NPPG 20th Annual Conference and Exhibition 7-9 November 2014 East Midlands Conference Centre Nottingham Delegate Information The Neonatal and Paediatric Pharmacists Group (NPPG) are pleased to invite you to the 20th NPPG Annual Conference and Exhibition NPPG are excited to be holding our annual conference in the East Midland’s Conference Centre in Nottingham this year. The programme will include keynote speeches on practical issues such as Brain Tumour management and how we manage children’s pain without codeine, as well as more strategic issues for the NPPG. There will be a range of parallel & workshop sessions aimed at foundation, intermediate and advanced level practitioners. Clinical topics will include drug management of GORD, Antibiotics, Renal, Metabolic and Liver disease, Poisoning and TPN. Non-clinical sessions focusing on NHS Commissioning, Self/parent/carer administration of medicine, leadership and consultation skills will help those with more senior roles within paediatrics to improve the services provided to children and their families Alongside these sessions there will be discussion groups, a poster exhibition, short paper presentations and many opportunities to “network” with colleagues from around the UK and further afield. We hope you will also enjoy the social aspects of conference both at the dinner and in the many informal meeting areas in the conference centre. The NPPG look forward to welcoming everyone to Nottingham. Andrew Wignell Senior Paediatric Pharmacist, Nottingham University Hospital NHS Keynote speakers 9.30am 10.05am Dr Helen Sammons Associate Professor of Child Health, University of Nottingham, and Consultant Paediatrician, Derbyshire Children’s Hospital Keynote 1 - Audacious strategies for the NPPG Professor Malcolm B R Partridge Chief Pharmacist & Clinical Director of Medicines Management, Faculty of Medicine & Health Sciences, University of Nottingham Malcolm Partridge registered as a pharmacist in 1975 after graduating in Leicester. He went on to establish Leicester’s first resident 24 hour pharmacy scheme and was their first staff pharmacist for clinical pharmacy service development. During this time he was successful in obtaining an MSc in Pharmacotherapeutics. In 1982 he took time out to undertake a research project over 3 years in which he developed a novel in vitro cytotoxicity test for new anticancer agents and this led to his PhD award in 1987. He moved to Liverpool John Moores University in 1985 to become their first teacher–practitioner during which time he developed an interest not only in Education and Training but also in paediatrics at the Royal Liverpool Children’s Hospital - Alder Hey which was his clinical practice base. In 1994 along with others he became a founder member of the Neonatal and Paediatric Pharmacists Group and was their Chairman for 4 years. NPPG now has an international membership and was co-author for the formulary “Medicines for Children”. This ultimately led to the production of the BNF for Children. Following a move to Derby in 1996 he helped establish a new MSc in Clinical Pharmacy with the University of Derby before becoming Chief Pharmacist at Derby City Hospital and Derbyshire Children’s Hospital. He was appointed Chief Pharmacist at the Queen’s Medical Centre University Hospital, Nottingham in May 1999 where he has taken a leading role in the development of systems for medicines management. He has lectured on this subject and on Medication Errors to a wide audience both in the UK and abroad. He regularly provides consultancy on the introduction of new drugs into clinical practice. More recently the Trust appointed him Clinical Director for Medicines Management. In March 2005, Malcolm Partridge was appointed “Professor of Medicines Management and Hospital Pharmacy” by the University of Nottingham as a compliment to his role as Chief Pharmacist at Queen’s Medical Centre. In October 2007 he was appointed Head of Pharmacy and Medicines Management at the new Nottingham University Hospitals NHS Trust now the 4th largest teaching hospital in the UK. Keynote 2 - Sedation and Pain: Is there life after Codeine? Dr Helen Sammons is Associate Professor of Child Health at the University of Nottingham and a Consultant Paediatrician at the Derbyshire Children’s Hospital. She was the first paediatrician formally trained in Paediatric Clinical Pharmacology in the UK, through the Royal College of Paediatrics in Child Health (RCPCH). Her research interests include clinical drug trials in children and neonates, safe and effective prescribing and the ethics of paediatric clinical trials. Dr Sammons is vice chair of the Derby Research Ethics Committee and the RCPCH/NPPG Joint Medicines Committee. Her published work includes the ethical issues surrounding clinical trials and the European Legislation, safety in clinical trials, sedation for diagnostic imaging and prescribing assessments. 12.05pm Keynote 3 – Brain tumour management and recent medical innovations Dr David Walker Professor of Paediatric Oncology, Children’s Brain Tumour Research Centre, Faculty of Medicine and Health Sciences, University of Nottingham David Walker is Professor of Paediatric Oncology and co-director, with Professor Richard Grundy, of the Children’s Brain Tumour Research Centre, launched by the University of Nottingham’s Jubilee Appeal in 1997. Since being appointed at the University of Nottingham in 1990, he led the development of the clinical service for children with cancer in Nottingham as part of the Mid-Trent region until 2006. Academically, he led the undergraduate fourth year course in paediatrics for seven years within the University of Nottingham, leading its revision under the General Medical Council document ‘Tomorrow’s Doctors’. His research interests have a broad spectrum within paediatric oncology with a particular interest in brain tumours, health outcomes, functional imaging, drug delivery, clinical trials and adolescent medicine. He leads the current national “Headsmart – Be brain tumour aware” campaign launched in June 2011. Programme highlights Plenary sessions Saturday 8 November Keynote 1 – Audacious strategies for the NPPG Keynote 2 – Sedation and Pain: Is there a life after Codeine? Debate – Should the NPPG join the RPS? Sunday 9 November Keynote 3 – Brain tumour management and recent medical innovations Plus your choice of parallel sessions and workshops covering a variety of topics F FOUNDATION I INTERMEDIATE A ADVANCED F Management of GORD Antibiotic choice in hospital infections Do you need a pharmacist when there is Toxbase? Consultation skills Neonatal TPN I High Cost Medicines Self/Parent/Carer Administration Paediatric Renal Disease Inherited Metabolic Disorders Assessment of liver function A Future pharmacy leaders F F F F I I I I Programme Friday 7 November 6.00pm Registration, welcome refreshments, exhibition & posters 7.00pm Discussion groups (45 minutes in length, repeated at 7.50pm) 1. Medicines information update Rowena McArtney, Senior Information Pharmacist, Cardiff & Vale University Health Board 2. Update on national developments and initiatives in paediatric pharmacy 2014 Steve Tomlin, Consultant Pharmacist - Children’s Services, Guy’s & St Thomas’ NHS Foundation Trust 3. Developing MEDUSA for paediatrics Nanna Christiansen, Lead Clinical Pharmacist – Paediatrics, Barts Health NHS Trust and Jenny Haylor, Paediatric Pharmacist - HAGM/ONC, University Hospital Bristol 4. RPS Faculty Chloe Benn, Principal Pharmacist, Royal Free London NHS Foundation Trust 5. Medicines for Children Research Network (MCRN) – how can we support you? Professor James McElnay, Queen’s University Belfast (Invited) 7.50pm Discussion groups repeated as above 8.25pm Wine reception, supper and networking NPPG 20th Annual Conference and Exhibition 7-9 November 2014 East Midlands Conference Centre, Nottingham Saturday 8 November 8.45am Registration, refreshments, exhibition & posters 8.15am First timer’s breakfast 9.25am Welcome and opening address from Chair Penny North-Lewis, Chair, NPPG 9.30am Keynote 1 - Audacious strategies for the NPPG Professor Malcolm B R Partridge, Chief Pharmacist & Clinical Director of Medicines Management, Faculty of Medicine & Health Sciences, University of Nottingham 10.05am Keynote 2 - Sedation and Pain: Is there life after Codeine? Dr Helen Sammons, Associate Professor of Child Health, University of Nottingham, and Consultant Paediatrician, Derbyshire Children’s Hospital 10.40am Refreshments, exhibition & posters 11.15am Overview of the short paper selection process Sharon Conroy, Lecture in Paediatric Clinical Pharmacy, Academic Division of Child Health, University of Nottingham, Derbyshire Children’s Hospital 11.20am Submitted papers in the spotlight (1) Chair Dr Graham March, Special Products Ltd 12.10pm Debate – Should the NPPG join the RPS? The Big Debate: The RPS Faculty is proposing affiliation with the main pharmacy member groups in order to unite us all to support the advancement and development of pharmacists in all specialities and sectors. We will hold a debate on the benefits and risks of affiliation for NPPG and our members, to help NPPG members understand what this could offer and mean for them. 12.50pm Lunch, exhibition & posters 1.50pm Submitted papers in the spotlight (2) 2.40pm Parallel sessions (50-minutes long, choose to attend one) F A/B1 Diagnosis and management of Gastro-oesophageal reflux disease GORD in children Arun Urs, Consultant Paediatric Gastroenterologist, Sheffield Children’s Hospital F A/B2 Bugs & drugs in ankle biters : antibiotic choice in paediatric hospital infections Sarah Thompson, Consultant Microbiologist, Sheffield Children’s Hospital F A/B3 Do you need a pharmacist when there is Toxbase®? Astrid Gerrard, Clinical Pharmacist, PICU, Birmingham Children’s Hospital I A/B4 NHS Commissioning: Implications for High Cost Medicines in Paediatrics Judith Gregory, Lead Pharmacist - High Cost Medicines, Nottingham University Hospitals NHS Trust (in collaboration with NHS England and Nottinghamshire CCGs) I A/B5 Self / Parent / Carer administration Elizabeth Upton, Paediatric Pharmacist, Nottingham University Hospitals NHS Trust A A/B6 Inspiring future pharmacy leaders Bianca Davies, Prescribing Support Pharmacy Technician, NHS Portsmouth Clinical Commissioning Group 3.30pm Refreshments, exhibition & posters 4.00pm Repeated Parallel sessions as above (Choose to attend one) 4.50pm Close of day 7.30pm Annual Conference Dinner & Dance Join the conversation #NPPG2014 Sunday 9 November 9.30am F W1 F W2 I W3 I W4 I W5 Title:Name: Surname: Job title: Workshops Employing organisation: (90 minutes in length, choose to attend one) Address for correspondence: Consultation skills for pharmacy practice standards: Making it relevant for children and adolescents Chris Cutts, Professor of Professional Development and Practice Director, Manchester Pharmacy School Individualised and standardised neonatal TPN. Can you do both simultaneously? Neil Caldwell, Consultant Pharmacist, Children’s Services, Wirral University Teaching Hospital NHS Foundation Trust Paediatric Renal disease Andrew Wignell, Senior Paediatric Pharmacist, Nottingham University Hospital NHS What pharmacists need to know about looking after children with an Inherited Metabolic Disorder Satwinder Chana, Birmingham Children’s Hospital Dr Saikat Santra, Consultant Paediatrician in Inherited Metabolic Diseases How to assess liver function in children and what to do about it! Penny North-Lewis, Paediatric Liver Pharmacist, Leeds General Infirmary 11.00am Comfort break 11.15am Chairs’ Comments Penny North-Lewis, Chair, NPPG 11.20am Booking form NPPG update and AGM – the last 12 months Penny North-Lewis, Chair, NPPG 11.35am NPPG Research grants – Final Feedback Clare Nash 11.50am Keynote 3 – Brain tumour management and recent medical innovations Dr David Walker, Professor of Paediatric Oncology, Children’s Brain Tumour Research Centre, Faculty of Medicine and Health Sciences, University of Nottingham 12.30pm Specials Products – 2014 Awards for presentations, posters and innovations 12.40pm End of Conference ‘This meeting has been supported by Chiesi through the purchase of exhibition trade space’ Postcode: Tel: Email: Prices for 2014 Type Before 4th Sept 2014 After 4th Sept 2014 Full conference (single occupancy for two nights) NPPG member £445 £495 Non-member (NHS/Public) £545 £495 Non-member (Private sector) £600 £550 Full conference (twin room, for two people, price per person) NPPG member £400 £370 Non-member (NHS/Public) £425 £475 Non-member (Private sector) £500 £550 Full conference (no accommodation) NPPG member £275 £300 Non-member (NHS/Public) £305 £335 Non-member (Private sector) £450 £500 Two day conference (Friday accommodation, and Saturday dinner ticket) NPPG member £375 £325 Non-member (NHS/Public) £400 £450 Non-member (Private sector) £450 £500 Saturday only (no dinner ticket) NPPG member £99 £119 Non-member (NHS/Public) £119 £139 Non-member (Private sector) £169 £149 Undergraduate students/Pre-registration Pharmacist full conference, no accommodation Without dinner £140 £140 With 1 dinner ticket £175 £175 Additional dinner ticket - I wish to purchase tickets @ £35 each. Please pre-book your sessions Friday – Discussion Groups (please select two) 1 2 3 4 5 1 2 3 4 5 Saturday – Parallel sessions (please chose one from each A & B) A1 A2 A3 A4 A5 A6 B1 B2 B3 B4 B5 B6 W4 W5 Sunday – Workshops (please chose one) W1 W2 W3 Payment details Cheque I enclose a cheque made payable to NPPG Conference for the sum of £____________ Credit Card The venue Please debit my MasterCard/Visa/Maestro for the sum of £____________ Card no: / Expiry date: / / Issue no: Security no: Invoice Please send me an invoice for the sum of £____________ Invoice: you may ONLY select this option if you include a valid Purchase Order number from your employer as proof that payment will be made. Bookings cannot be processed without this. Purchase order number: East Midlands Conference Centre (EMCC) The East Midlands Conference Centre is located just two miles from the centre of Nottingham and offers excellent, flexible facilities for conferences, exhibitions and events including a 850 seat auditorium and numerous breakout rooms. For further information please visit www.deverevenues.co.uk Name for invoice: Address for invoice: Postcode: N.B. Invoices will be sent via email. Terms and conditions: 1. The organiser of the NPPG 20th Annual Conference and Exhibition is Profile Productions Ltd, Exchange Plaza, 58 Uxbridge Road, London W5 2ST. 2. Registrations can only be accepted on receipt of a completed registration form. Completion of this registration form constitutes a legally binding agreement and you must sign, agreeing to the terms and conditions, in order for your booking to be processed. 3. Your place is not guaranteed until you have received confirmation from Profile Productions Ltd. 4. Confirmation will be sent to you within 14 working days of receiving your booking. 5. Profile Productions Ltd. cannot be held responsible should your registration form not be received. 6. If you have not heard from us 14 working days after sending your completed form, or 14 working days before the start date of the conference, it is your responsibility to contact us to ensure your place is booked. 7. All invoices should be paid within 21 days of the invoice date and MUST be paid prior to the conference in all cases. Failure to do so may result in your place being cancelled. 8. Any delegates registering within 28 days of the start of the conference MUST include valid credit card details on the registration form. 9. The delegate is responsible for ensuring payment to Profile Productions Ltd. has been made. Any delegates arriving at the conference without payment having been made will be asked to provide credit card details as a guarantee of payment; refusal to do this may result in entry to the conference not being permitted. 10. Full conference registration fees include VAT at the prevailing rate, complimentary refreshments, Friday Supper, Saturday lunch, Saturday dinner and conference materials. 11. Those booking ‘Saturday only’ tickets, please note these do not include a dinner ticket, these need to be purchased separately. 12. Cancellations will only be accepted in writing. Cancellations received on or prior to 10th October 2014 will be refunded subject to a £25 administration fee. Cancellations received after 10th October 2014 will not be refunded. However, substitute delegates will be accepted at any time but please notify the organisers in writing of any name changes. 13. Any delegate registered to attend who, for whatever reason, may not be able to attend the conference, is still liable for payment as per the cancellation policy in item 12. 14. Attendance fees will not be refunded in the event of threat of war, terrorist or other circumstances outside of the organisers’ control. 15. There will be photography and video production taking place during the conference and the resulting images may be used for promotional purposes. Delegates who do not wish their images to be included in this material should contact the organisers by email at [email protected] prior to the event. I have read and agreed to the terms and conditions as detailed above and confirm that payment will be made before the start of the conference. Signed Date Accommodation Adjacent to the EMCC is the newly built Orchard Hotel. With over 200 bedrooms, this eco-friendly hotel has been designed to maximise the use of natural daylight and features rooftop terraces, floor-to-ceiling windows and unique contemporary decor throughout. By car Leave the M1 motorway at junction 25 and follow the A52 signposted to Nottingham. After approximately 4.4 miles turn right at the roundabout (Toby Carvery) onto the A6464 Woodside Road. Turn left at the next roundabout to enter the University of Nottingham’s West Entrance. The EMCC is situated on Beeston Road, which is the main loop road through the campus. By rail The nearest stations to the EMCC are Beeston Station and Nottingham. There are over 30 direct trains that travel between St Pancras and Nottingham on a daily basis. Visit www.nationalrail.co.uk or phone 08457 484950 for further information. Alight at Beeston, which is the main stop for the University campus. By air From East Midlands Airport, the EMCC is just 14 miles away via the M1 North leaving at junction 25 and following the A52. There is also the regular Skylink Nottingham bus, leaving directly from the airport directed to Broad Marsh Bus Station. Alight at Beeston, which is the stop for the main University campus. Conference organisers: Profile Productions Ltd Exchange Plaza, 58 Uxbridge Road, London W5 2ST t: +44 (0)20 3725 5840 f: +44 (0)844 507 0578 e: [email protected] w: www.profileproductions.co.uk NPPG 20th Annual Conference and Exhibition 7-9 November 2014 East Midlands Conference Centre, Nottingham Overviews Discussion groups 1. Medicines information update This group is aimed at those interested in the role of the NPPG information officer. Session objectives: Provide information on the role of the Information Support Service to NPPG members and to external organisations Provide an opportunity to input ideas for future topics to be undertaken by the Information Support Service for NPPG members Provide an opportunity to network and share views on information needs surrounding common prescribing issues. Learning outcomes By the end of the session you will: Have an understanding of the role of the Information Support Service to NPPG Have an understanding of the work undertaken so far by the Information Support Service Have awareness of possible ways forward for the Information Support Service. . Parallel session F A/B1 Diagnosis and management of Gastro-oesophageal reflux disease GORD in children Understand the Pathophysiology and natural history related to GORD in children Differentiate terms for reflux-related symptoms and signs in children To be able to review diagnostic approaches in children with GORD To gain awareness of various treatment approaches in children with GORD. F A/B2 Bugs & drugs in ankle biters: antibiotic choice in paediatric hospital infections Key learning points: By the end of the session attendees will be able to: list the considerations critical for selecting an appropriate antibiotic(s) for complex infections critically review the antibiotics available for treatment of resistant organisms in hospital infections think like a Microbiologist! F A/B3 Do you need a pharmacist when there is Toxbase®? This interactive session will focus on a case-based discussion on the pharmacological, pharmaceutical, and logistical aspects of managing overdose in paediatric patients. This workshop is aimed at pharmacists working at all levels of experience who provide clinical services to paediatric patients including on-call services. The objectives of the workshop are: To be able to clinically appraise Toxbase® guidance in a paediatric context To gain awareness of antidote availability across the UK To be able to advice on administration of antidote therapy in paediatric patients To able to effectively monitor antidote therapy administered to paediatric patients. The workshop will be presented by Astrid Gerrard, Kevin Bazaz and Rhian Isaac – Clinical Pharmacists Paediatric Intensive Care, Birmingham Children’s Hospital NHSFT. 2. Update on national developments and initiatives in paediatric pharmacy 2014 This group is aimed at those interested in the national issues relevant to paediatric pharmacy. This session will include updates on national developments such as specialist commissioning, RCPCH faculty, Children and Young Person’s Outcome Forum, Safety initiatives and much, much more! 3. Developing MEDUSA for paediatrics This group is aimed at those interested in NPPG sponsored progress with paediatric monographs within Medusa. In a recent survey, 120 out of 145 UK/Irish hospitals told us that they use the Medusa “injectable Medicines Guide”, which is an NHS supported website for information about the administration of injectable medicines. 93% of responders treat children under 18 years old. Although 30% responders said that they had developed their own paediatric guidelines for IV administration in children aged 1-16yrs, another 30% were using their adult guidelines to treat children. The Medusa “Injectable Medicines Guide” is now used at ward level in 60% of responding centres. Monographs are written by UK medicines information pharmacists, yet paediatric pharmacists have rarely been involved in the process before now. I A/B4 NHS Commissioning: Implications for High Cost Medicines in Paediatrics The session will aim to outline current Commissioning structures within the NHS and resulting funding flows for High Cost Medicines in Paediatrics. There will be opportunity to discuss practical aspects of applying for funding and setting up homecare services. At the end of the session participants should be able to: Explain the difference between cohort and individual funding requests and know what process to follow in each scenario List key elements crucial to the introduction of a successful homecare delivery service. I A/B5 Self / Parent / Carer administration The learning objectives of this session are that participants will: Discuss the advantages and disadvantages of self / parent / carer administration Identify potential barriers to implementation Consider options to overcome barriers to implementation. A A6/B6 Inspiring future pharmacy leaders The Inspiring future pharmacy leaders workshop aims to encourage future leaders in pharmacy to explore the challenges and rewards of leadership and inspire them to develop their leadership skills and behaviours. On completion of all aspects of this learning programme you should be able to: assess your leadership strengths and identify areas for improvement identify your leadership style and discuss the strengths and limitations with your peers describe the domains of the Leadership Competency Framework for Pharmacy Professionals and select the competencies you want to develop identify the resources and support available that can assist your personal leadership development. Join the conversation #NPPG2014 In September 2013, a joint project between NPPG and the Medusa was launched to improve the quality and accessibility of paediatric information within the Medusa website. 4. RPS Faculty This group is aimed at those interested in what Faculty membership entails. This session will involve: Outline of the project – development over the past year Where we are at now – a demonstration of the website and the ability to “localise” monographs Plans for the future and the way forward Specific challenges – the displacement value debate and others. Round table discussion will offer an opportunity to share ideas about: How Faculty membership can benefit your practice Building your Faculty portfolio Using Faculty tools for your development- including - Advanced Pharmacy Framework - Expert Practice Professional Curricula Preparing yourself for Faculty assessment Opportunity to share experiences and discuss how NPPG & RPS can support you. We can also discuss any particular issues members have had e.g. when writing monographs, with content on the website, or how this resource is used in practice. Please send any queries in advance to [email protected], or just bring them along. For more information see www.medusa.wales.nhs.uk or www.injguide.nhs.uk (user name IVgdemo, password bolus7) Workshops F W1 Consultation skills for pharmacy practice standards: Making it relevant for child and adolescents Effective consultation skills lie at the heart of patient-centred care. CPPE and Health Education England has identified this area of skills development as a priority for the pharmacy profession, leading to the development of a set of practice standards for consultation skills that outline the knowledge, skills and behaviours expected of all pharmacy professionals in a patient-facing role. How effective are your patient-consultations with children and adolescent? Are you confident you take a patient-centred approach? This workshop introduces you to the Consultation skills for pharmacy practice learning and development programme which provides a six-step pathway of tools and resources to support you in working towards the practice standards and developing your practice. It challenges you to put your current skills under the microscope and take them on a ‘test drive’. On completion of all aspects of this learning programme you should be able to: recognise your professional responsibility to reflect on and develop your consultation skills, by working towards the new practice standards explain the concept of patient-centred care and identify methods of integrating this into your practice with children and adolescents apply a reflective tool to assess your ability to consult effectively with patients and identify key areas on which to build your expertise access tools and resources from the Consultation skills for pharmacy practice learning and development programme to support you in moving your practice forward take your current skills on a ‘test drive’ by taking part in role play scenarios with pharmacy colleagues in a safe environment. F W2 Individualised and standardised neonatal TPN. Can you do both simultaneously? This session is aimed at foundation level practitioners who see neonates receiving PN. It will focus on short term management within an everyday district general hospital. You may wonder, what can I do? Before attending consider, what does your team do that is exemplary? Come prepared to defend what happens in your practice base. During the session we will explore what could you do differently? At the end of the session you will leave with good practice points, from colleagues, that you can implement back at base. Non neonatal or non nutrition pharmacists may find it interesting and useful. 5. Medicines for Children Research Network (MCRN) – how can we support you? This group is aimed at those interested in undertaking research in paediatric pharmacy or paediatric medicines. I W3 Paediatric Renal disease This interactive session will be aimed at intermediate level pharmacists and we will do a bit of quick revision then work through some cases of children with renal disease. There are often more questions than answers, so there will be an opportunity to discuss cases you have seen and problems you have encountered. At the end of the session you should be able to: Determine the level/type of renal dysfunction in a child and what the implications might be for drug dosing Identify common drug causes of Acute Kidney Injury and ways in which damage can be minimised or avoided Describe the key features of Nephrotic Syndrome and outline the management of this condition. I W4 What pharmacists need to know about looking after children with an Inherited Metabolic Disorder The session will be aimed at pharmacists who have been looking after patients with an inherited metabolic disorder (IMD), and those who require an introduction to this rare disease area. We will cover some basic concepts required to understand some of the main rare conditions that we see in hospital, and how to manage them. This will be through some interactive case studies of children with various IMD’s. At the end of the session you should be able to: Have an awareness of the common metabolic conditions in neonates and paediatrics that we see presented in hospital. Understand how drug therapy is used to manage some of the main conditions. Understand some of the issues surrounding the supply of medications for rare conditions. I W5 How to assess liver function in children and what to do about it! This session will be aimed at intermediate level pharmacists and we will do a bit of quick revision then work through some cases of children with various types of liver disease. There will be plenty of opportunity for you to discuss problems you’ve come across and to ask questions. At the end of the session you should be able to: Interpret LFTs, other investigation results, signs and symptoms to determine the type and extent of a child’s liver dysfunction Decide what the implications are for drug choice and dose.
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