BNSSG Paeds Pod

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.

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 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 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 Dr Dan Magnus - consultant in Paediatric Emergency Medicine Blurb Want to brush up on your knowledge on your knowledge of measles and pertussis? Refresh your clinical knowledge, keep up to date and be prepared to answer any parental queries. Paediatric Emergency Medicine consultant Dan Magnus guides us through diagnosis and management of measles and whooping cough as well as taking us back to basics with a methodical approach assessing the sick child. Resources Adam Finn Ted talk: How Vaccines Really Work Healthier together Handi app

Speaker Dr Anirban Majumdar: consultant Paediatric Neurologist Blurb Join GP Ruth Bowen exploring the challenging topic of chronic headaches with consultant Paediatric Neurologist Dr Anirban Majumdar. We discuss management of migraines and tension headaches including alternative medicines and supplements, the often challenging overlap between headache phenotypes in CYP, red flags and indications for referral. Resources Headsmart (https://www.mybrainfirst.org/) Migraine trust (https://migrainetrust.org/) Bristol Children's Hospital: Paediatric headache for Primary Care (https://uhbw.mystaffapp.org/diliboards/46/diliboard_contents/307/document_view.pdf) British Paediatric Neurology Association: CHaT (Children's Headache Training) (https://courses.bpna.org.uk/index.php?page=childrens-headache-training)

Speaker Helen Tapson -South Gloucestershire Public Health Consultant. Lead for health inequalities in CYP. "We are all in the same storm but we are not all in the same boat". What local and national projects are striving to tackle health inequalities in Children and Young People? What part do we play in Primary Care? Play on to find out more as South Gloucestershire Public Health consultant Helen Tapson guides us through the challenging topic of CYP health inequalities: highlighting exciting current national and local projects and using cases to explore practical tips and resources to empower us in Primary Care. Resources South Gloucestershire Director of Public Health Report: Giving Children the Best Start in Life One stop shop (South Gloucestershire) Virtual hub for financial support (North Somerset) Citizens advice (Bristol, South Gloucestershire, North Somerset) Cost of living advice (South Gloucestershire) Cost of living advice (North Somerset) Cost of living support (Bristol) Healthy start vouchers NHS stop smoking app The Haven (BNSSG)

Speakers: Dr Anthony Crabb: Associate Clinical Director for CAMHS in Devon and founder of Held Health Limited, a private healthcare provider of assessment and intervention for CYP with neurodiversity or mental health needs. In this episode Dr Anthony Crabb explores common Primary Care presentations of CYP non-school attendance. He shares knowledge and experience helping families navigate school support, community resources and thresholds for CAMHS input. Episode resources www.nhs.uk: ADHD www.nhs.uk: Autism ADHD UK National Autistic Society The Autism Education Trust Ambitious About Autism ADHD foundation Papyrus Great Ormond Street: ADHD Great Ormond Street: Autistic Spectrum Disorder Bristol Autism Support Bristol syndiass Bristol.gov.uk: EHCPs Bristol.gov.uk: parenting courses Addressing Education and Health Inequality: Perspectives from the North:

In this episode ERIC Paediatric continence nurse Brenda Cheer guides us through the systemic assessment of nocturnal enuresis, effective promotion of healthy bladder and bowels and targeted further management. Dr J-C Sconce explores nocturnal enuresis in children with complex needs, highlights red flags and guides us through appropriate referral routes. Episode resources ERIC 'Advice for children with night-time wetting ERIC 'Advice for children with constipation' ERIC 'Advice for children with daytime bladder problems' ERIC 'Children's continence pathway' ERIC 'Night-time diary' ERIC 'How to use macrogol laxatives' ERIC 'A parent's guide to disimpaction' ERIC 'Guide for children with additional needs' Bladder and bowel UK 'Understanding bedwetting in children with Down's Syndrome and other learning disabilities Sirona CCHP: Neurodiversity advice and signposting

Two podcasts in one! In this episode we are joined by Dr Natasha Smallwood, Paediatric consultant with an interest in Rheumatology, and Mr James Barnes, Paediatric Orthopaedic consultant. They share their approaches to the complex topic of the limping child. We discuss the possible breadth of differentials, red flags, referral criteria and tips for assessment in primary care. Episode resources BCH limping primary care assessment of acute limp in children NICE: acute childhood limp

In this episode, we're joined by Dr. Michael Malley, Paediatric Emergency Medicine Consultant, as he guides us through the non-blanching rash in children. More specifically, we discuss: Differentials of meningococcal septicaemia Other causes of sepsis with DIC Non-accidental injury Haematological malignancies Henoch schonlein purpura Idiopathic thrmbocytopenic purpura And benign mechanical causes of petechiae And all with respect to the discerning features of each, when to refer, management in Primary Care, and good safety-neating advice for parents. Feedback: Let us know what you thought about this episode of BNSSG Paeds Pod here, via our feedback form! Completing the form should take between 1-3 minutes, and your responses are invaluable in helping Ruth and the team to shape future episodes. Episode resources: Bristol Children's Hospital Non-Blanching Rash guidelines Bristol Children's Hospital Henoch Schonlein Purpura guidelines Thanks to the Bristol Royal Hospital for Children for these resources.