Membership of Urinary incontinence and pelvic organ prolapse in women: management Guideline Committee

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1 Committee membership list Urinary incontinence pelvic organ prolapse Membership of Urinary incontinence pelvic organ prolapse in women: management Guideline Committee The Committee will operate as an advisory Committee to NICE s Board, developing a guideline on Urinary incontinence (update) pelvic organ prolapse in women: management The terms of reference sting orders for the Committee can be found in appendix D of Developing NICE guidelines: the manual. Variations to the terms of reference: The Committee has 14 members 3 co-opted members.

2 Committee membership list Urinary incontinence pelvic organ prolapse Membership list Agreed Constituency Chair Job Title, Organisation Chair Fergus Macbeth Retired Topic advisers Clinical lead urinary incontinence Clinical lead pelvic organ prolapse Members gynaecologist (with a special in urogynaecology) urologist Karen Ward Rohna Kearney Carmel Ramage Suzanne Biers Gynaecologist, Mary's Hospital, Hospital NHS Trust Bradford Teaching Hospitals NHS Urology, Addenbrooke's Hospital GP Julian Spinks General Practitioner, Court View Surgery, Strood, Kent Lay member Lay member Comment

3 Committee membership list Urinary incontinence pelvic organ prolapse Lay member Lucy Ryan Lay member Lay member Continence adviser in a community setting Specialist urinary incontinence nurse Women s health physiotherapist Physician - care of the elderly NHS Commissioner Co-opted members Radiologist with an in pelvic floor Pain specialist physician Catherine Heffernan Polly Harris Kate Welford Doreen McClurg Vikky Morris Catherine Heffernan James Stephenson Sarah Love- Jones Lay member Clinical Lead/Specialist Nurse, Bladder & Bowel Service, Accrington Urogynaecology Clinical Nurse Specialist, UCLH NHS Foundation Trust Professor of Physiotherapy, Nursing, Midwifery Allied Health Professions Research Unit, Glasgow Caledonian Care of Older People, Musgrove Park Hospital, Taunton, Somerset Principal Advisor for Commissioning Immunisations Vaccination Services, Public Health Engl Radiologist, Hospitals of Leicester in Pain Medicine & CH has agreed to offer the NHS commissioning the lay perspective.

4 Committee membership list Urinary incontinence pelvic organ prolapse Pharmacist or pharmacologist Carol Paton Anaesthesia, North Bristol NHS Trust Chief Pharmacist, Oxleas NHS Date last reviewed: 16/10/2017

5 Committee membership list Urinary incontinence pelvic organ prolapse Declaration of Interests The effective management of conflicts of s is an essential element in the development of the guidance advice that NICE publishes. Please refer to the NICE website for the Policy on Conflicts of Interest. Suzanne Biers Suzanne Biers Suzanne Biers Suzanne Biers Urology, Addenbrooke's Hospital Urology, Addenbrooke's Hospital Urology, Addenbrooke's Hospital Urology, Addenbrooke's Hospital Elected member of the executive committee for the British Association of Urological Surgeons (BAUS) section of Female, Neurological Urodynamic Urology (FNUU) January 2017 to run for three years May 2016 speaker fee provided by Astellas pharmaceutical company for delivering 2 talks at the Cambridge Urodynamic Study Day, Bury St Edmunds (an industry sponsored educational event for East of Engl doctors nurses) June Astellas pharmaceutical company sponsored provided 4 nights accommodation to assist attendance at the British Association of Urological Surgeons (BAUS) annual conference in Liverpool Sub-investigator for hospital based clinical research studies: (1) MASTER - Male synthetic sling versus Artificial urinary Sphincter Trial: Evaluation by non non

6 Committee membership list Urinary incontinence pelvic organ prolapse Romised controlled trial. Romising men with post prostatectomy stress incontinence to surgery with either Male AdVance sling or artificial urinary sphincter. Involves in recruiting surgery. Ongoing recruitment. (2) RELIEF II - A Prospective, Non- Romized, Multi- Center Clinical Investigation of the Safety Performance of GT Urological, LLC s Phenix Device Artificial Urinary Sphincter. Ongoing recruitment. (3) ALTAR study - ALternative To prophylactic Antibiotics for the treatment of Recurrent urinary tract infections in women (ALTAR study). Investigating the role of methenamine in recurrent UTI. Recruitment in progress. Suzanne Biers Urology, Addenbrooke's Hospital Teacher on a course on Mens Health Erectile Restoration Male Continence Surgery Hs-on Training Masterclass in collaboration with the ESSM (European Society for Sexual Medicine) in Cambridge in September This involves providing male incontinence surgery training on a course for urology surgeons organised by Boston Scientific. Fees received.

7 Committee membership list Urinary incontinence pelvic organ prolapse Lay member Lower Urinary Tract Symptoms ( LUTS) expert group. Expenses paid. February 2016 workshop It s the Campaign Training workshop February Lay member Patient advocate contributor to Guidelines issued December 2015 on NHS Engl Excellence in Continence Care (EICC) Programme Board. Payments: expenses (within policy) Lay member Patient Advocate All Party Parliamentary Group for Continence Care ( APPG). non Lay member Invited guest speaker Coloplast Annual Conference12th April Being a catheter (not a particular br) user. Payments: Honorarium 100 expenses Lay member Nov 2015 conference speaker British Association of Urological Nurses. The patient s journey. Expenses paid. Lay member Former trustee Bladder Bowel Foundation to July Expenses paid. Lay member Involved in research non

8 Committee membership list Urinary incontinence pelvic organ prolapse projects: Patient representative the Leeds SaFaRi Trial under Professor David Jayne. (SaFaRI: Sacral nerve stimulation versus the FENIX TM magnetic sphincter augmentation for adult faecal incontinence: a romised Investigation Recurrent surgery coapplicant as patient for grant application by Douglas G Tincello, of Leicester Lay member Patient representative project known as NIHR, (Surgical care for female urinary incontinence) under Professor Jan van der Meulen London School of Hygiene Tropical Medicine. Lay member TKJEDS Small private company set up January 2017 with two doctors I. We are trying to develop an app which supports patients with urinary tract infections. Lay member Invited by the charity Bladder Health UK to contribute quotes for Hearst UK magazine on the experience of continence health problems Lay member Contributor to NHS Engl Excellence in Continence Care (EICC) non non

9 Committee membership list Urinary incontinence pelvic organ prolapse Programme. Payments: travel expenses only Polly Harris Polly Harris Catherine Heffernan Rohna Kearney Rohna Kearney Rohna Kearney Rohna Kearney Clinical Lead/Specialist Nurse, Bladder & Bowel Service, Accrington Clinical Lead/Specialist Nurse, Bladder & Bowel Service, Accrington Lay member None Provided comment on a national recommendation document (publication pending) as a member of the ACA Attended a hospital MDT where lunch was provided with a presentation of pessary devices by Medi Plus. Does not use this type of device in the practice as the service does not manage POP.) Travel accommodation paid by Medtronic for attending sacral neuromodulation training Allergan paid honorarium to CMFT charity account travel to talk on Botulinum toxin at Continence Foundation Irel meeting October Practices urogynaecology privately VUE study coinvestigatory (vault or non

10 Committee membership list Urinary incontinence pelvic organ prolapse uterine prolapse study evaluation) Rohna Kearney Co-applicant trial of selfmanagement of pessary in prolapse. To be submitted to NIHR HTA March Rohna Kearney Member of steering committee of James Lind Alliance Priority Setting Partnership for pessary prolapse. non Rohna Kearney Clinical Lead RCOG Women s Network non Rohna Kearney Member of United Kingdom Continence Society committee on stardisation of urodynamic practice non Rohna Kearney Chief investigator on NIHR funded study HTA Project: 16/82/01 - A multicentre romised controlled trial, with process evaluation, to test the clinical cost-effectiveness of self-management of vaginal pessaries to treat pelvic organ prolapse, compared to stard care to improve women's quality of life. TOPSY trial:treatment Of Prolapse with Self-care

11 Committee membership list Urinary incontinence pelvic organ prolapse Sarah Love- Jones Fergus Macbeth Doreen McClurg Doreen McClurg in Pain Medicine & Anaesthesia, North Bristol NHS Trust pessary Retired None Professor of Physiotherapy, Nursing, Midwifery Allied Health Professions Research Unit, Glasgow Caledonian Professor of Physiotherapy, Nursing, Midwifery Allied Health Professions Research Unit, Glasgow Caledonian advisor to St Jude Medical, Boston Scientific Nevro Corporation, all Spinal cord stimulator (SCS) device companies. SCS are used to treat some chronic pain conditions Academic, non- : (1) Second supervisor of a PhD student who has been conducting a James Lind Alliance project to identify the top ten research priorities relating to the use of pessaries for POP. (2) Clinical advisor of an HTA funded study looking at modes of delivering PFMT within the NHS. This study has yet to recruit Academic, non- s: (1) Member of the Scottish Government s working group set up in response to the MESH issue. Main input has been in the development of the Patient Information Leaflet. (2) PI of a Cochrane Overview on the Conservative Management of UI in women. The protocol has been published. Completion is due in Not applicable non non Not applicable

12 Committee membership list Urinary incontinence pelvic organ prolapse 2017 Doreen McClurg Professor of Physiotherapy, Nursing, Midwifery Allied Health Professions Research Unit, Glasgow Caledonian (1) Co-applicant on a cohort follow-up study of participants who had part a RCT comparing an intervention of PFMT advice to advice only in women who had stage 1, 2 or 4 prolapse but had not sought treatment (ICS Abstract, Tokyo 2016). (2) Co-applicant of an RCT, the OPAL study which is comparing PFMT to PFMT +Biofeedback in women with UI. This study completed recruitment at Christmas 2016 with a 2 year follow-up. No publications to date. Doreen McClurg Professor of Physiotherapy, Nursing, Midwifery Allied Health Professions Research Unit, Glasgow Caledonian (1) Co-applicant of a study which has been temporarily suspended due to procedural issues looking at the reuse of intermittent catheters. The MULTICATH study. This study will resume in 2018/19 (2) Co-applicant on the ANTIC study which is a RCT of once Daily Prophylaxis antibiotics to no prophylaxis. Due to report mid (3) Chairs the TSC of ALternatives To prophylactic Antibiotics for the treatment of Recurrent urinary tract infection in women (ALTAR study); a pragmatic romised trial of urinary antiseptic

13 Committee membership list Urinary incontinence pelvic organ prolapse versus prophylactic antibiotic which is currently recruiting. Doreen McClurg Professor of Physiotherapy, Nursing, Midwifery Allied Health Professions Research Unit, Glasgow Caledonian Co-applicant on NIHR funded study HTA Project: 16/82/01 - A multicentre romised controlled trial, with process evaluation, to test the clinical cost-effectiveness of self-management of vaginal pessaries to treat pelvic organ prolapse, compared to stard care to improve women's quality of life. TOPSY trial: Treatment Of Prolapse with Self-care pessary Vikky Morris Care of Older People, Musgrove Park Hospital, Taunton, Somerset Speaker fees travel expenses paid by Astellas for 2 day educational continence conference for geriatric SpRs in Spoke on Assessing urinary incontinence in older patients Conservative behavioural strategies in frail robust older people Vikky Morris Care of Older People, Musgrove Park Hospital, Taunton, Somerset Received speaker fees for 2 Astellas sponsored satellite symposiums at 2 separate BGS conferences with a variety of topics represented related to continence in the frail elderly on 12/5/16-BGS 23/11/16- BGS. Vikky Morris Care of Older People, Astellas paid for flight

14 Committee membership list Urinary incontinence pelvic organ prolapse Musgrove Park Hospital, Taunton, Somerset International Continence Society conference fees to attend the Nocturia Nocturnal enuresis working group in Tokyo Carol Paton Chief Pharmacist, Oxleas Foundation Trust Attended European Neurosciences board to discuss molecules in early clinical trials for neurodegenerative conditions. Eli Lilly Carmel Ramage Bradford Teaching Hospitals NHS Funded by Astellas to attend the National Bladder forum October 2016 Carmel Ramage Carmel Ramage Carmel Ramage Bradford Teaching Hospitals NHS Bradford Teaching Hospitals NHS Bradford Teaching Hospitals NHS Vice Chair BSUG Governance committee Member IUGA Public Relations committee Chair UK Continence Society (until March 2017) Lucy Ryan Lay member Co-ordinator for The Pelvic Partnership supporting women with pelvic girdle pain related to pregnancy. Julian Spinks General Practitioner, Court View Surgery, Strood, Kent Received an honorarium for membership of the LUTS Expert Group which receives an unrestricted grant from non non non non

15 Committee membership list Urinary incontinence pelvic organ prolapse Astellas.(Astellas Pharma Ltd. initiated the development of the expert group on LUTS nominated its membership. Astellas pays MHP Health to provide secretariat support for the group. Astellas has no editorial control over the content of expert group materials except for reviewing compliance with the ABPI Code of Practice.) Julian Spinks General Practitioner, Court View Surgery, Strood, Kent Received Lecturer s fees from Pfizer for participating in the Sense of Leadership Conference in May 2106 Julian Spinks General Practitioner, Court View Surgery, Strood, Kent Received adviser speaker s fees from Atlantic Therapeutics in relation to the Innovo Pelvic floor stimulator in April 2016 Julian Spinks General Practitioner, Court View Surgery, Strood, Kent )Chairman of Kent Local Medical Committee 2)GP advisor to the Association for Continence Advice 3)GP advisor to RLS- UK, a restless legs syndrome charity 4)Chairman of Medway Practices Alliance, a GP federation non Julian Spinks General Practitioner, Court View Surgery, Strood, Kent Member of the Bowel Interest Group which receives unrestricted grant from Convatec

16 Committee membership list Urinary incontinence pelvic organ prolapse Julian Spinks General Practitioner, Court View Surgery, Strood, Kent Kent Local Medical Committee receives sponsorship for some meetings from various pharma companies Julian Spinks General Practitioner, Court View Surgery, Strood, Kent Now Vice-Chairman of Kent Local Medical Committee rather than Chairman. non Julian Spinks General Practitioner, Court View Surgery, Strood, Kent Kent Local Medical Committee receives sponsorship for some meetings from various pharma companies James Stephenson Radiologist, Hospitals of Leicester Committee Member of the British Society of Gastrointestinal Abdominal Radiology non James Stephenson Radiologist, Hospitals of Leicester Co-authored a paper assessing MR imaging of Strattice mesh used to reconstruct the pelvic floor following APER for rectal cancer. non Karen Ward Gynaecologist, Mary's Hospital, Hospital NHS Trust Co-applicant FUTURE study (Female Urgency. Trial of Urodynamics as Routine Evaluation) 15/150/05, Karen Ward Gynaecologist, Mary's Hospital, Hospital NHS Trust Sacroneuromodulation training accommodation funded by Medtronic June 2016 Karen Ward Gynaecologist, Provided training for local gynaecologist in

17 Committee membership list Urinary incontinence pelvic organ prolapse Mary's Hospital, Hospital NHS Trust Botox for detrusor overactivity (payment to Warrell Unit by Allergan for training) Karen Ward Gynaecologist, Mary's Hospital, Hospital NHS Trust Lecture on urethral diverticulum at Mersey urogynaecology society meeting (sponsored by Astellas honorarium) 2016 Karen Ward Gynaecologist, Mary's Hospital, Hospital NHS Trust Vice Chair BSUG training subcommittee from February 2017 non Karen Ward Gynaecologist, Mary's Hospital, Hospital NHS Trust Grant holder: FUTURE study (previously coapplicant) from Nov 2016 Romised controlled trial, to evaluate the clinical cost effectiveness of invasive Urodynamics over above comprehensive clinical (non-invasive) assessment. NIHR funded Karen Ward Gynaecologist, Mary's Hospital, Hospital NHS Trust Independent Member of study steering committee: HS&DR Project 14/70/162 from November 2016 Surgical care for female urinary incontinence in Engl non Karen Ward Gynaecologist, Mary's Hospital, Vice Chair of UK Continence society April 2017 non

18 Committee membership list Urinary incontinence pelvic organ prolapse Hospital NHS Trust Kate Welford Urogynaecology Clinical Nurse Specialist, UCLH NHS Foundation Trust Organising speaking on GP study day on pessary management of POP. Sponsored by Bioleque Pessary Company who are paying for room hire refreshments. Not being paid for speaking. Date last reviewed: 16/10/2017

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