Project Manager: David South
Project Time Frame: 2001-2003
Britain's best-loved children's hospital and charity, Great Ormond Street Hospital for Children NHS Trust (GOSH), contracted me to lead a two-year project to modernise the hospital's web presence and take its brand into the 21st century. GOSH is both Britain's first children's hospital and a pioneering child health institution (along with its partner the Institute for Child Health). The hospital's outstanding reputation meant the project was carried out under intense public, media and professional scrutiny, and required a keen awareness of new media developments and the needs of the hospital's patients, their families and the public.
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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.
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
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
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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
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
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,'.;;;,'™ >? 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
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•w I Otr»f Publications
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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?
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
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25. About us
Research
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Institute of Child Health
and Great Qrmand Street Hospital for Children NHS Truss
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units
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opportunities
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support units
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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...
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|
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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
30. Institute of Child Health
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information tor famines Guidelines and Treatment of Anaphylaxis
Please use the indexes
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you need.
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Or search the full
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Download PDF of 'Guidelines and Treatment ofAnaphylaxis1
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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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Ev&vts
December 2001 - January
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and staff to share their
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All 2002!: Join in the fun!
Help us raise millions for the
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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
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. .'
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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
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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
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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
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Hospital, it has made R major
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please visit the about us page for more general
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55. Institute of Child Health
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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
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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
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limitm? ul Clii/rl lit tilth
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56. Great Ormond Street Hospital for Children
NHS TrullInstitute of Child Health
How To Get Here
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GOSH chief executive tackles top issues
Dr. Jane Collins, GOSH's new chief executive, used a
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concerns around flexible working hours, bullying and a
rumoured move to a new site.Reaof more..
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ofCli/M Itnllth
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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
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
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Work experience
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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
^ Participants sign inhere
ISO
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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 |
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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