Minutes of meeting
Present at meeting: Dr Richard Bowker (fellow)
Mr Gordon
Denney (lay
representative/sponsor)
Miss Susie
Hewitt (general ED)
Prof Terence
Stephenson (chair)
Apologies from: Dr David Bond (general paediatrician)
Dr Maria
Atkinson (fellow)
Dr Jim
Bonham (clinical
chemist)
Dr Mandy
Hampshire (primary care)
Dr Monica
Lakhanpaul (guideline
methodologist)
Dr Ian
Maconochie (paed. ED)
Dr Stephanie
Smith (paed. ED)
Sr Sue
Shipston (emergency
department practitioner)
Dr Harish
Vyas (PICU)
Dr John
Walter (metabolic
medicine)
Dr William
Whitehouse (paed. neurologist)
AGENDA
1.
Minutes of
last meeting
The minutes of the last meeting
2.
Algorithm changes and options
The views of stakeholders, guideline
development group members and doctors who have piloted the guideline were
discussed. Several changes have been agreed including: the order of the pages
(front page now the overview algorithm – previously page 3); fewer
abbreviations (and a box listing any abbreviations); and changes to emphasise
the need to identify suspected problems concurrently not sequentially.
3. Care pathway feedback
The care pathway has been generally well
accepted. A few changes to the text were suggested. The pathway should be
discussed with writers of successful care pathways, for further feedback.
4. Patient information leaflet feedback
The pilot leaflet has now been reviewed by
a number of patients and stakeholder groups. It has been well received. A few
changes to the text were agreed upon by the GDG.
Gordon Denney was unsure as to whether
mention of the National Reye’s Syndrome Foundation should be on the leaflet.
After the changes to the text have been made, he will discuss with the
Foundation their thoughts on this matter.
The leaflet once finalised will be
translated into a number of languages.
5. Implementation strategies
Once the guideline technical document has
been finalised (after the Public meeting), it will be sent for appraisal by the
RCPCH and BAEM (British Association for Accident and Emergency Medicine). This
may take a couple of months before the guideline has been fully appraised. Once
appraisal has been completed, it can be disseminated widely. It is anticipated
that dissemination will include journal publications, abstracts at conferences,
and sending a guideline package to every Emergency department and Paediatric
admissions unit in the
In the guideline package will be a letter
explaining the guideline, a colour version of the algorithm and a CD. The CD
will contain printable versions of the algorithm, the full technical document,
a web-version which can be loaded onto local hospital intranets, a hand-held
computer version for downloading to PDAs, a demonstration presentation of how
to use the guideline (viewed at GDG meeting) and an education package
(focussing on raised intracranial pressure and metabolic illnesses).
The
public open day on 7th October aims to present the work to the
Reye’s Syndrome Foundation trustees, and to gather any further comments from
the stakeholders who attend.
Next
meeting is the Public Open Day Meeting on Friday 7th October, in The
Child Health Lecture Theatre, E Floor,
East Block from
Minutes written by Dr Richard Bowker 26th August,
2005
