Speaker:

Dr Neky Sargant: Consultant Paediatrician with an interest in Eating Disorders, UHBW Clinical Lead for Eating Disorders, BNSSG Clinical Lead for Paediatric Mental Health.

Blurb

IN THIS PODCAST FINALE Neky Sargant shares her 'top tips' for assessing and managing eating disorders in Children and Young People in Primary Care. She highlights key guideline changes with the 2023 MEED guidelines and guides us through an effective assessment of potential eating disorders, safe management plans and appropriate onward referral pathways.

Episode resources

• MEED
• Happy Maps
• Bristol HEADSSS
• Eva Musby Resources
• Beat Eating Disorders
• MIND

Feedback

Send your feedback for this series by emailing ruth.bowen2@nhs.net or send a brief voice note here.

Speakers:

Dr Katy Pike: Senior Lecturer at the University of Bristol, Honorary Consultant in Paediatric Respiratory Medicine and BNSSG ICB asthma lead

Dr Deborah Marriage: Consultant nurse in Allergy and Asthma and BNSSG ICB asthma lead

Blurb:

Hot of the press: NICE, BTS and SIGN all reached agreement for new, revolutionary asthma guidelines. In this episode Katy Pike and Deb Marriage demystify the guidelines, guiding us through the changes and impacts for the diagnosis and management of asthma in Primary Care.

Episode resources:

• New NICE/BTS/SIGN Asthma guideline
• Primary Care Respiratory Society: How to calculate and interpret peak flow rate variability
• Bristol Children's Hospital: Child asthma plan
• Bristol Children's Hospital: Teenage MART asthma plan
• Bristol Children's Hospital: Teenage non-MART asthma plan
• Asthma and Lung UK: Inhaler technique

Speaker:

Mr Julian Gaskin -Paediatric ENT consultant at Bristol Royal Hospital for Children

Blurb:

When are sleep studies warranted for children with suspected obstructive sleep apnoea? How do we avoid missing cholesteatomas? When should we refer infants with laryngomalacia? Is there a link between gastro-oesophageal reflux and laryngomalacia? Paediatric ENT consultant Julian Gaskin answers these questions and more as GP Ruth Bowen interviews him the common Primary Care ENT scenarios of obstructive sleep apnoea, laryngomalacia and acute, recurrent and chronic supporative otitis media.

Resources:

-ENT UK

-Bristol Royal Hospital for Children guideline: Obstructive sleep apnoea

-NICE guideline: Acute otitis media

-NICE guideline: Otitis media with effusion

-NICE guideline: Chronic supporative otitis media

Speaker:

Dr Frances Hutchings -Consultant General Paediatrician at Bristol Royal Hospital for Children

Blurb

How should we assess the child with recurrent infections? When can we reassure with a diagnosis of toddler diarrhoea? How do we manage Tics and when should we be concerned? What is benign transient hyperphoshatasemia of infancy? Dr Frances Hutchings answers these questions and more, addressing common themes in Paediatric Advice and Guidance letters.

Resources

• 10 warning signs of primary immunodeficiency
• BNSSG Remedy: Dietary management of toddler diarrhoea parent information leaflet
• BNSSG Remedy: Tic and tourettes in children
• Tourettes action
• Great Ormond Street Hospital: Tics
• Happy maps
• Off the record

Speaker: Dr J-C Sconce: General Paediatric consultant at BRHC, co-author of the BRHC 'Gastro-oesophageal reflux in infants' guideline.

Blurb

When should we prescribe for infants with reflux? How can we help parents practically giving medications? Do dummies have a role? Are pro-kinetic agents still an option? General Paediatric consultant Dr J-C Sconce guides us through these questions and more with this systematic approach to gastro-oesophageal reflux in infant as we discuss complications, management options and red flags for serious differential diagnoses.

Resources

• BRHC Gastro-Oesophageal Reflux in Infancy
• BRHC Gastro-Oesophageal Parent Information Leaflet
• BRHC Milk-Related Problems Guideline
• ICON

Speaker:

Dr Rachel Gaywood -GP clinical lead for Learning Disabilities and Autism in Devon

Blurb:

How do we identify learning disabilities? Why is the learning disability register import? What are the common pitfalls around learning disabilities? How can we support families? Join us as Dr Rachel Gaywood explores these questions and more.

Resources:

• NHS England: Improving identification of people with a Learning Disability
• NHS England: Finding out more about the Learning Disability Register
• Get checked out
• Mencap
• Unique
• Support group for parents of children with special educational needs Bristol Somerset Gloucestershire
• RCGP Learning Disability Special Interest Group

Speaker

Dr Clare Sheahan: consultant in Community Paediatrics

Blurb

When should we suspect Autism? What social factors can muddy the water? Who should we refer? How can we practically support families? What is the role of the education sector? Why are the rates of Autism increasing and what is BNSSG ICB doing to tackle the increased waiting times? Join us as Consultant Community Paediatrician Clare Sheahan tackles these questions and more.

Resources

• The Autism Assessment Service for Bristol, North Somerset and South Gloucestershire
• Local offer: Bristol, North Somerset, South Gloucestershire
• Bristol Autism Support
• https://www.wtt.org.uk/page/?title=NAS+Teen+Life+Programme&pid=86Teen life
• National Autistic Society
• Neon Daisy
• Parent Carer Organisation: Bristol, North Somerset, South Gloucestershire
• Paper 1: Study of England and Northern Ireland finds 8-fold increase in autism diagnosis over the last 20 years
• Paper 2: Autism phenotype vs registered diagnosis in Swedish children: prevalence trends over 10 years in general population samples
• Accurx template
• BNSSG Neurodiversity Transformation Programme

Speaker: Pippa Bowen - General Paediatric consultant BRHC with an interest in endocrinology.

General Paediatric consultant Dr Pippa Bowen brings the child with precocious or delayed puberty to life. She guides us through a methodical Primary Care assessment with underpinning explanations. We explore cases of delayed puberty, precocious puberty and premature adrenarche.

Resources

• Archives of disease in childhood - Fifteen minute consultation: Clinical pubertal assessment
• NHS: Early or delayed puberty
• BSPED patient information leaflets
• Bristol Royal Hospital for Children guidelines: Delayed puberty
• Bristol Royal Hospital for Children guidelines: Premature or precocious puberty