GP Bulletin - August 2015

  Whittington Health GP bulletin   August 2015
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This bulletin is emailed each month to GP practices in Islington and Haringey. It contains useful information and updates from our GP medical director about Whittington Health. If you have a news item, event or update you would like to share with other GPs through this bulletin, please email
In this edition
img A note from Dr Greg Battle
img Spotlight on acute kidney injury

CO screening in pregnancy


Self management programme for patients

Talk on child to adult care transition 
img New rheumatolgy consultants   
A note from Dr Greg Battle
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Welcome to the August edition of Whittington Health's GP Bulletin.

Our annual oration will take place on Monday 21 September at 5.30pm. The chief inspector of hospitals for the CQC, Professor Sir Mike Richards, will speak at the event on the topic of ‘Will it be possible to maintain good practice within the NHS in the future: the role of the CQC’. The event takes place at the Undergraduate Lecture Theatre, The Whittington Hospital. I hope you will be able to join us. To book a place email

We're introducing CO monitoring for pregnant women. We are one of the first hospitals to introduce this service. We think it will support women to look at their lifestyle choices when pregnant. More in the newsletter below. 

Our latest waiting time data for July is now available on our website

Best wishes,


Dr Greg Battle      07808 174 569

img Spotlight on… acute kidney injury    1
img Acute kidney injury (AKI) is a potentially severe medical problem that has historically been under identified. An algorithm (NHS England) has now standardised the definition and detection of AKI, with staged alerts.   

These are based on an increase in serum creatinine which is routinely measured as part of a renal profile (U&Es). Severity of AKI is dependent on the level of rise in serum creatinine compared to baseline. 

Whittington Health reports now include clinical advice, as agreed with the renal team. These are divided into three alert levels:
  • AKI Stage 1 – increase of > 50 per cent  over baseline or 26 umol/L in <48 hours
  • AKI Stage 2 – increase of 100-200 per cent over baseline
  • AKI Stage 3 – increase of >200 per cent of baseline or increase of 50 per cent with result > 354 umol/L
There may also be a further comment of: “?AKI, ?CKD, suggest repeat” on patients with a raised creatinine who have no previous results within the last year.  Repeats may not be needed if the result is consistent with older history.

When sending in samples please ensure the actual time and date of sample collection is recorded as the algorithm is dependent on accurate sample information. Bicarbonate and creatine kinase will automatically be added if any AKI alerts are triggered.

For more information contact Rebecca Edwards, clinical biochemist. 
2   CO screening for pregnant women pilot

The Trust is implementing carbon monoxide (CO) screening for pregnant women at their first booking appointment and again at their antenatal appointment at 28 weeks. The scheme is part of a six month pilot funded by Public Health in Camden, Islington and Haringey. 
Women will be provided with information and support on their results. Where appropriate they will be referred to stop smoking services.
GPs and health visitors will receive a copy of the booking with the CO levels details within it, along with referral information.

For more information on the pilot contact Logan Van Lessen, consultant midwife (public health), supervisor of midwives on 0207 288 3442.

img Self management programmes for patients   3
Two self-management programmes for Islington patients begin in September. 

Please share information about these programmes with any patients who may benefit from them.

Islington Expert Patients Programme: Starting on Tuesday 15 September, this is a six-week course for anyone living with one or more long-term health condition.
Diabetes Self-Management Programme: Starting on Thursday 17 September, this programme helps patients build the skills, knowledge and self-belief to effectively manage diabetes.
Further information about both programmes is available on the Trust website:

Islington Expert Patients Programme
Diabetes Self-Management Programme

Both programmes are funded by Islington CCG. 
Transition from child to adult services talk

How do we prepare children when we move them from paediatric to adult services? 

Two experts on the transition of healthcare for children to adult services, in both primary and secondary care, will be speaking at a one off session at The Whittington Hospital.
Transition is currently a topical priority on the children's and young person's agenda. The researchers, from Great Ormond Street Hospital, will discuss transition benchmarks and what they mean.
GPs are invited to join the multidisciplinary event. They will be encouraged to think about how they can support their patients with discussions around the transition for children and young people from one paediatric service, to multiple specialised adult care services.  
Event details:
Tuesday 15 September, 10.30am-12.30pm
Trevor Clay Room 2, Whittington Education Centre (WEC), The Whittington Hospital
Lunch will be provided. 
We are committed to working together with young people and their GPs to develop better pathways.

To confirm your attendance (places limited to 30) email clinical nurse specialist, Colette Datt.

img New rheumatology consultants    5

We are delighted to welcome two new consultants to the team, Elena Nikiphorou and Anna Nuttall.

The department is developing a new rapid access early arthritis clinic which we expect to improve outcomes for patients by promptly treating patients with early suspected inflammatory arthritis.

Further details on the new pathway that will promptly assess and start treatment for patients with suspected inflammatory arthritis (IA) will feature in a future GP Bulletin.
You can contact the new consultants on:

Study dates
Whittington Education Centre, Magdala Avenue, London N19 5NF.
img Women’s Health Update - Thursday 17 September 
img Dermatology: skin care study day - Wednesday 14 October

If you would like to attend any of these study days, please email

If you have any feedback about a Whittington Health service, please feel free to email me. I’ll find the right person to help you.
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