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• Clinical Standards In Paediatric Nephrology:
  

BAPN Sub-Committee for Clinical Standards and Guidelines Members 22/11/06:
Chair	Dr Lesley Rees
Chair of the Registry Committee	Dr Jonathan Evans
Ordinary Member	Dr Jan Dudley
Ordinary Member	Dr David Milford
Co-opted executive member of the BAPN executive	Dr Nadeem Moghal
Executive member linked to the RA CPG committee	Dr Sally Feather
The Communications officer for the BAPN	Dr Eric Finlay
The trainee representative	Dr Leah Krischock

• Definitions:
• » Standards are descriptions of clinical practice and patient outcome to which values and judgements can be attached either by professionals or lay people.  They are used to evaluate and distinguish good practice from poor. 
• » Guidelines are statements or pathways describing optimal contemporary clinical practice that are based on evidence and collective expert opinion, and generalisable to a group of patients. These are drawn up to assist clinicians in formulating treatment plans for an individual patient.
• »Advice on guideline writing can be found on the Guideline writing page.
• » Standards and guidelines together are tools linked to audit and research, and are used in the critical analysis of past practice and the setting of targets for the future.

Remit:
Development of standards and guidelines for all aspects of nephrology. Standards and guidelines selected for preparation by individuals/teams will be notified to Dr Rees who will ensure that there is no duplication. It is hoped that all trainees will select a guideline during their training.

• The format will be as follows:
• » a. The guideline statements, with the level of evidence stated after in parentheses as (Evidence) or  (Good Practice) or (In the opinion of the working group)
• » b. The audit measures associated with each guideline and a timeframe over which these audit points should be evaluated
• » c. A description of the evidence base used to prepare the guideline
• » d. The references
• » e. Cross reference to other relevant standards and websites where applicable
• » f. The document will state ‘draft’ and give the date of completion, authorship and version number

Draft standards and guidelines will be posted on the BAPN website and the BAPN membership will be notified and invited to comment. Members will be able to post their views on the website over the next 2 months.

• » The author(s) will respond to comments directly onto the BAPN website.
• » The author(s) will collate all the comments and incorporate any necessary changes into the document.
• » When all comments have been responded to by the author the document will pass to the subcommittee who will adjudicate in situations of disagreement between the authors and BAPN membership. If necessary the document may be sent to an expert in the field.
• » The final document will have a proposed date for revision or reassessment.

When the review process is finished the standard/guideline will be posted on the website in final form. The adult HD chapter, CAPD and CKD guidelines are now posted at http://www.renal.org/guidelines/index.html   Guidelines on complications of transplantation are almost complete.

The modules and guidelines with their respective leads for adult and paediatric practice:
Modules 1 and 2: Chronic kidney disease and complications>	Sue Rigden, Jonathon Evans, Simon Waller (adult leads chronic kidney disease: Charlie Tomson, Maarten Taal, complications: Mike Cassidy, Donald Richardson)
Module 3 Haemo Dialysis Peritoneal Dialysis	Lesley Rees, Rukshana Shroff, Sally Feather (adult leads Simon Davies, Robert Mactier)
Module 4 Transplantation:	Heather Maxwell, Jan Dudley, Nick Webb, Larissa Kerecuk ( adult leads Chris Dudley, Paul Harden)
Module 5 Acute renal failure:	Sally Feather, Maggie Fitzpatrick, Mohan Shenoy ( adult leads Paul Stevens)
Guideline 1Hyperparathyroidism post transplantation	Joanna Clothier
Guideline 2 Hypertension	Rachel Lennon
Guideline 3 MPGN	Larissa Kerecuk
Guideline4 IgA Nephritis	Ihab Shaheen
Guideline 5 Atypical HUS	Sally Johnson
Guideline 6 Chronic Allograft Nephropathy	Leah Krischock
Guideline 7 ABPM	Karl McKeever
Guideline 8 Rx of recurrent FSGS post transplant	Mordi Morah

BAPN Nice UTI Resonse Documents
The BAPN's response
Collated Results Document