Paediatric Rheumatology

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Overview of the Department The Liverpool Clinical Academic Department of Paediatric Rheumatology is based at Alder Hey Children s NHS Foundation Trust and in the Institute of Child Health, University of Liverpool. The department is recognised as one of the leading paediatric rheumatology units in the UK, providing the highest level of specialist care to children and young people across the region with an ever growing international profile. We are a major centre for paediatric rheumatology research, linking with all major rheumatology centres across the UK. Our team is trying to improve the care and understanding of rheumatic disorders in children and young people. UK s First Ever Centre of Excellence for Childhood Lupus Since 2011 we were made the UK first ever Centre of Excellence for Child hood Lupus by LUPUS UK. LUPUS UK is the major UK charity supporting patients and their families with Lupus. This fantastic status was awarded to us as a result of the excellent clinical care and research we provide to help children with Lupus. Training and Education Departmental Education Our team are involved in teaching students. Teaching occurs during ward rounds, clinics and team meetings. Sometimes our patients are invited to assist the team with teaching others. Trainee Rheumatologists Alder Hey is a main UK centre for training future paediatric rheumatology doctors. Multi-Disciplinary Team Alder Hey Clinical Academic Department Paediatric Rheumatology Information about our services for parents and carers Our Rheumatology Department is a large team made up of different health professionals. Together, we emphasise the importance of working together to provide the best possible care. Within the team there are consultants, nurse specialists, research nurses, physiotherapists, junior doctors, play specialists, secretaries, scientists and data managers. Alder Hey, Department of Rheumatology & Childhood Lupus Centre of Excellence 1

Clinical Excellence Clinical Care in Paediatric Rheumatology We care for patients with severe chronic inflammatory conditions affecting joints, bones, muscles and tissues as well as other body systems. Some of these conditions are life-long and can have an enormous impact on the child or young person, as well as the wider family. Many conditions can affect different parts of the body, which are rare and difficult to diagnose. We work closely with other specialists at Alder Hey to provide accurate diagnosis. Treatments include a wide range of drugs and therapies provided by an expert team. We believe that patients have a right to be involved in research and clinical trials to address gaps in knowledge that exist about their condition. We are a leading clinical research department and provide all patients with this opportunity. Clinical Rheumatic Disorders Our department looks after children with conditions including: Juvenile idiopathic arthritis. Juvenile-onset systemic lupus erythematosus. Juvenile dermatomyositis Childhood scleroderma Systemic vasculitis Behcet s Disease Auto inflammatory disorders Periodic Fevers Reflex sympathetic dystrophy Chronic musculoskeletal regional pain syndromes. Mechanical disorders affecting the musculoskeletal system. Alder Hey, Department of Rheumatology & Childhood Lupus Centre of Excellence 2

Clinical Research within the Department Our department is a world class centre of excellence for research into child and adolescent rheumatic diseases. Each member of our team helps with research as we believe that it is an important part of our patients care. UKJSLE Study Group Alder Hey is the lead centre of the UK Juvenile-onset Systemic Lupus Erythematosus (JSLE) Study Group. This group is exploring why Lupus occurs in children by collecting information about children with Lupus across the UK. Laboratory research also takes place in our dedicated laboratories. National and International research Our department works closely with all major research centres within the UK, along with international colleagues, to support research in paediatric rheumatology nationally and around the world. Overview of current Research Activity The following information summarises just some of the current research taking place in our department. Paediatric Rheumatology Department Our department is one of the largest paediatric rheumatology units in the UK. It provides the highest level of tertiary multi-disciplinary rheumatology expertise to children and adolescents in Liverpool, North Wales and the North West. Research Portfolio Our department is active in a wide range of local and multi-centre collaborative research involving all members of the multidisciplinary team. NIHRMCRN/ Arthritis Research UK Paediatric Rheumatology Clinical Studies Group Alder Hey hosts the Co-ordinating Centre of Medicines for Children s Research Network (MCRN). Professor Beresford is the Chair of the Paediatric Rheumatology Clinical Studies Group. The group co-ordinates UK wide programme of clinical trials and clinical studies across the entire spectrum of paediatric rheumatology. Alder Hey, Department of Rheumatology & Childhood Lupus Centre of Excellence 3

Biologics and New Drugs Registry. Our department is one of the main contributors to the national registries, looking at the long term safety and effectiveness of new medication. Childhood Arthritis Prospective Study (CAPS) We are a major centre providing data to the Childhood Arthritis Prospective Study (CAPS) which looks at children who present with new onset of inflammatory arthritis. Juvenile Dermatomyositis Registry and Repository The work for this study includes collecting detailed clinical data and samples to help research. Our department has been involved with this study since it began. Vision for the Future Our aims for the next five years include: Clinical excellence To continue to work as a team to deliver world-class care to children, young people and their families within Alder Hey. Clinical and Basic Science Research To continue to combine medical treatment with research to improve the care of children in the future. Expansion of services To expand our team and allow others to learn from our excellent work. National and international collaboration To continue to work closely with others across the UK and around the world to help all children with rheumatological conditions. Alder Hey, Department of Rheumatology & Childhood Lupus Centre of Excellence 4

The Clinical Academic Team Consultants Professor Michael Beresford Dr Eileen Baildam Dr Gavin Cleary Dr Liza McCann Dr Clare Pain Consultants secretary/pathway co-ordinator 0151 282 4521 The Nursing Team Nurse Specialists 0151 293 3556 Rheumatology Research Nurse 0151 252 5570 CAPS Research Nurses 0151 252 3544 Physiotherapy Department 0151 252 5236 Rheumatology Doctors Bleep During office hours, if nurses or secretaries are unavailable please contact switch board on: 0151 228 4811 Wards, Outpatients and other hospital departments 0151 228 4811 Postal address Liverpool Clinical Academic Department of Paediatric Rheumatology Alder Hey Children s NHS Foundation Trust, Eaton Road Liverpool L12 2AP. If you would like further information about Childhood Lupus please visit our website at www.alderhey.nhs.uk Other useful contact details UK JSLE Cohort Study and Repository 0151 293 3566 Alder Hey, Department of Rheumatology & Childhood Lupus Centre of Excellence 5

This fact sheet only gives general information. You must always discuss the individual treatment of your child with the appropriate member of staff. Do not rely on this leaflet alone for information about your child s treatment. This information can be made available in other languages and formats if requested. Alder Hey Children s NHS Foundation Trust Eaton Road Liverpool L12 2AP 0151 228 4811 www.alderhey. nhs.uk RhAC/Lupus Alder Hey 2014 Date of next review January 2016 PIAG 50 Alder Hey, Department of Rheumatology & Childhood Lupus Centre of Excellence 6