8th National Gastrointestinal Nursing Virtual Conference

Specialist skills for making a difference



9:00 AM - 9:50 AM

Using patient feedback to help shape services: lessons from inflammatory bowel disease nursing (Sponsored by Tillotts)

Lisa Younge, IBD Nurse Consultant, St Mark's Hospital, London

Providing healthcare services for people living with long term conditions such as inflammatory bowel disease (IBD) includes providing opportunity for patient feedback and involvement in co-production for service development. Listening to our patients helps us to develop services which meet their needs and can in turn increase engagement. IBD teams in the UK have embraced patient involvement although the challenges of delivering services which truly reflect this can be difficult to overcome. This talk will aim to provide an overview of relevant patient involvement tools and support available to us as nurses, and discuss how we might use these in practice.

9:50 AM - 10:20 AM

Managing incontinence: the theory and what works in practice

Ellie Bradshaw, Community CNS Gastroenterology, Royal Free Hospital, London

A theoretical examination of current continence management strategies, and discussion on which combination of methods can work successfully in clinical practice. The talk will cover continence strategies using dietary manipulation, pharmacotherapy, irrigation and containment.

10:20 AM - 10:40 AM

Supporting self-care in IBD patients

Sharon Gethins, IBD Nurse Specialist, University Hospitals of Leicester

Being diagnosed and managing IBD presents itself with many different challenges for individuals and their families on a day to day basis.

Self-care is and needs to be seen as central to the management of IBD. The aim is to explore what and why selfcare is important and how nurses can contribute and provide support to individuals, working with patients to develop plans that suit their needs. Exploring personalised plans to their medical management. Looking at not just the condition itself but how we look at individuals as a person and not a diagnosis. Share ideas of how services can be reviewed, adapted and implemented to meet patients’ needs.

10:40 AM - 11:10 AM

Morning Break

11:10 AM - 11:55 AM

Supporting patients with IBD to make changes (Sponsored by Galapagos)

Dr Alexa Duff, Clinical Psychologist in Inflammatory Bowel Disease, Guy’s and St. Thomas’ Hospital, London

Change is something that is asked a lot of patients with IBD, whether it be to have surgery, change medication or accept their diagnosis. This session address what changes are asked of people with IBD and considers how this impacts their emotional regulation systems. Three emotional regulation systems are discussed: the threat, drive and soothe systems. A compassion focused approach (Gilbert, 2009) would suggest that supporting patients to balance these 3 emotional regulation systems will support patients to make changes. Case examples are described to illustrate how this might work in practice.

11:55 AM - 12:55 PM

Group Discussion: COVID-19 and the future of gastrointestinal nursing

12:55 PM - 1:25 PM

Lunch Break

1:25 PM - 1:45 PM

Eliminating hepatitis C virus infection in the prison population: how far have we got?

Dr Kathryn Jack PhD RGN, Advanced Virology Nurse Specialist, Nottingham University

The Public Health policy to introduce an opt-out approach to hepatitis C virus (HCV) testing amongst People in prison (PIP) was initiated in 2014. This presentation tracks the progress of this approach towards achieving the goal of micro-elimination. A middle range sociological theory to explain the barriers and facilitators to HCV test uptake in prisons is presented along with suggested interventions to aid embedding this into routine care. Finally, the upcoming Conquering Hepatitis vIa MicroElimination (CHIME) prison research study, that will use an Implementation Science approach to investigating which interventions are most effective in increasing HCV test uptake in English category B local prisons, will be introduced.

1:45 PM - 2:15 PM

Dying for a Drink? The Role of Stigma and Other Barriers to Accessing Timely Healthcare for Dependent Drinkers

Ann Taylor, Substance Misuse Specialist Nurse, Wirral University Teaching Hospital

2:15 PM - 2:45 PM

Afternoon Break 1

2:45 PM - 3:10 PM

Bowel cancer screening and diagnosis

Margaret Vance, Gastroenterology Nurse Consultant, St Mark's Hospital, London

In March 2020 the COVID pandemic led to a national lockdown and the disruption of clinical services throughout the NHS. Endoscopy units were closed to all but the most urgent of in patients as NHS staff were redeployed to ITU and wards to care for patients with COVID. The national bowel cancer screening programmes, FIT and bowel scope, were halted, leaving participants in the system who has positive FIT tests and a large backlog of participants due for call and recall.

This presentation will describe the process of both ceasing and restarting the screening programme, the clinical governance processes developed and implemented to triage screening patients, identifying those most at risk, and what mechanisms were put in place to protect the screening programme in the future.

3:10 PM - 3:55 PM

Eating disorders: practical assessment and impact on the GI system

Sonya Chelvanayagam, Lecturer in Mental Health Nursing, Bournemouth University

People experiencing eating disorders (such as anorexia nervosa, bulimia nervosa or binge eating) are regularly seen in gastrointestinal services. Eating disorders have direct effects on the gastrointestinal system causing symptoms such as severe constipation. A person with an eating disorder may be unaware of this disorder or deny its existence. Also, the symptoms of an eating disorder can conceal an underlying gastrointestinal disorder.

This presentation discusses the importance of identifying the presence of eating disorders in patients attending gastrointestinal services and the effects of eating disorders on the gastrointestinal tract. Advice on assessment and referral to appropriate services is outlined.

3:55 PM - 4:25 PM

Afternoon Break 2

4:25 PM - 5:05 PM

Prescribing and accessory use in stoma care

Carolyn Swash, Community Stoma Care Nurse, Hollister

This presentation will explore the following topics relating to prescribing within the field of stoma care:

  1. Prescription exemptions. How to ensure that your patient is having the costs of the prescription met correctly
  2. Exploration of patient wants, needs and requirements when determining what should be prescribed for the patient.
  3. How to manage patient expectations
  4. Effective communication with GPs and prescribing services
  5. Working with CCGs
  6. The Stoma Care Nurse as a prescriber

5:05 PM - 5:25 PM

5:25 PM - 6:20 PM

Group discussion: Speaking the same language: standardising terminology in stoma care