CONSULTANTS IN PAEDIATRIC GASTROENTEROLOGY: – 2 Posts. Closing date 28th May 2021

Royal Manchester Children’s Hospital

We are delighted to invite applications for a consultant in paediatric gastroenterology to join our fantastic and dynamic team of consultant gastroenterologists. We provide paediatric gastroenterology service across the Northwest of England and welcome applications from highly motivated candidates with or without a special interest.

There are currently 4 Consultants and with the new posts there will be 6 Consultants. There are 5 IBD and Nutrition Specialist Nurses based at RMCH, alongside a Gastro Specialist Nurse for pH and impedance test and Oesophageal /Ano-rectal Manometry. The team undertake a weekly Intestinal Failure and PN MDT, Weekly IBD MDT Meetings, 2 Grand Round MDT meetings per week and a weekly Histology with one of the meeting dedicated to IBD/Radiology/Histopathology MDT meeting. There are 6.5 Consultant Gastroenterology outpatient clinics per week with the IBD and Nutrition Specialist nurses undertaking weekly outpatient clinics as well.

One post will be Consultant will substantive and the second will be locum post for 12 months with a view of this becoming substantive after. Posts holders are welcome to develop their special interests; however both post holders will do some general gastroenterology as well.

The Gastroenterology Department works closely with all tertiary specialities based at RMCH and provides support to District General Hospitals across the Greater Manchester conurbation and beyond. Joint outpatient clinics are held with the Endocrinology, Surgery, Immunology/Early onset IBD, and Pancreatic with adult gastroenterologist and Allergy teams with a Transition clinic occurring every 3 months. There is also joint clinic for post small bowel and liver transplant patients with Birmingham.

Each Gastroenterology Consultant has one elective Endoscopy list per week in the theatre suites. Emergency theatre sessions for urgent cases are also available. Emergency and out of hours cover is provided by a Consultant on call rota (non- resident) which is high intensity. The on call consultant undertakes ward rounds on Saturdays and Sundays.

Further information can be obtained from

Dr. Andrew Fagbemi, Clinical Lead on 0161 701 2371 andrew.fagbemi@mft.nhs.uk.

Dr Loveday Jago.                      0161 7015566    LovedayJane.Jago@mft.nhs.uk

Dr Mars Skae, CSU Clinical Director on 0161 701 0650 mars.skae@mft.nhs.uk

Application through www.careers.cmft.nhs.uk 

CLOSING DATE OF 28th May 2021.

Interview Date: June/July 2021.

Updated JCVI advice on Covid19 vaccines for adults aged under 30 years

Updated JCVI advice on Covid19 vaccines for adults aged under 30 years

Covid19 Vaccination update 7th April 2021

(replaces advice on BSPGHAN website on 31st January 2021)

Today, April 7th, 2021, the Joint Committee on Vaccination and Immunisation (JCVI) has changed their clinical advice on Covid 19 vaccines for those aged under 30 years.  

Adults aged 18 to 29 who do not have an underlying health condition that puts them at greater risk from Covid should be offered an alternative to the Astra Zeneca vaccine if one is available.

The MHRA advised that-

  • side-effects were “extremely rare” – and more work was going on to identify if the Astra Zeneca vaccine was causing blood clots.
  • People who have had their first dose of the AstraZeneca vaccine should still get their second dose. 
  • Only those who suffered one of these rare blood clots after the first dose should not get vaccinated.
  • People with blood disorders that leave them at risk of clotting should discuss the benefits and risks of vaccination with their doctor.
  • The JCVI today said that they have not made a  decision yet  (on vaccine advice) on those aged under 18 years.

The Pfizer/BioNTech vaccine is authorised for use in individuals aged 16 years and over, and the Oxford/AstraZeneca vaccine is authorised for individuals aged 18 years and over. 

Also see that here that the RCPCH updated their advice on 29th March 2021, for paediatricians on children and young people and the COVID-19 vaccination programme https://www.rcpch.ac.uk/news-events/news/message-paediatricians-children-young-people-covid-19-vaccination-programme

This advice may be updated in light of the announcement today.

We are now in the first phase of the programme during which young people (aged 16 years and over) with specific clinical vulnerabilities will be offered vaccination.1   ( Based on JCVI advice, individuals aged 16–65 years in at-risk groups are eligible for immunisation in Phase 1 of the programme).

The Green Book says: “Children and young people have a very low risk of COVID-19, severe disease or death due to SARS-CoV-2 compared to adults and so COVID-19 vaccines are not routinely recommended for children and young people under 16 years of age. Children under 16 year of age, even if they are CEV, are at low risk of serious morbidity and mortality, and, given the absence of safety and efficacy data on the vaccine, are not recommended for vaccination.” 2

While this is the case, vaccinations should not be offered to children and young people who fall outside the categories advised by the JCVI and the Green Book.  

The only other group identified by the Joint Committee on Vaccination and Immunisation (JCVI) and the Green Book3 that may be considered for the vaccine during phase 1 are:

  • older children (aged 12 years and over) with severe neuro-disabilities and recurrent respiratory tract infections who frequently spend time in specialised residential care settings for children with complex needs.

Such vaccinations would be considered unlicensed use.4 Paediatricians should discuss the benefits and risks and limited safety data with children, young people and their parents/guardians. Any vaccination would need to be authorised by a prescriber (usually a doctor). We would expect that this discussion would take into account: 

  • the frequency and severity of respiratory infection, and
  • the history of hospital admissions, particularly the risk of or previous admissions to paediatric intensive care due to respiratory tract infections.

It is important to stress that at this time the JCVI consider that there are no data to support use of the vaccine in younger age groups or other clinical groups.

Sue Protheroe
BSPGHAN President April 7th 2021

March 2021 Highlights

March 2021 Highlights

Dear members 

I hope this email finds you all well. 

I trust that you are looking forward to our BSPGHAN Annual Meeting 27-29th April. If you already registered for January, there’s no need to re-register for April.  A reminder that accepted abstracts will be published in Frontline Gastroenterology.

I hope that you are making regular use of your access to the journal and enjoying the brilliant educational material that is accessed via our members login page? 

Please see Highlights for Members – Publishing Papers to Impact on Practice for March 2021 sent from the Editor in Chief, Professor Mark Beattie.  

Best wishes 

Sue  BSPGHAN President. 


Dear Colleagues 

I wanted to highlight some of our recent published content that I thought would be of interest 

The gut microbiome: what every gastroenterologist needs to know

https://fg.bmj.com/content/12/2/118

Getting to grips with sarcopenia: recent advances and practical management for the gastroenterologist

https://fg.bmj.com/content/12/1/53

Diagnostic ileocolonoscopy: getting the basics right

https://fg.bmj.com/content/11/6/484

Refeeding syndrome : physiological background and practical management

https://fg.bmj.com/content/11/5/404

British Society of Gastroenterology (BSG)-led multisociety consensus care bundle for the early clinical management of acute upper gastrointestinal bleeding

https://fg.bmj.com/content/11/4/311

Also online first

How to manage a high-output stoma

https://fg.bmj.com/content/early/2021/03/22/flgastro-2018-101108

Short bowel syndrome in infancy: recent advances and practical management

https://fg.bmj.com/content/early/2020/12/16/flgastro-2020-101457

Gut-focused hypnotherapy for children and adolescents with irritable bowel syndrome

https://fg.bmj.com/content/early/2020/11/22/flgastro-2020-101679

Exit strategies from the COVID-19 lockdown for children and young people receiving home parenteral nutrition (HPN): lessons from the BSPGHAN Intestinal Failure Working Group experience

https://fg.bmj.com/content/early/2020/10/26/flgastro-2020-101598

Eosinophilic oesophagitis: recent advances and practical management

https://fg.bmj.com/content/early/2020/09/06/flgastro-2019-101313

Check out the journal – lots of other excellent content across gastroenterology, endoscopy, hepatology and nutrition 

https://fg.bmj.com/

Follow us on twitter https://twitter.com/FrontGastro_BMJ

Check out the blog https://blogs.bmj.com/fg/

Listen to our regular podcasts https://soundcloud.com/bmjpodcasts/sets/frontline-gastroenterology

Check out the instructions for authors – send us your best work – pre submission enquiries welcome https://fg.bmj.com/pages/authors/

Mark Beattie 

Professor RM Beattie

Consultant Paediatric Gastroenterologist

Honorary Professor of Paediatric Gastroenterology and Nutrition

Editor in Chief Frontline Gastroenterology  

Mark.beattie@uhs.nhs.uk

https://fg.bmj.com/

@FrontGastro_BMJ

Vacancy – Paediatric Consultant with special interest in Nutrition and Intestinal Failure

The team at Great Ormond Street Hospital in London are currently inviting applications for a full time Paediatric Consultant with a special interest in Nutrition and Intestinal Failure:

Reference: 271-MDL-2995971 (BMJ)

This exciting opportunity is for a full-time post to work in this unique and supportive environment within a busy children’s hospital.

We are looking for an innovative, enthusiastic consultant with appropriate clinical experience to join our team of 8 paediatric Gastroenterologists working specifically within the Nutrition and Intestinal failure Rehabilitation Unit.

This post involves a 1 in 7 on-call commitment (non-resident) for Gastroenterology patients when attending providing 24 hour cover for the service. The successful candidate will also be required to undertake senior leadership responsibility for the management of patient care whilst leading a team of middle grade Drs in the in-patient care of children. The on-call consultant is expected to undertake ward rounds at the weekend and on public holidays.

The successful applicant will join the Nutrition and intestinal failure Unit, undertake inpatient nutrition ward rounds across the hospital as part of a multidisciplinary nutrition rare team and run both general Gastroenterology clinics and specialised Nutrition clinics including for children on home parenteral nutrition and those with complex enteral feeding requirements. The successful applicant will also be required to undertake endoscopy list.

Applicants are expected to be MRCHP/MRCHPCH qualified or equivalent, and have extensive experience in general Paediatrics, paediatric Gastroenterology as well as evidence of experience in the field of Nutrition and Intestinal failure Rehabilitation.

Interested applicants are invited to contact Dr Jutta Koeglmeier, Unit Lead for Nutrition and Intestinal Failure Rehabilitation: Jutta.Koeglmeier@gosh.nhs.uk or Dr Osvaldo Borrelli, Head of Clinical Service: Osvaldo.Borrelli@gosh.nhs.uk or call 020 7762 6031

Substantive Consultant Paediatric Gastroenterologist or General Paediatrician with a strong interest in Paediatric Gastroenterology

The team at Staffordshire Children’s Hospital at the Royal Stoke (part of the University Hospital of the North Midlands NHS Trust) are looking for a Substantive Consultant Paediatric Gastroenterologist or General Paediatrician with a strong interest in Paediatric Gastroenterology. The post has time for specialist gastroenterology clinics and endoscopy, and is supported with specialist nurses and specialist dieticians. The post involves a commitment to general paediatric on-call. Please follow the link to NHS Jobs:    https://beta.jobs.nhs.uk/candidate/jobadvert/C9205-21-7427 and download the College approved job pack. If you are interested please contact Dr Yvonne Slater Yvonne.slater@uhnm.nhs.uk or Anna Pigott anna.pigott@uhnm.nhs.uk for further information.

 

Food in IBS – Theodoric Wong

Food in IBS – Theodoric Wong

This is a recording of the talk delivered by Dr Theodoric Wong, consultant paediatric gastroenterologist at Birmingham Children's Hospital, on 11 November 2020, during the Midlands Gut Club Meeting.

Video editing by KYL.

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