), and in 2020 (Seville, Spain).

Professor Anton Emmanuel BSc, MD, FRCP

Neuro-Gastroenterologist, UCL and UCLH

Anton Emmanuel obtained his medical degree from London University. He is a Neuro-Gastroenterologist at University College London and Consultant Gastroenterologist at University College Hospital at the National Hospital for Neurology and Neurosurgery (Queen Square) and the Royal National Orthopaedic Hospital (Stanmore). Prior to this he was Senior Lecturer at Imperial College and St Mark's Hospital. His current clinical work encompasses being director of the GI Physiology Unit at University College Hospital as well as providing specialist gastroenterology service for patients with neurological illness. His research includes gut neurophysiology and the study of the aetiology and management of functional gastrointestinal disorders of the upper and lower gut. He currently supervises 5 post-graduate research fellows undertaking higher degrees. He is ex-Chairman of the NeuroGastroenterology (NGM) section of the British Society of Gastroenterology (BSG) and chairs the Clinical Studies Group of the NGM section of the BSG. He is the Medical Director of Core, the largest UK gastrointestinal charity, and is editor in chief of Frontline Gastroenterology, a specialist clinical journal.


Specialist Registrar in Palliative Medicine

Dr Charlotte Leach is a final year Specialist Registrar in Palliative Medicine. She graduated from Peninsula Medical School in 2008, and successfully completed her membership exams for the Royal College of Physicians in 2011. Dr Leach has a particular expertise in opioid-induced constipation, having worked as a Clinical Research Fellow on a multi-centre NIHR portfolio study of opioid-induced constipation (StOIC). She also has a specialist interest in supportive cancer care, dementia care and ethical decision making, and has completed a Masters degree in Ethics of Cancer and Palliative Care. Dr Leach also has a keen interest in medical education, and has recently completed a Post Graduate Certificate in Medical Education.


Consultant Gastroenterologist, University Hospital of North Midlands

Dr Adam Farmer was educated at Stonyhurst College in Lancashire. He trained at University College London, Barts and the London School of Medicine and Harvard Medical School.  
 He was awarded a BSc(Hons) in 1998 in human physiology with basic medical sciences and qualified with the degrees of MBBS in 2001 and gained membership of the Royal College of Physicians in 2004.  
 He undertook his specialist training in gastroenterology and general medicine in the West Midlands before moving to the internationally renowed Wingate Institute of Neurogastroenterology, Barts and the Royal London School of Medicine, where he performed a body of research funded by the Medical Research Council. During this time, he was awarded the degree of PhD at the University of London entitled “Human Psychophysiological Responses to Pain – The Development of Human Pain Endophenotypes”. He was appointed a Fellow of the Royal College of Physicians in 2017.  
 He currently works as a Consultant Gastroenterologist at the University Hospitals of North Midlands where he is the Clinical Lead for Gastroenterology. He also has academic positions at the Wingate Institute of Neurogastroenterology, Keele Medical School and the University of Aalborg in Denmark. He has authored over 90 published articles, written 11 book chapters and has given lectures both nationally and internationally. He is secretary of the neurogastroenterology and motility section of the British Society of Gastroenterology. 
 His main clinical and academic interests concern all aspects of gastroenterology particularly the functional gastrointestinal and motility disorders which include irritable bowel syndrome chronic abdominal pain, heartburn/reflux and chronic constipation. He is also interested in the digestive symptoms that arise as a consequence of disorders that affect the whole body including diabetes and Ehlers-Danlos Syndrome.   
 He is considered to be an international expert in his field having been awarded prestigious prizes from the American Society of Neurogastroenterology and Motility and the United European Gastroenterology Federation. 
 Dr Farmer lives in Staffordshire with his wife Caroline and three sons, William, Charles and Sebastian.


Head of Prescribing, NHS East Leicestershire and Rutland

Vishal Mashru is an experienced Medicines Optimisation Pharmacist who has successfully implemented key projects in medicines optimisation programmes across his locality. Outside of work Vishal’s enthusiasm for health and competitive drive continues as he is a fitness enthusiast.


Associate Director of Medicines Management, DGS and Swale CCGs

Diar is the Associate Director of Medicines Optimisation at Dartford, Gravesham and Swanley CCG and Swale CCG. Diar takes the lead on the provision of medicines optimisation on all matters relating to medicines use, prescribing and the provision of pharmaceutical services to the CCGs and has responsibility over the prescribing budget for the combined 380,000 population. His work has been focused on combatting inappropriate polypharmacy with the use of healthcare data analytics. Diar also sits on the NICE technology appraisal committee. Previously, he has worked as Medicine Optimisation Pharmacist at Medway CCG, a tutor at the Centre for Pharmacy Postgraduate Education (CPPE) based at the University of Manchester and a pharmacist clinical advisor in NHS 111. Diar holds a Masters in Pharmacy and a Masters in Health Economics and Policy.

dr shaheen khan

Clinical Lead for Palliative Care at Guy’s and St Thomas’ NHS Foundation Trust

Shaheen is a Consultant in Palliative Medicine at Guys and St Thomas’ NHS Foundation Trust. He graduated from Guy’s, Kings’ and St Thomas’ Medical School having also been awarded a first class honours degree in BSc Neuroscience. He completed a MSc in Palliative Care at Kings’ College London and was awarded a postgraduate certificate in clinical leadership. His interests are in pain management and complex symptom control, advance care planning, risk management, postgraduate medical education and clinical leadership. He is joint chair of the London Opioid Safety and Improvement Group (LOSIG) and is the Chair of the Palliative Medicine StR training programme covering London, Kent, Surrey and Sussex.

Dr Andrew Dickman

Consultant Pharmacist for Palliative Care, Royal Liverpool University Hospital

Andrew is the Consultant Pharmacist for Palliative Care at the Academic Palliative and End of Life Care Centre, Royal Liverpool University Hospital. He is also a research theme lead at the Palliative Care Institute, University of Liverpool and was appointed Honorary Senior Clinical Lecturer at the Graduate School of Pharmaceutical Sciences, Osaka University in 2010 and Honorary Lecturer at the School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University this year. He is a founding member of the Association of Supportive and Palliative Care Pharmacy. His job involves clinical work, research and education and he is also an Independent Prescriber. Andrew is the author of several books, including Drugs in Palliative Care, Drugs in Cancer and The Syringe Driver. He has contributed chapters to several books, including Wall and Melzack’s Textbook of Pain and Palliative Medicine.

Presentation Videos

Overview of the meeting

Professor Anton Emmanuel, Neuro-Gastroenterologist

Dr Charlotte Leach, Specialist Registrar in Palliative Medicine

Dr Adam Farmer, Consultant Gastroenterologist

Vishal Mashru, Head of Prescribing and Diar Fattah, Associate Director of Medicines Management