Clinical News

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Wednesday, 20 July 2016 13:11

This XML file does not appear to have any style information associated with it. The document tree is shown below. Effective teamworking in gastroenterology2011 The majority of healthcare provision within the NHS is delivered by teams, but most attempts at improving team functioning are limited to promoting working relationships within the team. This contrasts with other high risk industries, where formalised team training is recognised to be of paramount importance in reducing error. Some medical specialities have adapted such training methodologies with the aim of improving productivity and clinical outcomes. There are many teams within gastroenterology that could benefit from such attention. Formal analysis of team objectives and identification of essential task sequences can allow redesign of team organisation and enable structured training to strengthen team cohesion, enhance critical team skills and improve clinical outcomes. The challenge is to change teams of experts into expert teams. [Abstract] A HaycockMK MatharooS Thomas-GibsonArticleFocused improvement initatives and toolshttp://fg.bmj.com/content/3/2/86.abstract Article published in Frontline Gastroenterology - sign in required.
Scope for improvement: A toolkit for a safer Upper Gastrointestinal Bleeding (UGIB) service) 2011 This toolkit has been designed to help you consider whether there are changes you can make to your service to achieve these service standards. It is not intended as a clinical guideline. It provides a wealth of resources to support providers and commissioners to take an active approach to improving the delivery of care for their UGIB patients. Academy of Medical Royal Colleges (AMRC)ToolkitComprehensive toolkits and resourcesDelivery of urgent 24/7 access http://www.aomrc.org.uk/doc_download/9338-upper-gastrointestinal-bleeding-toolkit
Endoscopy safety checklistNA Standardised endoscopy safety checklist being developed by Imperial College London. ACE Colorectal Cancer Pathway ClusterTemplate/WorksheetFocused improvement initatives and tools https://www1.imperial.ac.uk/resources/D6029350-5E0A-4D29-B107-6392DA6EF766/checklist.pdf
Diagnosing bowel cancer early: right test, right time 2014 This report highlights the experiences of people who have had an endoscopic procedure and provides a review of recent statistics on waiting times and changing demand. It makes a number of recommendations for improving quality. It calls for greater investment to ensure future demand is met and a call for all services to be JAG-accredited. Bowel Cancer UKReportComprehensive toolkits and resources https://73f8c5a452b5820a22c4-bd125fe96a2f6f84b6be3071341f5c32.ssl.cf3.rackcdn.com/RightTestRightTimereport.pdf
Guidance for decontamination of equipment for gastrointestinal endoscopy 2015 Guidance for staff carrying out the decontamination of flexible endoscopes, in particular duodenoscopes: British Society of Gastroenterology (BSG)GuidanceComprehensive toolkits and resources http://www.bsg.org.uk/images/stories/docs/clinical/guidelines/endoscopy/potential_transmission_of_multi_resistant_bacteria_and_duodenoscopes_15.pdf
Guidance on the indications for diagnostic upper gastrointestinal endoscopy, flexible sigmoidoscopy and colonoscopy 2013 Position statement from the BSG on the indications for diagnostic upper GI endoscopy, flexible sigmoidoscopy and colonoscopy. British Society of Gastroenterology (BSG)Clinical Services and Standards Committee (CSSC)GuidanceComprehensive toolkits and resources http://www.bsg.org.uk/images/stories/docs/clinical/guidance/indications_diagnostic_endoscopy_13.pdf
Out of hours gastroenterology: A position paper2007 A survey of endoscopy units by the BSG in 2003 revealed that less than 50% of hospitals have twenty four hour/seven days/week access for patients requiring diagnostic/interventional endoscopy for GI bleeding. A more recent comprehensive survey of 161 endoscopy units showed a further small decline in the availability of out of hours cover. The introduction of the new consultant contract and the increasing numbers of acute medical admissions have led to consultant gastroenterologists being expected to provide an out of hours(OOH) GI bleeding service whilst their ward-based responsibilities inexorably rise. Financial pressures have also led to a reduction in the numbers of units having specialist endoscopy nurses working out of hours. [Abstract] British Society of Gastroenterology (BSG)ArticleComprehensive toolkits and resources http://www.bsg.org.uk/pdf_word_docs/out_of_hours_07.doc
The future of service and training in ERCP in the UK - A Strategy 2007 The current place and the future of ERCP (endoscopic retrograde cholangio-pancreatography) began to emerge as major issues at national level in 2005. At that time, the British Society of Gastroenterology (BSG) Endoscopy Committee considered that attention should be urgently directed towards ERCP [Introduction] British Society of Gastroenterology (BSG)ERCP Stakeholders Working PartyReportComprehensive toolkits and resources http://www.bsg.org.uk/pdf_word_docs/ercp_stakeholders_08.doc
British Society of Gastroenterologists Endosopy The Endoscopy section of the British Society of Gastroenterologists (BSG) website provides easy access to the latest guidance and standards including those of the BSG and NICE. British Society of Gastroenterology (BSG)ToolkitComprehensive toolkits and resources http://www.bsg.org.uk/sections/bsg-endoscopy-general/bsg-endoscopy.html
Advice on Purchasing Endoscopes The new procedures enforced under E.U. legislation mean that the purchase of equipment with a value in excess of £99,965 must be effected through a fair and transparent tendering and evaluation process. British Society of Gastroenterology (BSG)GuidanceComprehensive toolkits and resources http://www.bsg.org.uk/clinical-guidance/endoscopy/advice-on-purchasing-endoscopes.html
 

AUGIB Publication

Wednesday, 16 April 2014 15:02

In recent years a key area of concern for the BSG has been the lack of 24/7 provision of Acute Upper GI Bleeding (AUGIB) services. With a mortality rate of 10% and no notable improvement on this rate for years, the lack of out-of-hours coverage of services for AUGIB services is a challenge which must be urgently addressed.

Over the past year, the BSG has worked closely with NHSIQ to help identify areas which do not have AUGIB services available at all times, as well as how we can support gastroenterologists across the country to improve the availability of these services. Together we have produced a report which provides an overview of this project. Click here to read the report.

The survey, which is at the heart of this report, found that 23% of endoscopy units in England do not have AUGIB services that offer endoscopy patients 24/7 if required, and that 44% of units do not offer all acute admissions an endoscopy within 24 hours of admission with a GI bleed. You will note that the BSG, with support from NHS IQ, held workshops on this issue earlier this year.

The BSG will continue to campaign on this important issue and work with members and other bodies to promote improved provision of 24/7 AUGIB services.

If you would like support from the BSG around improving 24/7 access to AUGIB services in your Trust please contact the Chief Executive, This e-mail address is being protected from spambots. You need JavaScript enabled to view it .

 

Alcohol Treatment Matrix

Thursday, 03 April 2014 09:11

An innovative way of presenting evidence on alcohol treatment has been praised by several BSG members - the 'Go to Matrix' which presents a lot of clinical information in a clear way:

The Alcohol Treatment Matrix is concerned with the treatment of alcohol-related problems among adults (another deals with drug-related problems). It maps the treatment universe and for each sub-territory (a cell) lists the most important UK-relevant research and guidance. Across the top, columns move from specific interventions through how their impacts are affected by the widening contexts of practitioners, management, the organisation, and whole local area treatment systems. Down the rows are the major intervention types implemented at these levels. Inside each cell is our pick of the most important documents relevant to the impact of that intervention type at that contextual level. Visit the matrices page for articles, presentations, and a video explaining their genesis and construction.

AoMRC Survey on Workforce Pressures

Wednesday, 02 April 2014 08:46

The Academy of Medical Royal Colleges is currently seeking assistance from the RCP to contribute to an exercise measuring whether workload pressures on staff are squeezing the time made available for consultants to undertake both supporting professional activities (SPA) and also work for the wider NHS outside their own organisations. They are looking for consultants to monitor their activities via the questionnaire below.

The RCP is acutely aware of the pressures on its fellows and members but would ask that if you, or any members of your JSCs/societies are willing and able to assist the Academy with this then any completed questionnaires should be sent to This e-mail address is being protected from spambots. You need JavaScript enabled to view it by the end of May.

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