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Read an article by Professor Mark Thursz in the Huffington Post > here.
Professor Mark Thursz is professor of hepatology at Imperial College and consultant in hepatology at St Mary's Hospital, London. Professor Thursz is also the current Chair of the Hepatitis C Coalition.
Trust Clinical Fellow (Str Higher Non NTN) in Hepatology
Job Reference: 216-9645-HEP
Employer: Plymouth Hospitals NHS Trust
Department: 216 120698 Hepatology Medical Staff
Salary: £30,605 to £48,123 pa
Closing date 24th September 2017
For further information about this vacancy click > here.
Dr. Mary Ramsay and Dr Sema Mandal
Immunisation, Hepatitis, Blood Safety and Countermeasures Response
There is a global shortage of hepatitis B vaccine which is currently impacting severely on the UK supply. The situation is particularly critical during August but limitations on supply are likely to continue until early 2018. To ensure that stock is available for those individuals at highest and most immediate risk of exposure to hepatitis B, Public Health England (PHE) has developed temporary recommendations to support clinicians undertaking an individual risk assessment.
PHE and Department of Health (DH) have been working with both vaccine manufacturers to institute ordering restrictions according to customer type. The allocation is based on an agreed assessment of the proportion of vaccines used by that provider type for individuals in the highest priority groups. As a consequence, some providers may not be able to order any stock and others will have limits applied to their orders. A mechanism will be in place, however, to allow for exceptional orders if there is an urgent and immediate need for an individual following an individual risk assessment.
NHS Hospital Trusts will get the highest allocation, but it has been agreed with the BMA's General Practitioners Committee that general practice will not be able to order any adult hepatitis B vaccine stock until further notice. Because of this, patients requiring post-exposure hepatitis B vaccination will be referred to urgent care or Accident and Emergency based in NHS trusts for an assessment. In addition, specialist services such as liver services, who may normally request that GPs offer hepatitis B vaccination to their patients should note that the GP may not be able to meet this request.
To sustain supply for those at greatest need, all services are being asked to:
- ensure that clinicians are aware of the temporary recommendations on prioritising vaccines
- only order essential vaccine stock (small amounts more frequently) and avoid stockpiling
- coordinate and monitor stock usage across the service to ensure that scarce stock is being used responsibly
- accept and use alternative products including combined hepatitis A and B vaccines, and other presentations (e.g. multi-dose packs)
Download the full list of recommendations here > Download Hepatitis B vaccine shortage PHE letter.pdf
Highlights from last year's BASL Annual Meeting can be found in this months edition of the Clinical Liver Disease (CLD) Journal.
Read the 'Best of BASL’ papers, view video presentations of the articles and watch interviews with the Authors.
View the CLD Journal Volume here.
The latest version of the Royal College of Physician’s (RCP) Medical Care has been published today.
Medical Care is a web based planning resource produced by RCP in partnership with UK’s medical specialty societies. The updated version includes further information on workforce and medical specialty specific job planning and additional content on diabetes and endocrinology services.
Medical Care is a valuable resource for clinicians and managers working in the NHS. The resource provides support for:
· Designing services – this includes a short description of the specialty and the patient population, and a summary of the workforce needs to support service provision
· Developing physicians – which includes information on the education, training and continuing professional development, workforce and job planning for physicians
· Improving quality and medical leadership – By exploring the latest ideas on how to develop physicians and teams.
For queries please contact email@example.com.
The Lancet Commission into Liver Disease in the UK has published 'The Financial Case for Action on Liver Disease' report.
Read the report here; Download Financialcaseforactiononliverdiseasepaper.pdf
The alcohol section contains new data on the impact of minimum unit pricing, outlining that within 5 years of introducing MUP in England there would be:
• 1,150 fewer alcohol-related deaths
• 74,500 fewer alcohol-related hospital admissions
• Savings of £325.7m in healthcare costs
• Savings of £710.9m in crime costs.
Read the advice for managing patients with PBC who are unresponsive to UDCA below.
Following the Clinical Consensus on HCV Therapies 2017 meeting held in Birmingham on 30th June 2017, the BVHG/BASL/BSG/BHIVA/BIA/CVN Guidelines for management of chronic HCV infection report is now available to download.