Sections News

Advanced Nutrition Training posts 2017

Tuesday, 31 May 2016 14:11

Advanced nutrition training is designed to provide experience in a Level 3/4 intestinal failure/home parenteral nutrition centre and intestinal transplant centre. The curriculum aims to provide trainees with the skills to take the lead role in nutritional support but also care for patients in a level 3 or 4 IF/HPN unit. The posts are primarily aimed at trainees who will be entering ST6 in September, although entry at ST5 or ST7 is permissible.

The important principles underlying the care of patients needing interventional nutritional support will be delivered during the 12 month training posts:

  1. The underlying condition and its outcome
  2. Gastrointestinal and nutritional physiology
  3. Nutritional and fluid requirements and how they are determined
  4. The indications, contraindications and complications of enteral and parenteral feeding
  5. The definitions and causes of intestinal failure (IF) with an awareness of a patient's remaining gut anatomy
  6. The managements of patients with complex IBD

The advanced nutrition syllabus is on pages 105 – 119 of the 2010 Gastroenterology curriculum, which can be found on the JRCPTB website here.

There are 4 linked posts rotating through the national IF and transplant centres. It is encouraged that trainees rotate through both posts, but the centres are open to discussion if a trainee wishes to stay in one centre for 12 months. Posts are recruited nationally via Oriel and co-ordinated by Health Education London and all posts commence on the 1st Monday in September to co-ordinate with national rotations. Historically, applications have opened in early November, with a closing date in December and interviews in February.

Trainees are encouraged to ask the unit contacts below for further information, or alternatively If you would like information from previous nutrition ATP post holders please contact Howard Ellison ( This e-mail address is being protected from spambots. You need JavaScript enabled to view it ) who can forward your questions.

Questionnaire for clinicians and units directly treating very underweight patients with Anorexia Nervosa

Tuesday, 15 March 2016 14:51

Prof Alastair Forbes, Chairman of the Small Bowel and Nutrition Section

Most gastroenterologists find themselves dealing with patients with anorexia nervosa at least occasionally and many of you will be familiar with the MARSIPAN guidance produced in conjunction with and on behalf of the Royal Colleges of Physicians, Pathologists and Psychiatrists. MARSIPAN of course stands not for the confectionery but for MAnagement of the Really SIck Patient with Anorexia Nervosa!

This e-mail address is being protected from spambots. You need JavaScript enabled to view it heads the MARSIPAN group and is keen for feedback on how uptake of the guidance has affected patient care (if at all) and would be very grateful for your time in completing the attached short questionnaire. Please return it to him and not to the BSG.

  Download survey

BAPEN Nutritional Care Tool

Thursday, 04 February 2016 14:09

Many organisations have had a heavy reliance on auditing of nutritional screening but few organisations have really focused on measuring the quality of nutritional care delivered; hence few are able, with any degree of confidence, to be assured that they are fully compliant with current regulations. The new nutritional care tool, developed by BAPEN with support from the core groups; the national nurses nutrition group (NNNG), the Parenteral and Enteral Nutrition group (PENG) of the British Dietetic Association and Patients on Intravenous and Nasogastric Nutrition Therapy (PINNT) provides a local improvement measurement tool which enables the measurement of the quality of nutritional care.

New Global Enteral Device Connector

Tuesday, 04 August 2015 09:59

Dr Sheldon Cooper (Chair, BAPEN Medical) & Prof Alastair Forbes (Chair, BSG Small Bowel & Nutrition Committee)

A new International Standard (ISO 80369-3) is being published this year and covers all connectors on enteral devices.

In order to comply with the International Standard, a new global enteral feeding device connector design (named ENFit) will be introduced across the UK from September 2015. The ENFit introduction will be a 2-stage process, with transition giving sets and gravity sets made available from September 2015, followed by ENFit feeding tubes and syringes being introduced from March 2016.

To facilitate the smooth transition to the ISO standard, a group made up of industry, clinical and NHS stakeholders was formed and named the EPSG (Enteral Plastic Safety Group). The EPSG represents all leading UK enteral feeding devices suppliers, with clinical representation from the PENG of the BDA, NNNG and supported by PINNT, BAPEN and BPNG. The following companies are members of the EPSG: Abbott; Corpak; Covidien; Fresenius Kabi; GBUK Enteral (Enteral UK); Intervene; Medicina; Nutricia; Vygon. EPSG member companies and NHS Supply Chain have agreed not to place any ENFit enteral feeding device (other than transition giving sets and gravity sets) into the UK market until 14th March 2016. It is envisaged that this process will minimise disruption to the NHS, whilst maintaining patient safety at all times. For further information about ENFit and how the changeover affects you and your patients, please contact your current enteral devices supplier or any of the following represented clinical groups: PENG of the BDA, NNNG, PINNT, BAPEN, BPNG.

What's hot in coeliac disease?

Thursday, 23 April 2015 09:05

Coeliac disease occurs when genetically predisposed individuals are exposed to dietary gluten. The clinical presentation of coeliac disease can be diverse, extending far beyond the traditional malabsorptive symptoms, and asymptomatic disease is generally identified by screening. At present, a gluten-free diet is the only available therapy for coeliac disease.

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