Consensus Projects

At the BSCOS AGM in Norwich, 2019, the membership voted in favour of a programme for BSCOS to establish guidelines for the management of common children’s orthopaedic conditions. The guides should be consensus driven, not prescriptive and it is anticipated that they will contribute to reducing unjustifiable idiosyncratic variation in practice and might also support appraisal, the GIRFT process and promote education.

Consensus Steering Groups have been created for three areas of practice where consensus might be achieved most easily, namely:

  • Management of DDH before 3 months old.
  • Early management of osteo-articular infection in children.
  • Management of clubfoot in the neonatal period.

Since then other further groups were created:

  • Idiopathic Toe Walking
  • Musculoskeletal Infection
  • Weightbearing
  • Flatfoot
  • Duchenne muscular dystrophy 


The process will follow a Delphi approach. For the history and application of the Delphi process see the links below:

https://en.wikipedia.org/wiki/Delphi_method

https://www.healthknowledge.org.uk/public-health-textbook/research-methods/1c-health-care-evaluation-health-care-assessment/use-delphi-methods

The process will be as follows: -

  1. The steering group meets to brainstorm and agree a management guide for the specified condition.
  2. The literature is checked to ensure there is no evidence conflicting the proposed guide.
  3. The guide is circulated to BSCOS members with a series of questions to survey and score using “degree of agreement”.
  4. The group refines the guide depending on feedback from membership
  5. The refined guide is recirculated for further scoring
  6. A “widely accepted” guide is developed and published.


Progress and agreed statements will be reported here on the BSCOS website.

For any queries regarding the process or the groups please contact consensus@bscos.org.uk

Clubfoot Consensus Steering Group

Consensus Achieved
Read more

Guy Atherton
Jose Blanco
Rachel Buckingham
Naomi Davis
Vicki Easton
Neeraj Garg
Yael Gelfer
Anna Peek
Rohan Rajan
Sally Tennant
Amanda Trees
Denise Watson
Elizabeth Wright

DDH Consensus Steering Group

Current Position
Read more

Alex Aarvold
Aidan Cosgrove
Sam Double
Christine Douglas
Kirsten Elliott
Sandeep Hemmadi
Jo Hicks
Annie Hurley
Julia Judd
Marcos Katchburian
Angie Lee
Claudia Maizen
James Metcalfe
Sarah Paterson
Robin Paton
Daniel Perry
Assad Qureshi
Mohamed Sabouni
Rebecca Tate
Simon Thomas
Dan Westacott

Musculoskeletal Infection Steering Group

Consensus Achieved
Read more

Alwyn Abraham
Clare Carpenter
Jo Dartnell
Laura Deriu
Philip Henman
Colin Holton
Mark Latimer
Janet McCaul
Piers Mitchell
Ramanathan Natarajan
Anish Sanghrajka
Krishna Vemulapalli

ITW

Idiopathic Toe Walkers consensus statement - February 2024
Read more

Yael Gelfer
Jennifer Harris Anne McNee Christine Douglas Sarah Dewhurst Amanda Trees Mia Dunkley Laura Deriu Alpesh Kothari John Cashman Derfel Williams Jonathan Wright

Weightbearing consensus

Weightbearing consensus working group
Read more

Alex Trompeter
Will Eardley Chris Moran Yael Gelfer Daren Forward Nick Aresti Katie Sheehan Sarah Johnson-Lynn Deborah Eastwood Lindsay Bearne

Katrina Mitchell

Emma Ryan

Sally Wilson

Elizabeth Taylor

Veronique Spiteri

Jenny Gould

Arif Hoque

Karen Keates

Garth Murphy

Matthew Costa

Jessica Ryan-Phillips

Flexible Flatfoot

Flexible Flatfoot Consensus Steering Group
Read more

Flexible Flatfoot Consensus Steering Group
Co-Chairs
Michail Kokkinakis (point of contact)
Dominique Knight
James Brousil
Consensus Group Members
Anna Bridgens
Anna Peek
Elaine Robinson
Eileen Morrow
Hazel Bartley
Jonathan Dwyer
Kathryn Phillips
Mariusz Chomicki
Matthew Barry
Simon Bennet
Stephen Giles
Stewart Morrison
Vicky Easton

Hip Displacement in SMA

Hip Displacement in Spinal Muscular AtrophyConsensus Steering Group
Read more

Co-Chairs

  • Michail Kokkinakis (point of contact)
  • Fabian Norman-Taylor
  • Maria Vanegas
  • Giovanni Baranello

Consensus Study Collaborators

  • Evelina London Children’s Hospital: M Kokkinakis, M Vanegas, J Sheehan, E Wraige.
  • Great Ormond Street Hospital for Children NHS Foundation Trust: G Baranello, F Norman-Taylor, A Manzur, M Scoto, A Hipwell, E O’Reilly, M Main J Longatto.
  • John Walton Muscular Dystrophy Research Centre, Newcastle NHS Trust: R Muni Lofra.
  • Oxford University Hospitals NHS Foundation Trust / Oxford Muscle Service: M Mifsud, R Buckingham, F Henderson, S Ramdas.
  • Southampton Children’s Hospital, University Hospital Southampton NHS Foundation Trust: M Illingworth, M Geary,
  • Royal Manchester Children’s Hospital, Manchester: I Hughes, I Shah, S Warner, A Palanivel
  • RJAH Orthopaedic Hospital NHS Foundation Trust, Oswestry: N Emery, N Kiely, T Willis.
  • Sheffield Children’s Hospital NHS Foundation Trust: J Cashman, M Ong, K White.
  • Bristol Royal Hospital for Children, University Hospitals Bristol NHS Foundation Trust: J Turner, N Taylor, A Majumdar, W Atherton.
  • University Hospitals Plymouth NHS Trust: C Edwards, C Frimpong-Ansah. Royal Hospital for Children,
  • NHS Greater Glasgow and Clyde: I Horrocks, C Murnaghan, S McKenzie.
  • Nottingham Children’s Hospital, Nottingham University Hospitals: R Keetley, E Dowling.
  • Leeds General Infirmary, Leeds Teaching Hospitals NHS Trust: L Pallant, A Fishlock, A Childs.
  • Alder Hey Children’s NHS Foundation Trust, Liverpool: