SUMMER 2016 NEWSLETTER
Fo us focus@rcpch.ac.uk
Work with and involve young people in child health research.
@RCPCHtweets
www.facebook.com/rcpch
Mentoring empowerment throughout your career
Mentoring Skills Training For paediatricians
03 May 2016
www.rcpch.ac.uk/courses
RCPCH
Annual Conference
26-28 April 2016, Liverpool
See pages 4 and 5
Young people help create RCPCH Research Charter The Infants’, Children’s and Young People’s Child Health Research Charter, launched at Annual Conference, provides guiding principles for anyone involved with children and young people in research. From children and young people themselves to parents, doctors, nurses to allied healthcare professionals or researchers. The Charter is a commitment the RCPCH made in the Turning the Tide (2012) report, which outlined key recommendations for child health research in the UK. We have built on this report, the work of organisations such as the Nuffield Council on Bioethics, Generation R and UNICEF and spoken to children, young people and their families to develop the Charter principles. These principles ensure infants, children and young people are actively involved and
supported in research. Children and young people are clear that they want: • • • •
• •
to be involved in research design to help other children and young people to hear about child health research and share experiences professionals to use positive language (avoid words like “trial” or “investigate” that make them think about errors) the chance to speak to professionals so that they can understand what is going on to be involved in decision making.
The Child Health Research Charter materials can be downloaded at: rcpch.ac.uk/cyp-research-charter LINDSEY HUNTER Research Development Manager
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1 News people help create Young RCPCH Research Charter 2 From the President
A letter to trainees
FMLM 360 - new medical
A warm welcome in Liverpool
Tweeting up a storm
Annual General Meeting
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Your RCPCH
MindEd for Families
2014/15 NPDA
leadership diagnostic tool 4 Annual Conference
Paediatric Care Online (PCO UK) Global - adolescent mental RCPCH health workshop in Sri Lanka
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Education and Training
S.A.F.E resource
Courses and events 2016
New careers service
CPD schemes guidelines changes
10 Your views
Child health matters
In the Twittersphere
11 Committee news
Training matters
New Officer for Training
Members are invited to submit ideas for content (for planning purposes, please send proposals only) to focus@rcpch.ac.uk
A letter to trainees
There’s a lot going on at the RCPCH – and you’ll be able to read about many of these diverse and excellent activities elsewhere in Focus. I’ll mention only a very successful Annual Conference (congratulations to Vice-President Andrew Long and the conference team) and the equally successful launch of our much awaited Children’s Research Charter that had its origins in our 2012 Turning the Tide report on children’s research. The Charter sets out, in their words, how children, young people and families want to be told about and involved in every aspect of clinical research. All credit goes to VicePresident Anne Greenough, Lindsay Hunter, Emma Sparrow and the research team for a fine job.
Website: www.rcpch.ac.uk
In this issue, I primarily want to direct my message to our trainees and newly appointed consultants. After months of acrimonious dispute between the Government and junior doctors, a contract has been agreed by the negotiating parties that will be voted upon at an upcoming BMA ballot. Meanwhile, we have initiated a survey of clinical directors in England to assess the impact of the proposed new contract. In the turmoil of the dispute, the necessary focus upon the details of the new contract have perhaps distracted from the bigger picture. And it’s this bigger picture that I want to discuss now.
RCPCH is a registered charity: no. 1057744 and registered in Scotland as SC038299
It’s been remarked that this dispute has politicised junior doctors. If so, I’m
Editors: Jo Ball Michael Giardino Published by: The Royal College of Paediatrics and Child Health, 5-11 Theobalds Road, London WC1X 8SH Tel: 020 7092 6000
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From the President
delighted, because healthcare is a political issue; let no one tell you otherwise. Imagine practising medicine independently, out-with the structure of a health service. Yes, you would do your best for the individual patient before you, but how effective would your care be without a framework within which to practise? Clearly no individual doctor can deliver all the components that are necessary for good patient care in the 21st century. We need colleagues, systems and structures. The health system is as necessary to patient wellbeing as the healthcare provided by doctors. Two generations of doctors in the UK have been able to devote their entire attention to the patient before them because they worked within a system that they trusted to take care of the organisation of the health service, and also to take care of them. The health system allowed them to provide care equitably, and base their decisions upon patient need, not ability to pay. They were undistracted by the temptations of charging higher fees to the rich, secure in the knowledge that their salary was a good one - neither too much nor too little - and they would be rewarded for loyalty to the service by a good pension. Their choice of speciality was based upon interest and ambition, also undistracted by the temptation of a higher salary in another speciality. You have only to look around you, to
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FMLM 360 – new medical leadership diagnostic tool The Faculty of Medical Leadership and Management (FMLM) has launched the 360, a medical leadership diagnostic tool to support doctors at all career stages with their leadership and management development. The tool is based around the behaviours associated with effective leadership and management, as articulated in the leadership and management standards for medical professionals. These behaviours have been informed by experts in leadership and management, doctors and others at all levels through focus groups and piloting.
The toolkit is available at several levels depending on career stage to suit doctors in team, operational and strategic roles to start a conversation that helps them to obtain a personal insight into their style, impact and performance, along with constructive feedback. The FMLM 360 is designed to form the basis of a personal development plan and provide feedback to help a doctor become more effective as a leader. It is available now, through FMLM.
equitable, efficient and just. If our health service has problems, let’s solve them. Let’s not allow the principles of a magnificent public service in which healthcare is not a commodity to be bought and sold, to be thrown away because we hesitate to grapple with politics. Doctors don’t always get it right - the BMA opposed the formation of the National Health Service - but doctors learn from evidence. We are problem solvers and we understand that improvements are made incrementally. The success of the National Health Service is well evidenced, and it needs to be made even better, not destroyed for the shortcomings that are an inevitable component of evolution.
John Gomez / Shutterstock.com
other countries, to realise how lucky we’ve been as doctors and as patients, to have had a National Health Service. In recent weeks I’ve been to India, China and the United States - three giant nations. I met talented and dedicated people but I was also shown around gleaming facilities with state-of-the-art technologies - for patients that can pay - while children foraged in the garbage outside and families’ faced bankruptcy by the cost of illness. The vision that Nye Bevan and others brought into being through an act of political will is impressive, inspiring and unique.
So my question to my young colleagues, is “What is the nature of the healthcare system in which you wish to work, possibly for your entire career?” The Hippocratic oath that binds doctors together in the promise to make the welfare of our patient our first consideration was crafted in a bygone era, when there was only the doctor and the patient and the state played no part in healthcare. That promise still remains paramount today, but to fulfil it, doctors also have to accept a deep responsibility to ensure that the health systems within which they work are
My message to medical students, trainees and young consultants, is “take charge of shaping the future of the health service in which you wish to work, and in which the welfare of all patients will always be the first consideration”.
PROFESSOR NEENA MODI president@rcpch.ac.uk
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Annual Conference 2016 A warm welcome in Liverpool Delivering a successful Annual Conference is always a huge undertaking and this year’s event proved to be no different. Liverpool proved to be an excellent host city for our Annual Conference. From banners at the station, to the people of this great city - the only thing that matched the hospitality was the quality of the wide ranging sessions. Delegates praised the plethora of high quality, well-chaired sessions and events. As a source of Continuing Professional Development (CPD) they proved second to none. Plenary talks were informative and challenging. They were enhanced by world class science from keynote speakers. And the brilliant presentations from more junior doctors demonstrated a bright future for paediatrics. Nothing proved too much trouble for the Conference Centre staff and RCPCH Events Team, despite the odd challenge. There was a great spirit from delegates who clearly enjoyed the facilities, catering and companionship of #RCPCH16. I am pleased to report that all plenary speakers could make it and by the start we had over 1400 delegates booked and committed to attend. We all recognise the impact of the Junior Doctors’ Strike and the decisions colleagues had to make over being able to travel, leave the picket line or provide service cover for patients. However, fewer than 50 delegates requested refunds. I could not complete these reflections without some mention of the social events, such as Peter Todd’s ‘Walking Tours’. The 2016 Annual Dinner will also be remembered for our highly entertaining and musical guest speaker, Simon Newell.
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As ever, the ‘Aspiring Paediatricians’ gave us a measure of assurance about the future. These students were selected from 24 medical schools and demonstrated energy and commitment throughout the three days. They left Liverpool committed to paediatrics as a future career and showed that future generations of paediatricians have the same passion as our current doctors in training. I am sure that those who made it agree #RCPCH16 in Liverpool was excellent. My personal thanks go to the RCPCH Events Team and to the consultants that sustained a safe service whilst we benefited from wonderful CPD. I hope to see you all in Birmingham for #RCPCH17 in May next year. DR ANDREW LONG Vice President for Education
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Tweeting up a storm #RCPCH16 was another social year with over 4.5 million impressions throughout the three-day conference. With 2,594 tweets using #RCPCH16, associated messages, photos and links were displayed over 4.5 million times on Twitter. #RCPCH16 was a UK-wide trend on Tuesday, with the most tweet activity on Wednesday afternoon. The College Twitter account received 75 likes per day – almost ten times the average. The top 16 moments, including some of the most popular tweets from #RCPCH16 can be found at: storify.com/rcpch/rcpch16-highlights
Annual General Meeting The College’s Annual General Meeting took place on 27 April as part of the Annual Conference in Liverpool. In addition to standing items such as reports from the President and Honorary Treasurer, there were two significant items for debate. Firstly, the proposed governance reforms. These have been discussed in previous issues of Focus and were set out to the AGM by Prof Judith Ellis, CEO. For the first time, voting on these was open to “remote voting”. This meant we heard from members who were unable to be physically present at the meeting. Including these remote votes, there were a total of 1058 votes cast. Each of the three motions required to enact the governance reforms was passed by a majority of 95% or more. Implementation of the reforms will follow and updates will be included in future editions of Focus. A member-submitted motion was also considered. It requested that the College should decline funding or support from companies that market breast milk substitutes. The motion was approved by 66 to 53 and the decision will be considered by Council in July. Further information: rcpch.ac.uk/agm2016 GRAHAM SLEIGHT Head of Governance
Conference 2017: 24-26 May Planning has already started for the 2017 Annual Conference. We are pleased to inform you that the theme for the Conference will be ‘Healthy child, healthy adult, healthy nation’. We hope you can join us at Birmingham ICC from 24-26 May 2017. Sign up for conference updates: www.rcpch.ac.uk/conf17
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Do you know a parent or care giver concerned about their child’s mental health? MindEd for Families can help. MindEd for Families is a new online resource that provides free evidence-based advice and information for family members or caregivers concerned about their child’s mental health. The website has advice for helping families support a child through challenging circumstances or deal with being in crisis. Developed by the RCPCH hosted MindEd consortium, in partnership with Young Minds, the site contains helpful, relevant and practical expert advice for parents and carers that has been approved by parents and carers. All 35 topics have been individually tailored for families and include: • • • • • •
Supporting a child in difficult circumstances Coping strategies and building their resilience When to get help Nurturing and building healthy family relationships Coping in crisis situations Feelings of isolation.
Up to three children in every classroom have a diagnosable mental health disorder. Half of all lifetime cases of mental illness begin by age 14. If untreated, these disorders disrupt their education and ability to interact with others. They affect later life and employability. That’s why early effective intervention is essential and why we have to support these families. Please share this resource with your colleagues, students, parents and caregivers today! The Minded for Families resources are interactive and accessible on all mobile and tablet devices.
IN THEIR OWN WORDS... Julia is a YoungMinds parent rep who co-wrote one of the new topics. Her son, who is now a young adult, developed mental health issues as a teenager. “If MindEd had been around five years ago, I would have realised that I wasn’t an awful mother and that it doesn’t matter how clever you are. It can happen to anyone. I’m a psychotherapist and counsellor with the knowledge and first-hand experience to help teenagers and their parents and yet it still happened in my family. So something like MindEd is fantastic. It makes the information accessible and normalises lots of things we all feel so afraid of. I will personally be recommending it to the parents I work with.”
Further information: minded.org.uk/families LAYLA BROKENBROW Implementation Manager, MindEd
2014/15 National Paediatric Diabetes Audit published The latest NPDA, published 31 May 2016 shows that the number of children with excellent diabetes control is on the increase but concerns over recording of vital healthcare checks remain. The number of children achieving excellent diabetes control (HbA1c) increased from 15.8% in 2012/13 to 23.5%. Better control reduces a child’s lifetime risk of diabetes-associated complications such as kidney disease, blindness and amputations. However, three quarters of 12-year-olds are not receiving all seven
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recommended care processes on an annual basis. “The purpose of this audit is not to point blame but to learn from best practice and improve diabetes care,” says Dr Justin Warner, clinical lead for the NPDA and member of the RCPCH. “Therefore it is encouraging that year on year, we are seeing improvements made. However, we know there is still much more that can be done.” HOLLY ROBINSON Project Manager, NPDA
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Your RCPCH
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Activate your PCO account 3 simple steps to activate your account today: Don’t miss out on this vital resource – included in your membership.* 1. 2. 3.
Visit www.rcpch.ac.uk/pcouk-subscribe Sign in to your RCPCH account to approve the terms and conditions Click the Sign in button on the top right PCO UK website.
We are seeing numbers grow on PCO, as more RCPCH members realise how useful these decision making tools are. Your membership can unlock: • • • •
Child Protection Companion BNF for Children Public Health England Green Book Over 90 Key Practice Points.
Get these resources when you need via your phone or tablet.
Get involved! What topics would you like to see? Do you want to be involved in the editorial and review process? It is the ideal time to get involved as we begin a new development cycle. Just email the team at pco@rcpch.ac.uk where our new lead editor, Dr Munib Haroon, will be happy to receive your suggestions.
* honorary fellows and medical student affiliate members do not have access to PCO UK as part of their membership.
RCPCH Global helps establish Sri Lankan Forum on adolescent mental health Sri Lanka’s rapid economic development and demographic transition is leading to a rise in the burden of adolescent issues. Like other countries, there is a growing need to tackle the intersection of sexual and mental health issues. Especially as traditional paediatric problems, like infectious diseases, rapidly diminish. The RCPCH recently sent a small team to Sri Lanka to support a three-day workshop on adolescent mental health. This was as a result of talks between President Neena Modi and Ramya de Silva, President of the Sri Lanka College of Paediatricians (SLCP). Led by Professor Russell Viner, with Fiona Straw and Billy White, the team visited Colombo at the start of May this year. The workshop was complemented by online educational resources, like the Adolescent Health Project and the RCPCH hosted MindEd. A welcome outcome of a very successful workshop was the SLCP’s creation of a Sri Lankan Forum on Adolescent Health. We look forward to supporting more of this important work on health and adolescence in low- and middle-income countries. SEBASTION TAYLOR Head of International Operations
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A Resource for Implementing Locally The College has led Situation Awareness for Everyone (S.A.F.E) since April 2014. It uses situation awareness to reduce avoidable error or harm in acute paediatric settings. As the funded programme comes to an end in June 2016, many sites are spreading their S.A.F.E success more widely across their hospitals, trusts and regions. There are 16 new sites on top of the initial 12 across England. S.A.F.E is flexible to local needs. It supports improvements to the safety culture, communication between clinical teams and families, and most importantly, outcomes for children and young people. S.A.F.E is a six-part, self-implemented programme that drives quality improvement whatever the participants’ level of experience. You can find useful posters and presentations about the impact of S.A.F.E. at the current sites. Further information: rcpch.ac.uk/safe DARREN COOPER S.A.F.E Programme Manager
www.rcpch.ac.uk/safe
RCPCH courses and events 2016 EVENTS TEAM
email: events@rcpch.ac.uk
tel: 020 7092 6000
web: www.rcpch.ac.uk/courses
MRCPCH Clinical Exam Preparation Course 8-9 September 2016 RCPCH London
Mentoring Skills Training 20 September 2016 Hilton, York
DCH Clinical Exam Preparation Course 13 October 2016 RCPCH London
Expert Witness in Child Protection Allergy 12 September 2016 RCPCH London
Progressing Paediatrics: Childhood Epilepsies 23 September 2016 RCPCH London
How to Manage: Common Cardiac Problems 15 September 2016 RCPCH, London
Effective Educational Supervision 28 September 2016 Newcastle
Safeguarding children: Levels 4 and 5. A blended resource for named and designated paediatricians 20 October 2016 RCPCH London Dates correct at time of going to press. Limited places available.
Join the conversation on Twitter #RCPCHcourses
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New careers service for Consultants and SAS members
What would you do if a life event impacted your career? Or you felt you wanted to make quicker progress? How would you go about retraining or gaining expertise? Maybe you have doubts about career choice or want to retire. To answer these sorts of questions, we’ve created a network of career
advisors for Consultant, SAS and Trust grade paediatricians. It draws on expertise within the profession to give doctors useful career guidance.
career grade Careers Advisors. All of them are senior consultants with education and clinical expertise trained to support paediatric careers
If you don’t have local careers guidance, or want independent advice, you can access the new RCPCH network.
Email careergradecareers@rcpch.ac.uk for access. Emails sent to this address are completely confidential.
The service consists of two Careers Leads, supporting a network of regional
SARAH FELLOWS Revalidation and CPD Manager
New CPD scheme guidelines Launched in April following an extensive review, there are four major changes to the CPD scheme guidelines: 1.
Reduced focus on CPD credits - no longer a requirement with no set limits for key activities
2.
Emphasis on flexibility, balance and self-accreditation means that any activity you learn from can be recorded
3.
Doctors are expected to reflect on their learning - in line with GMC requirements
4.
Simpler CPD categories.
Changes 1-3 recognise the value of learning from different activities, outside of formal courses.
These could include: • • • •
ad hoc activity relevant to practice conferences and events peer review or mentoring discussion with colleagues.
Whilst CPD credits provide a useful steer for many, the focus has to be on what has been learnt and its effect on practice. That is why it is important doctors should be able to self-accredit this learning. CPD credits are no longer required, but recommendations are made for those who prefer to continue recording them. Further information: rcpch.ac.uk/cpd-resources SARAH FELLOWS Revalidation and CPD Manager
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Your views
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Child health matters As part of our Vision 2016 campaign, the RCPCH has been lobbying the political parties across the three devolved nations to ensure that child health is at the top of the policy agenda. With the elections now decided, we have many opportunities to make new friends across the Scottish Parliament and Welsh and Northern Ireland Assemblies and to influence the new administrations. We have posed challenges to the new governments that outline a number of policy calls. We want to see the Scottish Government, Welsh Government and Northern Ireland Executive commit to these in their first 100 days in office. Have you written to your local MSP, AM or MLA yet? Learn more and take action to help spread the word that #childhealthmatters! rcpch.ac.uk/100daychallenge
Child health matters in the devolved nations – Vision 2016 and beyond After months of campaigning, voters in Scotland, Wales and Northern Ireland have elected their new governments. So, as new and returning members of the Scottish Parliament, Welsh Assembly and Northern Ireland Assembly take up their seats and new Governments and Ministries are formed, what does the future now hold for infants, children and young people across the three nations? Scotland Despite falling just short of a majority, the SNP have returned to Government in Scotland with Nicola Sturgeon remaining as First Minister. In their election manifesto, the party promised to grant parity of esteem for mental and physical health and will be unveiling a ten year
strategy to improve mental health with a £150 million funding boost, a Finnish-style “baby box” for every newborn and 500 additional health visitors to improve child health and wellbeing. Wales Labour’s Carwyn Jones has been appointed First Minister again and will lead a minority Labour government. There will be a focus on working towards a new public health bill and we can hope to see, among other initiatives, more action to tackle the stigma of mental illness and promote better emotional health in schools, 30 hours a week free childcare with an emphasis on support during the first 1,000 days of a child’s life and a focus on physical activity and wellbeing. The First Minister also spoke of removing the defence of ‘reasonable punishment’, a move often referred to as
a smacking ban. Northern Ireland The Programme for Government and precise make-up of the Northern Ireland Executive were still being debated at the time of going to print, but we can assume that the two main parties in Stormont - the DUP and Sinn Féin will be cooperating across a range of issues affecting children. Their election manifestoes reflect this, with both parties promising £1 billion additional funding for health services. If the DUP take on the health portfolio again, we can expect to see more frontline staff in hospitals, increased support for primary care and increased spending on mental health services. MARGARET DONNELLAN Public Affairs Lead
In the Twittersphere The RCPCH’s twittersphere presence continues to gather pace. Here’s a highlight of our activity over the last few months, what’s coming up and how you can support us via our social media channels.
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#SugarTax
#childhealthmatters
In the Queen’s Speech, legislation for a tax on sugar sweetened beverages was announced. RCPCH President, Neena Modi responded to the news. View her comments on our Social Shorthand: social.shorthand.com/ RCPCHtweets
Following the recent elections in Scotland, Wales and Northern Ireland, we’ve challenged the new devolved governments to ensure that child health is at the top of the political agenda. The challenge documents were tweeted to members.
Keep up to date with College activity
@RCPCHtweets followers top 9,000
From the latest courses and events to the top child health news of the day, social media is the quickest way to keep up to speed. Follow @ RCPCHtweets on Twitter and visit our Facebook page: facebook.com/RCPCH
The RCPCH twitter account now has over 9,000 followers including members, journalists, campaigning organisations and politicians. Are you following us?
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Training matters Those of you whose reading reaches further than the Holy Archives will have noticed that the country is currently ‘enjoying’ a prolonged debate about Europe. Not to be left behind, paediatric trainees across Europe have also been discussing Europe and we are delighted to tell you about the new European Young Pediatricians Association. The European Young Pediatricians Association (EURYPA) began as a meeting between the Italian and Turkish young paediatric societies and has since burgeoned into a multinational European collaborative of paediatricians in training or their first few years of autonomous practice. Training and service design varies considerably between European countries. We have the longest training at up to eight years while there are programmes in Eastern Europe as short as three years. There is, however, increasing consensus around a mean training time of
five years and considerable interest in a Europe-wide transferable assessment of competence. Over the last few years, published evidence has pointed us to inadequacies in our national practice as well as things that we should rightly be proud of. We live in an increasingly globalised world granting UK trainees access to a multitude of healthcare systems and those from a variety of countries access to our own. The potential for shared learning is huge. It is hard to underestimate the potential capabilities of a group of young ambitious professionals with a shared aim, to
improve the health of infants, children and young people across Europe. EURYPA is very much in its infancy but we will keep you posted of opportunities and events as the project evolves. It promises to be an exciting journey whatever the rest of the UK population decides on 23 June. DAVID JAMES Chair, Trainees’ Committee SEB GRAY Vice Chair, Trainee’s Committee www.rcpch.ac.uk/training-examinations
Q&A with the new and outgoing Officers for Training “I’m delighted to be the incoming RCPCH Officer for Training and looking forward to working with College staff in the education and training division. I will continue supporting the great work Mandy Goldstein has done for trainees across the UK over the past five years. Thanks Mandy for your time and effort and I hope to be able to match your success!” - Dr Peter Dale, new Officer for Training Peter, can you tell me a bit about yourself?
What are some current issues affecting the training of paediatrics in the UK?
Peter: I originate from Whitley Bay, not far from the great footballing city of Newcastle. Following training in Mersey region I moved to South Wales where I have been a Consultant Paediatrician and Gastroenterologist for the last 17 years, working in the Royal Gwent Hospital and as part of the Wales Paediatric Gastroenterology Network. I have recently taken on a lead role in the Paediatric Familial Hypercholesterolaemia Service.
Mandy: I’ve done a lot of work over the past five years on shape of training, curriculum review processes and ensuring we sign off on trainees to receive their CCTs. One of our main objectives was to work with the College of GP’s to try and integrate GP and Paediatric training opportunities where possible. We’ve also been working with heads of schools and regional advisors regarding trainees with unconventional career paths.
At the College, I was Regional Advisor and Head of School for Paediatrics in Wales from 2008 to 2011 and continued as Regional Advisor to 2013. Since then I have continued as a college examiner and am involved in recruitment for the local and national boards. I soon realised I was missing the direct experience with trainees and the College.
Peter: I’ll be continuing the work Mandy has begun. I’ll continue to work closely with members of trainee committees on key issues. Changes in recruitment and making processes more effective will be a priority. This is important as there are currently UK-wide concerns regarding level 2 training posts. These changes are well-supported by Simon Broughton,
Assistant Officer for Recruitment. I’ll also be working with the College Specialty Advisory Committee (CSAC), hoping to streamline sub-specialty training. What is a key issue you will be focusing on for the future? Peter: The curriculum is something that I will be working on. We need something suitable that can go into effect in five to 10 years for the next generational trainees. The GMC has said it must look a particular way and we want to get this right. I’m looking forward to making a positive impact in the careers of trainees. Mandy: I have really enjoyed my work with the RCPCH, with trainees in particular, and am pleased to be handing over this position to Peter. I wish him all the very best.
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BNF for Children 2015-2016
Guiding health professionals on all aspects of paediatric drug therapy Improved format – easier access To make it even easier to find the information you need, the content in the new BNF for Children has been restructured. You’ll find improved consistency and clarity in the print version, and purposedesigned online content through our MedicinesComplete platform. See www. bnf.org to find out more, along with sample pages and a clear guide on how to use the improved BNF for Children.
Significant new content updates to BNF for Children 2015-2016 include: ■ Updated monographs with links to ‘Medicines for children’ leaflets, which provide parents and carers with information about how to use certain medicines in children ■ New safety information about reducing the risk of QT interval prolongation and Torsade de Pointes for hydroxyzine ■ Further guidance on the restricted use of codeine for cough and cold symptoms in children ■ Updated dosing information for the use of tramadol in the treatment of acute and chronic pain ■ Update on the scheduling of sodium oxybate under the Misuse of Drugs Regulation 2001 ■ Guidance on the use of domperidone for the treatment of gastrooesophageal reflux disease in children ■ Updated dosing information on the use of nifedipine for the treatment of hypertensive crisis, acute angina and Kawasaki disease or progeria ■ Advice about the risk of hepatotoxicity and phototoxicity with voriconazole treatment Book: 978 0 85711 164 7 • September 2015 • £39.99
Online: For pricing information contact our sales team at pharmpress@rpharms.com Order your print copy now at www.pharmpress.com/bnfc
www.bnf.org