Barney Hawthorne

33 posts

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Barney Hawthorne

Barney Hawthorne

@ABHawthorne

Cardiff, Wales Katılım Temmuz 2017
31 Takip Edilen124 Takipçiler
Barney Hawthorne
Barney Hawthorne@ABHawthorne·
@FlightCentre_UK I need help with customer services team to obtain a refund for a deposit for holiday ref OE3 DG7. Have been told there is 28 day wait to get response. Who can I speak to? AB Hawthorne
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Chris Lamb
Chris Lamb@ProfChrisLamb·
Wonderful to announce the new @BritSocGastro UK guidelines on management of #IBD are now published in @Gut_BMJ! Delivered by an outstanding and dedicated team of 81 clinicians and patients representing all major UK Stakeholders in IBD care: gut.bmj.com/content/early/… Thanks to all!
Chris Lamb tweet mediaChris Lamb tweet media
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Barney Hawthorne
Barney Hawthorne@ABHawthorne·
@GastroMJB We need more data like this to inform choices for patients. Assessing the very low risk of an often fatal event for patients starting thiopurines currently impossible. Is the risk really higher in adults who are seronegative??
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Barney Hawthorne
Barney Hawthorne@ABHawthorne·
@ibdnurse @ibdportal #BSG2018. It would be nice to measure outcomes in relation to IBD nurses (as well as WTE nos. Eg %advice line calls responded by end of next working day, and other measures of quality?
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Barney Hawthorne
Barney Hawthorne@ABHawthorne·
@ibdnurse @ibdportal Great. Nice study also from Connell Int Med J 2015 shows average time spent managing biologics is 5.25hours 1st year and then 3.5 hrs per yr after. So if you have 200 patients that 1000 hrs !!
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Barney Hawthorne
Barney Hawthorne@ABHawthorne·
IBD nurses are central to safe monitoring of immunosupp drugs/biologics. Modelling of case load in UK (Leary/Crohn's Colitis UK) shows we need at least 2.5 WTE per 250,000. That's 450 in the UK. How do we make the case for more -about 300 now? #BSG2018
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Barney Hawthorne
Barney Hawthorne@ABHawthorne·
#BSG2018. Thanks to all for lively debate around crucial IBD role and linch-pin of IBD services!
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Barney Hawthorne
Barney Hawthorne@ABHawthorne·
#BSG2018. This has been great. Huge unmet need for varied roles of IBD nurses. Not just Monitoring drugs. Getting admin/sec support for IBD nurses may be cost-effective AS WELL as more nurses.
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isobel mason
isobel mason@isobelgastro·
@IBDPassport Currently 70% of CCUK members report access to nurse specialist. Map is important step in nringing patients and nurses together. #BSG2018
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Barney Hawthorne
Barney Hawthorne@ABHawthorne·
@Crohnoid @drmanmeetm #BSG2018 Standard is generally by end of next working day (email or phone). I think this is a good measure of whether there is enough IBD nurse support. In some ways this is better measure than how many WTE nurses in a unit ?
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Dr Manmeet Matharoo
Dr Manmeet Matharoo@drmanmeetm·
#BSG2018 what would be the ideal IBD nurse role - ie what top 3 tasks do you feel you being real value to and can’t be done by others.
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Barney Hawthorne
Barney Hawthorne@ABHawthorne·
#BSG2018 Other professional groups may also be able to support IBDnurses - pharmacist? Physician Associates? What do IBD nurses feel about this?
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IBD Nurse Kay
IBD Nurse Kay@IBDPassport·
@ibdnurse @bottomline_ibd @ibdportal That does sound interesting and something I'm sure other nurses would be interested in. Do you feel it gave you enough knowledge to provide in-depth support or just more confidence in signposting to other organisations? #BSG2018
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The Bottom Line IBD
The Bottom Line IBD@bottomlineibd·
Agree with this sentiment entirely. Though I would say it's a role for a specialist GI psychologist. The not-so-small matter of resources and funding aside, I think early MH intervention would reap great rewards, both for #IBD patients and the 'burden' on clinic numbers. #BSG2018 twitter.com/drmanmeetm/sta…
Dr Manmeet Matharoo@drmanmeetm

Strikes me that we need dedicated psychological support for patients with chronic disease. Great for continuity of care from IBD nurses but does this need to be a separate provision? #BSG2018 twitter.com/abhawthorne/st…

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Barney Hawthorne
Barney Hawthorne@ABHawthorne·
@AjayMVerma #BSG2018 Some IBD nurses also give the infusions - this is a problem as its hugely time-consuming and should not be counted as part of the IBDnurse role. There are more vital things for them to do
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𝗗𝗿 𝗔𝗷𝗮𝘆 𝗠 𝗩𝗲𝗿𝗺𝗮
Facilitating the start of biological therapy, our IBD nurses do the leg work, Ensure screening bloods have been done, record them on to our monitoring system, make arrangements for home care or infusion clinic, ensure patient is aware of relevant info. #BSG2018
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