British Association for Sexual Health and HIV


Established 2003 through the merger of MSSVD (est. 1922) and AGUM (est. 1992)

Clinical Effectiveness Group



Background
The Clinical Effectiveness Group (CEG) was established jointly by the Medical Society for the Study of Venereal Diseases (MSSVD) and the Association for Genitourinary Medicine (AGUM) in October 1997.

The group is made up as follows: four members nominated by BASHH, one person nominated by the Royal College of Physicians (RCP) Joint Specialty Committee in GU Medicine; the Chair of the BASHH National Audit Group (NAG); one member s nominated by the Royal College of General Practitioners (RCGP).

  • Dr Keith Radcliffe (Chair), Whittall Street Clinic, Birmingham (BASHH)
  • Dr Imtyaz Ahmed-Jushuf, Nottingham City Hospital (BASHH)
  • Dr David Daniels, West Middlesex Hospital (Chair, NAG)
  • Dr Mark FitzGerald, Taunton & Somerset (BASHH)
  • Dr Gillian McCarthy, Kingston Hospital (BASHH)
  • Dr Neil Lazaro (RCGP)
  • Dr Guy Rooney, Swindon & Oxford (RCP)

The remit of the group is to produce and update evidence-based National Guidelines and standards for UK specialists in genitourinary medicine. The first 24 such guidelines were published in the supplement to the August 1999 edition of the journal Sexually Transmitted Infections. these guidelines were updated in 2002 and the revised versions initially published on the AGUM and MSSVD websites, and now on the BASHH website. The Group continues to develop new guidelines and to update existing guidelines on a rolling basis. It also liaises with the NAG in promoting national audit in GU medicine.

The remit of CEG is to produce and update evidence-based National Guidelines on sexually transmissible infections and related conditions for BASHH , and to liaise with the NAG about promoting national audit in GU Medicine . The first 24 national guidelines were published in the supplement to the August 1999 edition of the Journal Sexually Transmitted Infections ; updated versions were initially published on the AGUM and MSSVD websites, and now on the BASHH website.

The CEG commissions individuals or special interest groups to write the guidelines according to CEG specifications based on the Appraisal of Guideline Research and Evaluation (AGREE) instrument developed by the Royal College of Physicians (www.agreecollaboration.org) . All CEG guidelines are reviewed after a maximum of 5 years; each year they are all re-read and an earlier review considered when there have been significant developments. Each guideline being developed or revised has an allocated member of CEG to support the process and ensure consistency of methodology, content and style ; when the guideline is ready for wider review it is posted on the BASHH website for three months and comments requested. The CEG has ultimate editorial responsibility for the guidelines. (Also see Guidelines Specifications Document)

The CEG is also involved in producing standards for UK specialists, both for the performance of their services and also to assess the performance of individual specialists.

BASHH continues to finance the Group on a rolling annual basis.

The CEG serves as an advisory and co-ordinating body for guidance relating to GU Medicine practice produced by various external organisations, eg the British National Formulary, the PRODIGY Project (which produces software to guide general practitioners in clinical decision making), the Health Protection Agency and the National electronic Library for Health (NeLH).

Members of the Group also sit on the Royal College of Physicians' Clinical Effectiveness Forum, on the NICE Collaborating Centre for Womens & Childrens Health (hosted by the Royal College of Obstetricians and Gynaecologists in London), and on the British HIV Association's Audit Group.

The CEG would welcome at any time, comments on its output or suggestions for future work. If you wish to discuss a particular aspect of the guidelines with colleagues, please contact the CEG Chair: e mail keith.w.radcliffe@hobtpct.nhs.uk.


Guideline Development
  1. As it is the Clinical Effectiveness Group (CEG) that has been sanctioned to produce (by a standard process involving evidence base and consultation ) official national BASHH guidelines, any other guidance written by BASHH members should have the involvement of the CEG if these are to be deemed official national BASHH guidelines. If necessary please contact the CEG Chair, Dr Keith Radcliffe, for further information.
  2. The CEG seeks constantly to draw on a wide group of individuals to produce it’s guidelines, and so the original author(s) may not always be involved in the production of revised guidelines.
Current Ceg Guidelines (Date Order) Comments
Vulvo-vaginal candidiasis 2007  
Genital warts 2007  
Non Gonococcal urethritis 2007  
Vulval conditions 2007  
Genital Herpes 2007  
Trichomonas 2007  
Sexual & Reproductive Healthcare of HIV+ Pts 2007  
LGV 2006  
Sexual History Taking 2006  
STI Screening Guidelines 2006  
Chlamydia 2006  
HIV Testing 2006  
Sexual Health of HIV+ve Pts 2006  
Bacterial Vaginosis 2006  
HIV PEPSE - 2006  
Gonorrhoea - 2005  
Viral Hepatitis - 2005  
PID - 2005  
Clinical Standards & Management of Acquired Syphilis in HIV - 2002  
Standards for comprehensive sexual health services for young people under 25 years 2002  
Donovanosis - 2001  

 

GUIDELINES CURRENTLY BEING UPDATED
(CEG lead in brackets)

Comments

Chancroid 2001 (DD)  
Early & Late Syphilis (IA) Draft is out for public consultation
Sexual Assault in adults 2001 (NL)  
STIs in Children & Young People 2002 (NL)  
SARA (KR) Draft is out for public consultation
Balanitis 2001 (GM) Draft is out for public consultation
Epididymo-orchitis 2001 (KR)  
Prostatitis 2001 (GR)  
Molluscum 2001 (MF)  
Pediculosis pubis 2001 (MF)  
Scabies 2001 (MF)  

 

NEWLY COMMISSIONED GUIDELINES CURRENTLY IN PREPARATION
(CEG lead in brackets)

COMMENTS

  Nil presently

Note:
The CEG welcomes constructive comments on guidelines from the BASHH membership. The CEG leads for each guideline may be reached via the BASHH secretariat:

KR - Dr Keith Radcliffe
IA - Dr Immy Ahmed
DD - Dr David Daniels
MF - Dr Mark Fitzgerald
NL - Dr Neil Lazaro
GM - Dr Gill McCarthy
GR - Dr Guy Rooney


CEG Minutes

 

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