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Great Ormond Street
Children's Hospital and the
Institute of Child Health
www.gosh.nhs.uk
Want to help Children?
Here & aroundthe world
Stacey -Jane
Why we can
do this well
Unlike commercial for-profit websites,
we are under no pressure to compromise
our content. We are also a stable, public
institution which will not go out of business.
The Boston Consulting Group found that
most commercial online health ventures
were failing. They also found that these
ventures fundamentally misunderstood
how patients and physicians use the web.
Trust also came up as an issue.
Most patients were wary of online
information and tended to trust universities
and medical associations over commercial
websites (we are associated with University
College London). All our content is
produced in direct consultation with
patients, families, physicians and nurses.
They know what they want and we strive to
deliver it. We also have strong relationships
with the wider UK government e-initiatives,
including the NHS Direct online health
service. Through these portal sites, our
content is able to reach a vast audience.
Stacey-Jane Panther had surgery at GOSH to correct
the effects of Perthes disease, which interrupts the blood
supply to the head of the femur (thigh- bone) and makes
hip movement painful. The operations were followed by
physiotherapy. Spending time in hospital did not mean
11-year-old Stacey missing school entirely: GOSH has
its own school, which is used by thousands of children
every year With a staff of 21, it welcomes all inpatients
of school age and teaches youngsters on the ward
if they are not well enough to come to the schoolroom.
The school was praised last year by inspectors from
the education watchdog OFSTED.
Amy
Amy Saunders has been completely deaf since birth
but at the age of three and a half she listens and talks
almost as if there were nothing wrong. A cochlear
implant, inserted last year by surgeons at GOSH,
enables her to 'hear' by converting sounds into electrical
signals that stimulate her auditory nerve. That means
her language skills are developing as normal. "I forget
she's deaf," says her mother, Jill. "She's always telling
me things and singing. It's the nearest thing to a miracle
that I'll ever see." More than 170 children have been
given cochlear implants at GOSH since the programme
began in 1992.
Who are we?
Our strong brand, world renowned for
150 years, is now online. The Great
Ormond Street Hospital for Children works
hand-in-hand with the Institute of Child
Health (affiliated with University College
London) and South Bank University.
The Institute and the Hospital sit beside
each other in the heart of London.
It is a collaborative and dynamic
relationship, where world leaders work
together to provide the widest range
of paediatric specialties in the country,
and the largest paediatric research and
training centre in Britain. For families
and patients, this ensures that the
treatments at the hospital are grounded
in the latest developments and meet the
highest standards.
All areas of the hospital take part in
research, including a particular focus on
research by nurses and professions allied
to medicine. The Institute and Hospital's
research and development strategy
is based on research themes targeted
at meeting the health needs of children.
The seven themes are:
• Biochemical and nutritional sciences
• Cardiorespiratory sciences
• Genes, development and disease
• Infection and immunity
• Neurosciences and mental health
• Population health sciences
Who uses our site?
• Doctors, nurses, researchers/scientists,
and patients and their families of course
• We treat some 100,000 children
every year
• Number of site users per month: 72,841
(Sept. 2001)
• Most users find our site through: Google
search engine NHS.uk portal site
• It is estimated that more than three
million children in the UK have access
to the internet. They could all be potential
users of our site if the content is right.
(Source: Jupiter MMXI)
uacK
Jack Smithson, 11, was born with a cyst on his brain
which caused uncontrollable seizures and weakened the
left side of his body. He underwent a hemispherectomy
at GOSH to disconnect the left side of his brain from the
right- a surgical procedure that helps to control seizures
in about 80 per cent of patients. GOSH developed
the UK's first service for children with severe epileptic
seizures, which has grown into one of the largest
paediatric epilepsy surgery programmes in the world.
A child
health portal
that can
be trusted
It has been estimated there are now more
than 100,000 web sites dedicated to health.
It's a crowded market out there on the
internet - and pretty confusing if you need
to know where to turn. The Journal of
the American Medical Association surveyed
these sites and found most offering
"incomplete, misleading, or difficult to
understand information, while others blur
the distinction between advertising and
medical advice".
In September of this year we re-launched
our child health portal,www.gosh.nhs.uk,
as part of a dynamic project to tap the
wealth of knowledge held in the hospital
and our research partner, the Institute of
Child Health.
We seek to become a one-stop portal for
complex child health issues. To date, our
expertise in innovative care and research
has not been fully reflected in the content
of our site: a situation we are determined
to change. What we hear from patients
and families time and time again is the
need for trust when seeking out resources
on the web. If your child is sick, you want
to know the information you find is accurate
and up-to-date, grounded in cutting-edge
research and care developments: two
things we do very well.
Gemma
Opportunities
for
collaboration
Content partnerships, for example
• Research breakthroughs/
developments, strengthening research
networks, aiding developing countries.
• Children's research news service
• Children's website editorial board
Ethical guidelines: All partners must meet our ethical
guidelines. We adhere to the 1992/1993 CharitiesAct.
Please contact us for additional details, but they are
in short:
We will not accept funds from the following:
• tobacco/alcohol companies
Technical support
• Research developments without
the jargon
• Technical support: innovative
applications to enhance our work
Gemma Richards had a bone marrow transplant at
GOSH after she was diagnosed with leukocyte adhesion
deficiency, an extremely rare disorder that hindered the
response of her white blood cells to skin infection
or injury. It meant that her skin was unable to heal itself.
Gemma, 11, received bone marrow from an unrelated
UK donor and is now well on the way to recovery.
Although not a fan of hospitals, she likes GOSH.
"I know a lot of people here now," she says. Last year
there were 57 bone marrow transplants at GOSH.
** <1
•*«*.,,
pharmaceutical companies, with the following proviso:
if a specific medicinal product allows the Charity to
meet specific strategic and operational objectives
if it is a non-pharmaceutical product, for example
cosmetics or toiletries with a proven track record
no endorsement of infant feeding formulae
no endorsement of dietary supplements
Anything that could damage the reputation of the
hosoitaI/institute
David South, Web Strategy
Southd@gosh.nhs.uk
Tel: 020 7829 8671 Ext.1052
Design/Layout: Medical illustration
© GOS/ICH 2001
GOSH/ICH Child Health Portal
2001 to 2003
Institute of Child Health
Great Ormond Street Hospital for Children i
MHSTru
arch Clinical Services GOSH Intern
About Us
Contact Us
Site Map
ICH Intranet
Staff Directories:
GOSH|ICM
Patients and families
Kidt and Teens
How To Gel Here
When Your Child is
Admitted
international and Private
Welcome to the new joint website of Great Ormond Street
Children's Hospital andthe institute of Child Health
Health Professionals
Clinical Services
Nursing and Family
Services
Recruitment
Referrals
Research
Research Themes
Academic Units
Educational
Opportunities
R 8, D Office
Library
GOSH
Research Review
The Research Review
is tarn-packed with
stories about our
researchand
achievements Read
GOSH launches first
ever child-friendly
health site
GOSHKids-the first
truly child-lrienclly
hospital site. Reed
MM.,
A UK ftrst: child cured
by gene therapy A
child has been cured of
a fatal genetic condition,
X-SCID. by gene
therapy at GOSH Rea<i
ICH heads genetics
knowledge park ICH
dean David tatchman is
to lead <3 million London
IDEAS Park. R«td
CHnical improvement
for a better hospital
A six-month review has
started to produce a
new action plan tor
GOSH Read more
MMR GOSH says"MMR
is best and safest cptton
for our children" R«fd
Quick search
[please select
Jack was born wiih a cyst
on his brain which caused
uncontrollable seizuresand
weakened the left side oi his
body R?3<2 more
Events
Learning Events
Fundraising Events
Courses
Clirucal Improvement
Institute of Child Health
Great Ormond Street Hospital for Children
HHS Tnjft
alth Professionals Research Clir
Patients and families
About us |Contactus
|Seorchlhesite
mlo@c,osh.nhsuk
Patunit family Inli*
Coming to GOSH
How to Get Here
n your Child is Admitted
nternationol andPrivate
Patients
Health Information Cerrtre
HospitalWarting Times
Kids and Teens
GOSHTots
;T
iOSHKids
Hospital Tour
Hospital School
Radio Gosh
Getting Help
Bereavement Services
. ,
Chid DeathHelpline
Family Advocates
SocialWork
amity t actaheets
Tests and Procedures
Operations
Directorate of Nursing and Family Services
Use this page as a gateway to our many
support services, or try exploring our many fact
sheets on medical procedures, ailments and
diseases. We have a lively range of support
services for children and teens, including our
radio station (Radio Gosh) and children's
school
Holly White underwent
pioneering surgery at GOSH
after •» bi din scan snowed
she had rnoya may*
Aik l)f J
*ne
Collins column
Or Jan. """"« Poplar Times
• f ColMns... columndispenses jargon-
^ S
r^*l
THE«tti»T1Ml£
tree advice.
A-Z of CMct Complaints
F actsheets for families
Large archive developed
by our medical and
researchteams. Read
Joint website puts the
:htld first Check outour
new Teens and Tots
International
& Private
Patients
•rring an Inter national or
Private Patient
|Email:
arivatelnTogggosh nhs.ufc
'tVi>10845
D/recf4647
NHSDirect online healh
encyclopedia
 Institute of Chili! Health
Great Ormond Street Hospital for Children
Health Professionals Research Clinical Services GOSHInternational Press Office Campaigns I
Health Professionals
About us|Contact u?
(Search thesite t-bi>j
Service*
Nursing and Family Directorate
CNnicaf Services
Recruitment
Clinical
Children's Pain Assessment
Hospital Waiting Times
Institute of Child Health
Academic unts
Learning Events
Educational Opportunities
International
& Private
Patients
Referring an Inter national or
Private Patient
Email:
3rivate.fifQ@gosh nhs,uk
Search here to explore our services, make a
referral, attend a course or conference, and
connect with our researchers.
Stacey-Jane Panther had
surgery at GOSH to correct
the effects of Perthe*
disease, which interrupts
the blood supply to the head
of the femur (thigh-bone)
and make* hip movement
painful. Read more about
Holly and others mthis
year's Anau&f rtport
Patient and family
factsheets
Download our many
factsheets to distribute to
families
Check out our library,
MM selected by the BMJ as an
pi excellent sourceof
paedialttc resources
Clinical improvement
A six-month review has
started to produce a new
action plan tor GOSH. R«S
mon, .
Resources
Ifcrary
NetH
Famrfy Factsheets
Centre tor Evidence-Based
Ch*JHea»h
Publications
Roundabout
• •
AnnualReport
Chrite at Oovernance Report
NHS Local Information
Database
NHSInformation Authority
wwwjihs.uk
Department o( Heath
Institute of Child I htilth
Research
Great Ormond Street Hospital for Children
NHS Tru
• .mjra.»<rr.Ti^^T^r^»ntin.irnnmTnrn.Ti
Institute of Child Health
About us
Academic Units
Reset"eh Themes
Research Review 2001
Courses
Conference Services
Recruitment
RSI) Office
R&D eUtetin
Learning Events
Together, the Hospital and the tnstilule of Child
Health offer a rich source of knowledge on child
health. Explore our research themes, link with
colleagues or conduct a search.
Ellie (above) from Chingford,
East London suffers from a
rare neonatal disorder, PHHl,
which has puzzfed doctors
and scientists for years.
Read more about Ellie in this
year's Research Review.
More research links
Research Review 200-1
The ResearchReview is iam-
I packedwith stones about our
research and achievements. R
ICH heads genetics
knowledge park ICHdean David
LONDON Latchman isto lead £3 million
IDEAS London IDEAS Park Read mote
Cancer gene breakthrough
ICH scientists have identified five
genes that areexpressed n
embryo and cancer eels. Read
About us I Contact us
jSearch the site CEE3
fnstitHtc of Child Health
Great Ormond Street Hospital for Children
About Ui
Contact Us
Sle Map
CM intrsnel
Staff Direclones
Patients and Families
Kris BiiO Teens
How To Get Here
Your Visit
International and Private
Pahents
Health Professionals
Ctnical Improvement
Cinicol Services
Recrurtmenl
Referrals
Research
Research Themes
Academic Units
Educational
Oppcfturtftw
R A B O f f t c *
.GOSH
f chanty website
Welcome to the new joint website ol Great Omiond Street
Children's Hospital and the Institute at Child Health
A UKfirst: child cur
by gene therapy A
child hasbesn cured
a fatal genetic eondrtic
X-SCO. by acne
therapy at GOSH Rea
s (or
families scfdi trKejyit
our large archive of
fam*y factsheets. Reso
mote
irsalment of epilepsy
MMR GOSH says-
is test ana safest o
fot our children" S*
more
Quick search
Ptease select
Jack i', as born with a cy*1
on ha brain which caused
veafcenftd the teft tide c 1 n
boay. ReaOmore
Learning Events
Fundraising Events
Courses
x Great Ormond Street Hospital
Children's Charity
Donate News Events Get Involved Companies About
Great Ormord Street Hospital welcomes more than 90,000 patients per year. An>
donations you make to Great Ormcrid Street Hospital Children's Chanty have a
Lopping up the NHS'funding. To find out n
visit www.gosh.nlt&.uk.
>ital work of the hospital,
Make a Donation: phone now on 020 79K
Sorvg of hope (or 'Mir.icln CliiUl"
Emma Lucas is a bright and friendly eight-year-
old girl whose main concern is getting the next
issue ot her favourite magazine. But to her
parents she is a mini-miracle... retjd more
Millv helps owl HIP hospit.il
The naming of a neiv Miffy ward at Great Oi
Street Hospital brings loads of Mirfy-related
activities to the hospital... rrad more
Contact Ui Sitemap Copyright
> Kyle's Ka makes a mint for children's
hospital
* Parts to {.ordon Bike Ride, 26-31 July
2003
GOSH ';;1 Peter
-.1 "1;, Shop ^ Pan
Teens
Empowering children
Una younf) [i»nplt I'irauqh hiijltFi
Last updated 27th June 2003
©GOSH 2001-2003
Written by GOSH Trust.
Reviewed by ChiWrei First
About us
• Find out what it's realty like
in hospital.
• Share your view on the
world.
• Problems? Take a
look at ihe problem page
• The news and stones thai
matter to you.
« Looking 4 answers? Try
health and hospital
ssageboards.
the latest celeb goss
n Sneak magazine,
global. Check out
rldflrst.
; r
v*fd lots of real stones
ut health and hospital.
• Find out about your body
and your health.
' What do kids really think of
burgers and chips?
• Being bullied? Find out
what you can do to stop it.
• Check out our wiiard harry
Potter section.
• Take a (oakour fun stories
about your favourite stars.
Great Ormond Street Hospital Children's Charity
Home Donate News Events Get Involved panies About Us
HHU-U OP r A^E EVENT ||>B*S1
Fancy dr*«
Who You're Helping . » Maec| iSome codl"fi»na'a sir;
Ho« You're Helping | 'Ideas? Find top tips here
Schools Pad
Teachers &Parents
Friends
Thank You
•
'NT
jrhow(hernia; 1; >Bndoutmore
"•"^•I'-illl
"'mmwmmm it
Ke mo*,,J| >
iw*mi« schools raised tr|n^i|
ir., Schools tl
Contact Us Sltenwp Co[vyrfKlil T#i OM 791fi W7B - -^
R*S. Ch.rlt.,. M,a.J3S.S1S
•istitutt of Child Health
Great Ormond Street Hospital for Children
niM.imrmnrmT!i»jnn«i.iro»«i,.i..T.i.t.
Patients and families
About us | Contact us
[Search the site 13223
Ask GOSH
info®gosh nhs.uk
Patient.famitylnfo
Comingto GOSH
How to Get Here
n your ChW is Admitted
international and Private
Patients
Health information Centre
HospitalWaiting 7«nes
Kids and Teens
OOSHTots
OT
OOSHKidS
Hospital Tour
Hospital Scnooi
Radio Gosh
Ask Dr Jane Collins..
A / of child complaints
Getting Help
Bereavement Services
Chaplaincy
Child Death Helpline
Family Advocates
SocialWork
family F*ctsheet»
Tests and Procedures
Operations
Hinesses and Diseases
Drugs
Acne
Up to 85 per cent of 1 2 to 25 year otds suffer from spots Boys and girls are
equally affected They usually appear at puberty and reachtheir peak at 17-21 If
untreated, persistent spots or acne, can cause scarring but prompt treatment
minimises this Acne is caused by over-production of oil from the sebaceous
glands in the skin mainly on the face, chest and backin response to normal
levels of sex hormones Oil blocks the ducts to the surface of the skin allowing
waste cells to accumulate under the skin's surfaceforming a plug Bactena
also play a part Teenage girls often report a flare-up beforemenstruation
Some find stress and certainfoods, especially fast food and chocolate, make
acne worse although there is no scientific evidence for this Some cosmetics
provoke spots especiallythose containing oils, fatty acids and waxes Acne is
not infectious or contagious
Symptoms: Oily skin with red lumps, yellow spots, blackheads and whiteheads
Teenagers with black skin often find that spots make their skin darker and this
pigmentation can last for months
mi: ^ssTIMES
A / of i hilil ciimpSiiinls
DDDQDDE1
UUI1UUGD
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 Institute of Child Health
Information for families Genetics and inheritance
Great Ormond Street Hospital for Children
NHS Iru*t
Please use theindexes
below tofind the factsheet
you need.
Or search the full
alphabetical index
BDDEIOOE1
QOQDQDD
QDDOH
#
What are genes?
HOW can genetic disorders be inherited?
Is it always possible tomake a genetic diagnosis'1
How can genetic abnormalities be detected?
Contac! information
Background
Many immunodeficiency disorders are the result of defects in an individual's
genetic makeup These are mistakes which occur in genes and are passed from
generation to generation Sometimes a genetic mistake (mutation) can occur for
the first time in an infantor child when no-one else In the famiry has had the
problem, but in other situations there may Befamily members who have suffered
from the same or similar problems. There are several ways in which mutations
can be inherited - theseare explained below In an increasing number of
immunodeficiency disorders the precise mistake inthe relevant gene can now lie
identified in the laboratory, and this means that accurate counselling can be
offered lo the family, andscreening tests can be offered in pregnancy if requested
What are genes?
 Institute of Child Health
Great Ormond Street Hospital for Children
NHS Tww
Feedback/Contact us
Contact Information
Frequently Asked
Questions
Who arewe'
About the site
Publications
FEE
Welcome to Great Ormond Street Children's Hospital/Institute of Child Health. If you
have a question, please look through the frequently AskedQuestions to see if the
answer is there If not, please use Ihe form on this page to contact us
We are unable to answer queries or offer advice about specific patients and/or their
conditions through this website. Atthe same time, we recognize that visitors to our
website may require informationabout particular paediatric health issues Please check
out our family factsheets for informationon tests, procedures, operations, andvarious
paediatric conditions You can also readour archiveof Dr Jane Colims'Times column,
dispensing jargon-free advice on a wide range of paediatric topics.
| Choosea subject
Vour
name
Your
Institute of Child Health
Great Ormond Street Hospital for Children
NHS Trutt
Information for families The Activities Centre
[searchthesite CS3
Please use the indexes
below to findthetactsheet
you need
Or search the full
alphabetical index
nummnun
QDDDOISID
DDQDBDD
DDDDD
Download PDF of 'The Activities Centre' tactsheet
Contents
What is the Activities Centre?
Where is the Activities Centre?
Who can use the Actrvities Centre7
Who runs trie Activities Centre?
What is thereto do in the Activities Centre^1
What happens when I bring my child to theAetivies Centre7
When is theActtwities Centre open?
Special needs therapysession
vouih Group
Junior youth group
The Den
This page tells you about the Activities Centre at Great Ormond Street Hospital.
What is the Activities Centre?
it's a place where inpattents at Great Ormond Street Hospital can get away from trie
medical environmenl oftheir ward for awtiiie and have some fun ifs bright and
colourful, full of things to do and gives children attne hospital an opportunity to meet
other people their own age
Institute of Child Health
Great Ormond Street Hospital for Children
NHS Trurt
rch Clinical Services GOSH Inte
Search the site
Scroll through our statements, publications and
press releases, or learn more aboul Hie rich
history ol our work. We have been in Die
forefront ol child health lor over 150 years.
Contact us at (020) 7829 8671.
I
Kelogenic Diet
HtgMat chei reduces
severe epileptic seizures •
children. Reoomcre.
GOSH Kid* wins award
International ChiMnet award
gs*S to GOSH R«tO
Epilepsy Feature
Learn owe about
ground breaking advances.
in the treatment of epilepsy
3 June 2003
Non-executive director
reappomtea at Great Ormont)
Street Hospital for Cnfcdnw WHS
Trust Reea mom..
i . - • • , • , • . .''.i C •
. - • • I ' , .'in '
Great Qrmcnd Street HIcspita!
celebrated ten year* of
intensive care unit. Resa more
20 May 2003
H«a«hy start, healthy futures
The (y)ure of children and young
people's maternity ond neonatal
health services. Head more...
IM . ' i
Past and present patients united
to cete&rate opening of new
ward Ree<3more...
1. May ,'ni,
Hew appeal raises f.i.S million
for first-ever research chair m
 institute of Child Health
Great Ormond Street Hospital for Children
NHS Tru*t
Patients and families
About us |Contact us
[Search the site ; HE
Directorate of Nursing and Family Services
'«tierttf •mitylrrfo
ominfl to GOSH
-low to Get Here
(Uteri your Chrtd is Aclmflerl
nternabonai and Private
Mrii
•tealth Intoi martion Cw^re
HospitalWatmg Tirrws
lids MM) Teens
3OSHTots
3T
SOSHKids
•fospitaf Tour
tal School
niq Hei(3
9ef eavement Services
:rwptaincy
:hild Death Helpline
"amlly Advocaies
Social Work
«TWVf actsheets
ests andProcedures
Use this page as a gateway to our many
support services, or try exploring our many fact
sheets on medical procedures, ailments and
diseases We have a lively range of support
services for children and teens, including our
odio station (Radio Gosh) and children's
school
Holly WTwte undciwrfrt
piiinKeMfiit wurqeryat GOSH
•itlcr a bi *IH sc*n Khowcd
slip hnrt oiov moy«
Or Jane Collins column
online Popular Times
column dispenses jargon-
free advice.
A-Z of Chtlc* Concerts
Articles
Large at c hive developed
by our medical and
research teams. Rvnl
mof«
Joint website put* thi*
child fit st Check outour
new Teens and Tots
D/rect4647
NHSDirect online health
encyclopedia
Great Orrnond Street Hospital for Children
HHtInnt_, Institute of Child Health
Publications and
Downloads
Press Release Archive
Statement Archive
Backgrounder*
Ketogenic Diet: FAQs
Epilepsy Unit
Epilepsy: Did Vou Know?
Press Release Ketogenic Diet
Press Release: Trapdoor in Head
Ketogenic Diet: FAQs
Epilepsy Unit
Epilepsy: Did YouKnow?
._ Epilepsy Did You Press Release:
Great Ormond Street Hospital for Children
Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns I
Information for families When your child is admitted
|search the site
Please use the indexes
below to find the factsheet
you need
Contents
Getting ready for admission
Talking to your child
Packing for your child
For yourself
Electrical appliances
Telephones
imvMyimiiMjm^™
Getting ready for admission
Or search the full
alphabetical index
QDOQODD
DDnDDCDD
DDQDDDD
DQDDB
rease is may e cu or osewo ave oer c r e n a ome.
As a parent you are welcome to be with your child in the hospital at all limes (and at
no charge). We will always provide somewhere for one parent to stay althoughwe
cannot guarantee that this will be at your child's bedside.
A list of local hotels is also available from the family services department If needed.
Talking to your child
Get Invoh/etl | Hilon nation | Reseat ch | FAQs | Links | Heln
UK Newborn Screening Programme Centre
'Quality through partnership in newborn bSoodspot Kreenmg'
Welcome to the UK Newborn Screening Programme Centre
We hope vou will find this website informativeand a convenient way of receiving information on the
collaborative wotk that we have planned to assure quality in newborn screening sen/ices throughout
the UK We welcome yout involvement whether as a professional, parent or interested member of
the public and vou can find out how to do this in the 'Gel involved' pages.
Through this site we will introduceyou to our team and the purpose of our work in 'AiiQutjjj'. You will
also be able to access Information about our work and its context within the 'information'..iiafl6.§-*
useful glossary and key to some of the abbreviations used is also available here for your use.
The Programme Centre Team
L.ilesl Hews
News and information
FAQs
H5SH Questions answered (or parents
A clickable
,) of A UKsci eeiiliiii Ijl'
A partnership between
Useful links, including the Naj
LuJdbirthl
.
mi Great Ormond Street Hospital for Children ft'/M JS^,1
.1
,'.;;;,'™ >? s
NMS Tluil 1^3 h»>.
Institute of Child Health Great Ormond Street Hospital for Children
HHSIrult
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...come to GQS/ICHto study..refer a childto GOS contact
Denise McCormack
International and Private Patients
Email: mccord@gosh.nhs.uk
Phone:+44 (0)207829 8633
Fax: +44 (Q) 20 7829 8635
To refer a child to GOS for private treatment
please contact Denise McCorrnack. Vi.fe will
require the latest medical report in English
before we can refer any case onto any
Specialist.
...ccrtact a doctor at GOS for an opinion
Denise McCcrmack
International and Private Patients
Email: mccond@gosh.nhs.uk
...en short courses at GOS/ICH
Courses and Conferences Office
Email: courses@jch.ucl.ac.uk
...find out about fundraisirgfor GOS
Fundraising Office
...contact a pstieri at GOS
GOS patients do not currently have email
access. However, older children can access
the internet in the hospital school so they can
be contacted via their hotmail or similar
address. Check with the child first.
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Great Ormoiul Street
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NHS Trust
Great Ormond Street
The new joint website of Great Ormond Street Children's Hospital and
the Institute of Child Health
Welcome to our site! You can view our legacy pages from our old site, or
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News
Eight million babies worldwide die
before they reachthe age of one
month, 98 percentof these are in
developing countries. Cheap and
simple investments in health care
could save millions of newborn lives,
according to State of the World's
Newborns - a new report released by
the ICH-based charity Women and
Children First (WCF) - inassociation
with Ravp thp Chilrirpn riJRI Rear)
Search the site:
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Events _
4 November 2001:New York
Marathon Run the big apple
for little children!
21 November - 5 December:
Young World Concerts 2001
Series of concertsbyschool
children from across the UK,
to raise money for GOSH.
13 15 November 2001:
si•••ftIsiict nruk" "Tha
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Through its innovative research
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programmes, the Institute of Child.
Health lias createda world class
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of childhood disease. Togetlier
with Gneat Qmnaiid Street
Hospital, it lias nude a major
contribution to tine health and
well-being of children and their
families worldwide.
THF OIIFFK'S
This site is designed for clinical and research
professionals. If you are a member of the public,
please visit the about us page for more general
information about our work.
News...
A new academic unit at ICH
A new academic unit, Infectious Diseases
and Microbiology, has been created at
the Institute, headed by Nigel Klein,
Reader in Infectious Disease and
Immunology. The unit will be within the
Theme of Infection and Immunity, and
will be the key element in the formation
of the new Friends of the Children of
Great Ormond Street Centre for
Childhood Infectious Disease, due to be
established as part of the development
of the Institute in the next few years.
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Annual Review 1999
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Addresses:
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Phone: +44 (0) 20 7242 9789
Fax: +44 (0) 20 7831 0488
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Children NHS Trust
Great Ormond Street
LONDON WC1N 3JH
Phone: +44 (0) 20 7405 9200
Fax: +44 (0) 20 7829 8643
Ask GOSH a question: info©gosh.nhs.uk
For information on...
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Private Patients, or contact a
doctor for an opinion, contact
Denise McCormack
International and Private Patients
...come to GOS/ICHto study
... short courses at GOS/ICH
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Email: courses@ich.ucl.ac.uk
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Patients and Families
Welcome to our patient and family services!
Use this page as a gateway to our many
support services,ortry exploring our
many fact sheets on medical
procedures, ailments and diseases.We
have a lively range of support servicesfor
children and teens, including our radio
station (Gosh Radio) and children's
Ask
Dr Jane
Collins..
THElMteTIMES school.
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When your child is
admitted
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Patients
Child Media Getting Help
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Chaolaincv
tiff*"Pifllr
Ellie (above) from Chingford,
East London suffers from a
rare neonatal disorder, PHHI,
which has puzzled doctors
and scientists for years.
PHHI is when excess insulin
is churned out bythe baby's
pancreas. In severe cases
like Ellie's, the pancreas is
Institute of Child Health
Great Orrnond Street Hospital for Children
NH5 Trust
Ask Dr Jane Collins...
Dr. Jane Collins is a consultant paediatric neurologist and is the chief executive of the Great
OrmoiHl Street Hospital for Children NHS Trust. Her column appears regularly in The Times of
London newspaper.
Articles
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1
ICH & GOS Trust 2001
Asthma - The Times, 25 Apr 2000
Asthma affects one in seven children in the UK. The
prevalence has increased steadily over the last 30 years
and there are now more children than ever before with
asthma. The good sign though is that the rate of increaseis
beginning to level off.
There are several theories as to why more children are
suffering from asthma. The hygiene hypothesis, which may
also be relevant in food allergy as mentioned a few weeks
ago, is probably the most convincing.We are living as
smaller family units in better insulated, cleaner homes and
children today are less likely to be exposed to germs in the
environment. Children don't have the same opportunity to
build up their immune system by fighting infections.A strong
Ask
Dr Jane
Collins..
THE*fnftTIMES
A-Z of child complaints
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information tor famines Guidelines and Treatment of Anaphylaxis
Please use the indexes
below to find the factsheet
you need.
Tests and procedures
Operations
Illnesses and diseases
Miscellaneous
Or search the full
alphabetical index:
Download PDF of 'Guidelines and Treatment ofAnaphylaxis1
factsheet
Contents
Introduction
Anaphylaxis
Antihistamines
Inhalers
Epinephrine
Using an Epinephrine autoinjector Epipen®/Anapen®
After use
Looking afteryour autoinjector(pen)
Going to school
Accidental use
How an Epipen® saved Lucy's life.
Useful contactaddresses
Introduction
This leaflet explains anaphylaxis and what to do if your child suffers from this severe
form of allerqic reaction.
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estiva greetings from Great Qnrnond Sfriret Children's Hospital and the Institute of Child Health!
lick the presentsto unwrap our top health tips for families this season (or click, hern for text only version] —
and keep the Yuletfde [jollies lolly!' Each gift contains a hidden gem provided by our team of virtual sanfa* to help parents
and children avoid any pitfall*, and ensure a safe and healthy holiday season,,.
(Dill n.ECHUT'JtE.tQH
Why do we seeim to hove rows over Christmas?
The ruf.....i up Ti: Chriglmas c.an be ej^'iuusi-ig und s"i
::f 1lr......louql......it, time and money aces into prepui :ri::<i•......I ' Mill"
tifrpe.....fictions for in joyful break r::m be rwgh. 'i
difficulty srwiitching off:
frtM.....n work, tiredii.....less and
•::i;.......nian i:n"i all set off raws..,,
I. A L:i
Planning, pacing and a flexible approach can help pi r,i
tempers from rising, li k unlikely Ihal every m-einb......or cHho
family wil have the .same idea a'bout whoit make.:, o goad
Chris1mQfs. Manke a famiiy pIan, including s-c-nielhing ij':
evaryone and decide who is dbing wbat io help and v/"i. -i. h
may be v/orfh g^ing through the TVguide and -sortm i « jl
clashes befcNre they arise, and have a vidbotapa ready ;
':-i
Chrislrnas dinner over runs.!
Vt%»
&
Being Rtedble aibc«u1 when and how things are do-'-: will -avo
disappoinlnient w|ien things do noi goto plan., Gc^ng •» . i
family walk aftef a big dinner will help any stress 10diiaii- i
Cdrmjchcwf^ Cjfnicol Psych
fGOS-N
o On-
has voted PlayStations the number one toy
for boys ibis Christmas, I* there any limit on the
amount of time children should Spend on PlayStations?
WHhoul a doubl PlayStations ore pocd'or a-id thl nd
odtills!' con spend many hours secnhngly glj--
s and cornpuler games-can be -lelp'ij [
-M
dexterity, and seme gomes arc m-crrtolly
li niciry bff Ihnf Pl:iyf:1nfinr-i;; ar"™ rnc-rc1
- pc-n.'Mr v, i I H- .•
ci re i'n<:'. | i :• :;ivpilabl« npp^nl i!
;i l-ri '!"!!!• '
r:!'"'hL:':in i;. M-:I" so i'F
''i,,,.T'j
i flic PIaySic ri-:ri', ''|-; -
nind IlKfi Si»hylh ::i 1
iiiK^ .| • I i i
(ririciwd IW rcinfnr.: i'i. | . |. -i. I. i I. • • • - !-.'|
rin i :!r<: '-iiiv-:;,: h::i"! , : - ! M - : •• • f 1:1 r - r:i '.c:l
:i:|'-|'i',-'.|v, | ..... :: I ; hi r- i ll '. WTIp* - l : i ' i " ' • •!
L : . • ::svprc of ^' I i i n I
!:iC'lr:: rlhliliivi hnv:: developed rcfirlil;v - . ' i - i i 11 |.ui-
: -lild i'; pioinp T> 'ipn-id i 11 i il'i
i::ivi-ii.| i:rf:Mil'Oii la sent' I ioi I I'L • msul.
• : i:-, •! L: key -- if your child -i.|n.| :i I .l:r.- nl.i. I i..
1-K! ;-:.'i si.l it is lime tt: ihiiik loytrl i i •
i
Pti/.If C. .-'i:.:ii'
•::iJl' |GOSH
Are there any dangers in children not getting enough
sleep over Christmas?
/I. sip ijsii^':. i growth and restoir0tiion uf I- i no
universally right £r wiong sJtiiip ;n:rK:i-i. VvTni-
ividudl :i!H..I ll i lly i:-. -Lit! fi^r solu1i::;-i. : • Plfl OTI
i±xd1iii!;| till':' ">:.<( d'iildrtif i:h:.l normal :;».::him..; i:::.rj-n.: i- !l -i
disrupted. In tlit- l-;ny run uf can be k
children k? be Flexible and enjoy the moment, ralhei t'i« i <
worrying too much about a litfle loss of sleep, he-..
difie-- in the r nei?d for deep and! pare'iis will '<now F I'loir ctuld
ii getting ove- nred. Lack csf sleep can lead to shc-i i
tears »n childfen as well as aduhs. !f yc-ur enId b-.
1 red amd iiTitable, "ake same tune out to quid v -o-jcl -:i .lory or
go far a walk in the park -- and perhaps plan TOT- bech
little ecnlier thai nghc. Even if bedtime is later than usual, I
plenty ;;;•? lime to unwind and go through usual
ur child Has o gccd hedtime re j'i-ne and usually E-kc-pi. I
a little less sleep or a brief change »n routine is ur
long t-enn problems.
mira* RsychoJogvst a^ Grcot O
Depression i.s ^amclhing that can affref many lernagen over
Chrislnrvas. Why do you think this is and are rlvr-cr any tips for
preventing it?
Juii'iy :j:J"jle.".eM:.L I'.''. i.l Jtif'i iefil" ":j -1
*!
•2i IndividktO't and segrr Ic devcloa independence, a i« :. li i • I
'ror? Iheir I'aTiilies. Pw approval and 'joi-m.'! of peers
;;, moiw imparlanl fhan (-i.il o! Iheir family
Chi'i-jli'VKi; CCM b* 0 li '""if v*tn:-n rconag^-' •
,' I ii>ii i j ilily Ili0«l llie"f- Or't' J>L . '•-• I" •
cvil Iheir developing indepcftdence. ;
PL! -ic in-iulD pr-ividt QppOilunilies -.<i i
l i:; :;,'.id a1 ^acs; value. Nfigptiale ratmilly e*pe •
'.-tit-A r.ir- i;:-p.'i:.Tiir::l iri comp«icwnis€
'.^jn 'jflfiii ifit'"'' "'<'-•.:•:.))• a-""-iK"i:.U«'-.iMFlll : ,:.! .1 ,
lo Iricvi- I'iiu c I ei«;nc«r belween wriof ^ J ^J^^I'M •
depresaion. Deptres*io«ii '•.* '-'crt; tc-'-'iT'ion a
chi'ldrffii,. ^arliculairly in girl'j. This may se linked 1o romonal
.-•rlv Of 10 -1
i* di'ii-ii I;] (fir
occepf
..: ! • • • •
l*K-ei I', I ' ;.lt"0ru:
' i N •
J
or esOmpTfi an in-porl-jri' rclaFonsfnai or nol acln-
goal
.-«..-> .jifiic'jll' r<> sf'Ol dr. • I • n odo%SCQfitE, 5iQ ' • -' I-
ilic'iTilliu-Sl Wilii 1iji"'iilv. :
-
.: •••nig JD hobbiea, Iccsing mlereal in ichool w ndl doing •••••jll. ••:. ',-.
icjlheii wrth co'ioenl ro'lirig Olher sig-rs are ovTer-e-Diliny .1 •' eahrta
enough .ind cnaiiges n jlsep parrerna. In sane case; n-i .i I- I /ho i;
• • •'",. ' :; fci" n,;L ; MJC ' •<=. dn "i ti'in 'OA W ,"""' :"» flying i--l-
liijiii-,,, I' a yiV.}jlO»l-. IJt'L.
''alkng aboji:
worries doe"i noI ieer
n lo bnvfi1
helped', leek
i
:." .!
i. •'_«'.!•' coil -if-1
-''-'"-i" "
Are there any risks involved for children blowing up
balloons? How can 1 tell if my child has an allergy to
balloons and how should ( deal with it?
You wen.Id ihink lho1 tj balloon should i -./I : >:i ri I ii.t i
F:.i:T J1 cam £CIUst: r-tiv'tirtf rtitirt i.:-i • i'i :E...::L: L: Wi i ilk - <   :
• . Ti- i;. (:, :;*..: UJs*.: -i..bber ball::: " r> . : . . ' i • •• I
:rid, i.l-.. 1he balloon ^"' ^h;!M il ii blown Up, "I l«f
Flisii off >n1o ^TI? air and can be inhaled, cajsng area 1-1
affected indivickjals. Runny nose. rc»iy eyes, swelling around the
lips, may all be early signs of a reaction which cculd lead to
and breotfimg diFficuliie;; Avoidance ^ "l-c iJ_-ijl
making sure all your family andfriends knawabaurl i n
problem. Foil ballscna are fire.
Terry Duradr - Ciin-ica I j-yppJit s AcK'-Jsor -at
What Christinas foods cause the most serious allergies?
Your child may not be diagnosed :is I.K: i;:| :ill:'i:|ir. I : hi
•i it iv suffer fii;;rii arlier allergies &u;ri a^ u:-.1l I
;H food ul ; i :•, vijin as Sdwi fruit, bananas^ - i ' I
somethiir;i| ttltIT i^ P::L:L||:C «n Chn:-/i . - ii flf.
f::::Jv M:l'-i.: :i f.r'otfiin iimiBar 16lalex, i l l 'I r i if
Chrislmas is a time when 'nibbles" are lefl our, parlkulaiI
c-eonu^s. Small children have a tendency ta pick up ?
l
it-en's and either swallow them whole getn-ig i I-K.U
gullet) o- sHck them in iheir noses or ears. Also rry o>
remember to cut up food into small pieces Ob
r properfy. On© of the problems v/e ofien sec u our operating
1'-iea1rt?s over the holidays are chunks CT meat "In
c1 n>
stuck.
Durack - ClmJCQi S A^sor at
Should parents be aware of any dangers involving
child rein when putting up Christmas decorations
around the house?
Candles and fires 1hat look real have become popular - r- I
those little dancing flanes attracts nc-1 only ' LIVQ flam
should nsviflr ba left unattended or where little hon.l >
can gel at them.
Speaking from personal! experience, glittering li.i i baubles
are like magnets ta some children: smashed dec-: i i Lin be
the minor problem if a child pulls Ihe 1ree O'--c >•.•-•!
brother was two years aid he did It twice with n-:  
fortunately). Live Hally berriesthai fall off a^ dry
is nor a recommond Food for -anyone cxccpl b«rds. A 'U,
bfrighlly coloured thing lho>- con ^all ofF a dccorolic'i 'H. iy spell
danger For small people, SO be
Duraclc • Cl'i:
n;ra I S-ypplk's Advisor o' UL>SH W^f
What are the common respiratory child ailments over
Christmas and are there any measures that parents
can take to reduce the onset of these-?
We all know that the wintei cirii ChirL-.l-riu:-. vn- i :i •/-i iul.-:c
vilh an increase in LOL; i Lokk. On: vi L.•. wl i:l !>'
'^•irrurt in: i:. rhe Rj*spiral&fy 'iyi'citial Virus |RSV|. 'Ihi i:. ihe
'iici r :>i,.>so ::f bronchiolife", a lung infect.' in. '•"•'•nli- mo
|usr suffer sore throats and feeling Ibusy *'icic cie a groupoF
chifldren who are at grealast risk. Th« I ona year
aids ni I'-iis age group, the vims may o: ":
]' ""';i.
wheeling, and difficult/ with breathing and i>: i
•earned in the air and spread by coughing i • i :j. Vv'|-i e M
s impossWe ^o prevarit babnea catching ir (un|:
-
n sn -cofan v^sol;, yo-u cam reduce ihe cl i • i r
cy sunpie methods, i^ you "iave a cold !her try on.1
cuddling -and Wssirig other people's babies. JL. • >  •
covarlng ycji' irouih when coughing and since. ou will
Deduce "he saread of <be vims.
Another rsspiratory disease which is often m<:< I- i'i v/n t
is aslinnici, There arc mony children who Duller -n-i.-c ri-Jl-mai
because oFHie change ir wodfhor end r>( oaa i'i viral
III is impcHaiinl 1o follow simple hygic'm i «l ••. i
discussed above If you have aslhma., Ihcn M is v. ml
Ihal you Follow your doctors advice^, pdrliculbrPy don'1 !
lo
lake your modicincs over this lime o^ year
How nutritious is the traditional Christmas lunch for
children?
Pile
The first course of the irodtfionol ChiistMrnois lurtdh wiHi
i.illiri'-| p. .':ii::f! . ii'id two Io three pprlicns of
i :[:>:id rjcllriiKe of ilelny frpm different rGOtfo
"i«:i1, Slar<hy F&odht 0*ld different kinds O'l V'>:|;:l.:irj!!i;:i.
plenty ol uiegstdbfes omJ pio cosy with Htf: aJutnirtg
potatoes. Tne ChriglrwciS pudding and mince pies and
acL^mpanimefiK tjre very high in fiat and are not a goad f:: h:v/-
:i-i ;
.:..r such LI heavy first course. Think about saving the
'ding and mintti piss; for later, t;:< f:[lli::'A.' a lighter mtxilr and
• j:::vli1ute o fresh fruift salad or some jelly or mefingges. Ybu con
cut down on the fat in the main course by not eating ttie skin of
the Huikey -- most af 1he fal is just ,jii;.lt:r 1-u: :iki-i, or by no1
putling butter en the vegetables and by boilf:| 1-iu L::rallies
i:.rlii ;.'! triern in the oven fst a final rcosl with cmfy a
ii'iiijl ».i i-:,.i..-i" of fat. Try10find a Chfisfmai puddii?:] Ihut ui-is
fy :F:
dried fruit and not much suet. And instead of the
cream 01 urnidy tn-llt!!,, try a lew fat ice cream, custard made
wHi skimmed -nilk or IDVV Fat'fromage frais mixed wiih a toutn
Margaret' iLawEon, GOSH DiefJaar? and Senjor Lecturer  n
at tj-*ie .'nsfiturti of
bi
. . .-,
Should parents feel guilty about their child eating lots
of chocolate over Christmas?
L ulingj ° I'-'1 c
-'r
fliL:':>--l:iit! :;VL!"' tj v-k.-rt period of time probably
;.i I mi ".:•much. &y1 potiing a let of tunphdsis an
i Chrifilmas sends out n us. :i> |.. s •>:> y^ui•":;.) children
1hcif chdeitilorti ii importtjrir. Tht: :ki-igtin-- i.s, then they will
continue to Wtint 1G eat liils of at uflt!! "ht; ;
t!i1i'/i! :-.i!:i:-.::ri, ;jnd ihis
could lead to problems with waighi and wjih tee'h.
Encourage everybody -- adults included -- tc dip inlo healthier
sUil"i as grapes or IcHle salsumas or tangerine's.. OHier
iuch as papcorn and nuts, can aUo be a good subsHtute
the family wants something to n bble -- sc make sure that
there are bowls of these f:;::-ds rather than dhocolaJes, Hide the
chocdlates away and cn^ bring them out afler niaals, when
hopefully nobody will have too much appetite for them.
et Lawson, GOSH Diencian and Senior Lecturer
Raediofrk Mufrtdan ar rht; li-sfiru^e of Child Heorm - ftn-
Institute of Child Health
Great Grrnond Street Hospital for Children
TINS
Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns
To p C h r i s t m a s H e a l t h T i p s
f r o m o u r E x p e r t s
Festive greetingsfrom Great Ormond Street Children'sHospital and the
Institute of ChildHealth! Click hereto see the animatedversion, or read onto
keep the Yuletide jollies jolly!Each tip is providedby ourteam ofvirtual santas
to help parentsand children avoid anypitfalls, and ensurea safe and healthy
holiday season...
Top tips
1. Why do we seem to have rows over Christmas?
2. Is there any limit on the amount of time children should spend on play
stations?
3. Are there any dangers in children not getting enough sleep over
Christmas?
4. Depression
5. Are there any risks involved for children blowing up balloons?
6. What Christmas foods cause the most serious allergies?
Institute of Child Health
Great Qrmond Street Hospital for Children
HHS Tmsl
Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns
C h r i s t m a s H e a l t h T i p s
our E x p e r t s
Top tips
(Why do we seern to have
rows over Christmas?
'Is there any limit on the
amount of time children
'should spend on play
stations?
Are there any dangers in
ichildren not getting enough
sleep over Christmas?
Depression
'Are there any risks
involved for children
blowing up balloons?
What Christmas foods
cause the most serious
allergies?
Should parents be aware
of any dangers involving
children when putting up
Christmas decorations
around the house?
What are the common
respiratory child ailments
over Christmas and are
there anv measures that
1. Why do we seem to have rows over Christmas?
The run up to Christmas can be exhausting and stressful.A lot of thought, time
and money goes into preparationand expectations for a joyful break can be high.
Financial worries, difficultyswitching offfrom work, tiredness and differences of
opinion can all set off rows.
Planning, pacing and a flexible approach can help prevent tempers from rising. It
is unlikely that every member of the family will have the same idea about what
makes a good Christmas. Make a family plan, including something for everyone
and decide who is doing what to help and when. It may be worth going through
the TV guide and sorting out clashes beforethey arise, and have a videotape
ready for when Christmas dinner over runs!
Being flexible about when and how things are done will avoid disappointment
when things do not goto plan. Going outfor a family walk after a big dinnerwill
help any stress to dissipate.
Potty Carmichaet, Clinical Psychologist at Great Qrmond Street Hospital (GOSH)
Institute of Child Health
Great Ormond Street Hospital for Children
HHS Trust
aM
Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns
Top C h r i s t m a s H e a l t h T i p s
f r o m our E x p e r t s
I optips
Why do we seemto have
rows over Christmas?
Is there any limit on the
amount of time children
should spend on play
stations?
Are there any dangers in
children not getting enough
sleep over Christmas?
Depression
Are there any risks
involved for children
blowing up balloons?
iMiat Christmas foods
cause the most serious
allergies?
Should parents be aware
of any dangers involving
children when putting up
Christmas decorations
around the house?
are the common
-espiratory child ailments
Dver Christmas and are
:here anv measures that
1. Why do we seem to have rows over Christmas?
The run up to Christmas can be exhausting and stressful. A lot of thought, time
and money goes into preparation and expectations for ajoyful break can be high.
Financial worries, difficulty switching offfrom work, tiredness and differencesof
opinion can all set off rows.
Planning, pacing and a flexible approach can help preventtempers from rising. It
is unlikely that every member of the family will have the same idea about what
makes a good Christmas. Make a family plan, including something for everyone
and decide who is doing what to help and when. It may be worth going through
the TV guide and sorting out clashes beforethey arise, and have a videotape
ready for when Christmas dinner over runs!
Being flexible about when and how things are done will avoid disappointment
when things do not go to plan. Going out for a family walk after a big dinner will
help any stress to dissipate.
Potty Carmichaet, Clinical Psychologist at Great Qrmono* Street Hospital (GOSH)
.'
; Institute of Child Health
Great Ormond Street Hospital for Children
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Top C h r i s t m a s H e a l t h T i p s
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Why do we seemto have
rows over Christmas?
Is there any limit on the
amount of time children
•i ild spend on play
stations?
Are there any dangers in
children not getting enough
sleep over Christmas?
Depression
Are there any risks
involved for children
blowing up balloons?
What Christmas foods
cause the most serious
allergies?
Should parents be aware
of any dangers involving
children when putting up
Christmas decorations
around the house?
are the common
respiratory child ailments
over Christmas and are
:here any measures that
2. Research has voted PlayStations the number one toy for boys this
Christmas. Is there any limit on the amount of time children should
spend on PlayStations?
Without a doubt PlayStations are popular and children (and adults!) can spend
many hours seemingly glued to the screen.PlayStations and computer games
can be helpful for developing manual dexterity,and some games are mentally
challenging.
It may be that PlayStations are more popular with boys as there are more games
available appealing to their interests. The problem is not so much the
PlayStations themselves, but the contentof games and the length of time spent
playing. Some games have been criticised for reinforcing gender stereotypes,
and there have been some concerns raised about links between aggressive
games and behaviour.It is important for parents to be aware of the contentof
games and how long spent playing them.
Some children have developed repetitive strain injuries. Ifyour child is going to
spend time on a PlayStation it is well worth paying attention to seating and the
position of the consul. Balance is the key-- ifyour child is spending all day glued
Institute of Child Health
Great Ormond Street Hospital for Children
MHS Iklll
Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns
Top C h r i s t m a s H e a l t h T i p s
f r o m o u r E x p e r t s
i op tips
.WViy do we seemto have
rows over Christmas?
Us there any limit on the
amount of time children
^should spend on play
stations?
Are there any dangers in
^children not getting enough
sleep over Christmas?
Depression
>Are there any risks
involved for children
'blowing up balloons?
(What Christmas foods
cause the most serious
(allergies?
(Should parents be aware
of any dangers involving
(Children when putting up
Christmas decorations
ground the house?
What are the common
respiratory child ailments
^ver Christmas andare
there any measures that
3) Are there any dangers in children not getting enough sleep over
Christmas?
Sleep assists in growth and restoration ofthe body.There is no universally right
or wrong sleep pattern.Whatever suits the individual and the family is the right
solution. Christmas is an excitingtime for children and normal bedtime routines
are often disrupted. In the long run it can be less stressful for parents and
children to be flexible and enjoythe moment, ratherthan worrying too much about
a little loss of sleep. However children differ in their need for sleep and parents
will know if their child is getting overtired.Lack of sleep can lead to short tempers
and tears in children as well as adults. If your child becomes overtiredand
irritable, take sometime out to quietly read a story or go for a walk in the park-
and perhaps plan for bedtime a little earlierthat night. Even if bedtime is later
than usual, leave plenty of time to unwind and go through usual bedtime routines.
Ifyour child has a good bedtime routine and usually sleeps well, a little less
sleep or a brief change in routine is unlikely to cause any long term problems.
Potty Carmichael, Clinical Psychologist at Great Ormond Street Hospital (GOSH)
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Through its innovative research
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Ask Dr Jane Collins.
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Ormond Street Hospital for Children NlIS Trust. Her column appears regularly In The Times of
London newspaper.
A / ul child t:uui|»l<iiMlH
nnnnnao
DDDDD
Asthma - The Times, 25 Apr 2000
Aslhma affects orra In suvyn chlldien In lha UK The pwvalenca has
Increased steadily ovnti the last 30 years and there are now more
children than ever before with asthma. The good sign though Is that
the rat* of Increase Is beginning to level of!
I rm» art several theories ai to why more children are suffering from
asthma Tim hygiene hypothesis, which may also be relevant in food
alltrgy as mentioned a few weeks ago,Is probably the most
convincing We ate living as smaller family units in better insulated,
clainer homes and childrentoday are less likely to be exposed to
germs In the environment, children dont havethe same opportunityto
build up limit Immune system by fighting infections A strong immune
system could offer protectionagainst as number ofthings, including
Ihu all*iu»nsthaltilggei asthma.
Wt ar* certainly better at recognising the signs and symptoms of
asthma nowadays and that could also account for a rise in those
Ask
1Dr Jane
I Collins...
THEiflHfeTIMES
^j Institute of Child Health
Great Ormond Street Hospital for Children
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...juusu
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How to refer a private patient
toGOS
Email: privateinfo@gosh.nhs.uk | Back to the top
fflOUS/ICH Trust 2001
Great Onrond Strxt ftospilal for Children NHS Trust. Grot Orrmnd StrMl. Dniton DUCIN3JH
Tel rf4(OJ20J«5620), Fan : t*t (J>20 7828 8843
and Tht lnstkut« ot Child Health. 30 Guilferd Street. LmdonWCIN 1EH
Tel: 444 (0)20 7242 9788. Fax: 444 (0)20 7831 0488
limitm? ul Clii/rl lit tilth
Great Ormond Street Hospital for Children |
IHHS Trust
Pltiintl illd Fumlliln Health Professionals Research Clinical Services GOSH International Press Office Camp
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Hey kids!
Welcome to GOSHKids!
Click on the buttonsto the left for awesome articles,
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The hospital has taken two significant steps to make Its
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GOSH chief executive tackles top issues
Dr. Jane Collins, GOSH's new chief executive, used a
well-attended staff forum to further explore long-standing
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rumoured move to a new site.Reaof more..
:ck eh*
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W«lcomt to th* recruitment pages of the Great Ormond Street Hospital (or
i. iiii.n mi NHS Trust and th* Institute of Child Health. We are:
• Aworld-renowned centre for cutting-edge research andcare
• Nowembarking on a major modernisation programme ofourfacilities and
services (please click here to read more about GOS200D). We care for
childien and adolescents who suffer from serious conditions and who are
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Further Information
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The Children's Pain Assessment Project
This site was f
Dtctmttr a, 2002
Comments, suggestions?
Email Liz Bfuce
This project is based In Great Ormond Street Hospital for
Children and the Institute of Child Health.
The Children s Assessment Project (CPAP) is a three-year practice
development project run by Liz Bruce (Clinical Nurse Specialist) and Linda
Franck (Professor of Children s Nursing Research) at Great Ormond Street
Hospital for Children. London, UK, and funded by a grant from the Foundation
of Nursing Studies.
0 Background and contact information
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ISO
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• •OMCHHW1M1
Grut Orrrond StiTO Hospital tor OiiUnti NHS Tnjst. Glut Oimond Strw London VCIN3JH
T«l +4400)20 7409 9200, Fax: *44<P)20 7829 8043
and lh« Inftkmt ol Child Haalth. 30 Gudtord Stwt, Uwdon VUCIN 1EH
Institute of Chile! Health
lies Health Profess
Great Ormond Street Hospital for Children I
HHi Tmsi
Clinical Services GOSH IntBirnation
Overview of GOS2000
Overview of GOS2DOO Nei
Introduction
The hospital is embarking on a multi million pound redevelopment
plan - GOS20QG andbeyond - which will encompass huge changes to
both our built environment and the way we provide care to our
patients into the next millannitim. HeiU'K how this woik is developing.
tine
A .11'.: I.' 'Ill ' i»i|iii| »<•' I'l.m Annutl Clinical
Governance Report
.•IMPII -nut
Page -1, 2, 3, 4, 5, 6, 7, 8, 9,10,11,12,13,14,15,16
Contents
1. Modern times need modern solutions
2. Changing face of COS
3. Building for the future - longterm benefits
4. Famity-oriented care
5. People power
6. Doing what we already do... better!
7. Changing the focus
8. Working together across theUK
9. Staff accommodation
10. Redeveloping our site
11. Four phases at aglance
12. Major milestone reached
13. What our patients want
14. Here's what one young patient hadto say...
15. Ourteenagers thought this...
16. Investing in our future
Author; Suzy Sharp,PublicationsUnit, ext1020
Line manager: Nigel Clark, Executive Chairman ot Fundraising and
Public Affairs
i;j i.M-.'ii iHiu.t 2001
Omit Oimond Sir** Hotpkil tor CMdran NHS Thm. Or** Oirnond Strait. London WC1N3JH
s Institute of Child Health
Great Ormond Street Hospital for Children I
MM'S ITUJL
Annual Clinical Governance Report 2000/ 2001
The files are available as pdf format, which requires Adobe Acrobat Reader, if you do not already have the software ft can be
downloaded free from their website.
Click here to download a full PDF of the Annual Clinical Governance Report
2000/ 2001 or choose from the sections listed below
Contents
Introduction
Clinical governance is a national framework through which NHS organisations
are accountable for continually improving the quality of their services and
safeguarding high standards of care bycreating an environment in which
excellence in clinical care will flourish.Read more...
Key tai gets for 2000
Annual Report 2i
IllStitHlf tll'C.hilfi llt'illlh
Great Ormond Street Hospital for Children I
HH S llrust
1®1 Mhntlmd FMllta Hlllth Profmiongll Research Clinical Services GOSH International Press Offic
Annual Report 2000/0'
The fttei are availtbh M3 pttt totmtt. which require3 Adobe Acrobat Reader; if you do not already hove ttte software it can be
downloaded free from /<•>.'. .*
Click here to download a full PDF of the Annual Report 2000/01 or choose from
th* Motions listed below
Chiiii'% II.IW.IH!
Oui mission Is to Improva the health of children by being a leading centre of
excellence In Europe for specialist paedlatrlc services and for research,
evaluation and education In child health. Wesd more...
duel executive'
We provide specialist paadiatric services for the UK and beyond. We house 32
medical specialties, more than any other children's hospital in the UK and treat
Sjf
(JiJiTi-iwa
•fcta
Qutnyi
Annual Report 20DOS01
k j '
Research Review 2000
j. Institute of Child Health
Great Ormond Street Hospital for Children |
HHS Tnust
Patients and Families Health Professionals Research Clinical Services GOSH Irternmior.al Press Office Campaigns
Research Review 2000
The files are available as pdf format, which requires Adobe Acrobat Reader, if you do not already have the software it can be
downloaded free from tfie>r website.
if you would fide to print any of the pages, ptesse note that the Review is not formatted
for A4 paper so you will need to sefectthe 'shrink fa fifoption from the Acrobat
Header Prtnt Dizfog box
Contents
Annual Report 2000/01
Front section, Including
• Review of2000
• Dean's Report
• CNef Executive's Report
• Report by the Director of Clinical Research and Development
Research Review 2000
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents
GOSH Child Health Portal Project 2001 to 2003 Key Documents

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GOSH Child Health Portal Project 2001 to 2003 Key Documents

  • 1. Great Ormond Street Children's Hospital and the Institute of Child Health www.gosh.nhs.uk Want to help Children? Here & aroundthe world
  • 2. Stacey -Jane Why we can do this well Unlike commercial for-profit websites, we are under no pressure to compromise our content. We are also a stable, public institution which will not go out of business. The Boston Consulting Group found that most commercial online health ventures were failing. They also found that these ventures fundamentally misunderstood how patients and physicians use the web. Trust also came up as an issue. Most patients were wary of online information and tended to trust universities and medical associations over commercial websites (we are associated with University College London). All our content is produced in direct consultation with patients, families, physicians and nurses. They know what they want and we strive to deliver it. We also have strong relationships with the wider UK government e-initiatives, including the NHS Direct online health service. Through these portal sites, our content is able to reach a vast audience. Stacey-Jane Panther had surgery at GOSH to correct the effects of Perthes disease, which interrupts the blood supply to the head of the femur (thigh- bone) and makes hip movement painful. The operations were followed by physiotherapy. Spending time in hospital did not mean 11-year-old Stacey missing school entirely: GOSH has its own school, which is used by thousands of children every year With a staff of 21, it welcomes all inpatients of school age and teaches youngsters on the ward if they are not well enough to come to the schoolroom. The school was praised last year by inspectors from the education watchdog OFSTED.
  • 3. Amy Amy Saunders has been completely deaf since birth but at the age of three and a half she listens and talks almost as if there were nothing wrong. A cochlear implant, inserted last year by surgeons at GOSH, enables her to 'hear' by converting sounds into electrical signals that stimulate her auditory nerve. That means her language skills are developing as normal. "I forget she's deaf," says her mother, Jill. "She's always telling me things and singing. It's the nearest thing to a miracle that I'll ever see." More than 170 children have been given cochlear implants at GOSH since the programme began in 1992. Who are we? Our strong brand, world renowned for 150 years, is now online. The Great Ormond Street Hospital for Children works hand-in-hand with the Institute of Child Health (affiliated with University College London) and South Bank University. The Institute and the Hospital sit beside each other in the heart of London. It is a collaborative and dynamic relationship, where world leaders work together to provide the widest range of paediatric specialties in the country, and the largest paediatric research and training centre in Britain. For families and patients, this ensures that the treatments at the hospital are grounded in the latest developments and meet the highest standards. All areas of the hospital take part in research, including a particular focus on research by nurses and professions allied to medicine. The Institute and Hospital's research and development strategy is based on research themes targeted at meeting the health needs of children. The seven themes are: • Biochemical and nutritional sciences • Cardiorespiratory sciences • Genes, development and disease • Infection and immunity • Neurosciences and mental health • Population health sciences Who uses our site? • Doctors, nurses, researchers/scientists, and patients and their families of course • We treat some 100,000 children every year • Number of site users per month: 72,841 (Sept. 2001) • Most users find our site through: Google search engine NHS.uk portal site • It is estimated that more than three million children in the UK have access to the internet. They could all be potential users of our site if the content is right. (Source: Jupiter MMXI)
  • 4. uacK Jack Smithson, 11, was born with a cyst on his brain which caused uncontrollable seizures and weakened the left side of his body. He underwent a hemispherectomy at GOSH to disconnect the left side of his brain from the right- a surgical procedure that helps to control seizures in about 80 per cent of patients. GOSH developed the UK's first service for children with severe epileptic seizures, which has grown into one of the largest paediatric epilepsy surgery programmes in the world. A child health portal that can be trusted It has been estimated there are now more than 100,000 web sites dedicated to health. It's a crowded market out there on the internet - and pretty confusing if you need to know where to turn. The Journal of the American Medical Association surveyed these sites and found most offering "incomplete, misleading, or difficult to understand information, while others blur the distinction between advertising and medical advice". In September of this year we re-launched our child health portal,www.gosh.nhs.uk, as part of a dynamic project to tap the wealth of knowledge held in the hospital and our research partner, the Institute of Child Health. We seek to become a one-stop portal for complex child health issues. To date, our expertise in innovative care and research has not been fully reflected in the content of our site: a situation we are determined to change. What we hear from patients and families time and time again is the need for trust when seeking out resources on the web. If your child is sick, you want to know the information you find is accurate and up-to-date, grounded in cutting-edge research and care developments: two things we do very well.
  • 5. Gemma Opportunities for collaboration Content partnerships, for example • Research breakthroughs/ developments, strengthening research networks, aiding developing countries. • Children's research news service • Children's website editorial board Ethical guidelines: All partners must meet our ethical guidelines. We adhere to the 1992/1993 CharitiesAct. Please contact us for additional details, but they are in short: We will not accept funds from the following: • tobacco/alcohol companies Technical support • Research developments without the jargon • Technical support: innovative applications to enhance our work Gemma Richards had a bone marrow transplant at GOSH after she was diagnosed with leukocyte adhesion deficiency, an extremely rare disorder that hindered the response of her white blood cells to skin infection or injury. It meant that her skin was unable to heal itself. Gemma, 11, received bone marrow from an unrelated UK donor and is now well on the way to recovery. Although not a fan of hospitals, she likes GOSH. "I know a lot of people here now," she says. Last year there were 57 bone marrow transplants at GOSH. ** <1 •*«*.,, pharmaceutical companies, with the following proviso: if a specific medicinal product allows the Charity to meet specific strategic and operational objectives if it is a non-pharmaceutical product, for example cosmetics or toiletries with a proven track record no endorsement of infant feeding formulae no endorsement of dietary supplements Anything that could damage the reputation of the hosoitaI/institute David South, Web Strategy Southd@gosh.nhs.uk Tel: 020 7829 8671 Ext.1052 Design/Layout: Medical illustration © GOS/ICH 2001
  • 6. GOSH/ICH Child Health Portal 2001 to 2003
  • 7. Institute of Child Health Great Ormond Street Hospital for Children i MHSTru arch Clinical Services GOSH Intern About Us Contact Us Site Map ICH Intranet Staff Directories: GOSH|ICM Patients and families Kidt and Teens How To Gel Here When Your Child is Admitted international and Private Welcome to the new joint website of Great Ormond Street Children's Hospital andthe institute of Child Health Health Professionals Clinical Services Nursing and Family Services Recruitment Referrals Research Research Themes Academic Units Educational Opportunities R 8, D Office Library GOSH Research Review The Research Review is tarn-packed with stories about our researchand achievements Read GOSH launches first ever child-friendly health site GOSHKids-the first truly child-lrienclly hospital site. Reed MM., A UK ftrst: child cured by gene therapy A child has been cured of a fatal genetic condition, X-SCID. by gene therapy at GOSH Rea<i ICH heads genetics knowledge park ICH dean David tatchman is to lead <3 million London IDEAS Park. R«td CHnical improvement for a better hospital A six-month review has started to produce a new action plan tor GOSH Read more MMR GOSH says"MMR is best and safest cptton for our children" R«fd Quick search [please select Jack was born wiih a cyst on his brain which caused uncontrollable seizuresand weakened the left side oi his body R?3<2 more Events Learning Events Fundraising Events Courses Clirucal Improvement Institute of Child Health Great Ormond Street Hospital for Children HHS Tnjft alth Professionals Research Clir Patients and families About us |Contactus |Seorchlhesite mlo@c,osh.nhsuk Patunit family Inli* Coming to GOSH How to Get Here n your Child is Admitted nternationol andPrivate Patients Health Information Cerrtre HospitalWarting Times Kids and Teens GOSHTots ;T iOSHKids Hospital Tour Hospital School Radio Gosh Getting Help Bereavement Services . , Chid DeathHelpline Family Advocates SocialWork amity t actaheets Tests and Procedures Operations Directorate of Nursing and Family Services Use this page as a gateway to our many support services, or try exploring our many fact sheets on medical procedures, ailments and diseases. We have a lively range of support services for children and teens, including our radio station (Radio Gosh) and children's school Holly White underwent pioneering surgery at GOSH after •» bi din scan snowed she had rnoya may* Aik l)f J *ne Collins column Or Jan. """"« Poplar Times • f ColMns... columndispenses jargon- ^ S r^*l THE«tti»T1Ml£ tree advice. A-Z of CMct Complaints F actsheets for families Large archive developed by our medical and researchteams. Read Joint website puts the :htld first Check outour new Teens and Tots International & Private Patients •rring an Inter national or Private Patient |Email: arivatelnTogggosh nhs.ufc 'tVi>10845 D/recf4647 NHSDirect online healh encyclopedia Institute of Chili! Health Great Ormond Street Hospital for Children Health Professionals Research Clinical Services GOSHInternational Press Office Campaigns I Health Professionals About us|Contact u? (Search thesite t-bi>j Service* Nursing and Family Directorate CNnicaf Services Recruitment Clinical Children's Pain Assessment Hospital Waiting Times Institute of Child Health Academic unts Learning Events Educational Opportunities International & Private Patients Referring an Inter national or Private Patient Email: 3rivate.fifQ@gosh nhs,uk Search here to explore our services, make a referral, attend a course or conference, and connect with our researchers. Stacey-Jane Panther had surgery at GOSH to correct the effects of Perthe* disease, which interrupts the blood supply to the head of the femur (thigh-bone) and make* hip movement painful. Read more about Holly and others mthis year's Anau&f rtport Patient and family factsheets Download our many factsheets to distribute to families Check out our library, MM selected by the BMJ as an pi excellent sourceof paedialttc resources Clinical improvement A six-month review has started to produce a new action plan tor GOSH. R«S mon, . Resources Ifcrary NetH Famrfy Factsheets Centre tor Evidence-Based Ch*JHea»h Publications Roundabout • • AnnualReport Chrite at Oovernance Report NHS Local Information Database NHSInformation Authority wwwjihs.uk Department o( Heath Institute of Child I htilth Research Great Ormond Street Hospital for Children NHS Tru • .mjra.»<rr.Ti^^T^r^»ntin.irnnmTnrn.Ti Institute of Child Health About us Academic Units Reset"eh Themes Research Review 2001 Courses Conference Services Recruitment RSI) Office R&D eUtetin Learning Events Together, the Hospital and the tnstilule of Child Health offer a rich source of knowledge on child health. Explore our research themes, link with colleagues or conduct a search. Ellie (above) from Chingford, East London suffers from a rare neonatal disorder, PHHl, which has puzzfed doctors and scientists for years. Read more about Ellie in this year's Research Review. More research links Research Review 200-1 The ResearchReview is iam- I packedwith stones about our research and achievements. R ICH heads genetics knowledge park ICHdean David LONDON Latchman isto lead £3 million IDEAS London IDEAS Park Read mote Cancer gene breakthrough ICH scientists have identified five genes that areexpressed n embryo and cancer eels. Read About us I Contact us jSearch the site CEE3
  • 8. fnstitHtc of Child Health Great Ormond Street Hospital for Children About Ui Contact Us Sle Map CM intrsnel Staff Direclones Patients and Families Kris BiiO Teens How To Get Here Your Visit International and Private Pahents Health Professionals Ctnical Improvement Cinicol Services Recrurtmenl Referrals Research Research Themes Academic Units Educational Oppcfturtftw R A B O f f t c * .GOSH f chanty website Welcome to the new joint website ol Great Omiond Street Children's Hospital and the Institute at Child Health A UKfirst: child cur by gene therapy A child hasbesn cured a fatal genetic eondrtic X-SCO. by acne therapy at GOSH Rea s (or families scfdi trKejyit our large archive of fam*y factsheets. Reso mote irsalment of epilepsy MMR GOSH says- is test ana safest o fot our children" S* more Quick search Ptease select Jack i', as born with a cy*1 on ha brain which caused veafcenftd the teft tide c 1 n boay. ReaOmore Learning Events Fundraising Events Courses x Great Ormond Street Hospital Children's Charity Donate News Events Get Involved Companies About Great Ormord Street Hospital welcomes more than 90,000 patients per year. An> donations you make to Great Ormcrid Street Hospital Children's Chanty have a Lopping up the NHS'funding. To find out n visit www.gosh.nlt&.uk. >ital work of the hospital, Make a Donation: phone now on 020 79K Sorvg of hope (or 'Mir.icln CliiUl" Emma Lucas is a bright and friendly eight-year- old girl whose main concern is getting the next issue ot her favourite magazine. But to her parents she is a mini-miracle... retjd more Millv helps owl HIP hospit.il The naming of a neiv Miffy ward at Great Oi Street Hospital brings loads of Mirfy-related activities to the hospital... rrad more Contact Ui Sitemap Copyright > Kyle's Ka makes a mint for children's hospital * Parts to {.ordon Bike Ride, 26-31 July 2003 GOSH ';;1 Peter -.1 "1;, Shop ^ Pan Teens Empowering children Una younf) [i»nplt I'irauqh hiijltFi Last updated 27th June 2003 ©GOSH 2001-2003 Written by GOSH Trust. Reviewed by ChiWrei First About us • Find out what it's realty like in hospital. • Share your view on the world. • Problems? Take a look at ihe problem page • The news and stones thai matter to you. « Looking 4 answers? Try health and hospital ssageboards. the latest celeb goss n Sneak magazine, global. Check out rldflrst. ; r v*fd lots of real stones ut health and hospital. • Find out about your body and your health. ' What do kids really think of burgers and chips? • Being bullied? Find out what you can do to stop it. • Check out our wiiard harry Potter section. • Take a (oakour fun stories about your favourite stars. Great Ormond Street Hospital Children's Charity Home Donate News Events Get Involved panies About Us HHU-U OP r A^E EVENT ||>B*S1 Fancy dr*« Who You're Helping . » Maec| iSome codl"fi»na'a sir; Ho« You're Helping | 'Ideas? Find top tips here Schools Pad Teachers &Parents Friends Thank You • 'NT jrhow(hernia; 1; >Bndoutmore "•"^•I'-illl "'mmwmmm it Ke mo*,,J| > iw*mi« schools raised tr|n^i| ir., Schools tl Contact Us Sltenwp Co[vyrfKlil T#i OM 791fi W7B - -^ R*S. Ch.rlt.,. M,a.J3S.S1S
  • 9. •istitutt of Child Health Great Ormond Street Hospital for Children niM.imrmnrmT!i»jnn«i.iro»«i,.i..T.i.t. Patients and families About us | Contact us [Search the site 13223 Ask GOSH info®gosh nhs.uk Patient.famitylnfo Comingto GOSH How to Get Here n your ChW is Admitted international and Private Patients Health information Centre HospitalWaiting 7«nes Kids and Teens OOSHTots OT OOSHKidS Hospital Tour Hospital Scnooi Radio Gosh Ask Dr Jane Collins.. A / of child complaints Getting Help Bereavement Services Chaplaincy Child Death Helpline Family Advocates SocialWork family F*ctsheet» Tests and Procedures Operations Hinesses and Diseases Drugs Acne Up to 85 per cent of 1 2 to 25 year otds suffer from spots Boys and girls are equally affected They usually appear at puberty and reachtheir peak at 17-21 If untreated, persistent spots or acne, can cause scarring but prompt treatment minimises this Acne is caused by over-production of oil from the sebaceous glands in the skin mainly on the face, chest and backin response to normal levels of sex hormones Oil blocks the ducts to the surface of the skin allowing waste cells to accumulate under the skin's surfaceforming a plug Bactena also play a part Teenage girls often report a flare-up beforemenstruation Some find stress and certainfoods, especially fast food and chocolate, make acne worse although there is no scientific evidence for this Some cosmetics provoke spots especiallythose containing oils, fatty acids and waxes Acne is not infectious or contagious Symptoms: Oily skin with red lumps, yellow spots, blackheads and whiteheads Teenagers with black skin often find that spots make their skin darker and this pigmentation can last for months mi: ^ssTIMES A / of i hilil ciimpSiiinls DDDQDDE1 UUI1UUGD QDDDBDD DDDDD Institute of Child Health Information for families Genetics and inheritance Great Ormond Street Hospital for Children NHS Iru*t Please use theindexes below tofind the factsheet you need. Or search the full alphabetical index BDDEIOOE1 QOQDQDD QDDOH # What are genes? HOW can genetic disorders be inherited? Is it always possible tomake a genetic diagnosis'1 How can genetic abnormalities be detected? Contac! information Background Many immunodeficiency disorders are the result of defects in an individual's genetic makeup These are mistakes which occur in genes and are passed from generation to generation Sometimes a genetic mistake (mutation) can occur for the first time in an infantor child when no-one else In the famiry has had the problem, but in other situations there may Befamily members who have suffered from the same or similar problems. There are several ways in which mutations can be inherited - theseare explained below In an increasing number of immunodeficiency disorders the precise mistake inthe relevant gene can now lie identified in the laboratory, and this means that accurate counselling can be offered lo the family, andscreening tests can be offered in pregnancy if requested What are genes? Institute of Child Health Great Ormond Street Hospital for Children NHS Tww Feedback/Contact us Contact Information Frequently Asked Questions Who arewe' About the site Publications FEE Welcome to Great Ormond Street Children's Hospital/Institute of Child Health. If you have a question, please look through the frequently AskedQuestions to see if the answer is there If not, please use Ihe form on this page to contact us We are unable to answer queries or offer advice about specific patients and/or their conditions through this website. Atthe same time, we recognize that visitors to our website may require informationabout particular paediatric health issues Please check out our family factsheets for informationon tests, procedures, operations, andvarious paediatric conditions You can also readour archiveof Dr Jane Colims'Times column, dispensing jargon-free advice on a wide range of paediatric topics. | Choosea subject Vour name Your Institute of Child Health Great Ormond Street Hospital for Children NHS Trutt Information for families The Activities Centre [searchthesite CS3 Please use the indexes below to findthetactsheet you need Or search the full alphabetical index nummnun QDDDOISID DDQDBDD DDDDD Download PDF of 'The Activities Centre' tactsheet Contents What is the Activities Centre? Where is the Activities Centre? Who can use the Actrvities Centre7 Who runs trie Activities Centre? What is thereto do in the Activities Centre^1 What happens when I bring my child to theAetivies Centre7 When is theActtwities Centre open? Special needs therapysession vouih Group Junior youth group The Den This page tells you about the Activities Centre at Great Ormond Street Hospital. What is the Activities Centre? it's a place where inpattents at Great Ormond Street Hospital can get away from trie medical environmenl oftheir ward for awtiiie and have some fun ifs bright and colourful, full of things to do and gives children attne hospital an opportunity to meet other people their own age
  • 10. Institute of Child Health Great Ormond Street Hospital for Children NHS Trurt rch Clinical Services GOSH Inte Search the site Scroll through our statements, publications and press releases, or learn more aboul Hie rich history ol our work. We have been in Die forefront ol child health lor over 150 years. Contact us at (020) 7829 8671. I Kelogenic Diet HtgMat chei reduces severe epileptic seizures • children. Reoomcre. GOSH Kid* wins award International ChiMnet award gs*S to GOSH R«tO Epilepsy Feature Learn owe about ground breaking advances. in the treatment of epilepsy 3 June 2003 Non-executive director reappomtea at Great Ormont) Street Hospital for Cnfcdnw WHS Trust Reea mom.. i . - • • , • , • . .''.i C • . - • • I ' , .'in ' Great Qrmcnd Street HIcspita! celebrated ten year* of intensive care unit. Resa more 20 May 2003 H«a«hy start, healthy futures The (y)ure of children and young people's maternity ond neonatal health services. Head more... IM . ' i Past and present patients united to cete&rate opening of new ward Ree<3more... 1. May ,'ni, Hew appeal raises f.i.S million for first-ever research chair m institute of Child Health Great Ormond Street Hospital for Children NHS Tru*t Patients and families About us |Contact us [Search the site ; HE Directorate of Nursing and Family Services '«tierttf •mitylrrfo ominfl to GOSH -low to Get Here (Uteri your Chrtd is Aclmflerl nternabonai and Private Mrii •tealth Intoi martion Cw^re HospitalWatmg Tirrws lids MM) Teens 3OSHTots 3T SOSHKids •fospitaf Tour tal School niq Hei(3 9ef eavement Services :rwptaincy :hild Death Helpline "amlly Advocaies Social Work «TWVf actsheets ests andProcedures Use this page as a gateway to our many support services, or try exploring our many fact sheets on medical procedures, ailments and diseases We have a lively range of support services for children and teens, including our odio station (Radio Gosh) and children's school Holly WTwte undciwrfrt piiinKeMfiit wurqeryat GOSH •itlcr a bi *IH sc*n Khowcd slip hnrt oiov moy« Or Jane Collins column online Popular Times column dispenses jargon- free advice. A-Z of Chtlc* Concerts Articles Large at c hive developed by our medical and research teams. Rvnl mof« Joint website put* thi* child fit st Check outour new Teens and Tots D/rect4647 NHSDirect online health encyclopedia Great Orrnond Street Hospital for Children HHtInnt_, Institute of Child Health Publications and Downloads Press Release Archive Statement Archive Backgrounder* Ketogenic Diet: FAQs Epilepsy Unit Epilepsy: Did Vou Know? Press Release Ketogenic Diet Press Release: Trapdoor in Head Ketogenic Diet: FAQs Epilepsy Unit Epilepsy: Did YouKnow? ._ Epilepsy Did You Press Release: Great Ormond Street Hospital for Children Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns I Information for families When your child is admitted |search the site Please use the indexes below to find the factsheet you need Contents Getting ready for admission Talking to your child Packing for your child For yourself Electrical appliances Telephones imvMyimiiMjm^™ Getting ready for admission Or search the full alphabetical index QDOQODD DDnDDCDD DDQDDDD DQDDB rease is may e cu or osewo ave oer c r e n a ome. As a parent you are welcome to be with your child in the hospital at all limes (and at no charge). We will always provide somewhere for one parent to stay althoughwe cannot guarantee that this will be at your child's bedside. A list of local hotels is also available from the family services department If needed. Talking to your child
  • 11. Get Invoh/etl | Hilon nation | Reseat ch | FAQs | Links | Heln UK Newborn Screening Programme Centre 'Quality through partnership in newborn bSoodspot Kreenmg' Welcome to the UK Newborn Screening Programme Centre We hope vou will find this website informativeand a convenient way of receiving information on the collaborative wotk that we have planned to assure quality in newborn screening sen/ices throughout the UK We welcome yout involvement whether as a professional, parent or interested member of the public and vou can find out how to do this in the 'Gel involved' pages. Through this site we will introduceyou to our team and the purpose of our work in 'AiiQutjjj'. You will also be able to access Information about our work and its context within the 'information'..iiafl6.§-* useful glossary and key to some of the abbreviations used is also available here for your use. The Programme Centre Team L.ilesl Hews News and information FAQs H5SH Questions answered (or parents A clickable ,) of A UKsci eeiiliiii Ijl' A partnership between Useful links, including the Naj LuJdbirthl . mi Great Ormond Street Hospital for Children ft'/M JS^,1 .1 ,'.;;;,'™ >? s NMS Tluil 1^3 h»>. Institute of Child Health Great Ormond Street Hospital for Children HHSIrult iPhotogallery . Select 3 section to view thumbnails i Click on the thumbnail to view a larger image and further 1 ' K1 information about the photograph "s To close this photogallery click on the x icon on the top right M. PDF File. This requires Adobe Acrobat reader which can be d_Q..yvntoa.ded fr , B This icon indicates that the link will open in a new LL ~ browser window. •w I Otr»f Publications | About Us I Get Involved Information Text only UK Newborn Screening Programme Centre .:• Information Map of UK Screening Labs Click Iwie to view details BeB.ist Royal Victoria Hospital CHT. PKU. CF Institute of Child Health Great Ormond Street Hos Pitalfor children J NHS "fruit Photogallery APS AND BOUi AnnuM Report ZOOt/0? Great Ormond Street Hospital for Children is well placed to continue its tradition as a national and international centre of excellence in child health, maintaining its motto of serving 'The child first and always'. Annual Report Other Publications
  • 12. .»« Institute of Child Health Great Ormond Street Hospital for Children NHS Trjst t*|F ^P iffl* Patients andfamilies Health Profession's Research Clinical Services GOSH International Press Office Campaigns real stories your diary ask doc your body dictionary Enter your e-mail address hey kids! goshstars Find out how Harry Potter is helping GOSH Kids lo gel better * ^. , It's easy to worry about coming into hospital. Wtiat will it be like'What will the people be like? How will my Ireatment go' GOSHKids is here to help you find out It's somewhere you can tell your story too - Welcome to OOSHKidsi Samantha says • pinfj out about diagnosis can I yOur body wrth be oeiy boring. I our tj0(jy (OUC, ed Find out about Write4GOSH fcftOtKUd ? »?games ,.,., ., , ., Great Ormond Street Hospital forChildren Institute uj (.hiltl Health HHsin..i what's up? real stories your diary ask doc your body dictionary body tour € EB 13Mfc ir<iKi • • -Miii ...is- MUM" know? ' hni k nut the online dictionary WWW-S'..- gosh toons Institute of Child Health Great Ormond Street Hospital for Children NHS Ttutl Patients and families Health Professionals Research Clinical Services GOSH International Press Office Campaigns 6T - Moung fldulrs and Teena Health welcome IN ASSOCIATION WrTW BBCi _ www.gosnreens.nhs.uk CEH3I2 Institute of Child Health Great Ormond Street Hospital for Children NHS TtUft t! ASV>UATtQN WrTH 8BC 7 ,MI www.gosnceens.nhs.uk Find out aboutyour body with Teen Species, and then tell us about your teen life. I What's happening tomy fiooy? Find out why teenagers grow taller, -•} fl S»t spots and sprout hair. -—I Growth |Spots | Hair Interactive body mofe moody? Why do they need more steep? Here's the low-down on life as ateenager. PARENTS Moods I Rows| Steep What sex is your brain? i i Take an interactive tour § § of theteenagebody. Do youthink like a boy or a girl?
  • 13. Institute of Child Health Great Ormond Street Hospital for Children NHS Tiutl i Patients and families Health Professionals Research Clinical Services GOSH International Press OOSH/1CH Trust 2002 Great Ormond Street Hospital for Children NHS Trust. Oreat Ormond Street London WC1N 3JH T«l: +44 (0)20 7405 8200, Fax:+44 (0)20 7829 8643 jnd Tht Institute of Child Health, 30 Ouiltofd Slrvtt, London WCIH 1 EH TeL 444fOf2Q 7242 9786 Fax: +44 iTIIQO 7831 0488 Great Ormond Street Hospital for Children NHSIm>, f f i - i i Institute of Child Health The Great OrmondStreet Children's Writing Prize 2003 Wr«e4GOSH marksthe 150th birthday of Great Ormond Street Children's Hospital by bringing together storiesandexperiences from children across the country. Findout more about the .write4gosh .nhs.uk Bestselling chtldien's author JacquelineWilson launched Wrrte4GOSH wr(h a special workshop ft l^oyng writers. Parents ii you would like 1o support the work of GOSHplease visit our charity website The Great Ormond Street Children's /.» writing prire Registered Charily No 235825 /•,.. ./; Great Ormond Street Hospital for Children Institute oj Child Health NHSTAI*! Patients and families Health Professionals Research Clinkat Services GOSH International Press Office Campaigns! v www.goshkids.nns.uk y visit .to hospital Welcome to GOSHTbts © GOSH/ICH Trust 2002 Oieal Ormond Street Hospital for Children NHS Trust, Orejt Oimond Street. London WC1N 3JH institute of Child Health Great Ormond Street Hospital for Children I NHS Trust Patients and families Health Professionals Research Clinical Services GOSH International Press Office Campaigns chwNy website ©*OSH/ICH Trust 2002 Great Ormond Stlft«t Hospital tor Childre T.I «44|[ii;il ?-»]; 9200, Fax <44 lO^ n NHS Trust. Grtat Oimond Stre*t. London WC1N3JH 7:::;-J 8643 _
  • 14. Empowering children Last updated 27m June 2003 ®GOSH 2001-3003 Written ay OOSH Trust Reviewed by Children First About us • Find out what it's really like in hospttal, • Share your view on the world. • Problems? Take a look at the problem page. • The news and stories thai • Looking 4 answers? Try the health and hospital messageboards. • Get the latest celeb (joss from Sneak magazine, • Go global. Check oul WorldFlrst. • Reid lots of real stones about health and hospital. • Find oui about your body and your health. • I'/hflt do kids resliy think of burgers and chips? • Being bullied? Find out what you can do to stop it. • Check out our wizard Harry Potter section. • Take a look our run stories about your favourite stars. • Read children's real stories from All over the world (£ Great Ormcnd Street Mospita Wrden by GOSH Trust Reviewed by Cn*Jren First Contact js Some pages need Macromeaa Flash player Downloadif free here riisroE HBG.PI HAL Vour hospital fttk Hi* *xp«r! M*tijig«-b&3f(J Dictionary Treatment .____ HkiALl'H teal stories Mr.',, ,,.... Di*abill tie* Body tow Mffibjq*.board "coblnnu INI,I DC r;r Feedback Contact us About u* j ! _ I i
  • 15. Great Ormond Street Children's Hospital and The... HI Back Forward Stop Refresh Home Favorites History Search AutoFill Larger Smaller Print Mail Preferences Address: I v J [fi le:/ / /Vork9S20Running /webs ites /gos-ich/TMP10Jic 1 I6bv .htm Institute of Child Health Great Ormond Street Hospital for Children liVa HHS Ylusl Search the site Advanced search Medical Professionals Clinical Services Nursing and Family Services Referrals Patients and Families Haw to Get Here When Your Child '& Admitted Preparing for Surgery Researchers Research TTiemes Atddern it Unit! Educational Opportunities R & D Office Library © ICH & GOS Trust2001 Welcome to the joint site ofthe Great Ormond Street Hospital for Children NHSTrust and the Institute of Child Health. Quick search for departments and units [ Accommodation Services News Major advances in our understanding of a rare genetic disorder caused by excess... GOSH's clutch of international nurses were featured in aprofile... Direct4647 Events New York Marathon Read more... New York Marathon Read more.. Campaigns GO- NE GOSH GOS2000 charity website.. learrt more.. Local machine zone
  • 16. ID! Great Ormond Street Children's Hospital and The... Hi •:-•: Back Forward Stop Refresh Home Favorites History Search AutoFill Larger Smaller Print Mail Preferences ;::; Address : "f [file :///Vork%2QRunning/vebsites/gQS-icri/THP1Ojid I6bv.htm GO ./. Institute of Child Health Great Ormcmd Street Hospital for Children MHS IlPUSl Search the site Advanced search Medical Professional (lini' il '» 'i vii t", Nursing and family Services Referrals. Patients and Families How to Get Here When Your Child c Admitted i'i>•(i HHHP (or Surgery Researchers Research Themes Academic Units Educational Opportunities R & D Office Library ©ICH & GOS Trust 2001 Patients and Families Welcome to our patient and family services! Use this page as a gateway to our many support services, or try exploring our many fact sheets (coming soon) on medical procedures, ailments and diseases. We have a lively range of support services for children and teens, including cur radio station (Gosh Radio) and children's school. Coming to GOSH Child Media Getting Help How to get here UUien your child is admitted Child Rights Child Protection Radio Gosh Games Family Services —Interpreting Service Alunteering Social VUbrk Other Services Child Death helpline Bereavement Services Chaplaincy Family Resource Centre Bhnic Mnority Patient Aivocate 0 Local machine zone
  • 17. Great Ormond Street Children's Hospital and The... % % O e 6> di 9 ft rj; A: *"Back Forward Stop Refresh Home Favorites History Search AutoFill Larger Smaller Print Mail Preferences :| Address: l_"r I|file:///Vork%20Running/vebsites/gos-ich/IMP10jic116bv.htm / Institute of Child Health Great Orrnond Street Hospital for Children IHHS Trust Search the site Patients and Families Medical Professionals Research Clinical Services GOSH Global Press Office Campaigns Medical Professionals Advanced search Medical Professionals Clinical Services Nut Mini and Family Services Referrals Patients and Families How to Get Here When Your Child is Aidrniilled Hip|],iiinrj for Surgery Researchers Re&earcli Theme* Academic Units Educational Opportunities R & D Office Library © ICH &GOS Trust 2001 Search hereto explore our services, make a referral, attend a course or conference, and connect v^th our researchers. Our site is currently under re-development, and vve velcome any comments on howvie can better serve your information needs iVVei editor). Nursing and Family Directorate f ClinicalNurse Specialist Clinical services Aiidiological Medicine Rsk .Assesment Hies Clinical Molecular Genetics Society Children's Pain Academic Units International and Private Patients Fteferrals [Behavioural Sciences Unit Centre for Evidence-Based Child Health Systematic Reviews Training Uhit Gene Therapy of Childhood Dseases Centre for Immunology Educational Opportunities Recruitment Courses and Conferences [CJ Local machine zone
  • 18. % % o e A a ® iti r^ A" 4" s Q £i f3:::; Back Forward Stop Refresh Home Favorites History Search AutoFill Larger Smaller Print Mail Preferences L^^fl $ Address: i-» | file:/ //Work%20Running/webs ites/gos-ich/TMP1Ojic1l6bv.htm (f> Go|| (|£ J I"""' " ' .** ^/. Institute of Child Health IGw I^B CSf Patients and Families Medical Professionals Search the site PI0V9WH9^^H [GO] yj|||jj^^^^y|Adjarced search Welcome to our researchers ITi^BTw^MM«i T -i 4.u Great Orrnond Street Hospital for Children fiitrl WHS Ihist Research Clinical Services GOSH Global Press Office Campaigns 1 • III!!!! page! Clinical Servicfii child health. Explore our research themes, link with colleagues or conduct a search. Nursing and FamilyServices Referrals How to Get Here Job Opportunities at UCL Preparing for Surgery Academic Unit Pages Research Themes National Research Register Academic Units Educational Opportunities R&D Office R & D Office Library R&D Information for ICH/GOS Staff © ICHSGOSTmst 2001 R&D Project Registration Guide to Completion of R&D Registration Form Case- note Review Form Ethics Application Forrre Committee Diary of Events Educational Opportunities ICH Prospectus Courses and Conferences Office Continuing Professional Development Programme Research Degree Opportunities Medical Library Annual Review 2000 . ^^^^| ^^^^| [^ (c] Link: file ://YVork Running/websites/gos-ich/dept.htm | jfr
  • 19. i Great Ormond Street Children's Hospital and The... >; Back Forward Stop Refresh Home Favorites History Search AutoFill Larger Smaller Print Mail Preferences ; Address: I v Ij fi le:/ / /Vork3g20Running f vebs ites/gos- ich/IMP 10jic 116bw .htm Go ^ /. Institute of Child Health ai^n Great Ormond Street Hospital for Children HHS Tmsl Patients and Families Medical Professionals Research Clinical Services GOSH Global Press Office Campaigns Search the site Medical Professionals Clinical Services Nursingi and Family •Services Referrals Patients and FarmUes How to Get H&re When Your Child is Admitted Prep jririy for Surgery Researchers Research Themes At dele mit Units Edututiunal OpportunitiEi R & [> Off ke Library © ICH & COS Trust 2001 Welcome to our clinical services! Scroll through this gateway page to find the clinical service you want. We also have a list of consultants' emails for referrals. Clinical services [ Audiological Medicine Directorate of Nursing and Family Services 1^) Local machine zone
  • 20. Great Ormond Street Children's Hospitaland The... ;; Back Forvard Stop Refresh Home Favorites History Search AutoFill Larger Smaller Print Mail Preferences i Address: Kj | f ile:/ / /Vork%20Running /webs ites /gos- ich/IMP10jic 116bv.htm Ou ;f Institute of Child Health Great Ormond Street Hospital for Children HH5 TttJSt Patients and Families Medical Professionals Research Clinical Services GOSH Global Press Office Campaigns Search the site Advanced search Medical Professionals Clinical Services Nursing and Family Services Referrals Patients and Families How to Get Whnn Your Child is Admitted rii'ii iiiiiip for Surgery Researchers Research Ttieme« Academic Units Ldut.iition.il Opportunities R & 0 Office Library © ICH & GOSTrust 2001 Welcome to our globalpages! The Hospital and the Institute are world leaders in child health and research. We treat children from around the world, and contribute to global child well-being through our Centre for International Child Health. Centre of International International/Private Child Hearth International.1 Pnvate Patients 0 Local machine zone
  • 21. Q Great Ormond Street Children'sHospital and The... ci rj. A; A":>: Back Forward Stop Refresh Home Favorites History Search AutoFill Larger Smaller Print Mail Preferences Address: ;;»;. [file:/ / /Vork3520Running A/ebs ites/gos- ich/IMP1Qjic 116bv .htm /. Institute of Child Health Great Ormond Street Hospital for Children HHS fmist Search the site Patients and Families Medical Professionals Research Clinical Services GOSH Global Press Office Campaigns 'Trice Advanced search Medical Professionals Clinical Services. Nursing and Family Services Referrals Patients and Families Haw to Get Here When Your Child ii Admitted for Surgery Researchers Research Themes Academic Units Educational Opportunities R & D Office Library ©ICH & GOS Trust 2001 Welcome to our Press Office! Scroll through our statements, publications and press releases, or learn more about the rich history of our work. We have been in the forefront of child health for over 150 years. Contact us at (020) 78298671. VLhat we do Contact us Statements Press Releases The team Early action tackles deafness in East EncUMry 2001 New Chairman at Great Ormond Street24W? Januaiy 2001 Board change at GQS24tf) Jan 2001 Archive. How does the NHS hfciUD do the ICH and Gosh collaborate? Hstorvof GOSH Ainual Fteport |C) Local machine zone
  • 22. n Great Ormond Street Children's Hospital and The... •; Back Forward Stop Refresh Home Favorites History Search AutoFill Larger Smaller Print Mail Preferences Address: |flie:///Vork9g20RunningA/ebsites/gos-ich/THPIOjicI I6bv.htm / Institute of Child Health Great Ormond Street Hospital for Children HHS twin Patients and Families Medical Professionals Research Clinical Services GOSH Global Press Office Campaigns Search the site Advanced search Medical Professionals Clinical Services Nursing and Family Services Referrals Patients and Families How to Get Here When Your Child is Admitted Preparing for Surgery Researchers Research Themes Academic Units Educational Opportunities R & D Off ke Library ©ICH&GOS Trust 2001 Welcome to our campaigns page! Cutting edge treatment and research does not come cheap. For our supporters ve have put together an active schedule of activities across the country. Scroll through our campaigns and find out more about our v/^rk, and pick your favourite vvay to help us. *0 GOS2000GOSH charity tvebsite 0 Local machine zone
  • 23. D Great Ormond Street Children's Hospital andThe... = v; Back Forward Stop Refresh Home Favorites History Search AutoFill Larger Smaller Print Mail Preferences Address: ;«" I |file:/ / /Vork%2QRunning A/ebs ites /gos- ich/IMP1Qjic 116bw .htm / Institute of Child Health Great Orrnond Street Hospital for Children HHS Trust Patients and Families Medical Professionals Research Clinical Services GOSH Global Press Office Campaigns Search the site Advanced search Medica Professional Clinical Services Nursing and Family Services Referrals Patients and Families How to Get Here When Your Child ii Admitted! foe Surgery Researchers Research Themes AcddHmu. Units Educational Opportunities R & D Offke Library ©ICH a GOSTrust 2001 Great Ormond Street Hospital for Children NHSTrust Great Ormond Street LONDON WC1N3JH Phone: +44(0)2074059200 Fax: 444 (0)20 7829 8643 For information on howto... (c) Local machine zone Institute of Child Health 30 Guilford Street LONDON WC1N 1EH Phone:+44 (0)20 7242 9783 Fax:+44 (0)20 7831 0488 ...come to GQS/ICHto study..refer a childto GOS contact Denise McCormack International and Private Patients Email: mccord@gosh.nhs.uk Phone:+44 (0)207829 8633 Fax: +44 (Q) 20 7829 8635 To refer a child to GOS for private treatment please contact Denise McCorrnack. Vi.fe will require the latest medical report in English before we can refer any case onto any Specialist. ...ccrtact a doctor at GOS for an opinion Denise McCcrmack International and Private Patients Email: mccond@gosh.nhs.uk ...en short courses at GOS/ICH Courses and Conferences Office Email: courses@jch.ucl.ac.uk ...find out about fundraisirgfor GOS Fundraising Office ...contact a pstieri at GOS GOS patients do not currently have email access. However, older children can access the internet in the hospital school so they can be contacted via their hotmail or similar address. Check with the child first.
  • 24. Institute of Child Health Great Ormond Street Hospital for Children MHS Trust Patients and Families Health Professionals Research Clinical Services COSH International Press Office Campaigns Advanced Search Patients and Families How To Get Here When Your Child is Admitted International and Private Patients Health Professionals Clinical Services Nursing and Family Services Referrals Researchers Research Themes Academic Units Educational Opportunities R & DOffice Library D/rect4647 ©ICH & COS Trust 2001 Great Ormoiul Street Hospital for Children NHS Trust Great Ormond Street The new joint website of Great Ormond Street Children's Hospital and the Institute of Child Health Welcome to our site! You can view our legacy pages from our old site, or explore our new pages. Quick searchfor departments and units Please select News Eight million babies worldwide die before they reachthe age of one month, 98 percentof these are in developing countries. Cheap and simple investments in health care could save millions of newborn lives, according to State of the World's Newborns - a new report released by the ICH-based charity Women and Children First (WCF) - inassociation with Ravp thp Chilrirpn riJRI Rear) Search the site: r "i Advanced search Site map Search for a member of staff: ICH Directory GOSHDirectory Events _ 4 November 2001:New York Marathon Run the big apple for little children! 21 November - 5 December: Young World Concerts 2001 Series of concertsbyschool children from across the UK, to raise money for GOSH. 13 15 November 2001: si•••ftIsiict nruk" "Tha
  • 25. About us Research themes Institute of Child Health and Great Qrmand Street Hospital for Children NHS Truss Academic units Educational opportunities Conference Academic support units News and events COS & ICH homepage Through its innovative research and its high-quality tranuiig programmes, the Institute of Child. Health lias createda world class centre for the study and treatinent of childhood disease. Togetlier with Gneat Qmnaiid Street Hospital, it lias nude a major contribution to tine health and well-being of children and their families worldwide. THF OIIFFK'S This site is designed for clinical and research professionals. If you are a member of the public, please visit the about us page for more general information about our work. News... A new academic unit at ICH A new academic unit, Infectious Diseases and Microbiology, has been created at the Institute, headed by Nigel Klein, Reader in Infectious Disease and Immunology. The unit will be within the Theme of Infection and Immunity, and will be the key element in the formation of the new Friends of the Children of Great Ormond Street Centre for Childhood Infectious Disease, due to be established as part of the development of the Institute in the next few years. Events... Attention research students: Bio Medical Sciences open day more...
  • 26. Institute of Child Health Great Orrnond Street Hospital for Children NHS Trust Advanced Search Use this list if you knowwhat you are lookingfor; otherwise use the category menus in the left-hand toolbar orthe search facility. A B C D E F G H I J K L M N O P Q R S T U V W X Y Z How To Get Here When Your Child is Admitted International and Private Patients Health Professionals Clinical Services Nursing and Family Services Referrals Researchers Research Themes Academic Units Educational Opportunities R&D Office Library m ™^ M^r M "**••** «wun* t»i ESS0845 Direct4647 ©ICH & DOS Trust 2001 Academic Units (alphabetical list) Portex Anaesthesia, Intensive Therapy & Respiratory Medicine Unit Annual Review 1999 Annual Review1998 Department of Audiology & Audiological Medicine
  • 27. / Institute of Child Health Great Orrnond Street Hospital for Children [i! MHS Iliusl Patients and Families How To Get Here When Your Child is Admitted International and Private Patients Health Professionals Clinical Services Nursing and Family Services Referrals Researchers Research Themes Academic Units Educational Opportunities R & D Office Library I IMLMHOUUCHm r ] 1.AU. f fmj uu un CSH0845 Direct 4647 ® ICH&GOS Trust 2001 Addresses: 30 GuilfOH! Street LONDON WC1N1EH Phone: +44 (0) 20 7242 9789 Fax: +44 (0) 20 7831 0488 Great Ormond Street Hospital for Institute of Child Health Children NHS Trust Great Ormond Street LONDON WC1N 3JH Phone: +44 (0) 20 7405 9200 Fax: +44 (0) 20 7829 8643 Ask GOSH a question: info©gosh.nhs.uk For information on... .how to refer International or Private Patients, or contact a doctor for an opinion, contact Denise McCormack International and Private Patients ...come to GOS/ICHto study ... short courses at GOS/ICH Courses and Conferences Office Email: courses@ich.ucl.ac.uk
  • 28. Institute of Child Health Great Ormond Street Hospital for Children MHS Patients and Famities Health Professionals Research Clinical Services GOSH International Press Office Campaigns Advanced Search Patients and Families How To Get Here When Your Child is Admitted International and Private Patients Health Professional Clinical Services Nursing and Family Services Referrals Researchers Research Themes Academic Units Educational Opportunities R & D Office Library I UU.MHOUUCH Direct 4647©ICH&GOS Trust 2001 Patients and Families Welcome to our patient and family services! Use this page as a gateway to our many support services,ortry exploring our many fact sheets on medical procedures, ailments and diseases.We have a lively range of support servicesfor children and teens, including our radio station (Gosh Radio) and children's Ask Dr Jane Collins.. THElMteTIMES school. Coming to GOSH How to get here When your child is admitted International and Private Patients Child Media Getting Help Hospital tour Radio Gosh Games Ask Jane Collins Child Deathhelpline Bereavement Services Chaolaincv tiff*"Pifllr Ellie (above) from Chingford, East London suffers from a rare neonatal disorder, PHHI, which has puzzled doctors and scientists for years. PHHI is when excess insulin is churned out bythe baby's pancreas. In severe cases like Ellie's, the pancreas is
  • 29. Institute of Child Health Great Orrnond Street Hospital for Children NH5 Trust Ask Dr Jane Collins... Dr. Jane Collins is a consultant paediatric neurologist and is the chief executive of the Great OrmoiHl Street Hospital for Children NHS Trust. Her column appears regularly in The Times of London newspaper. Articles ZHEHPlease select •Body- Pleaseselect |_jT| •Relationships- [Pleaseselect 1 ICH & GOS Trust 2001 Asthma - The Times, 25 Apr 2000 Asthma affects one in seven children in the UK. The prevalence has increased steadily over the last 30 years and there are now more children than ever before with asthma. The good sign though is that the rate of increaseis beginning to level off. There are several theories as to why more children are suffering from asthma. The hygiene hypothesis, which may also be relevant in food allergy as mentioned a few weeks ago, is probably the most convincing.We are living as smaller family units in better insulated, cleaner homes and children today are less likely to be exposed to germs in the environment. Children don't have the same opportunity to build up their immune system by fighting infections.A strong Ask Dr Jane Collins.. THE*fnftTIMES A-Z of child complaints
  • 30. Institute of Child Health Great Ormond Street Hospital for Children HHS Tfusl Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns information tor famines Guidelines and Treatment of Anaphylaxis Please use the indexes below to find the factsheet you need. Tests and procedures Operations Illnesses and diseases Miscellaneous Or search the full alphabetical index: Download PDF of 'Guidelines and Treatment ofAnaphylaxis1 factsheet Contents Introduction Anaphylaxis Antihistamines Inhalers Epinephrine Using an Epinephrine autoinjector Epipen®/Anapen® After use Looking afteryour autoinjector(pen) Going to school Accidental use How an Epipen® saved Lucy's life. Useful contactaddresses Introduction This leaflet explains anaphylaxis and what to do if your child suffers from this severe form of allerqic reaction.
  • 31. Institute of Child Health Great Qrmond Street Hospital for Children MHS fiuat Patients and Families Health Professionals Research Clinical1 Services GOSH International Press Office Campaigns Advanced Search Patients and Families How To Get Here When Your Child is Admitted International and Private Patients Health Professionals Clinical Services Nursing and Family Services Referrals Researchers Research Themes Academic Units Educational Opportunities R S DOffice Library D/rert4647©ICH& GOS Trust 2001 Search here to explore our services, make a referral, attend a course or conference, and connectwith our researchers.Our site is currently under re-development, and we welcome any comments on how we can better serve your information needs (H/eto editor). Nursing and Family Directorate [ Please select Clinical Services [ Please select Clinical MolecularGenetics Society Children's Pain Assesment International and Private Patients Referrals Academic Units I D I
  • 32. Institute of Child Health Great Orrnond Street Hospital for Children MHS Trust Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns Advanced Search Patients and Families How To Get Here When Your Child is Admitted International and Private Patients Hea t!h Professionals Clinical Services Nursing and Family Services Referrals Researchers Research Themes Academic Units Educational Opportunities R & D Office Library •r-TF- J T.rtu.^1 nwul? un [2230845 Direct 4647 ©ICH& COS Trust 2001 Welcome to our researchers page! Together, the Hospital and the Institute of Child Health offer a rich source of knowledge on child health. Explore our research themes, link with colleagues or conduct a search. Research Themes New Guidelines forthe Research Ethics Committee Job Opportunities at UCL Academic Units National Research Register R&D Office R&D Information for ICH/GOS Staff Clinical &Academic meetings Educational Opportunities Conferences Services Continuing Professional Development Programme Research Degree Opportunities
  • 33. ^ / Institute of Child Health Great Ormond Street Hospital for Children iMHS Trust MHTa^ Advanced Search Patients and Families How To Get Here When Your Child is Admitted International and Private Patients Hea th Professionals Clinical Seruices Nursing and Family Seruices Referrals Researchers Research Themes Academic Units Educational Opportunities R & D Office Library Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns Welcome to our clinical services! Scroll through this gateway page to find the clinical service you want. We also have a list of consultants' emails for referrals. Clinical Services Please select Direct 4647ra mu o. r;nc TH..-H- onm
  • 34. i* /- Institute of Child Health•» Great Ormond Street Hospital for Children HHS riAusI a-i] Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns Aduanced Search Patients and Families How To Get Here When Your Child is Admitted International and Private Patients Health Professionals Clinical Services Nursing and Family Services Referrals Researchers Research Themes Academic Units Educational Opportunities R & D Office Library D/rect4647 @ICHaGOSTmst2001 Welcome to our international pages! The Hospital and the Institute are world leaders in child health and research We treat children from around the world, and contributeto global child well-being through our Centre for International Child Health. Inte rnati oIIaI/Private Patients Centre for International Child Health
  • 35. Institute of Child Health Great Orrnond Street Hospital for Children MHS IVuit Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns Press Office What we do Contact us The team FAQs Wow does the NHS work? How do the fCH and Gosh collaborate? History of GOSH Research Review Welcome to our Press Office! Scroll through our statements, publications and press releases, or learn more about the rich history of our work. We have been in the forefront of child health for over 150 years. Contact us at (020) 78298671. Statements Assistance for parents concerned aboutorgan retention (30th Jan 2001) Press Releases No.1 hit boy band surprise a big fan at Great Ormond Street Hospital Simple blood test should help doctors treat meningococcal disease Press release archive...
  • 36. Institute of Child Health Great Ormond Street Hospital for Children NHS IhjMt Patients and Families How To Get Here When Your Child is Admitted International and Private Patients Health Professionals Clinical Services Nursing and Family Services Referrals Researchers Research Themes Academic Units Educational Opportunities R & D Office Library I fJULMHOUUOH ESS0845 Direct 4647 Campaigns Welcome to our campaignspage! Cutting edge treatment and research does not come cheap. For our supporters we have put together an active schedule of activities across the country. Scroll through our campaigns and find out more about our work, and pick your favourite wayto help us. r GOSH charity website.. GOS2000 team more.. dick hem m iru o nnc Tn,.
  • 37. ftv >r-J I • 1 f f tt i ///jKrtliff' Great Ormond Street Hospital for Children Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns Advanced Search Patients and Families How To Get Here When Your Child is Admitted International and Private Patients Health Professionals Clinical Services Nursing and Family Services Recruitment Referrals Research Research Themes Academic Units Educational Opportunities R & D Office Library CMLM HOUUCM Direct New Hospital Services Roundabout Online TopXmas Health Tips Xmas Health Flash I Text News „„,' The new joint website of Great Orinond Street Children's Hospital and the Institute of Child Health Welcome to our site!You can view our legacy pages from our old site, or explore our new pages. Quick search for departments and units Please select 5* research at the Institute ICHhas been awarded 5* for Its research, the majority being judged of international significance, ffeatf more... Harry Potter casts his spell Magic of popular children's book is being used to help young people with psychological difficulties. Read more, Children are the story of our work See what Joshua, Holly, Jake, Muhammed, Stacey-Jane... and even Spikethe dog are up to! Read more... Dr Jane Collins column online Popular Times column dispenses jargon-free advice. Read more... Read Search the site: Jo] Advanced search Site map Search for a memberof staff: ICH Directory GOSH Directory Email: info@gosh.nhs.uk Ev&vts December 2001 - January 2002: Can you help? Great Ormond Street celebrates its 150th birthday in 2002 and we're looking for ex-patients and staff to share their memories and experiences throughout the Hospital's history. Contact Marcella McEvoy on 020 7829 8671. All 2002!: Join in the fun! Help us raise millions for the care of children at the Hospital, by attending one of the many events planned for the year.
  • 38. IlililJIII 111111 '• its , BB> estiva greetings from Great Qnrnond Sfriret Children's Hospital and the Institute of Child Health! lick the presentsto unwrap our top health tips for families this season (or click, hern for text only version] — and keep the Yuletfde [jollies lolly!' Each gift contains a hidden gem provided by our team of virtual sanfa* to help parents and children avoid any pitfall*, and ensure a safe and healthy holiday season,,. (Dill n.ECHUT'JtE.tQH
  • 39. Why do we seeim to hove rows over Christmas? The ruf.....i up Ti: Chriglmas c.an be ej^'iuusi-ig und s"i ::f 1lr......louql......it, time and money aces into prepui :ri::<i•......I ' Mill" tifrpe.....fictions for in joyful break r::m be rwgh. 'i difficulty srwiitching off: frtM.....n work, tiredii.....less and •::i;.......nian i:n"i all set off raws..,, I. A L:i Planning, pacing and a flexible approach can help pi r,i tempers from rising, li k unlikely Ihal every m-einb......or cHho family wil have the .same idea a'bout whoit make.:, o goad Chris1mQfs. Manke a famiiy pIan, including s-c-nielhing ij': evaryone and decide who is dbing wbat io help and v/"i. -i. h may be v/orfh g^ing through the TVguide and -sortm i « jl clashes befcNre they arise, and have a vidbotapa ready ; ':-i Chrislrnas dinner over runs.! Vt%» & Being Rtedble aibc«u1 when and how things are do-'-: will -avo disappoinlnient w|ien things do noi goto plan., Gc^ng •» . i family walk aftef a big dinner will help any stress 10diiaii- i Cdrmjchcwf^ Cjfnicol Psych fGOS-N o On-
  • 40. has voted PlayStations the number one toy for boys ibis Christmas, I* there any limit on the amount of time children should Spend on PlayStations? WHhoul a doubl PlayStations ore pocd'or a-id thl nd odtills!' con spend many hours secnhngly glj-- s and cornpuler games-can be -lelp'ij [ -M dexterity, and seme gomes arc m-crrtolly li niciry bff Ihnf Pl:iyf:1nfinr-i;; ar"™ rnc-rc1 - pc-n.'Mr v, i I H- .• ci re i'n<:'. | i :• :;ivpilabl« npp^nl i! ;i l-ri '!"!!!• ' r:!'"'hL:':in i;. M-:I" so i'F ''i,,,.T'j i flic PIaySic ri-:ri', ''|-; - nind IlKfi Si»hylh ::i 1 iiiK^ .| • I i i (ririciwd IW rcinfnr.: i'i. | . |. -i. I. i I. • • • - !-.'| rin i :!r<: '-iiiv-:;,: h::i"! , : - ! M - : •• • f 1:1 r - r:i '.c:l :i:|'-|'i',-'.|v, | ..... :: I ; hi r- i ll '. WTIp* - l : i ' i " ' • •! L : . • ::svprc of ^' I i i n I !:iC'lr:: rlhliliivi hnv:: developed rcfirlil;v - . ' i - i i 11 |.ui- : -lild i'; pioinp T> 'ipn-id i 11 i il'i i::ivi-ii.| i:rf:Mil'Oii la sent' I ioi I I'L • msul. • : i:-, •! L: key -- if your child -i.|n.| :i I .l:r.- nl.i. I i.. 1-K! ;-:.'i si.l it is lime tt: ihiiik loytrl i i • i Pti/.If C. .-'i:.:ii' •::iJl' |GOSH
  • 41. Are there any dangers in children not getting enough sleep over Christmas? /I. sip ijsii^':. i growth and restoir0tiion uf I- i no universally right £r wiong sJtiiip ;n:rK:i-i. VvTni- ividudl :i!H..I ll i lly i:-. -Lit! fi^r solu1i::;-i. : • Plfl OTI i±xd1iii!;| till':' ">:.<( d'iildrtif i:h:.l normal :;».::him..; i:::.rj-n.: i- !l -i disrupted. In tlit- l-;ny run uf can be k children k? be Flexible and enjoy the moment, ralhei t'i« i < worrying too much about a litfle loss of sleep, he-.. difie-- in the r nei?d for deep and! pare'iis will '<now F I'loir ctuld ii getting ove- nred. Lack csf sleep can lead to shc-i i tears »n childfen as well as aduhs. !f yc-ur enId b-. 1 red amd iiTitable, "ake same tune out to quid v -o-jcl -:i .lory or go far a walk in the park -- and perhaps plan TOT- bech little ecnlier thai nghc. Even if bedtime is later than usual, I plenty ;;;•? lime to unwind and go through usual ur child Has o gccd hedtime re j'i-ne and usually E-kc-pi. I a little less sleep or a brief change »n routine is ur long t-enn problems. mira* RsychoJogvst a^ Grcot O
  • 42. Depression i.s ^amclhing that can affref many lernagen over Chrislnrvas. Why do you think this is and are rlvr-cr any tips for preventing it? Juii'iy :j:J"jle.".eM:.L I'.''. i.l Jtif'i iefil" ":j -1 *! •2i IndividktO't and segrr Ic devcloa independence, a i« :. li i • I 'ror? Iheir I'aTiilies. Pw approval and 'joi-m.'! of peers ;;, moiw imparlanl fhan (-i.il o! Iheir family Chi'i-jli'VKi; CCM b* 0 li '""if v*tn:-n rconag^-' • ,' I ii>ii i j ilily Ili0«l llie"f- Or't' J>L . '•-• I" • cvil Iheir developing indepcftdence. ; PL! -ic in-iulD pr-ividt QppOilunilies -.<i i l i:; :;,'.id a1 ^acs; value. Nfigptiale ratmilly e*pe • '.-tit-A r.ir- i;:-p.'i:.Tiir::l iri comp«icwnis€ '.^jn 'jflfiii ifit'"'' "'<'-•.:•:.))• a-""-iK"i:.U«'-.iMFlll : ,:.! .1 , lo Iricvi- I'iiu c I ei«;nc«r belween wriof ^ J ^J^^I'M • depresaion. Deptres*io«ii '•.* '-'crt; tc-'-'iT'ion a chi'ldrffii,. ^arliculairly in girl'j. This may se linked 1o romonal .-•rlv Of 10 -1 i* di'ii-ii I;] (fir occepf ..: ! • • • • l*K-ei I', I ' ;.lt"0ru: ' i N • J or esOmpTfi an in-porl-jri' rclaFonsfnai or nol acln- goal .-«..-> .jifiic'jll' r<> sf'Ol dr. • I • n odo%SCQfitE, 5iQ ' • -' I- ilic'iTilliu-Sl Wilii 1iji"'iilv. : - .: •••nig JD hobbiea, Iccsing mlereal in ichool w ndl doing •••••jll. ••:. ',-. icjlheii wrth co'ioenl ro'lirig Olher sig-rs are ovTer-e-Diliny .1 •' eahrta enough .ind cnaiiges n jlsep parrerna. In sane case; n-i .i I- I /ho i; • • •'",. ' :; fci" n,;L ; MJC ' •<=. dn "i ti'in 'OA W ,"""' :"» flying i--l- liijiii-,,, I' a yiV.}jlO»l-. IJt'L. ''alkng aboji: worries doe"i noI ieer n lo bnvfi1 helped', leek i :." .! i. •'_«'.!•' coil -if-1 -''-'"-i" "
  • 43. Are there any risks involved for children blowing up balloons? How can 1 tell if my child has an allergy to balloons and how should ( deal with it? You wen.Id ihink lho1 tj balloon should i -./I : >:i ri I ii.t i F:.i:T J1 cam £CIUst: r-tiv'tirtf rtitirt i.:-i • i'i :E...::L: L: Wi i ilk - < : • . Ti- i;. (:, :;*..: UJs*.: -i..bber ball::: " r> . : . . ' i • •• I :rid, i.l-.. 1he balloon ^"' ^h;!M il ii blown Up, "I l«f Flisii off >n1o ^TI? air and can be inhaled, cajsng area 1-1 affected indivickjals. Runny nose. rc»iy eyes, swelling around the lips, may all be early signs of a reaction which cculd lead to and breotfimg diFficuliie;; Avoidance ^ "l-c iJ_-ijl making sure all your family andfriends knawabaurl i n problem. Foil ballscna are fire. Terry Duradr - Ciin-ica I j-yppJit s AcK'-Jsor -at
  • 44. What Christinas foods cause the most serious allergies? Your child may not be diagnosed :is I.K: i;:| :ill:'i:|ir. I : hi •i it iv suffer fii;;rii arlier allergies &u;ri a^ u:-.1l I ;H food ul ; i :•, vijin as Sdwi fruit, bananas^ - i ' I somethiir;i| ttltIT i^ P::L:L||:C «n Chn:-/i . - ii flf. f::::Jv M:l'-i.: :i f.r'otfiin iimiBar 16lalex, i l l 'I r i if Chrislmas is a time when 'nibbles" are lefl our, parlkulaiI c-eonu^s. Small children have a tendency ta pick up ? l it-en's and either swallow them whole getn-ig i I-K.U gullet) o- sHck them in iheir noses or ears. Also rry o> remember to cut up food into small pieces Ob r properfy. On© of the problems v/e ofien sec u our operating 1'-iea1rt?s over the holidays are chunks CT meat "In c1 n> stuck. Durack - ClmJCQi S A^sor at
  • 45. Should parents be aware of any dangers involving child rein when putting up Christmas decorations around the house? Candles and fires 1hat look real have become popular - r- I those little dancing flanes attracts nc-1 only ' LIVQ flam should nsviflr ba left unattended or where little hon.l > can gel at them. Speaking from personal! experience, glittering li.i i baubles are like magnets ta some children: smashed dec-: i i Lin be the minor problem if a child pulls Ihe 1ree O'--c >•.•-•! brother was two years aid he did It twice with n-: fortunately). Live Hally berriesthai fall off a^ dry is nor a recommond Food for -anyone cxccpl b«rds. A 'U, bfrighlly coloured thing lho>- con ^all ofF a dccorolic'i 'H. iy spell danger For small people, SO be Duraclc • Cl'i: n;ra I S-ypplk's Advisor o' UL>SH W^f
  • 46. What are the common respiratory child ailments over Christmas and are there any measures that parents can take to reduce the onset of these-? We all know that the wintei cirii ChirL-.l-riu:-. vn- i :i •/-i iul.-:c vilh an increase in LOL; i Lokk. On: vi L.•. wl i:l !>' '^•irrurt in: i:. rhe Rj*spiral&fy 'iyi'citial Virus |RSV|. 'Ihi i:. ihe 'iici r :>i,.>so ::f bronchiolife", a lung infect.' in. '•"•'•nli- mo |usr suffer sore throats and feeling Ibusy *'icic cie a groupoF chifldren who are at grealast risk. Th« I ona year aids ni I'-iis age group, the vims may o: ": ]' ""';i. wheeling, and difficult/ with breathing and i>: i •earned in the air and spread by coughing i • i :j. Vv'|-i e M s impossWe ^o prevarit babnea catching ir (un|: - n sn -cofan v^sol;, yo-u cam reduce ihe cl i • i r cy sunpie methods, i^ you "iave a cold !her try on.1 cuddling -and Wssirig other people's babies. JL. • > • covarlng ycji' irouih when coughing and since. ou will Deduce "he saread of <be vims. Another rsspiratory disease which is often m<:< I- i'i v/n t is aslinnici, There arc mony children who Duller -n-i.-c ri-Jl-mai because oFHie change ir wodfhor end r>( oaa i'i viral III is impcHaiinl 1o follow simple hygic'm i «l ••. i discussed above If you have aslhma., Ihcn M is v. ml Ihal you Follow your doctors advice^, pdrliculbrPy don'1 ! lo lake your modicincs over this lime o^ year
  • 47. How nutritious is the traditional Christmas lunch for children? Pile The first course of the irodtfionol ChiistMrnois lurtdh wiHi i.illiri'-| p. .':ii::f! . ii'id two Io three pprlicns of i :[:>:id rjcllriiKe of ilelny frpm different rGOtfo "i«:i1, Slar<hy F&odht 0*ld different kinds O'l V'>:|;:l.:irj!!i;:i. plenty ol uiegstdbfes omJ pio cosy with Htf: aJutnirtg potatoes. Tne ChriglrwciS pudding and mince pies and acL^mpanimefiK tjre very high in fiat and are not a goad f:: h:v/- :i-i ; .:..r such LI heavy first course. Think about saving the 'ding and mintti piss; for later, t;:< f:[lli::'A.' a lighter mtxilr and • j:::vli1ute o fresh fruift salad or some jelly or mefingges. Ybu con cut down on the fat in the main course by not eating ttie skin of the Huikey -- most af 1he fal is just ,jii;.lt:r 1-u: :iki-i, or by no1 putling butter en the vegetables and by boilf:| 1-iu L::rallies i:.rlii ;.'! triern in the oven fst a final rcosl with cmfy a ii'iiijl ».i i-:,.i..-i" of fat. Try10find a Chfisfmai puddii?:] Ihut ui-is fy :F: dried fruit and not much suet. And instead of the cream 01 urnidy tn-llt!!,, try a lew fat ice cream, custard made wHi skimmed -nilk or IDVV Fat'fromage frais mixed wiih a toutn Margaret' iLawEon, GOSH DiefJaar? and Senjor Lecturer n at tj-*ie .'nsfiturti of bi
  • 48. . . .-, Should parents feel guilty about their child eating lots of chocolate over Christmas? L ulingj ° I'-'1 c -'r fliL:':>--l:iit! :;VL!"' tj v-k.-rt period of time probably ;.i I mi ".:•much. &y1 potiing a let of tunphdsis an i Chrifilmas sends out n us. :i> |.. s •>:> y^ui•":;.) children 1hcif chdeitilorti ii importtjrir. Tht: :ki-igtin-- i.s, then they will continue to Wtint 1G eat liils of at uflt!! "ht; ; t!i1i'/i! :-.i!:i:-.::ri, ;jnd ihis could lead to problems with waighi and wjih tee'h. Encourage everybody -- adults included -- tc dip inlo healthier sUil"i as grapes or IcHle salsumas or tangerine's.. OHier iuch as papcorn and nuts, can aUo be a good subsHtute the family wants something to n bble -- sc make sure that there are bowls of these f:;::-ds rather than dhocolaJes, Hide the chocdlates away and cn^ bring them out afler niaals, when hopefully nobody will have too much appetite for them. et Lawson, GOSH Diencian and Senior Lecturer Raediofrk Mufrtdan ar rht; li-sfiru^e of Child Heorm - ftn-
  • 49. Institute of Child Health Great Grrnond Street Hospital for Children TINS Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns To p C h r i s t m a s H e a l t h T i p s f r o m o u r E x p e r t s Festive greetingsfrom Great Ormond Street Children'sHospital and the Institute of ChildHealth! Click hereto see the animatedversion, or read onto keep the Yuletide jollies jolly!Each tip is providedby ourteam ofvirtual santas to help parentsand children avoid anypitfalls, and ensurea safe and healthy holiday season... Top tips 1. Why do we seem to have rows over Christmas? 2. Is there any limit on the amount of time children should spend on play stations? 3. Are there any dangers in children not getting enough sleep over Christmas? 4. Depression 5. Are there any risks involved for children blowing up balloons? 6. What Christmas foods cause the most serious allergies?
  • 50. Institute of Child Health Great Qrmond Street Hospital for Children HHS Tmsl Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns C h r i s t m a s H e a l t h T i p s our E x p e r t s Top tips (Why do we seern to have rows over Christmas? 'Is there any limit on the amount of time children 'should spend on play stations? Are there any dangers in ichildren not getting enough sleep over Christmas? Depression 'Are there any risks involved for children blowing up balloons? What Christmas foods cause the most serious allergies? Should parents be aware of any dangers involving children when putting up Christmas decorations around the house? What are the common respiratory child ailments over Christmas and are there anv measures that 1. Why do we seem to have rows over Christmas? The run up to Christmas can be exhausting and stressful.A lot of thought, time and money goes into preparationand expectations for a joyful break can be high. Financial worries, difficultyswitching offfrom work, tiredness and differences of opinion can all set off rows. Planning, pacing and a flexible approach can help prevent tempers from rising. It is unlikely that every member of the family will have the same idea about what makes a good Christmas. Make a family plan, including something for everyone and decide who is doing what to help and when. It may be worth going through the TV guide and sorting out clashes beforethey arise, and have a videotape ready for when Christmas dinner over runs! Being flexible about when and how things are done will avoid disappointment when things do not goto plan. Going outfor a family walk after a big dinnerwill help any stress to dissipate. Potty Carmichaet, Clinical Psychologist at Great Qrmond Street Hospital (GOSH)
  • 51. Institute of Child Health Great Ormond Street Hospital for Children HHS Trust aM Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns Top C h r i s t m a s H e a l t h T i p s f r o m our E x p e r t s I optips Why do we seemto have rows over Christmas? Is there any limit on the amount of time children should spend on play stations? Are there any dangers in children not getting enough sleep over Christmas? Depression Are there any risks involved for children blowing up balloons? iMiat Christmas foods cause the most serious allergies? Should parents be aware of any dangers involving children when putting up Christmas decorations around the house? are the common -espiratory child ailments Dver Christmas and are :here anv measures that 1. Why do we seem to have rows over Christmas? The run up to Christmas can be exhausting and stressful. A lot of thought, time and money goes into preparation and expectations for ajoyful break can be high. Financial worries, difficulty switching offfrom work, tiredness and differencesof opinion can all set off rows. Planning, pacing and a flexible approach can help preventtempers from rising. It is unlikely that every member of the family will have the same idea about what makes a good Christmas. Make a family plan, including something for everyone and decide who is doing what to help and when. It may be worth going through the TV guide and sorting out clashes beforethey arise, and have a videotape ready for when Christmas dinner over runs! Being flexible about when and how things are done will avoid disappointment when things do not go to plan. Going out for a family walk after a big dinner will help any stress to dissipate. Potty Carmichaet, Clinical Psychologist at Great Qrmono* Street Hospital (GOSH)
  • 52. .' ; Institute of Child Health Great Ormond Street Hospital for Children ilHS "trust Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns Top C h r i s t m a s H e a l t h T i p s f r o m o u r E x p e r t s I optips Why do we seemto have rows over Christmas? Is there any limit on the amount of time children •i ild spend on play stations? Are there any dangers in children not getting enough sleep over Christmas? Depression Are there any risks involved for children blowing up balloons? What Christmas foods cause the most serious allergies? Should parents be aware of any dangers involving children when putting up Christmas decorations around the house? are the common respiratory child ailments over Christmas and are :here any measures that 2. Research has voted PlayStations the number one toy for boys this Christmas. Is there any limit on the amount of time children should spend on PlayStations? Without a doubt PlayStations are popular and children (and adults!) can spend many hours seemingly glued to the screen.PlayStations and computer games can be helpful for developing manual dexterity,and some games are mentally challenging. It may be that PlayStations are more popular with boys as there are more games available appealing to their interests. The problem is not so much the PlayStations themselves, but the contentof games and the length of time spent playing. Some games have been criticised for reinforcing gender stereotypes, and there have been some concerns raised about links between aggressive games and behaviour.It is important for parents to be aware of the contentof games and how long spent playing them. Some children have developed repetitive strain injuries. Ifyour child is going to spend time on a PlayStation it is well worth paying attention to seating and the position of the consul. Balance is the key-- ifyour child is spending all day glued
  • 53. Institute of Child Health Great Ormond Street Hospital for Children MHS Iklll Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns Top C h r i s t m a s H e a l t h T i p s f r o m o u r E x p e r t s i op tips .WViy do we seemto have rows over Christmas? Us there any limit on the amount of time children ^should spend on play stations? Are there any dangers in ^children not getting enough sleep over Christmas? Depression >Are there any risks involved for children 'blowing up balloons? (What Christmas foods cause the most serious (allergies? (Should parents be aware of any dangers involving (Children when putting up Christmas decorations ground the house? What are the common respiratory child ailments ^ver Christmas andare there any measures that 3) Are there any dangers in children not getting enough sleep over Christmas? Sleep assists in growth and restoration ofthe body.There is no universally right or wrong sleep pattern.Whatever suits the individual and the family is the right solution. Christmas is an excitingtime for children and normal bedtime routines are often disrupted. In the long run it can be less stressful for parents and children to be flexible and enjoythe moment, ratherthan worrying too much about a little loss of sleep. However children differ in their need for sleep and parents will know if their child is getting overtired.Lack of sleep can lead to short tempers and tears in children as well as adults. If your child becomes overtiredand irritable, take sometime out to quietly read a story or go for a walk in the park- and perhaps plan for bedtime a little earlierthat night. Even if bedtime is later than usual, leave plenty of time to unwind and go through usual bedtime routines. Ifyour child has a good bedtime routine and usually sleeps well, a little less sleep or a brief change in routine is unlikely to cause any long term problems. Potty Carmichael, Clinical Psychologist at Great Ormond Street Hospital (GOSH) next
  • 54. Institute of Child Health Great Ormond Street Hospital for Children Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaign Advanced Search liBHlHiiffBnlgnMB How To Get Here When Your Child is Admitted International and Private Patients Q Clinical Services Nursing and Family Sei vices Recruitment Referrals CCTT!Tr?ilMHI^^M Reuedich Thumbs Academic Units tducational <'I >|M II till III II--, R & D Office Iibrary 16845 Direct 4647 More on GOSH Hospital Services Roundabout Online Th»new joint website of Great Ormond Street Children's Hospital andthe Institute of Child Health Welcome to our sits! You can view our legacypages from our old site, or explore our new pages. Qulcfc »earch for department* and unlta [ Please select [S| ICH heads genetics knowledge park ICH dean David Latchman is to lead £3 million London IDEAS Park. Reatf 5* research at the Institute ICH has been awarded 5* for its research,the majority being judged of international significance./?edtf mow... One stop i* all rt takes Cfick here to find a service, read the latest news, Cancer gene breakthrough ICH scientists have identified five genes that are expressed in embryo and cancer cetos.Resd mote... Dr Jane Collins column online Popular Times column dispenses Jargon-free advice. Read mare... Seuen theme* guiding research The ICH Research Review 2000 is Tuesday. 22 January 2002 Search the site: Advanced search Site map Search for a member of staff: ICH Directory GOSHDirectory ["mail: info®gosh.nhs.uk Events December 2001 - January 2002: Canyou help? Greet Ormond Street celebrates its 150th birthday in 2002and weVe looking for ex-patients and staff to share their memories and experiences throughout the Hospital's history Contact MarceBa McEvoy on 020 78298671. All 2002!: Join Inthe funi Help us raise trillions for the care of children attrie Hospital, by attending one of the many everts planned for the year. Institute of Child Healthrt Hospital for Children JV//5 Trmf Through its innovative research and its high-quality training programmes, the Institute of Child Health 1ms created a work!class centre for the study and treatment of childhood disease. Together with Gieat Qrmand Sheet Hospital, it has made R major contribution to the health and well-being of childrenand their families worldwide THE QUEEN'S ANNIVERSARY PRIZES This site is designed for clinical and research professionals. If you are a member of the public, please visit the about us page for more general information about our work. Mews... 5" research at the Institute ICH has been awarded 5* for its research, the majority being judged of international significance. Read more,.. New report on world's newborn* Eight million babies worldwide die before they reach the age of one month •- 98 percent of these are in developing countries. Cheap and simple investments in health care could save millions of newborn tves.Read more... GOS/ICH Springboard Research Training Fellowships read more... PhD Studentships read more... Institute of Child Health Great Ormond Street Hospital for Children NHS Trust Patients and Families Health Professionnils Research Clinical Services GOSH International Press: Office Campaigns Advanced Search Welcome to our patient and family services! Use this page as a gatewayto our many support services, or try exploring our many fact sheets on medical f Collins... procedures, ailments anddiseases. We HjV i|i|i|i|ijiiiin ••"•'" have a lively range of support services to International and Private Patients Clinical Sei uicae Nursing and Family Services Recruitment Referrals children and teens, Including our radio station (Radio Gosh) and children's school. Research Theme* Academic Unite EducatJonaj Opportunities R & DOffice Library Coming to GOSH How to get Mere When youi child is admitted 0845 D/recf4647 nternational and Private Patients Chaplaincy Social Work Hospital School More on COSH ~ Institute of Child Health Patients and Famil Great Ormond Street Hospital for Children I NHSTruit ch Clinical Services GOSH International Press Offi Information forfamilies Please use the Indexes The handbook and factsheets have been written by staff atGreatOrmond Street Children's Hospital. While below to find the factsheet they are Intended to be used byfamilies and parents at Great Ormond Street, other people may find them *>uneed. useful too. Tests and procedures Illnesses and diseases Miscellaneous Or searchthe full alphabetical Index: • Welcometo our hospital-a handbook for parents useful into about coming to stay at the hospital • factsneetscovenngcMferent conditions, disorders, procedures and discharge information • How to get a referral foryour child to Great Ormond Street Children's Hospital If you want information about something mat isnt here, please contact the Health Information Centre This information does not constitute health or medical advice and will not necessarily reflect treatment at other hospitals. If you have any questions, please ask your doctor. Noliability can betaken as a result of using this information.
  • 55. Institute of Child Health Great Ormond Street Hospital for Children HHS Trust lilies Health Professionals Research Clinical Services GOSH International Press Office Campaigns Ask Dr Jane Collins. Dr. Jane Collins is aconsultant paediatric neuiolonisl and is the chief executive of the Great Ormond Street Hospital for Children NlIS Trust. Her column appears regularly In The Times of London newspaper. A / ul child t:uui|»l<iiMlH nnnnnao DDDDD Asthma - The Times, 25 Apr 2000 Aslhma affects orra In suvyn chlldien In lha UK The pwvalenca has Increased steadily ovnti the last 30 years and there are now more children than ever before with asthma. The good sign though Is that the rat* of Increase Is beginning to level of! I rm» art several theories ai to why more children are suffering from asthma Tim hygiene hypothesis, which may also be relevant in food alltrgy as mentioned a few weeks ago,Is probably the most convincing We ate living as smaller family units in better insulated, clainer homes and childrentoday are less likely to be exposed to germs In the environment, children dont havethe same opportunityto build up limit Immune system by fighting infections A strong immune system could offer protectionagainst as number ofthings, including Ihu all*iu»nsthaltilggei asthma. Wt ar* certainly better at recognising the signs and symptoms of asthma nowadays and that could also account for a rise in those Ask 1Dr Jane I Collins... THEiflHfeTIMES ^j Institute of Child Health Great Ormond Street Hospital for Children NHS Imil Patients and Families Health Professionals Research Clinical Servicas GOSH International Press Office Campaign ...juusu ,-tiLiU JLi.j.'i jji.jWi How to refer a private patient toGOS Email: privateinfo@gosh.nhs.uk | Back to the top fflOUS/ICH Trust 2001 Great Onrond Strxt ftospilal for Children NHS Trust. Grot Orrmnd StrMl. Dniton DUCIN3JH Tel rf4(OJ20J«5620), Fan : t*t (J>20 7828 8843 and Tht lnstkut« ot Child Health. 30 Guilferd Street. LmdonWCIN 1EH Tel: 444 (0)20 7242 9788. Fax: 444 (0)20 7831 0488 limitm? ul Clii/rl lit tilth Great Ormond Street Hospital for Children | IHHS Trust Pltiintl illd Fumlliln Health Professionals Research Clinical Services GOSH International Press Office Camp gosh toons what'sup? on the case ask doc write4gosh Hey kids! Welcome to GOSHKids! Click on the buttonsto the left for awesome articles, fun features andactivities - find out everythingyou could want to know about Great Ormond Street Children'sHospital! top Institute of Child Health Great Ormond Street Hospital for Children NHS Ituxt Health Professionals Research Clinical Services GOSH Iritornalional Press Office Campaigns GosH tens HEY! LIFE AT GOSH UIHBT'SUP GOSH roons Of! THE CASE BACHSTA6E UIRIITEMGOSH Welcome to GOSHTeens. Click on the buttons to find out everything about Great Ormond Street Children's Hospitall
  • 56. Great Ormond Street Hospital for Children NHS TrullInstitute of Child Health How To Get Here When Your Child is Admitted International and Pi iuate Patients Search here to explore our services, make a referral, attend a course or conference, and connect with our researchers Our site Is currently under re-development, and we welcome any comments on how we can better sen/3 your Information needs (U<v?/> orfltor)Clinical Services Nursing and Family Services Reciuitniont Referi HIM -iii'i .mil I iiinily Di AMMronrnMi Ai i.lrniK UllllM Educational i ni.ii i .i- I I l l M l M i r , | ' ( I I I A V , " - , I I | M | | | id-Hi ill .11 il in.I I'M., il- C.Hi.-ill-, il-. Academic Unit* 0845 D/>ecf4647 . 'ill' I'M I ' II' ii II.I ml '.Illltl H'Mlll Institute of Child Health Great Ormond Street Hospital for Children I NHS Trust Patients and Families Health Professionals Research Clinical Services GQSLH International Press Office Camp ita aAsk GOSH online info@gosh.nhs.uk Patient/Family Info How To Get Here When Your Child is Admitted International and Private Patients Health Information Centre Hospital Tour Hospital School Radio Gosh Games Getting help Bereavement Services Chaplaincy Child Death Helpline SocialWork Family factsheets Test and Procedures Operations Illnesses and Diseases Miscellaneous Ask Dr Jane Collins A-Z of Child Complaints Articles 10845 5* research at the Institute ICH has been awarded 5* for Its research. Read more... Family information online and on sale The hospital has taken two significant steps to make Its extensive range of family information booklets more widely available. Gary Loachteports. GOSH chief executive tackles top issues Dr. Jane Collins, GOSH's new chief executive, used a well-attended staff forum to further explore long-standing concerns around flexible working hours, bullying and a rumoured move to a new site.Reaof more.. :ck eh* Clinical Serulces Referring InternationatfPrivate Patients Consultants' Emails Directorate of Nursing and Family Services r r TT,>«««*! *! •> Academic Support Sevices ConferenceServices Joint Services Library Recruitment General enquiries: info@gosh nhs.uk International and Private Patients: privateinfo@gosh.nhs.uk Job Opportunities: jobs@gosh.nhs.uk ofCli/M Itnllth Great Ormond Street Hospital for Children I MHS Irasl PitlariU Hnd FAmfliut Health Professionals Research Clinical Services GOSH International Press Office Campaign W«lcomt to th* recruitment pages of the Great Ormond Street Hospital (or i. iiii.n mi NHS Trust and th* Institute of Child Health. We are: • Aworld-renowned centre for cutting-edge research andcare • Nowembarking on a major modernisation programme ofourfacilities and services (please click here to read more about GOS200D). We care for childien and adolescents who suffer from serious conditions and who are referred to the hospital for specialist treatment. Our staff, pioneers In making the hospital experience less intimidating for children, also enjoy a lively and friendly work environment Further Information How to get here Liujng in London 0 Staff benefits Equality and diversity Work experience S^ji Institute of Child Health Great Ormond Street Hospital for Children I HHS Tirusl Patients and Families Health Professionals Research Clinical Services GOSH International Press Office Campaigns The Children's Pain Assessment Project This site was f Dtctmttr a, 2002 Comments, suggestions? Email Liz Bfuce This project is based In Great Ormond Street Hospital for Children and the Institute of Child Health. The Children s Assessment Project (CPAP) is a three-year practice development project run by Liz Bruce (Clinical Nurse Specialist) and Linda Franck (Professor of Children s Nursing Research) at Great Ormond Street Hospital for Children. London, UK, and funded by a grant from the Foundation of Nursing Studies. 0 Background and contact information ^ Participants sign inhere ISO Beseen Beseen Hit Counter Rack to the tonl • •OMCHHW1M1 Grut Orrrond StiTO Hospital tor OiiUnti NHS Tnjst. Glut Oimond Strw London VCIN3JH T«l +4400)20 7409 9200, Fax: *44<P)20 7829 8043 and lh« Inftkmt ol Child Haalth. 30 Gudtord Stwt, Uwdon VUCIN 1EH
  • 57. Institute of Chile! Health lies Health Profess Great Ormond Street Hospital for Children I HHi Tmsi Clinical Services GOSH IntBirnation Overview of GOS2000 Overview of GOS2DOO Nei Introduction The hospital is embarking on a multi million pound redevelopment plan - GOS20QG andbeyond - which will encompass huge changes to both our built environment and the way we provide care to our patients into the next millannitim. HeiU'K how this woik is developing. tine A .11'.: I.' 'Ill ' i»i|iii| »<•' I'l.m Annutl Clinical Governance Report .•IMPII -nut Page -1, 2, 3, 4, 5, 6, 7, 8, 9,10,11,12,13,14,15,16 Contents 1. Modern times need modern solutions 2. Changing face of COS 3. Building for the future - longterm benefits 4. Famity-oriented care 5. People power 6. Doing what we already do... better! 7. Changing the focus 8. Working together across theUK 9. Staff accommodation 10. Redeveloping our site 11. Four phases at aglance 12. Major milestone reached 13. What our patients want 14. Here's what one young patient hadto say... 15. Ourteenagers thought this... 16. Investing in our future Author; Suzy Sharp,PublicationsUnit, ext1020 Line manager: Nigel Clark, Executive Chairman ot Fundraising and Public Affairs i;j i.M-.'ii iHiu.t 2001 Omit Oimond Sir** Hotpkil tor CMdran NHS Thm. Or** Oirnond Strait. London WC1N3JH s Institute of Child Health Great Ormond Street Hospital for Children I MM'S ITUJL Annual Clinical Governance Report 2000/ 2001 The files are available as pdf format, which requires Adobe Acrobat Reader, if you do not already have the software ft can be downloaded free from their website. Click here to download a full PDF of the Annual Clinical Governance Report 2000/ 2001 or choose from the sections listed below Contents Introduction Clinical governance is a national framework through which NHS organisations are accountable for continually improving the quality of their services and safeguarding high standards of care bycreating an environment in which excellence in clinical care will flourish.Read more... Key tai gets for 2000 Annual Report 2i IllStitHlf tll'C.hilfi llt'illlh Great Ormond Street Hospital for Children I HH S llrust 1®1 Mhntlmd FMllta Hlllth Profmiongll Research Clinical Services GOSH International Press Offic Annual Report 2000/0' The fttei are availtbh M3 pttt totmtt. which require3 Adobe Acrobat Reader; if you do not already hove ttte software it can be downloaded free from /<•>.'. .* Click here to download a full PDF of the Annual Report 2000/01 or choose from th* Motions listed below Chiiii'% II.IW.IH! Oui mission Is to Improva the health of children by being a leading centre of excellence In Europe for specialist paedlatrlc services and for research, evaluation and education In child health. Wesd more... duel executive' We provide specialist paadiatric services for the UK and beyond. We house 32 medical specialties, more than any other children's hospital in the UK and treat Sjf (JiJiTi-iwa •fcta Qutnyi Annual Report 20DOS01 k j ' Research Review 2000 j. Institute of Child Health Great Ormond Street Hospital for Children | HHS Tnust Patients and Families Health Professionals Research Clinical Services GOSH Irternmior.al Press Office Campaigns Research Review 2000 The files are available as pdf format, which requires Adobe Acrobat Reader, if you do not already have the software it can be downloaded free from tfie>r website. if you would fide to print any of the pages, ptesse note that the Review is not formatted for A4 paper so you will need to sefectthe 'shrink fa fifoption from the Acrobat Header Prtnt Dizfog box Contents Annual Report 2000/01 Front section, Including • Review of2000 • Dean's Report • CNef Executive's Report • Report by the Director of Clinical Research and Development Research Review 2000