Committee for Nutrition

Membership of Group

Dr Sue Beath - Chair and Nutrition representative on BSPGHAN Council
Dr John Puntis – Chief investigator for BIFS
Dr Mark Dalzell – Consultant gastroenterologist at Alderhey Hospital
Ms Christine Holden - Specialist Nutrition Nurse at Birmingham Childrens
Ms Tracey Johnson – Senior Dietician at Birmingham Children’s Hospital
Dr Andrew A O Fagbemi - Consultant Paediatric Gastroenterologist at Booth Hall
Dr Susan Hill - Consultant Paediatric Gastroenterologist at Great Ormond Street
Dr Sue Protheroe - Consultant Paediatric Gastroenterologist at Birmingham Childrens
Mr Henry Gowen – BIFS Administrator, minuting secretary.

 

Minutes of the BSPGHAN Committee for Nutrition
(previously the Intestinal Failure Working Group)

8th February 9 – 10.30hr at the Marriot Forest of Arden Hotel, Warwickshire. Click here to download

Minutes of the BSPGHAN Committee for Nutrition, Institute of Child Health, Birmingham, 22nd June 2007, Click here to download

 

Intestinal Failure Working Group Final Report

Click her to dowload an acrobat copy

This paper is open for consultation for three weeks (end March 07) after which it becomes an official document.

Comments to John Puntis at John.Puntis@leedsth.nhs.uk please.

 

The British Intestinal Failure Survey

What are the Aims of the study?

· To identify infants and children with Intestinal Failure

· To establish the natural history of Intestinal Failure arising in infancy and childhood

· To identify the number of children with end-stage Intestinal Failure who are likely to require transplantation for Intestinal Failure associated liver disease and/or other surgical intervention

How does the Survey work?

Members of BSPGHAN and BAPS are asked to report all new cases of Intestinal Failure at their centres. These cases are identified as patients who are aged 16 and under and who have been receiving Parenteral Nutrition for more than 27 days as an inpatient. All reporting will be carried out via an online submission portal, which can be found at www.bifs.org (link to become active shortly) . Reporters will be given a logon name and password, which will enable them to input data and view existing data from their own centre.

The information that we are collecting has been has been deliberately restricted to a few key data set points, so that reporting time can be kept to a minimum. Patients will be identified by initials, sex, date of birth and NHS number, PAS number will also be recorded for local identification. The main data set is concerned with patient diagnosis and the amount of time that the patient has been on PN. Dates can be entered to record significant clinical events such as commencement of PN, central venous catheter sepsis, onset of clinical jaundice and/or referral for transplant assessment. All of these points will give us a better understanding of the disease progression in these patients.

What needs to be done before commencement?

Ethical approval has been granted by the West Midlands MREC, it states that the study can take place without the need to apply for individual LREC approval. However approval will be required from your trust R&D department. A pack will be available from the registry manager to allow each centre to obtain this approval.

In accordance with the MREC guidelines, written consent will be required for each patient in the study, and for the storage of their details on the registry. Information sheets will be downloadable from the website for both parents and children, explaining the project. This should be given to the parents and older children before consent form is signed. One copy of the consent for is to be kept by the family, one is to be kept with the child's notes and one should be sent to the registry manger.

Downloads: (pdf)

Child Information Sheet (age 7-11)       

Child Information Sheet (age 12-16)      

Parent Information Sheet                

Consent form                              

Who will deal with the data handling?

The data management and security will be carried out by Streets Heaver Healthcare Computing based in Lincoln (who have run the British Artificial Nutrition Survey for over 8 years). All reporting and analysis of data will be handled by Michelle Gabriel (Intestinal Failure Registry Manager) based in Birmingham. All data will be held securely and in compliance with the current Data Protection Act.

It is anticipated that monthly and six monthly reports will be generated from the database and will be posted on the website. To ensure confidentiality, centres will only be granted access to data specific to their centre and generic reports produced for NSCAG.

For more Information please contact

Dr John Puntis,
Dept of Paediatrics,
Room 142,
B Floor,
Clarendon Wing Leeds General Infirmary
Leeds
LS2 9NS
(0113) 392 3828
john.puntis@leedsth.nhs.uk

 

Henry Gowen,
Registry Manager,
3 rd Floor Registry Office,
Institute of Child Health,
Birmingham Children's Hospital,
Whittall Street
B4 6NH
(0121) 333 8733
Henry.Gowen@bch.nhs.uk

 

British Artifical Nutrition Survey report (2005)

click here to download a pdf copy

 

The Future of Intestinal Failure Services in England and Wales

A full copy of this report can be downloaded: Word | Acrobat

 

Reply to NSCAG (August 2004)

Executive summary

· following a meeting with the National Service Commissioning Group (NSCAG) in January 2004, the BSPGHAN membership was asked to comment on the desirability and role of supra-regional intestinal failure centres; feedback is summarised below

· there was much positive support for optimising management of intestinal failure, but with the proviso that services remain primarily regional rather than supra-regional (i.e. without the remit of NSCAG)

· there was support for an NSCAG funded intestinal transplant assessment centre, and acknowledgement of the role of such a centre in providing ongoing management advice in patients not listed for transplantation

· there should be further exploration of the possible need for a second intestinal transplantation centre

· there was recognition of the need for integration of gastroenterology and hepatology services within supra-regional liver transplantation units for effective joint management of patients developing liver disease while  requiring long term parenteral nutrition

A full copy of the reply to NSCAG can be downloaded from the web Word | Acrobat

 

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