Genomics in mainstream medicine

Genomics in mainstream medicine: an initiative to raise awareness and promote genomics amongst physicians in the UK

Recent developments in genomics (such as the 100,000 genomes project) have underlined the need to ensure that the medical workforce understands the opportunities and possesses the relevant knowledge, skills and competence to deliver care using genomic information. The Genomics in Mainstream Medicine Working Group was established under the auspices of the Joint Committee on Genomics in Medicine and a number of other organisations to raise awareness and to promote the integration of genomics into clinical practice across a wide range of clinical specialties. To facilitate this, ‘clinical champions’ have been recruited via the Royal College of Physicians specialty committees to help develop introductory resources and an action plan for promoting genomics within their own specialties. Work to date has included the development of a document ‘template’ for champions to adapt and use as an introductory resource within their specialty, and the ‘mapping’ of the education landscape for physicians (with the aid of a survey sent out to key stakeholders) to identify genomics education initiatives that are already in place.

See update (4 May 2016)

Commissioning report

The commissioning guidance has been produced in partnership with professional and patient associations – BAPEN, BASL, the IBS Network, Crohn’s & Colitis UK, Coeliac UK, British Liver Trust and the BSG. It sets out the key elements of a good gastroenterology and hepatology service according to the key aspects of the NHS Outcomes Framework. The main summary report is just 15 pages. It draws upon more detailed analyses of care pathways which are also available in pdf form on these pages. We intend to update the website regularly.

NPSA Safety Alert: Reducing the harm caused by misplaced nasogastric feeding tubes in adults, children and infants

This Alert updates and strengthens Patient Safety Alert 05 (Reducing the harm caused by misplaced nasogastric feeding tubes) and is based on national learning since then.

The Alert must be actioned by all organisations in the NHS and independent sector where nasogastric feeding tubes are placed and used for feeding patients. An executive director, nominated by the chief executive, working with relevant medical and nursing staff should ensure, through reviewing policies, procedures and staff training that by 12 September 2011 they have met the six objectives highlighted in the Alert. These are described in full on the NPSA website.

Survey of Hepatology Service Provision 2010

In 2004 Professor Roger Williams identified 34 centres in England and Wales as offering specialist hepatology services, including 6 liver transplant centres. This March 2010 report is based on a follow up survey six years later. With other sources the survey will help to build a picture of hepatology services in 2010 and how they might be developed.

Early detection of complications of gastrostomy

An NPSA Rapid Response Report

At the beginning of April the National Patient Safety Agency (NPSA) issued a Rapid Response Report to the NHS on complications after gastronomy. The chair of the BSG Small Bowel/Nutrition section acted as an advisor to NPSA. Commenting on the report David Sanders said, "the BSG considers the issues surrounding both the seection of patients for gastronomy placement and the avoidance of complications to be of great importance. The BSG has previously produced clinical guidelines and, more recently, collaborated with the Royal College of Physicians on a report designed to improve standards of care for patients referred for or having a gastronomy".

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