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British Society of Paediatric Gastroenterology, Hepatology and Nutrition

Dear Members

“For all those people who are finding it difficult at the moment: the sun will shine on you again and the clouds will go away.”

Captain Tom Moore has to date raised more than £25m for NHS Charities Together https://www.nhscharitiestogether.co.uk/ His words have embodied the outpouring of gratitude for Britain’s doctors, nurses and other healthcare workers on the front line.

Captain Tom got it right. He focused on the sacrifices made by health service workers and the efforts of everyone, who has been isolating since March 23. “You’ve all got to remember that we will get through it in the end, it will all be right, it might take time,” “At the end of the day we shall all be ok again.”​

We are humbled by his efforts and appreciation of the amazing work that frontline professionals are maintaining despite extraordinary pressures. The NHS has moved quickly and effectively to convert conference centres into Nightingale Hospitals. Professionals need the protection equipment to make them feel safe. Please make best use of supplies so that those working in high risk sectors are not short of adequate PPE and exposed to risk.

BSPGHAN has engaged with key organisations this week, NICE, RCPCH, BSG as well as our charitable partners. I will signpost you when the Covid-19 NICE Rapid guidance is published on Gastrointestinal and Liver conditions this week and guidance regarding Children who are immunosuppressed shortly after.

Please remind yourself below of the –

1.Bspghan IBD WG advice, and see new guidance that BSPGHAN has contributed towards from-

  1. The BSG,
  2. The RCPCH and
  3. A great non Covid article of importance to the well being of our patients

Also

  1. See considerations for use of PPE, and

Most excitingly,

  1. Trainees please note. Exciting plans to support national teaching by Zoom for BSPGHAN trainee members from trainers, starting off this week live from Birmingham. A national virtual meeting of interest to members may follow.
  1.  https://bspghan.org.uk/wp-content/uploads/2020/04/COVID_IBDWG_HCP.pdf

British Society of Paediatric Gastroenterology, Hepatology and Nutrition (BSPGHAN) Coronavirus (SARS-CoV-2) and COVID-19 in children with IBD

Position Statement: Management of PIBD during the SARS-CoV-2 pandemic​ IBD Working Group

  1. https://gut.bmj.com/content/early/2020/04/17/gutjnl-2020-321244

The British Society of Gastroenterology (BSG) COVID-19 IBD Working Group has published service provision, medical and surgical therapy, endoscopy, imaging and clinical trials.​​ The best available data and expert opinion has generated a risk grid for adults that groups patients into highest, moderate and lowest risk categories.

3. https://www.rcpch.ac.uk/resources/covid-19-guidance-paediatric-services

BSPGHAN has contributed towards the new RCPCH guidance.

It is also important to recognise that during this current pandemic, children who are unwell remain more likely to be unwell due to a non-COVID-19 condition than to COVID-19 itself; this includes those with the conditions described in this guidance. However, some children may remain more at risk of COVID-19 related disease, and these children should be protected as far as is possible from infection by ‘shielding’.

  1. https://adc.bmj.com/content/early/2020/04/16/archdischild-2019-318713

It is good to see an important publication from one of our trainee with the Oxford team entitled “hypoglycaemia: a hidden risk in paediatric colonoscopy,” and this sounds an important topic to audit when electives lists are back up and running.

  1. https://www.gov.uk/government/collections/coronavirus-covid-19-personal-protective-equipment-ppe

You will have seen in reports there is now a real concern at national level regarding the shortage of PPE gowns. Yesterday (Friday 17 April), Public Health England issued emergency advice on the use of gowns in clinical areas should shortages arise. It is important to emphasise that everyone should organise care to make best use of stock. The safety of teams is our priority and access to the appropriate PPE.

Stay safe, and if you have news from your region or updates or guidance to share, please get in touch.

Best wishes
Sue
BSPGHAN President April 18th 2020

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