President update 28th July 2020 Shielding advice –  What will change from 1 August

President update 28th July 2020 Shielding advice – What will change from 1 August

The current BSPGHAN advice on shielding will change on  August 1st in line with Government advice.

From 1 August, the government will pause shielding unless the transmission of COVID-19 in the community starts to rise significantly.

See GOV.UK: guidance on shielding and protecting people who are clinically extremely vulnerable from coronavirus.    **

This guidance will be updated on 1 August.

See specific advice for our patients’ families 

https://www.cicra.org/news/coronavirus/

http://s3-eu-west-1.amazonaws.com/files.crohnsandcolitis.org.uk/Shielding_UK_nations.pdf

https://childliverdisease.org/coming-out-of-lockdown-how-do-we-integrate-back-into-a-new-world/

**Clinically extremely vulnerable children and young people (0 to 18)

Specialists in paediatric medicine have reviewed the evidence on the level of risk posed to children and young people from COVID-19. The latest evidence indicates that the risk of serious illness for most children and young people is low.

All children and young people currently identified as Clinically Extremely Vulnerable, and advised to shield, should continue to do so until 31 July, when the government will pause shielding for everyone.

All decisions on whether children and young people should be removed from the shielded patient list (and therefore will not be advised to shield again in future if transmission starts to increase significantly) should be based on a consultation with a paediatric specialist or GP who will be best placed to determine the most appropriate care. Gov.uk advises that a paediatric specialist or GP will be in touch over the summer to have these discussions.

Returning to school

  • children who are clinically extremely vulnerable can go back to school (when the rest of their class goes back)

See guidance on supporting children and young people’s mental health and wellbeing.

This advice is of a general nature and should be treated as a guide.

This does not replace any local public health measures put in place to protect the local population. If there is an outbreak of COVID-19 within your area, please follow any guidance set out locally or any specific law which applies to the area you live in  .If local restrictions are in place in your area, please visit local lockdowns guidance

Best wishes
Sue
BSPGHAN President July 28th 

 

Senior Clinical Fellow Paediatric Gastroenterology

Employer: Guy’s and St. Thomas’ NHS Foundation Trust

Closing Date:12/08/2020

The Paediatric Gastroenterology team at Evelina London Children’s Hospital would like to invite applications for the post of Senior Clinical Fellow in Paediatric Gastroenterology. The post is based at the Evelina London Children’s Hospital at Guys & St Thomas NHS Foundation Trust and will be offered on a six month contract, in the first instance potentially extendable to a year. We are looking for applicants who are ST3+ level but will consider strong applications from more junior trainees. 

For more information, please visit https://www.jobs.nhs.uk/xi/vacancy/916129782.

Registration for Master Class – now closed and Trainees Meeting now Open

President Update 13th July 2020

BSPGHAN Educational events 2020 and Annual Meeting 2021 

Please Save The Dates in your diary

  1. BSPGHAN Annual Meeting and AGM January 27, 2021- January 28, 2021
  2. BSPGHAN Masterclass  “Intestinal Failure – Past, Present and Future”? August 12th, 2020 14.00 -15.00  
  3. BSPGHAN Trainees meeting August 19th 2020 13.00-16.00

The pandemic has given us  unique challenges  in delivering and hosting educational events, especially our  upcoming annual BSPGHAN meeting.

Our trainees have led the way and pulled together highly successful Zoom educational initiatives.

Following discussion at Council, Dr Ronald Bremner, my co-host,  and I have agreed to arrange a virtual annual meeting and AGM in 2021,  harnessing the recent success of weekly trainees’ online events.

What’s new

Virtual annual meeting and AGM January 2021

We plan to offer interactive “live” panel discussions and debates to  continue our professional and friendly interactions on January 28th, 2021.

For abstract submission and management, we will use the online system that worked well last year and offer  poster submission with poster walks using uploaded video presentations alongside.

Following demand, we plan to offer to stream parallel sessions for the Associates, Trainees and PeGHAN colleagues on the first day January 27th 2021. We are willing to secure a venue to host a small face-to-face meeting alongside the online annual meeting nearer the time if this is in demand. We hope that this hybrid meeting will offer the best of both worlds. It may become the template for meetings in future, hopefully with a large proportion of the meeting being face-to-face in future. Council have agreed that we run a meeting in Birmingham in 2021.

Please book your study leave now.

Twitter     –    The trainees, led by Joe Chan and supported by Mark Beattie  plan to use our BSPGHAN Twitter account take on a larger role for the virtual meeting.

Uses will include publicising upcoming talks, facilitating online discussions and post-talk questions for the speakers. 

The first BSPGHAN Masterclass on 12th August 2020 https://BSPGHAN.org.uk/events

You are invited to join the first BSPGHAN Masterclass on August 12th, 2020 14.00-15.00.  Dr Sue Protheroe will deliver a talk on ‘Intestinal Failure; Past Present and Future’. Time and registration details will be circulated shortly  “BSPGHAN Masterclasses” will invite a wider audience (to include international trainees, non-GI health professionals, non-BSPGHAN members) with the intention of sharing GI learning to a wider audience, and extending the society’s reach and influence.

BSPGHAN Trainee’s meeting on 19 August 2020 ;  https://BSPGHAN.org.uk/events

A trainee members’ meeting has been organised by Dr Neil McConnell, chair of the Trainee Group.  The programme is being finalised and will be uploaded shortly.  Talks will cover why to train in gastroenterology and hepatology; insight into the START Exams and Consultant Interview Tips.  This meeting is open to Trainees and those who may be interested in a career in Gastroenterology and Hepatology.

Returning to Hospital Schools

The Department for Education has published a suite of guidance relating to school opening in September.  It is the intention of the department that all pupils, in all year groups, will return to school full-time from the beginning of the autumn term.  From 1 June, DfE asked schools to begin welcoming back more pupils in specific year groups.  Hospital schools on hospital sites were asked to work towards a phased return of more children and young people without a focus on specific year groups and informed by risk assessments.   Since then, the prevalence of coronavirus (COVID-19) has decreased,  the NHS Test and Trace system is up and running, and there are clear measures that need to be in place to create safer environments within schools.

 Returning to school is vital for children’s education and for their wellbeing, and we therefore need to ensure all pupils can return to school sooner rather than later.  This includes pupils receiving hospital education on hospital sites.As you will see from the guidance (https://www.gov.uk/government/publications/guidance-for-full-opening-special-schools-and-other-specialist-settings/guidance-for-full-opening-special-schools-and-other-specialist-settings), we are asking hospitals to work with the relevant Infection Prevention and Control team and NHS Trust to ensure that all pupils educated on hospital sites are able to return to education in September where it is safe and feasible to do so and in line with hospital IPC measures.  We  expect headteachers and NHS trusts to work together over the summer holidays and beyond, to enable the return of all pupils at the start of the autumn term. We would be very grateful if you could share the guidance with the relevant members of your staff teams to ensure key messages are widely distributed and to enable planning for September to commence

Best wishes,
Sue Protheroe
BSPGHAN President
President@BSPGHAN.org.uk

Presidents Update June 28th 2020:  1. Pause of BSPGHAN/RCPCH  Quality Standards Audit; 2;  Shielding Update 3.  Innovations. 4. ACCEA update

Presidents Update June 28th 2020: 1. Pause of BSPGHAN/RCPCH Quality Standards Audit; 2; Shielding Update 3. Innovations. 4. ACCEA update

Dear Members

  1. Pause of the National Audit of Quality Standards for Paediatric Gastroenterology, Hepatology and Nutrition (‘the PGHAN Audit’).

The RCPCH/BSPGHAN PGHAN Audit Project Team have put the audit on hold during the COVID-19 pandemic and will reinvigorate the audit in August. The pause has given us an opportunity to discuss consider potential changes to the dataset that might be required due to the effects of COVID-19 on the healthcare system and PGHAN services in particular. 

I am grateful for all of your input and support with the PGHAN Audit to date.  The dataset had been agreed and built into a data platform which was ready to pilot in May/June. The PGHAN Audit clinical lead had registered in around 45% of Health Boards and Trusts across the UK by the end of April. 

Please can I ask you to contact your Medical Director if you haven’t recruited a PGHAN Audit clinical lead.

The pause in the audit has offered us chance to reflect on its purpose in the context of BSPGHAN’s strategic intentions-

  1. To continue to examine PGHAN professional networks and see how BSPGHAN can support research, education and training,
  2. To allow us to consider the impact and value on PGHAN health care provision that the BSPGHAN Clinical Standards provide, 
  3. To reflect critically on BSPGHAN’s function, to promote national best practice and outcomes of our patients especially moving forward from paused activity, 
  4. To harness opportunities to support service resetting and recovery post COVID-19, and how this may be done at a national level,
  5. To harness opportunities to sustain any positive changes in the way we work, capturing innovations that have been rapidly developed during the pandemic  (Please still feedback to me on innovations. See below **).

Additionally, it is timely to reflect on further intentions-

  1. To accelerate BSPGHAN’s national education strategy to develop virtual learning opportunities for trainees and members,
  2. To use our new website to share education / clinical updates; to measure the impact of the content of our new site;
  3. To build on the closer links that have arisen during the pandemic when writing joint rapid updates for example;  for BSPGHAN to work more closely with key stakeholders such as the BSG, Royal College and charitable partners
  4. To support the productivity of  BSPGHAN “task and finish” projects– using virtual get togethers. I hope that remote meetings will encourage participation from more members from devolved nations and foster rapid outputs from council and working groups.

2. Shielding Update

I know most  will have seen the latest shielding letter from the Chief Medical Officer & NHS Medical Director  AVAILABLE HERE  which provides New clinical evidence on children  

Recent experience and knowledge of the impact COVID-19 infection has on children and young people with comorbidities suggests not all those on the Shielded Patient List need to be shielding. RCPCH recently published  updated guidance  which paediatric patient groups they think should be advised to shield. They have identified three groups:

  • children and young people who are cared for just in primary care are very unlikely to need to continue to shield;
  • a small group of children who are clinically extremely vulnerable due to their pre-existing condition will need to continue to shield; and
  • a further larger group of children exists who due to their underlying condition may need to shield and the decision to continue to shield would normally result from a discussion between the clinician, the child and their family.

RCPCH expect that all patients who need to continue to shield will be seen in a specialist centre before September 2020 (but not all those with specialist appointments will need to shield).  Decisions on shielding will generally be led by a specialist, balancing the clinical and social impact of shielding. Patients should only be removed from the Shielded Patient List by their GP or specialist following consultation with the child and their family, and other clinicians where appropriate.

Further guidance on having conversations with children and families can be found on the   RCPCH website The Government works closely with the RCPCH and welcomes their valuable scientific input. We recommend that clinicians follow up with children (and their parents) on the Shielded Patient List to discuss what RCPCH guidance means for them.  

Risk stratification (adults) A team academics have been working with clinicians to develop a predictive risk model that reflects a wider range of factors such as demographics alongside long-term health conditions, to better understand cumulative risk of serious illness for individuals if they catch COVID-19.  The COVID19 risk stratification model will be set out in the BMJ soon . It will only be for people aged 18 years as fortunately there’s a paucity of data for modelling in children and young people  —  see the publication of the research protocol

3. Feedback from members on Service Innovations **

I mentioned a few weeks back,  I am keen to capture service changes relevant to our patients.

This is a polite nudge to ask those of you who haven’t got back to me,  for your thoughts,  so that I can make sure they’re captured.  

See survey via this link  or see the questions below  

https://forms.office.com/Pages/ResponsePage.aspx?id=kp4VA8ZyI0umSq9Q55Ctv-zG7vHjmaZJg9s6K87uGnpUMlIzVEhLTlY2VlZGU0RIV1BJQjZGMFZNUSQlQCN0PWcu

The survey asks the following four questions:  

  1. What beneficial innovations/changes have occurred in your specialty and within patient pathways?  
  2. Please describe the impact of these innovations/ changes (e.g. population health outcome, patient outcome, safety, wider system, efficiency, productivity). How did you measure the benefit?  
  3. What is needed to sustain the change?  
  4. What, if anything, hasn’t worked so well. 

Thank you for getting back to me by 4pm on 30th June.  If you can’t make this deadline, please still feedback as your input will be useful to harness and share improvements in patient pathways.

 4. ACCEA secretariat update  

Ministers agreed the suspension of the 2020 national Clinical Excellence Awards round https://www.gov.uk/government/news/extension-to-clinical-excellence-awards-due-to-expire-in-april-2021

Subject to Ministerial agreement, there will be an extended National awards 2021 competition, with a lengthened timetable from November 2020 until the end of January 2021. 

Please stay well and as always, I welcome your involvement and your feedback.

Best wishes
Sue  
Sue  Protheroe
BSPGHAN  President
28th  June 2020
Email:  President@bspghan.org.uk

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