Research Review 2010

Total Page:16

File Type:pdf, Size:1020Kb

Research Review 2010 UCL Institute of Child Health Street Ormond and Great Hospital NHS Trust Children for Design Manager UCL Institute Great Ormond Street Hospital Fourth fl oor of Child Health 40 Bernard Street 30 Guilford Street London WC1N 1LE London WC1N 1EH E [email protected] 020 7242 9789 www.ucl.ac.uk/ich Great Ormond Street Bengali Hospital for Children NHS Trust Great Ormond Street English London WC1N 3JH Translations, large print, Braille or audio versions of this report are available upon 020 7405 9200 request from the address above. www.gosh.nhs.uk French Traductions disponibles sur demande à l’adresse ci-dessus. Des versions en gros caractères, en braille ou audio sont également disponibles sur demande. Polish Tłumaczenia są do uzyskania na żądanie pod podanym powyżej adresem. Dokumenty w formacie dużym drukiem, brajlem lub audio są także do uzyskania na żądanie. Punjabi Somali Turjubaan ayaa cinwaanka kor ku qoran Designed and produced by Great laga heli karaa markii la soo codsado. Ormond Street Hospital Marketing Daabacad far waa-wayn, farta indhoolaha and Communications. Braille ama hab la dhegaysto ayaa xittaa la heli karaa markii la soo codsado. Photography by Richard Learoyd, Adam Laycock and Candice-Joelle Wordley. Tamil Printed by The Colourhouse, utilising vegetable-based inks on Heaven 42. Thank you to everyone who was interviewed for, or gave permission for their picture to be used in this review, as well as the many members of the UCL Institute of Child Health and Great Ormond Street Hospital staff who helped during its production. Turkish Please visit www.ucl.ac.uk/ich/ Talep edilirse yukarıdaki adresten research-ich/research-and-development çevirileri tedarik edilebilir. Talep edilirse, 2010 Research Review or www.gosh.nhs.uk for an online version iri harfl erle, Braille (görme engelliler için) of this review. veya sesli şekilde de tedarik edilebilir. Urdu Research ReviewTh e child fi rst 2010 and always Zoe, age 17, suffers from hydrocephalus, also known as ‘water on the brain’. Today she is in hospital to have some fluid drained and will hopefully only be in for a few days. She loves her cheeky monkey pyjama bottoms and doing her hair and make-up. Contents 03 Director’s report 07 Chief Executive’s report 09 Research and Development report Research 13 15 16 19 Research on children, In search of targeted Refusing to be beaten Let the right sun in for children cancer therapies Dr Hannah Mitchison Dr Elina Hyppönen Professor Terence Stephenson Professor Kathy Pritchard-Jones 21 22 25 27 Relearning how to learn Healthy lifestyles Kidney cures from cancer Personalising children’s Professor Faraneh Ms Julie Lanigan and drugs to citrus fruit treatments for arthritis Vargha-Khadem Professor Atul Singhal Dr David Long Professor Lucy Wedderburn People 30 Awards, honours and prizes 2010 33 Grants and donations 2010 36 Senior academic staff 2010 42 Administration 2010 44 Working with UCL Business PLC Cover: Rosie is 10 months old and has been in hospital for nine of those months due to a gastro-intestinal problem. Her family are very used to hospital life now, and Rosie’s older sister loves the playroom. Research Review 2010 01 Director’s report The UCL Institute of Child Health (ICH) is Europe’s largest academic centre for research and education in children’s health and disease. A highlight of 2010 was the establishment of several new research centres which significantly extend the Institute’s paediatric research profile. The Louis Dundas Centre for Children’s Members of the Institute continued to Palliative Care became the first unit in the attract significant grant funding from UK devoted to research and education in external bodies, with new grants totalling children’s terminal illness. Myra Bluebond- more than £25 million during the year. Langner was appointed the first True Those leading successful bids in excess Colours Chair in Palliative Care for Children of £1 million were: Professor Andrew Taylor, and Young People, and she set about Dr Silvia Schievano and Dr Tain-Yen Hsia establishing a team to deliver high quality, for Multi-scale modelling of single ventricle collaborative studies to inform practice hearts for clinical decision support and policy in this important, but previously (Fondation Leducq); Professor Russell neglected area of paediatrics. In addition Viner for Improving the assessment and to the Dundas family and True Colours Trust, management of obesity in UK children and the new centre benefits from generous adolescents (National Institute of Health donations from the Charles Wolfson Research [NIHR]); and Dr David Osrin for Charitable Trust, Marie Curie Cancer Care, Community resource centres to improve and the Raisa Gorbachev Foundation. the health of women and children in Mumbai slums: a cluster randomized The ICH’s Nuffield Professor of Child controlled trial of a complex intervention Health, Professor Terence Stephenson, (Wellcome Trust). was awarded £4.6 million over five years by the Department of Health to establish More than 300 new research papers were a Policy Research Unit (PRU) for the Health published during the year. Highlights include of Children, Young People and Families. the identification of genetic factors regulating Senior colleagues who will lead work brain tumour types (Dr Tom Jacques and streams within the unit include Professor Professor Sebastian Brandner in The Ruth Gilbert, Professor Catherine Law, Dr EMBO Journal), new methods for isolating Miranda Wolpert, Professor Helen Roberts photoreceptors allowing transplant to the and Professor Russell Viner. The PRU’s diseased retina (Dr Jorn Lakowski and aim is to provide evidence for policy Professor Jane Sowden in Human Molecular and practice, so as to promote the Genetics), identification of a lymphocyte health and wellbeing of children, class with key function in autoimmune young people and families. arthritis (Dr Kiran Nistala and Professor Lucy Wedderburn in Proceedings of the Professor Faraneh Vargha-Khadem National Academy of Sciences) and received pump-priming support from identification of long-lasting lung disorders the Provost of UCL to develop a Centre in children born extremely premature (Dr for Developmental Cognitive Neuroscience Sooky Lum and Professor Janet Stocks (CDCN). The CDCN brings together in the American Journal of Respiratory cognitive neuroscience, neurology, and Critical Care Medicine). neuro-imaging and neurophysiology as applied to children’s brain studies, and During the year, several staff received also links with collaborators in mathematics, honours. Professor Anthony Costello engineering and computer science. UCL was elected Fellow of the Academy of is one of the UK’s largest universities, with Medical Sciences for his achievements in a myriad of departments, institutes and research and education for global health; divisions, and it is crucial that we are able Professor Catherine Law was appointed Hope is eight and suffers from to collaborate with those who share interests to the NIHR College of Senior Investigators a lot of allergies. She is here for an outpatient appointment on Kingfisher and have complementary skills. The CDCN for achievements in child health policy Ward so that her doctors can try to is an important step in this direction. find out why she is always so tired. Director’s report Research Review 2010 03 Director’s report continued research; and Dr Margaret Mayston was Lucy Wedderburn became Professor named Australian Woman of the Year in of Paediatric Rheumatology for research the UK for her work on the physiotherapy into the development of autoimmunity, of disabled children. We were delighted to with particular reference to juvenile arthritis hear of the knighthood for Hugh Stevenson and dermatomyositis. Lucy is leading work in the Queen’s Birthday Honours List. Hugh to identify biomarkers for predicting the and his wife Catherine are long-standing course of autoimmune disease and for benefactors of the Institute, and the Hugh monitoring response to treatment. and Catherine Stevenson Chair of Paediatric Oncology was conferred on Professor Jonathan Wells became Professor of Kathy Pritchard-Jones during 2010. Anthropology and Paediatric Nutrition for research, combining detailed measurement A sad loss this year was the death of of body composition and energetics, with Professor Otto Wolff, former Dean of the the application of anthropological and ICH. A talented paediatrician and academic evolutionary concepts to nutrition. His in metabolic medicine, Otto was a great book, Evolutionary Biology of Human supporter of the ICH right up to the months Body Fatness, is a seminal contribution before his death at the age of 90. The in the modern epidemic of obesity. Institute’s main lecture series is named in his honour, and we greatly miss his Staff promoted to Reader were Dr John attendance and participation (always Anderson for research into immunotherapy with a penetrating question) at his as a treatment for malignancy, Dr Chris eponymous lectures. Clark for research into development of new methods for magnetic resonance imaging A number of Institute members gained of the brain, Dr David Osrin for research academic promotion at UCL in 2010. Persis involving randomised trials to improve Amrolia became Professor of Transplantation newborn care in resource poor countries, Immunology for research in developing and Dr Arturo Sala for research into the clinical protocols to harness the power role of oncogenes in development and of lymphocytes to fight both leukaemia treatment of childhood tumours. progression and viral infection after bone marrow transplant and immunosuppression. These protocols are now widely used to treat seriously ill children for whom few alternative options exist. Professor Andrew Copp Jugnoo Rahi became Professor of Director Ophthalmic Epidemiology for research UCL Institute of Child Health which takes a life-course, epidemiological Zarrar (above) is 10 months old and he and genetic approach to visual impairment. has come into hospital for an overnight As the first Director of the Ulverscroft Vision stay. His body does not produce enough salt, and so his doctor wants to make Research Group, Jugnoo has enabled sure that his medication is correct.
Recommended publications
  • Paediatric Epilepsy Research Report 2019
    Paediatric Epilepsy 2019 Research Report Inside Who we are The organisations and experts behind our research programme What we do Our strategy, projects and impact youngepilepsy.org.uk Contents Introduction 1 Who we are 2 Research Partners 2 Research Funding 4 Research Team 5 What we do 10 Programme Strategy 10 The MEG Project 12 New Research Projects 14 Research Project Update 21 Completed Projects 32 Awarded PhDs 36 Paediatric Epilepsy Masterclass 2018 37 Paediatric Epilepsy Research Retreat 2019 38 Research Publications 40 Unit Roles 47 Unit Roles in Education 49 Professional Recognition and Awards 50 Paediatric Epilepsy Research Report 2019 Introduction I am delighted to present our annual research report for the period July 2018 to June 2019 for the paediatric epilepsy research unit across Young Epilepsy, UCL GOS - Institute of Child Health and Great Ormond Street Hospital for Children. We have initiated 13 new research projects, adding to 20 active projects spanning the clinical, educational and social elements of paediatric epilepsy. We have published 110 peer-reviewed items of primary research and a further 54 chapters in books, reviews and commentaries of expert opinion. During this period, Young Epilepsy Chief Executive Carol Long caught the research bug and moved on to begin her PhD at Durham University. We welcomed our new Chief Executive, Mark Devlin at our Paediatric Epilepsy Research Retreat in January 2019. As an organisation, we are launching a new strategy This report features a spotlight on a truly which sets our research programme as one of innovative project which will change the UK’s the four key offers at Young Epilepsy, and we diagnostic and surgical evaluation imaging suite look forward to sharing our research more widely for childhood epilepsy.
    [Show full text]
  • 1942(March): HSC Subcommittee Meets and Makes Recommendations
    Establishing the Vision, and the Reality in 1945 A Brief History of the Institute of Child Health 1852: The Hospital for 1866 1910: Postgraduate Medical Background Sick Children (HSC). courses at HSC expanded • Lectures for undergraduates and 1853 Pupils at the hospital for bedside tuition. postgraduates in the hospital. Smallpox vaccination 1878 made1854 compulsory • The Charles West School of Nursing established at The Hospital for Charles West publishes his book Sick Children. Florence“How Nightingaleto nurse sick in children” the Crimea; 1857-61 1884-87 Pasteur describes origin of bacteria; • Lecture theatre and course prospectus at The Hospital for Sick Children. birth 1880-83of germ theory of infection 1895 Pasteur develops vaccines against • The Hospital for Sick Children Medical Koch discovers tubercule bacillus chicken pox, cholera and anthrax. School established; approved by and cholera bacillus the Royal Colleges of Physicians and Surgeons First Dean; Dr F.G. Penrose. Founder — Charles West 1900 First Dean — Dr F.G. Penrose By the turn of the century progress infection, its channels and preventative 1941: Board of Management of HSC began to discuss “new concept” of preventative medicine applied to children. included identification of causes of and Koch), Anaesthesia (Lister), methodsRadiography of containment (Reuntgen) (Pasteur 1942 (March): HSC Subcommittee meets and makes recommendations 1905 1. Preventative and curative work c) Practice of preventative with a Dean, a Professor, • Applied Psychology Bordet and Gengou isolate should be concerted by closer whooping cough bacillus cooperation between public health hospital is a convenient centre Puberty and Delinquency. services and children’s hospitals. methods for which a children’s part-time teachers and Home discipline, School life, e) Preventative paediatrics to be infant welfare, special clinics accommodation.
    [Show full text]
  • Final Programme
    FINAL PROGRAMME www.excellence-in-paediatrics.org FINAL PROGRAMME Table of Contents Page Word of Welcome 9 CONFERENCE INFORMATION 10 Committees 10 Conference Organiser 12 Venue Plan 13 Floor Plans 14 Important Information 16 Conference Highlights 18 Registration 19 Courses 20 Information for Speakers, Oral and Poster Presenters 20 SCIENTIFIC INFORMATION 23 Programme at a Glance 23 Scientific Programme 29 Speakers, Chairpersons and Moderators' Index 60 Authors' Index 63 GENERAL INFORMATION 67 Social Events 67 About Istanbul 67 ACKNOWLEDGMENT 69 COMMUNICATION SUPPORTERS 70 SPONSORS AND EXHIBITORS’ CATALOGUE 73 Sponsors/Exhibitors 75 Exhibitors and Exhibition Plan 83 7 Word of Welcome Dear Friends and Colleagues I am delighted to welcome you to the third annual Excellence in Paediatrics conference held this year in Istanbul Together with an esteemed Steering Committee and an International Scientific Advisory Committee, we have organized a truly outstanding array of topics of broad relevance to all those who care for children including both hospital and clinic based paediatricians, general practitioners, allied health professionals, and sub-specialists Our renowned speakers hail from 24 countries and have been selected both because of their expertise and because of their engaging presentation style We have sponsored sessions put on by the European Paediatric Association (EPA/UNEPSA) and the Cochrane Child Health Field, the Royal College of Paediatrics and Child Health, the Harvard Medical School / the Boston Children’s Hospital and the European
    [Show full text]
  • Expert Clinical Advice – MHRA Medical Devices
    Expert Clinical Advice – MHRA Medical Devices Report of the independent review on MHRA access to clinical advice and engagement with the clinical community in relation to medical devices. Professor Terence Stephenson 1 Contents Introduction ____________________________________________________________________________________ 3 Summary _______________________________________________________________________________________ 5 Recommendations ____________________________________________________________________________ 6 Context and Terms of Reference __________________________________________________________ 10 Scope of the review and methods of working ___________________________________________ 21 What we learned and heard – the basis for the recommendations ___________________ 23 Section 1 Organisation of clinical advice input, resources and leadership ____ 23 Section 2 Collecting and using device incident data ______________________________ 30 Section 3 Communications and partnerships ______________________________________ 38 Section 4 Future and emerging challenges ________________________________________ 41 Conclusions __________________________________________________________________________________ 45 Appendices __________________________________________________________________________________ 46 Appendix A: Membership of the Independent Review Group ____________________ 47 Appendix B: Terms of reference - independent review of expert clinical advice in support of MHRA’s medical device regulation _________________ 49 Appendix C: Organisations
    [Show full text]
  • Proceedings of Workshop on Reye's Syndrome and Reye-Like Inherited Metabolic Disorders
    WORKSHOP ON REYE'S SYNDROME AND REYE-LIKE INHERITED METABOLIC DISORDERS DONCASTER MARCH 14-15, 2002 A REPORT BASED ON SUBMITTED PAPERS AND A TRANSCRIPT OF THE PROCEEDINGS THE WORKSHOP WAS FUNDED BY THE NATIONAL REYE'S SYNDROME FOUNDATION OF THE UK. REPORT EDITOR: DR SUSAN HALL, MSc, FFPHM, FRCPCH, FRCP 1 INDEX OF CONTENTS OF PROCEEDINGS PREFACE AND DEDICATION INTRODUCTORY SECTION iList of participants iBackground: Why the need for this Workshop? iList of Workshop questions iIntroduction by Mr Gordon Denney, Honorary Administrator, - National Reye’s Syndrome Foundation of the UK - PART 1 iWhat is the evidence that we have a problem? iWhat is its nature and magnitude? Is it preventable by early diagnosis and appropriate management? - COVERS INTRODUCTION AND CASE PRESENTATION BY DR SUE HALL AND WORKSHOP QUESTIONS (see introductory section) 1.1 TO 1.3.2. PART 2 i Assuming that there is a problem and that early diagnosis of Reye’s syndrome and Reye-like inherited metabolic disorders would contribute to a reduction in early childhood morbidity and mortality and in parental distress, how can this be achieved? - COVERS WORKSHOP QUESTIONS 2.1 TO 2.3 PART 3 i Laboratory and pathological diagnosis: Investigations (Best practice –ideal world – no resource constraints) - COVERS WORKSHOP QUESTIONS 3.1 TO 3.5 2 PART 4 i Management of Reye’s syndrome and “Reye-like” encephalopathy: “best” (ideal world, no resource constraints) practice. - COVERS WORKSHOP QUESTIONS 4.1 TO 4.5 PART 5 iDiagnosis at autopsy - COVERS WORKSHOP QUESTIONS 5.1-5.7 PART 6 iObstacles to achieving “best” practice: why have we got a problem? - COVERS WORKSHOP QUESTIONS 6.1 – 6.2.4 PART 7 iDissemination and implementation of the educational package - COVERS WORKSHOP QUESTIONS 7.1 -7.3 PART 8: GLOSSARY OF TERMS PART 9: POWERPOINT PRESENTATIONS iProfessor Stephenson and Dr Lakhanpaul iDr Baumer ******************************* 3 WORKSHOP PROCEEDINGS: PREFACE On behalf of the National Reye’s Syndrome Foundation of the United Kingdom I am delighted that we were able to support this Workshop in full.
    [Show full text]
  • Oxford Medicine Newsletter December 2020
    Oxford Medicine THE NEWSLETTER OF THE OXFORD MEDICAL ALUMNI OXFORD MEDICINE • DECEMBER 2020 Professor COVID Vaccines Frontline Osler Rowing Ledingham Perspectives Revival 91 Not Out! And much more... Pictured: Professor John Ledingham 2 / OXFORD MEDICINE DECEMBER 2020 President’s Piece Vaccines for COVID-19 3 So much is at stake. We stand at an extraordinary Prof Charles Bangham inflection point. But where to start? Professor John GG Ledingham - 7 ‘I would adopt an A to E approach’ is the phrase 91 Not Out! currently used by young doctors when faced with a catastrophic problem, or when they have The Spirit of Brexit: Past, Present and 10 no idea what to do. I tried it with this edition: Future - Prof Alastair Buchan A - Anatomy and Augmented Reality; B -Brexit; Augmented Reality for Anatomy C - COVID…then I thought about an approach I 12 Dr Matthew Williams and Mr Tom Cosker Dr Lyn Williamson used as a young house physician - ‘What would OMA President J Led do?’ Frontline Perspectives - Prof Chris 14 Professor John Ledingham is one of Oxford’s Conlon (Oxford Update), Prof Neil Mortenen great clinicians and teachers. He has inspired generations of doctors, (Surgery), Dr Sarah Lowndes (Oncology), Dr including many who have contributed to this edition. He shares Will Seligman (ICU Reg), Dr Hannah Thould memories of his career in an interview which is warm and honest, (SHO), Dr Bernard Bukala (F1) spiced with pithy anecdotes and words of wisdom. This interview Alumni Letters 21 introduces ‘Recollecting Oxford Medicine,’ a 10-year project by Dr 'Memories from the Wittery' (Dr Carole Derek Hockaday and Dr Peggy Frith to preserve an oral history of Robertson) Oxford medicine through interviews, archived as podcasts in the Bodleian library.
    [Show full text]
  • 25Th Anniversary Report 2010-2011
    BPSU 25th Anniversary Report 2010-2011 British Paediatric Surveillance Unit Royal College of Paediatrics and Child Health Supported by the Department of Health Aims of the British Paediatric Surveillance Unit To: • Facilitate research into uncommon childhood infections and disorders for the advancement of knowledge and to effect practical improvement in prevention, treatment and service planning • Allow paediatricians to participate in surveillance of uncommon disorders and to lessen the burden on reporting doctors of such requests arising from numerous different sources • Increase awareness within the medical profession of the less common disorders studied and respond rapidly to public health emergencies. Published September 2011 by the: British Paediatric Surveillance Unit A unit within the Science and Research department of the Royal College of Paediatrics and Child Health 5-11 Theobalds Road London WC1X 8SH Telephone: +44 (0) 207 092 6173/4 Facsmile: +44 (0) 207 092 6194 E-mail: [email protected] Website: http://www.bpsu.inopsu.com Registered Charity in England and Wales: 1057744 Registered Charity in Scotland: Sco 38299 © British Paediatric Surveillance Unit 2011 British Paediatric Surveillance Unit Annual Report 2010/11 Contents Foreword - Conversion Disorder in Childhood 24 By Professor A Emond Chair, BPSU Executive 2 - Glutaric Aciduria 1 26 - Gonorrhoea, Syphilis, Chlamydia and Trichomonas 28 Past Reflections 3 - G u i l l a i n - B a r r é s y n d r o m e a n d Fisher syndrome 30 - HIV/AIDS 33 1. Introduction 6 - Progressive Intellectual and Neurological Deterioration in Childhood 37 2. How the Surveillance System Works 7 - Raised Blood Lead Levels in Children 39 - Selection of studies for inclusion in - Sudden Unexpected Postnatal the scheme 7 Collapse 42 - The reporting system 7 - Funding 8 5.
    [Show full text]
  • Tokenism Or True Partnership: Parental Involvement in a Child's Acute Pain Care
    University of Huddersfield Repository Vasey, Jackie Poster presentation. Tokenism or True partnership: parental involvement in a child's acute pain care Original Citation Vasey, Jackie (2016) Poster presentation. Tokenism or True partnership: parental involvement in a child's acute pain care. In: Royal College of paediatrics and child health annual conference, 26-28th April 2016, Liverpool. (Unpublished) This version is available at http://eprints.hud.ac.uk/id/eprint/32250/ The University Repository is a digital collection of the research output of the University, available on Open Access. Copyright and Moral Rights for the items on this site are retained by the individual author and/or other copyright owners. Users may access full items free of charge; copies of full text items generally can be reproduced, displayed or performed and given to third parties in any format or medium for personal research or study, educational or not-for-profit purposes without prior permission or charge, provided: • The authors, title and full bibliographic details is credited in any copy; • A hyperlink and/or URL is included for the original metadata page; and • The content is not changed in any way. For more information, including our policy and submission procedure, please contact the Repository Team at: [email protected]. http://eprints.hud.ac.uk/ RCPCH Annual Conference 26-28 April 2016, Liverpool PROGRAMME The UK’s Largest Paediatric and Child Health Conference Working together across boundaries #RCPCH16 Conference layout UPPER LEVEL RIVERSIDE BALCONY
    [Show full text]
  • Sustainable Support Them in Meeting the Requirements of “We Are Using All the Feedback and Input Re - Revalidation
    ThE NEWSpapEr Of ThE rOyaL COLLEgE Of gENEraL praCTiTiONErS News FEBRUARY 2010 Inside this issue... Starting out Triple boost for RCGP New RCGP initiative for first five years of general practice 2 Tackling kidney disease in primary care Revalidation plans Renal ‘tsar’ Donal O Donoghue on the important role of GPs 3 The RCGP has launched its pilot of the Revalidation ePortfolio for GPs – Safeguarding children in tandem with the third edition of its Guide to the Revalidation of RCGP launches new version of toolkit 4 General Practitioners and a simplified guide to CPD credits. On the record GPs in urban and rural areas across the UK are G Adjustment of the timelines to reflect the College Informatics experts make the taking part in the pilot and, depending on a suc - fact that the Early Adopters programme case for improved patient summaries 5 cessful outcome, the College hopes to make the (in which the first doctors will revalidate) electronic tool widely available later this year – will now start in the year 2011/12 free to RCGP members as part of their overall G The possibility of GPs submitting a e-Learning update membership package. quality improvement project in the place Access to psychological therapies 5 The Revalidation ePortfolio is the first of its of a second clinical audit kind to be based on the areas of revalidation set out in the RCGP Guide to Revalidation for Gen - G Reference to the revalidation of GPs in The right connection eral Practitioners , now in its third iteration and training Suicide awareness in primary care 6 available from the RCGP website.
    [Show full text]
  • Medicines for Children
    The Academy of Medical Sciences │ FORUM Medicines for Children Summary of a Symposium organised by the Academy of Medical Sciences Forum at the Royal Institute of British Architects, London, 14 June 2004 This paper should be read in conjunction with the speakers’ abstracts which are attached at Appendix A. In opening the first session on Requirements and Resources, the Chairman, Sir Alasdair Breckenridge (MHRA) summarised the currently unsatisfactory state of the provision of medicines for children: there was usually only limited evidence for efficacy and safety, formulations were often unsuitable and dose selection uncertain. Issues for conducting clinical trials – relating to ethics, recruitment and incentives – would be discussed in detail in the Symposium and these issues concerned academia, industry, regulatory bodies and the public. Sir Alasdair also delivered a message on behalf of the Health Minister, Lord Warner: Government emphasised that medicines should be appropriately formulated and licensed; that the topic of medicines for children would be a priority for the UK Presidency of the EU in 2005; that new funds were being provided for the expansion of paediatric research networks; and that other necessary actions would be taken while awaiting the EU Regulation on paediatric medicines. Julia Dunne (MHRA) reviewed the Regulatory requirements for medicines in children . There are currently no specific requirements or regulations in the EU. The 1999 ICH guidelines advise that paediatric patients should be given medicines that have been appropriately evaluated and formulated, and drug development plans should include paediatric populations when use in those less than 18 years old is anticipated. However, for those drugs with potential paediatric use approved by the EMEA centralised procedure over the period 1995–2004, only 45% had a paediatric indication at authorisation.
    [Show full text]
  • Review 2013 — 2014 the Chairman's Foreword an Introduction by The
    Review 2013 — 2014 The Chairman’s foreword An introduction by the Chairman of the board of trustees The work of the Academy Training and educating doctors Revalidation Health service policy The changing face of the NHS Public Health and clinical issues Representation and engagement Governance and administration The year ahead Membership and publications 1 Review 2013 — 2014 01 The Chairman’s foreword 02 An introduction by the Chairman of the board of trustees 03 The work of the Academy 04 Training and educating doctors 05 Revalidation 06 Health service policy 07 The changing face of the NHS 08 Public Health and clinical issues 09 Representation and engagement 10 Governance and administration 11 The year ahead 12 Membership and publications Review 2013 — 2014 01 The Chairman’s foreword 4 In the last year, the 65th year of the NHS, the The NHS remains the envy of many for the way Academy of Medical Royal Colleges has embraced most it delivers excellent treatment and value in an equitable way. of the high profi le contemporary health service challenges. We must recognise though, that for our health service to These include working patterns, reconfi guration, patient safety, continue deliver the standards of care that patients deserve quality and revalidation. On consultant presence and seven it must be nurtured and protected. Change must be driven day services, the medical royal colleges have led the debate. by improvements in service and outcomes, not political This commitment from the medical profession has catalysed expediency or short-term cost savings. In this regard, the discussions of delivery of safer emergency services seven medical royal colleges and the Academy itself, will continue to days a week.
    [Show full text]
  • Getting It Right for Children and Young People Overcoming Cultural Barriers in the Nhs So As to Meet Their Needs
    Getting it right for children and young people Overcoming cultural barriers in the nhs so as to meet their needs A review by Professor sir Ian Kennedy September 2010 Contents � Foreword 2 Executive summary 4 Chapter 1: Introduction 15 � Chapter 2: Services for children and young people – an overview 19 � Chapter 3: Is the NHS meeting the needs of children and young people? 26 � Chapter 4: Cultural barriers and how to address them 45 � Chapter 5: Conclusion 105 � Summary of recommendations 107 � Annex A: Terms of reference 112 � Annex B: Sites visited 114 � Annex C: Review meetings 116 � Annex D: Written submissions 120 � 1 Foreword � I began this review of children’s services in the NHS in the autumn of 2009. The sense was that the NHS was not performing as well as it could: that children and young people (and the reference to young people is very important) were not getting the best deal. Pockets of excellent practice exist, but they are just that. The sense is that they are islands in a sea of mediocrity, or worse. I was asked to see if I could get to the bottom of why this might be the case. There was, for me, a certain poignancy in the request. For as long as I can remember, services for children have been described both as an important priority for the NHS and in the next breath as a ‘Cinderella’ service, save that this Cinderella has never got near to the ball. Nearly 30 years ago, I called one of my Reith Lectures1 ‘Suffer the children’, in which I lamented the state of health and healthcare of children.
    [Show full text]