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".
Oral Feeding Difficulties and Dilemmas
A guide to practical care, particularly towards the end of life
Report of a joint RCP/BSG Working Party - January 2010
Please view the report and latest information on the RCP website:
NHS Evidence: Annual Evidence Update on Alcoholic Liver Disease
NHS Evidence: Annual Evidence Update on Alcoholic Liver Disease
NHS Evidence – gastroenterology and liver diseases publised its first Evidence Update on alcoholic liver diseases on 7th December 2009.
Alcohol misuse produces a spectrum of liver injury ranging from simple fatty change through alcoholic hepatitis to cirrhosis and, in some 20% of individuals, to hepatocellular carcinoma. We will be presenting an overview of the best systematic reviews and selected primary research from the past two years, along with commentary from experts in the field. We will also provide links to useful policy documents and other items of interest.
To access the Annual Evidence Update, visit www.library.nhs.uk/gastroliver
New Resources Available to Promote Medical Leadership
Led by the Academy of Medical Royal Colleges and NHS Institute for Innovation and Improvement the UK-wide project, 'Enhancing Engagement in Medical Leadership project' has now developed a number of resources which may be of interest to members. The project aims to promote medical leadership and help create organisational cultures where doctors seek to be more engaged in management and leadership of health services.
The project team has worked closely with the medical professional, regulatory and education bodies and health service organisation and has now completed a number of key projects including a Medical Leadership Competency Framework . A Medical Leadership Curriculum has also been developed and you can find further information here.
Other project products and research include:
- A Medical Engagement Scale which enables NHS trusts a greater insight to the level of engagement of doctors in their organisation and ways in which this engagement might be improved. This also explores the link between organisational performance and medical engagement, with a study due to be available in Autumn 2009.
- An international study of how doctors are prepared for leadership roles in other countries and how they are engaged in the management and leadership of the health service
- A Medical Chief Executive study is currently underway; to explore and better understand the factors that influence doctors to assume Chief Executive roles and identify how more doctors may be encouraged to apply for these positions.
Hard copies of most project products are also available for order here. We have attached a copy of our latest project update for your information.
Service standards for the healthcare of people who have Inflammatory Bowel Disease
The aim of these Service Standards is to ensure that patients who have inflammatory bowel disease receive healthcare that is safe, effective and of consistently high quality. Our organisations, representing patients and professionals, have collaborated in the IBD Standards Group to define for the first time what is required in terms of staffing, support services, organisation, patients‚ education and audit to provide integrated, high-quality IBD Services.
The starting point for this initiative was a UK-wide Audit in 2006 which confirmed that there was substantial local variation in the provision, organisation and clinical quality of IBD Services and that there were significant aspects of care that did not meet current clinical guidelines.
In this section...
Clinical Services & Standards Committee
|Dr A Harris||Chairman|
|Dr S Greenfield||Deputy Chairman|
|Dr D Gleeson||Secretary|
|Professor Sir IT Gilmore||President|
|Dr IC Forgacs||President-Elect|
|Dr CDR Murray||Senior Secretary|
|Dr N Meadows||Adolescent & Young Persons'|
|Dr M Wilkinson||Endoscopy|
|Professor E El-Omar||Gastroduodenal|
|Dr B Hawthorne||IBD|
|Dr S Ryder||Liver|
|Dr S Hamdy||Neurogastroenterology/Motility|
|Dr P Patel||Oesophageal|
|Dr S Pereira||Pancreatic|
|Dr A Bateman||Pathology|
|Dr J Elford||Radiology|
|Professor DS Sanders||Small Bowel/Nutrition|
|Mr M Thomas||Surgical|
|Dr N Lewis||Trainees|
|Dr G Johnson||Education|
|Dr J Morris||BSG Council||2010|
|Dr A Veitch||BSG Council||2012|
|Dr A Lobo||BSG Council||2012|
|Professor D Sanders||Audit|
|Dr H Gordon||Workforce|
|Dr TD Heymann||Information Group|
|Dr R Logan||Information Group|
|Dr I Barrison||EGB|
|Mr GS Duthie||ACPGBI||Ex officio|
|Dr J Dalrymple||PCSG||Ex officio|
|Dr RM Valori||NCD Endoscopy||Ex officio|
|Dr A Thinallaiyagan||London|
|Dr A Soliman||Yorks & Humber|
|Dr D Nylander||North East|
|Dr AF Muller||South East Coast|
|Dr HL Smart||Northern|
|Dr P Goggin||South Central|
|Dr M Mendall||London|
|Dr M James||East Midlands|
|Dr R Ransford||West Midlands|
|Dr I Sargeant||East of England|
|Dr E Henry||Scotland|
|Dr TCK Tham||Northern Ireland|
|Dr J Green||Wales|
RCP Guidelines Database
Royal College of Physicians Guidelines Database
The Royal College of Physicians has developed comprehensive resource for identifying widely accepted clinical guidelines and it is hoped that members of the specialist societies will find the following information useful.
It is one of the Royal College of Physicians' core functions to set and improve standards in medical practice. Guideline and audit projects are both essential in setting targets and measuring if they have been met.
Much audit and guideline activity is carried out by specialist societies; the Clinical Effectiveness and Evaluation Unit of the Royal College of Physicians has been working with the Clinical Effectiveness Forum since November 2000. The brief of the Clinical Effectiveness Forum is to share experience on evidence based multidisciplinary guideline production and co-ordinate clinical effectiveness activities to achieve greater effect. The Clinical Effectiveness Forum is attended by a guideline/audit lead from each of the medical specialities that come under the RCP umbrella.
The forum developed a central database of clinical guidelines, produced over the preceding five years, covering all the areas of clinical practice that come under the RCP umbrella. Clinical guidelines are "systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances". They should "make explicit recommendations with a definite intent to influence what clinicians do". Guidelines are intended to describe the diagnosis and management of a particular condition and should provide a clear indication of the best choices for the clinical management of a patient.
The database can now be accessed via the Royal College of Physicians website: www.rcplondon.ac.uk
Although patients, carers and relatives are welcome to use the database, it was designed for use by healthcare professionals familiar with guideline terminology.
The database has specific criteria for inclusion:
- All UK guidelines produced in the previous five years and relevant to the specialities covered by the Royal College of Physicians.
- Non-UK guidelines are included if they are of relevance to UK practice.
- A few guidelines from earlier years are included, if the relevant specialist society has confirmed their continuing appropriateness.
- Guidelines on performance or accreditation for procedures are included only if they have clear impact on clinical management of a specific condition.
- It is evident that the guidelines meet the AGREE criteria.
- Matters of training are excluded.
The Clinical Effectiveness Forum in conjunction with the Clinical Effectiveness and Evaluation Unit is continually searching for guidelines that meet the inclusion criteria and currently, the database is updated quarterly.
For further details, please contact:
Clinical Effectiveness and Evaluation Unit
Royal College of Physicians London
11, St. Andrews Place
London NW1 4LE
Tel: 020 7935 1174 Ext: 349
Fax: 020 7487 3988
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