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BSG Annual Meeting 2016

Monday, 01 February 2016 10:14

Liverpool 2016 will be an exciting conference for nurses and allied health professionals. Make sure you keep the dates in your diary and come along to our conference sessions on Tuesday 21st June and Thursday 23rd June; we have something for everyone at every level from staff new to endoscopy and GI disease to professionals with interests in specialist practice and management of patient services.

Live endoscopy will be part of the conference on Wednesday 22nd June where we will have the opportunity to ask questions to the nurse experts working within the live sessions. You will be able to text or tweet your questions to our panel of experts. Specialist sessions will be available within the Wednesday medical programme too.

We are delighted to announce our Key note speakers for nurse plenary session on Tuesday morning will be Dr Peter Carter and Professor Dickon Weir-Hughes, both of these speakers have held some of the most influential nursing positions within the United Kingdom.

Dr Peter Carter OBE was the Chief Executive of the Royal College of Nursing from January 2007 to August 2015. The RCN is the world's largest professional union of nurses, with a membership of over 430,000 nurses, midwives, health visitors, nursing students, cadets and healthcare assistants. Dr Carter is probably one of the most recognised nurses in the United Kingdom; he will give us an overview of the contemporary issues in nursing. Dr Carter has served the NHS as a psychiatric nurse; general nurse; and as Chief Executive of the Central and North West London NHS Trust, one of the largest mental health trusts in the UK. He was awarded the OBE for services to the NHS in the 2006. During his extensive career he has written numerous articles and papers relating to health care and has also appeared on many TV and radio programmes in addition to extensive work with national and local newspapers. In February 2015 he announced that he would be leaving the RCN. He is now working as an Independent Management Consultant.

Professor Dickon Weir-Hughes will be joining the conference to speak about 'Improving patient care by valuing the knowledge of nursing'. Dickon is the former CEO & Registrar of the NMC and has been Chief Nurse for three organisations including The Royal Marsden NHSFT and Nuffield Health. Since leaving the NMC his work now involves supporting Oxford University Hospitals and King Saud Medical City, Riyadh with Magnet Hospital recognition together with being Chair of Nursing Diagnostic Development & Taxonomy for NANDA (the International Society of Nursing Knowledge). He is also supporting nurses in Indonesia and Rwanda and speaks internationally on a range of nursing topics. He is author of 'Clinical Leadership: from A-Z'.

The BSGNA have conference sessions have something for everyone, there will be lots to learn and will give you plenty of opportunity to gain evidence for Nursing and Midwifery Council (NMC) revalidation.

Sessions include:

  • Plenary session
    • Contemporary issues in nursing
    • Improving patient care by valuing the knowledge of nursing.
  • Hepatic Biliary disease - The burden of metabolic and alcoholic liver disease in the UK; management of chronic pancreatitis and the role of nurses.
  • Free paper sessions - We have been very proud of the work of our nurses in recent years, this is an opportunity to showcase your work. Please submit your abstract via the conference portal:
  • Gastrointestinal Bleeds - Response the NCEPOD publication 2015 - What can we do to improve outcomes for patients with GI bleeds?
  • Decontamination - The Why, What and How. Lots of hints and tips to protect our patients and to improve endoscopy services.
  • Career Progression
    • Compassion in nursing
    • Career opportunities
    • Improve your portfolio
  • Liver Transplant - Patient experience of liver transplant, patient stories help to gives us insight into how NHS services look from the patient perspective and ways we can improve the patient pathway to make health care easier for our patients.

We will have our annual general meeting on Tuesday 21st June, this is for BSGNA members only, if you would like to become a member then please complete the application form on the BSG website,

For those of you who are BSGNA members and would like to be part of the committee please contact This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Irene Dunkley

Non-Medical Endoscopist Competence Assessment Portfolio

Thursday, 10 December 2015 09:40

This document supports the Skills for Health / Higher Education England Non-Medical Endoscopist career framework by providing a portfolio of evidence for competence achievement. This document is not mandatory for all trainees to complete, but provides a structure and framework document which can be used to evidence their progress and completion of competencies which are specific to NME's within endoscopy.


The role of the Non-Medical Endoscopist is crucial in the delivery of high quality diagnostic and therapeutic endoscopy services. As such, NME's are required to demonstrate critical awareness of knowledge issues in the field of endoscopy and at the interface between different fields. Typically operating at level 7, they are innovative and have a responsibility for developing and changing practice and/or services in a complex and unpredictable environment. The role spans leadership, innovation, excellence and mastery within the individual’s scope of practice, and provides a holistic approach to care for individuals undergoing endoscopy, spanning the journey from initial referral through to discharge and future management. As a consequence, individuals entering into the role MUST be able to demonstrate the necessary level of knowledge, skills and attributes commensurate with that of professionals who have significant experience within the healthcare setting. Such areas include communication skills, infection control, record keeping / documentation etc. The career framework document which outlines the NME role contains within it (page 6) diagrammatic representation of the typical attributes of level 7 roles which should be considered as part of competency development and assessment.

Making reasonable adjustments to cancer screening

Tuesday, 10 November 2015 13:38

Public Health England - update of the 2012 report

Cancer screening programmes have been asked to make reasonable adjustments for people with learning disabilities. This population have been shown to have poorer health and are more likely to die at a younger age than people in the general population, in part because of poor access to health services. People with learning disabilities are at a higher risk of gastrointestinal cancer, improving uptake for bowel cancer screening programmes is needed for this population. The guidance from Public Health England gives useful links to resources to help healthcare providers adjust services to meet the healthcare needs for people with learning disabilities for all the cancer screening programmes in England.

If you have any questions or concerns please contact Dr Helen Griffiths, nurse advisor bowel cancer screening programme, via e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

Patient Safety Alert: Naloxone

Friday, 30 October 2015 10:35

Resources to minimise the risk of distress and death from inappropriate doses of naloxone

A Stage One: Warning Alert was issued 20 November 2014 drawing attention to the safety implications of inappropriate doses of the opioid/opiate antagonist naloxone. Whilst naloxone use can be life-saving in respiratory depression and respiratory arrest, the previous Stage One Alert highlighted that use of naloxone in patients where it is not indicated, or in larger than recommended doses, can cause a rapid reversal of the physiological effects for pain control, leading to intense pain and distress, and an increase in sympathetic nervous stimulation and cytokine release precipitating an acute withdrawal syndrome. Hypertension, cardiac arrhythmias, pulmonary oedema and cardiac arrest may result from inappropriate doses of naloxone being used for these types of patients.

Potential transmission of multi resistant bacteria and duodenoscopes

Thursday, 22 October 2015 08:30

October 2015

Recent reports in the media have highlighted the potential for transmission of infection associated with duodenoscopes. A recent peer reviewed publication (Endoscopy (2015) 47: 493-502) described an outbreak of VIM-2 producing Pseudomonas aeruginosa and identified an issue with the design and reprocessing of a recently introduced duodenoscope with a specific modified design. This may be similar to the outbreaks in the US (Gastrointestinal Endoscopy (2015) 82(3): 477-83).

The BSG would like to highlight the following points to staff carrying out the decontamination of flexible endoscopes, in particular duodenoscopes:

  • Adherence to manufacturers' instructions at all times is essential.
  • The pre clean procedure should take place at the patient bedside, as described in the instructions from the UK suppliers and BSG guidance.
  • The cover on the raiser bridge mechanism at the distal tip should be removed prior to brushing all areas of the distal tip and cleaning with detergent and replaced on completion of the decontamination process. The brush must be used on all surface areas of the distal tip ensure that all debris is removed.
  • The elevator wire channel should be flushed with detergent during the manual cleaning ensuring the correct size syringe is used. If automated flushing systems are used for this stage of the process, staff should ensure that this channel is included.
  • Staff should ensure that the endoscope washer disinfector has the capability of flushing the elevator wire channel with detergent, disinfectant and rinse water.
  • If stored in a drying cabinet, the elevator wire channel should be flushed with HEPA filtered air along with all the other channels. If this channel is not flushed with air, the endoscope should be used within 3 hours or the endoscope reprocessed before patient use. Not all cabinets have this facility. An EN standard, EN 16442, has now been published for endoscope storage drying cabinets.
  • Routine microbiological surveillance of processed endoscopes is not recommended. However, this may be carried out on advice from the infection prevention and control team if an outbreak is known or suspected.
  • Staff should receive comprehensive training, and a record retained, on all aspects of the decontamination of endoscopes, in particular, duodenoscopes.

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