Royal Parks runners help us train more doctors
We are continuously amazed by our supporters. This year's Royal Parks Half Marathon saw many of our supporters take to London's streets to raise thousands for doctors living and working in the world's most dangerous corners. Thanks to their determination, doctors in territories such as Ukraine, Yemen, Palestine and Syria will receive the surgical training needed to treat traumatic injuries and save lives.
Our photographer and videographer, Lucy Lyon, swapped her camera for trainers and took part in the Royal Parks Half Marathon with her brother, Duncan. Together, the pair have raised over £3000 for our mission.
"It was an amazing day in many ways. Golden leafed London parks with warm sun, every shape and ethnicity, age and gender moving along side by side, in a steady tide, for thousands of different causes.
Everyone smiled, no one pushed or shoved. There was a human tree, and a very hot lion, tiger, and a bear. Even a rhino. A man with a fridge on his back, and people in wheelchairs.
The supporters were everywhere, drumming and cheering us along. It was a morning well spent and all the while jogging along beside me was my little brother.
We agreed that running that distance together was more like running with a pet - a silent but constant companion. And the best bit about running in your late 40s is the gratitude you feel to those legs and feet for their constancy and power.
We have so far raised enough to support the training of at least two surgeons from a conflict zone, who will go on to save hundreds of lives in their region."
If you'd like to set yourself a challenge or raise funds for a cause that changes the lives of communities in conflict, get started today. Thank you to each and every person who supports our mission.
This World Humanitarian Day
This World Humanitarian Day, we reflect on our commitment to the humanitarian values that inspire our work - training medical professionals to provide safe, skilled surgical care in countries impacted by conflict and catastrophe.
Our flagship Hostile Environment Surgical Training (HEST®) course continues to provide the best in surgical training to those who need it most. Using innovative teaching materials such as our prosthetic hearts, kidneys, arteries and veins, our world-class trauma surgery modules are brought to life by the remarkable, talented training faculty who deliver it. We are so grateful to our team of trainers who give up their time to share knowledge with doctors around the world. We know they also learn as much from them in return.
In addition to training surgeons, we have developed an anaesthesia module, expanding our focus from the surgeon to the wider - any equally important - operating theatre team. As with surgery, conflict presents unique challenges for anaesthetic practice including severe blast injuries, blood loss and resource constraints.
I was inspired to start our Foundation by a single, grainy photograph of David.
In a room in a hospital in Aleppo, lit solely by the steady beam of a projector, he was discussing cases with a group of Syrian doctors at the end of a day of operating. I started thinking how that life-saving training delivered by David in Aleppo, built on decades of frontline experience, could be brought to hundreds, perhaps thousands, more doctors.
David’s unwavering connection with the doctors of northwest Syria goes back a decade and when the devastating earthquake hit southern Türkiye and northwest Syria in February, we immediately started discussing with local partners and colleagues what they were seeing and how we could help. It rapidly became clear that thousands of survivors were left with life-altering injuries in need of surgical treatment and rehabilitative care.
Thanks to expert navigation of local permissions by our partners, we were able to run a joint teaching and operating mission with Action for Humanity in Aqrabat Hospital, Idlib. The Action for Humanity team saw 300 patients in clinic before completing 60 surgeries the following week. Above the operating theatres, we equipped 35 Syrian doctors with the surgical techniques they need to treat complex injuries inflicted by the earthquake or ongoing conflict.
Ninety percent of our training faculty on the mission were Syrian and based in the northwest, therefore able to better understand local health system challenges and teach the course in Arabic.
Sustainability is vitally important to us; we want surgical knowledge to be embedded in communities to the extent that it is self-perpetuating and we are no longer needed. Until it is, we’ll keep returning as long as we are needed, No Matter What.
As a small charity, we are able to deliver so much more in terms of training and value for our donors’ money by partnering with other humanitarian organisations like Action for Humanity. Our training partners are diverse in scale and size. We delivered training in Moldova with the World Health Organisation and for Yemeni surgeons with Médecins Sans Frontières. We are excited to collaborate with MedGlobal in the coming months, and in Ukraine, were proud to partner with our friends at UOSSM, a charity initially formed to provide relief and assistance to Syrian civilians affected by the deadly conflict there.
Unfortunately, risks for humanitarians and attacks on healthcare have increased in recent years.
Last week, Physicians for Human Rights reported that 1014 attacks have been perpetrated against Ukraine’s hospitals, health workers, and other medical infrastructure since February 2022. Recent Elrha research also revealed that attacks on Syrian health facilities have deterred people from accessing health services and seeking help when needed.
Every hospital bombed, every healthcare worker killed, denies people vital care and destabilises communities both physically and psychologically. These atrocities are under-reported and we are honoured to support the campaigning efforts of Action for Sama, seeking to raise awareness of and ensure accountability for attacks on healthcare.
We believe in safe, skilled surgical care for all and stand with the communities we serve, No Matter What.
Elly Nott, Co-Founder and CEO
Trekking to Everest's viewpoint in Lucy’s memory
We were recently contacted by Dominic Cahillane, the beloved brother of Lucy who sadly passed away on the 12th of March. Dominic, additional family members and friends of Lucy’s came together to raise funds in her memory. We were honoured when Lucy’s loved ones told us they were trekking to Mount Everest's viewpoint and raising funds for us, a mission that was close to Lucy's heart.
Dominic, Lucy’s brother, shared:
“On March 12th of this year, my amazing sister Lucy Cahillane left this life for what we can only hope is a serene and fitting higher plane, where her energy can be used for the betterment of those in need, both past and present.
Lucy gave herself tirelessly to the needs of others, always there to listen, to shoulder a burden, offer advice, and make you feel safe in the toughest of periods. Her focus was that the people she came across in her life should always feel loved and have an optimism for the future, the painful juxtaposition being that she was eventually unable to do this for herself.
In her memory, and on behalf of the David Nott Foundation, a charity that was close to Lucy's heart, my partner Radka Nemcova and friend Katerina Tumova (pictured above) took on a 5-day return hike in the Himalayas from Lukla to Everest Viewpoint above Namche Bazaar.
I hope you can join them in this feat to donate to those who look to make even the slightest of difference in an increasingly marginalised and difficult world where those in need are rarely heard.
‘Three passions, simple but overwhelmingly strong, have governed my life: the longing for love, the search for knowledge, and unbearable pity for the suffering of mankind.’ - Bertrand Russell
Miss you sis, love Dom xxx”
We are incredibly honoured to receive donations in Lucy’s memory, with £2,300 raised so far. If you’d like to donate, please visit the family’s JustGiving page.
Training of Trainers: Future-proofing the Foundation
Last weekend, the David Nott Foundation invited 24 leading surgeons to London to attend a Training of Trainers course. The aim of the course was to introduce each surgeon to the HEST® Course, with the hope that many will want to travel to conflict zones with the Foundation to teach it.
The Foundation receives many requests to run HEST® courses, in so many locations affected by war. By expanding our faculty, we can reach more of these places in a timely manner.
The 3-day course was held at the iconic Wellcome Collection, a monument to the health sciences in Central London. Our extant faculty, led by David Nott, took participants through the different modules that comprise the HEST® course. By the end of the weekend, participants felt ready to teach the course overseas. One participant said:
"David and colleagues have lots of experience and I am in awe of what they have been able to achieve. The practical tips in management of patients in humanitarian settings are equally valuable for trainees and established consultants in this country. "
Interspersed with surgical modules was discussion of the practicalities of attending humanitarian missions:
" I found the session delivered by Mr Hakimi on the practicalities of what to expect when travelling and working in countries where HEST® is being delivered to be excellent and insightful."
We were additionally delighted to welcome students from the Friends of the David Nott Foundation Societies to the course. Delegates from Manchester, Leicester and Queen's University Belfast came to get a taste of their future humanitarian careers.
Training the Trainers has allowed us to invigorate the Foundation with new and enthusiastic teaching faculty. The DNF is poised to return to in-country HEST® courses future-proofed and with more courses than ever.
British Contemporary Artist's Exclusive Offer to Our Supporters
Nadia Day is a contemporary British artist based in Richmond, UK. She paints Impressionist views of nature, both local and further afield through seascapes and commissions.
“I use a brisk technique of flat brushstrokes and pallet knife work, ensuring my paintings reflect the energy and beauty of nature at their core. I love painting a big fresh sky - this is always my starting point”
After reading War Doctor she felt so moved by David’s story that she contacted us to pledge her support and donate four original paintings. Nadia’s work has been selected for national exhibitions including the Battersea Affordable Art Fair. She studied art at Kingston University and gained a BA in Drama & Theatre Arts from Birmingham University. Here is what she had to say about the collaborating with the David Nott Foundation:
“I was profoundly moved reading War Doctor. David Nott was continually taking himself away from his safe set up in the UK, to risk his life to help others. I felt compelled to do something, but helpless - my artistic skills are a world away from the medical practise, so how could they be applied?
I remember seeing Quentin Blake’s illustrations brightening up the walls of Great Ormond Street Hospital, where we often visit with my son Jasper, and the art offers a cheery brightness at a time of need.
My aim was to create pieces which inspire positive feelings of calm and contemplation. The landscape needed to be non-descript but to suggest change and travel – themes residents fleeing war torn countries must often face. I wanted to touch on the base human feelings of courage and hope, feelings required in difficult situations.
I carefully chose names to conjure up the emotions they represented to me; there is Solace, Reflection, Legacy and New Beginnings.
If you bought one of these pieces, the message is clear, you are paying for a doctor to be trained and I personally thank you so much.
Solace
Reflection
New Beginnings
Legacy
Charlotte Makes the Jump for her 70th Birthday!
After constantly reading about the heartbreaking impact of barrel bombs and landmines on the lives of children and families, Charlotte Wilson decided to do something different for her 70th birthday. Instead of presents and material things, she bought herself a tandem skydive and invited her family and friends to Perthshire to watch her make the jump, all in aid of the David Nott Foundation!
We are absolutely thrilled to announce that Charlotte's bravery has raised over £1000, which is enough money to train a surgeon on one of our overseas HEST® courses. This surgeon can go on to save countless lives and share the skills they've learnt with fellow colleagues working in austere and hostile environments.
Charlotte is also delighted with the result: "I did it! I did it! I raised enough to train a doctor and I couldn’t be happier! The jump was an amazing experience and I had the most beautiful weather."
If you're doing something special to raise money for the Foundation, please don't hesitate to get in touch. We love hearing from you.
STAE Course April 2019
One of the key missions of this foundation is to provide specialist training to doctors and surgeons who would otherwise be unable to afford it. Our STAE courses help to meet this aim. These courses equip surgeons with specialist skills in how to work in conflict and disaster zones. Your support enables us to offer scholarships to surgeons who work in these challenging conditions. It costs £5,000 per student and we cover this entire cost through your generosity. On this course, delivered at the start of April 2019, training covered how to care for eye injuries from blast wounds, as well as a number of other elements of specialist surgery.
This course was attended by 13 surgeons from around the world including Nepal, Syria, Uganda and Chile. These are some of their stories
Introducing Lucien
Lucien Wasingya Lusenge is a general surgeon in Uganda and works in a rural area 100km from Kampala. He told us that healthcare in Kampala is expensive and not available to most people in rural areas of Uganda.
Lucien regularly sees patients with severe injuries from
road traffic accidents. He's been telling us that many of these patients die
unnecessarily because they're not properly managed due to lack of resources and
specialist skills.
Because of the STAE course, Lucien feels more confident that these patients will now have better outcomes and many more lives will be saved "Thank you for the training. I am so proud to be among the trainees".
Introducing Tula and Pawan
Tula Gupta and Pawan Bajaj Agrawal joined us from Nepal. They are both GPs and work in a rural area of the country where there are no surgeons. Being some distance from Kathmandu and the only medics in the area, they have to do everything including surgery such as orthopaedics, caesarians and trauma.
They work in a natural disaster area where there are lots of small earthquakes. Tula told us "Since the 2015 earthquake, we have been re-building the health system in Nepal. The course has been a great opportunity to learn so many things and supplement my knowledge to do even more difficult cases."
Introducing Awss
Awss Alhamadani is a surgeon working in Iraq. He had previously been on our overseas training course and came to the UK as one of our scholars to gain additional practical training. Responsible for eight field hospitals in Iraq, Awss is able to share his additional skills and expertise with his colleagues who often work with limited resources and in very challenging conditions. Aware of the impact these courses have on the provision of treatment in the hospitals under his care, Awss wrote to the both the Prime Minister and Minister of Health in Iraq recommending "that, every single person who enters into surgery, should have this course."
The scholars tell us that the way the course is organised is invaluable. "We're taught the procedure first as a whole group and then get to practice it afterwards in a small team under the supervision team of a surgeon from the Faculty Team," all of whom are expert surgeons with first hand experience of working in a conflict zone.
We heard from Vadvm who joined us from Ukraine; "This course is way beyond my expectations. It is the best thing that has happened to me in the field of austere environment surgery."
We're delighted to share these stories, and hear how our course will bring about better health outcomes for patients and save lives. Every one of our scholars works in very challenging conditions, whether it's with limited resources, personnel or in an austere environment like a conflict zone or area affected by natural disaster.
We're proud to be fully funding our scholars on the course. Through your generosity their travel, accommodation and course fees are all covered. Without your support, none of this would be possible.
David Nott on 'Start the Week'
On 11th March 2019, David appeared as a featured guest on the BBC Radio 4 programme, 'Start the Week,' discussing his work in conflict zones
He tells Kirsty Wark how a combination of bravery, compassion and the thrill of danger inspired him to risk his life helping others.
Entitled 'King and Country,' the episode focusses on self-sacrifice, public duty and volunteers in the Middle East with David Nott, Joana Cook, Azad Cudi and Claire Foster-Gilbert.
To listen, follow this link: https://www.bbc.co.uk/programmes/m000356t
Skype Blog: The first ever known surgery over Skype with Dr. David Nott
Skype was developed in 2003 to help people stay together, no matter where in the world they happen to be. Since launch, we’ve discovered many weird, wonderful and original ways that people use video calling. From pet sitting to interior design. From working out to personal stylist advice—people really do use Skype in the most creative ways.
Recently, we came across the The David Nott Foundation, a UK-based charity which gives surgeons and medical professionals the skills they need to provide relief and assistance in conflict and natural disaster zones around the world.
Founded by Dr. David Nott and his wife Elly, The David Nott Foundation’s main focus is to improve the standards and practice of humanitarian surgery in conflict and catastrophe areas around the world. Both are passionate about helping those less fortunate than themselves and their efforts in treating victims in areas of catastrophe goes from strength to strength. We caught up with Dr. Nott, “the Indiana Jones of Surgery”, and found out how Skype features in their mission to help surgeons develop their skills for warzones—and how he and his wife started volunteering their time:
“I started in Sarajevo in 1993. I watched a film called The Killing Fields with my Dad and I had a fascination about different places and helping people. The film was about a friendship between a journalist and a local interpreter in Cambodia during the civil war but essentially about people helping each other. And then something sparked in my head, that I’d like to do something like that myself. When I became a consultant, the first thing I did was to volunteer my services to Médecins Sans Frontières in Sarajevo. I should have only stayed for a couple of weeks but I ended up staying for three months.”
Dr. Nott tells us how technology and Skype came into the picture. “In 2007, I believe I was the first person ever to receive details of how to perform surgery via text messages in the Congo. This was when a friend of mine texted me the procedure of how to take off somebody’s shoulder and arm. This was in the Congo, in the middle of a jungle, without any help or anything!”
And then after surgery by text message, came the first ever known surgery performed over a Skype video call.
Surgeons in Aleppo sent me a picture of a man whose jaw had been blown off by a fragment in a bomb blast. They asked me what they thought they could do. I took the pictures around to several of my colleagues to get their opinions on what they thought was the right thing to do to fix it. The doctors in Aleppo had never done this sort of operation; they’d never mobilized a myocutaneous flap (which is a muscle and tissue flap that rotates into the neck). They’d never mobilized a muscle before either, so that’s where Skype came in. They had a phone attached to a selfie stick so I could view everything. The operation started at about 8 in the morning and went on until 4 in the afternoon. It was very complicated but it worked 100%. Using Skype was fantastic because it allowed me to see what they were doing in real time. I was telling them which bit to cut, which bit not to cut—I directed them all the way through, from the moment they picked up the knife to the moment they put in the stitches.”
Read the full article here.
