Appropriate expertise

Appropriate expertise

Statement 2.2

Patients presenting with acute severe colitis should be admitted to a centre with medical and surgical expertise in managing IBD that is available at all times.

Why is it important?

Acute severe colitis is a potentially life-threatening condition. Between 15-25% of patients with Ulcerative Colitis will be hospitalised due to an acute, severe flare up at some stage. Often this will be the first presentation of their disease.

When a flare occurs in Ulcerative Colitis, it can change and deteriorate rapidly. Patients need fast and close monitoring and review by appropriate medical and surgical specialists, working closely together. Children experiencing an acute episode need immediate access to a paediatric gastroenterologist.

All this underlines why it’s essential for people to be admitted to a hospital with the right expertise whenever they need it – 24 hours a day, 7 days a week. There should also be processes in place to ensure that people are transferred if appropriate.

“I was admitted to A&E for a flare during the weekend and there didn’t seem to be anyone in who could help me.

Respondent to IBD Standards survey