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Articles by Robert Scott-Jupp
Preparing for our centenary
Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways. History Of Medicine Paediatrics What happened in January 1926?
Stephen Edward Barnes
News & Views Stephen Edward Barnes Stephen Edward Barnes Obituaries BMJ 2025; 388 doi: https://doi.org/10.1136/bmj.r247 Cite this as: BMJ 2025;388:r247 Stephen Barnes, known by his childhood nickname Jim, was born in Oxford and educated at Westminster School. He trained at Cambridge and the Middlesex. After house jobs he embarked on a career in paediatrics, holding senior house officer, registrar, and then lecturer and senior registrar posts in Oxford.
Paediatric NHS 111 Clinical Assessment Services pilot: an observational study
http://orcid.org/0000-0002-9178-8985Philippa Anna Stilwell1,2, Gareth Stuttard3,4, http://orcid.org/0000-0002-8426-5721Robert Scott-Jupp5, Adrian Boyle6, Simon Kenny1,7, Ian Maconochie1,8 1 Children and Young People's Transformation Team, NHS England and NHS Improvement London, London, UK 2 Community Child Health, Evelina London Children's Hospital, London, UK 3 Urgent and Emergency Care, NHS England and NHS Improvement Midlands, Birmingham, UK 4 General Practice, Wake Green Surgery,...
Paediatric NHS 111 Clinical Assessment Services pilot: an observational study
Paediatric NHS 111 Clinical Assessment Services pilot: an observational study http://orcid.org/0000-0002-9178-8985Philippa Anna Stilwell1,2, Gareth Stuttard3,4, http://orcid.org/0000-0002-8426-5721Robert Scott-Jupp5, Adrian Boyle6, Simon Kenny1,7, Ian Maconochie1,8 1 Children and Young People's Transformation Team, NHS England and NHS Improvement London, London, UK 2 Community Child Health, Evelina London Children's Hospital, London, UK 3 Urgent and Emergency Care, NHS England and NHS...
Paediatric NHS 111 Clinical Assessment Services pilot: an observational study
Paediatric NHS 111 Clinical Assessment Services pilot: an observational study http://orcid.org/0000-0002-9178-8985Philippa Anna Stilwell1,2, Gareth Stuttard3,4, http://orcid.org/0000-0002-8426-5721Robert Scott-Jupp5, Adrian Boyle6, Simon Kenny1,7, Ian Maconochie1,8 1 Children and Young People's Transformation Team, NHS England and NHS Improvement London, London, UK 2 Community Child Health, Evelina London Children's Hospital, London, UK 3 Urgent and Emergency Care, NHS England and NHS...
Diagnosis and management of neonatal hip dysplasia: a brief history
Diagnosis and management of neonatal hip dysplasia: a brief history Peter M Dunn1, http://orcid.org/0000-0002-8426-5721Robert Scott-Jupp2 1 Department of Neonatal Medicine, Southmead Hospital, Bristol, UK 2 Salisbury Health Care NHS Trust, Salisbury, Wiltshire, UK Correspondence to Dr Robert Scott-Jupp, Salisbury Health Care NHS Trust, Salisbury SP2 8BJ, UK; scottjupp{at}virginmedia.com Statistics from Altmetric.com history of medicine neonatology The condition now termed developmental...
Diagnosis and management of neonatal hip dysplasia: a brief history
Diagnosis and management of neonatal hip dysplasia: a brief history Peter M Dunn1, http://orcid.org/0000-0002-8426-5721Robert Scott-Jupp2 1Department of Neonatal Medicine, Southmead Hospital, Bristol, UK 2Salisbury Health Care NHS Trust, Salisbury, Wiltshire, UK Correspondence to Dr Robert Scott-Jupp, Salisbury Health Care NHS Trust, Salisbury SP2 8BJ, UK; scottjupp{at}virginmedia.com Statistics from Altmetric.com history of medicine neonatology The condition now termed developmental...
Martin Ward Platt 1954-2019: a tribute
Martin Ward Platt 1954–2019: a tribute http://orcid.org/0000-0002-8426-5721Robert Scott-Jupp1, http://orcid.org/0000-0003-1789-0436Nick Brown2,3, Ben J Stenson4 1 Children's Unit, Salisbury District Hospital, Salisbury, UK 2 Department of Women’s and Children’s Health, International Maternal and Child Health (IMCH), Uppsala University, Uppsala, Sweden 3 Department of Paediatrics, Länssjukhuset Gävle-Sandviken, Gävle, Sweden 4 Neonatology, Neonatal Unit, Simpson Centre for Reproductive Health,...
Martin Ward Platt 1954-2019: a tribute
Martin Ward Platt 1954–2019: a tribute http://orcid.org/0000-0002-8426-5721Robert Scott-Jupp1, http://orcid.org/0000-0003-1789-0436Nick Brown2,3, Ben J Stenson4 1Children's Unit, Salisbury District Hospital, Salisbury, UK 2Department of Women’s and Children’s Health, International Maternal and Child Health (IMCH), Uppsala University, Uppsala, Sweden 3Department of Paediatrics, Länssjukhuset Gävle-Sandviken, Gävle, Sweden 4Neonatology, Neonatal Unit, Simpson Centre for Reproductive Health,...
Effects of consultant residence out-of-hours on acute paediatric admissions
Effects of consultant residence out-of-hours on acute paediatric admissions Robert Scott-Jupp1, Emily Carter2, http://orcid.org/0000-0003-1789-0436Nick Brown3,4 1 Department of Paediatrics, Salisbury District Hospital, Salisbury, UK 2 Information Services, Salisbury District Hospital, Salisbury, UK 3 Department of Women’s and Children’s Health, International Maternal and Child Health (IMCH), Uppsala University, Uppsala, Sweden 4 Department of Paediatrics, Länssjukhuset Gävle-Sandviken, Gävle,...
Consultants sleeping in
Consultants sleeping in Consultants sleeping in Career Focus BMJ 2005; 330 doi: https://doi.org/10.1136/bmj.330.7495.s145 (Published 09 April 2005) Cite this as: BMJ 2005;330:s145 Robert Scott-Jupp, consultant paediatrician Salisbury District Hospital, Salisbury Abstract Paediatrics requires skilled resident cover round the clock. Robert Scott-Jupp describes how he and his consultant colleagues volunteered for it, and the lifestyle pros and cons “So you've got to sleep in now have you?
Effects of consultant residence out-of-hours on acute paediatric admissions
Effects of consultant residence out-of-hours on acute paediatric admissions Robert Scott-Jupp1, Emily Carter2, Nick Brown3,4 1Department of Paediatrics, Salisbury District Hospital, Salisbury, UK 2Information Services, Salisbury District Hospital, Salisbury, UK 3Department of Women’s and Children’s Health, International Maternal and Child Health (IMCH), Uppsala University, Uppsala, Sweden 4Department of Paediatrics, Länssjukhuset Gävle-Sandviken, Gävle, Sweden Correspondence to Dr Robert...
Making use of the Archives’ archive
Making use of the Archives’ archive Robert Scott-Jupp1, Nick Brown2 1 Associate Editor, Archives of Disease in Childhood, BMJ Journals, London, UK 2 Editor-in-Chief, Archives of Disease in Childhood, BMJ Journals, London, United Kingdom Correspondence to Dr Robert Scott-Jupp, Salisbury District Hospital, Salisbury SP2 8BJ, UK; scottjupp{at}virginmedia.com Statistics from Altmetric.com Medical Journalism History Of Medicine Archives of Disease in Childhood (ADC) was founded in 1926 by members...
Art of listening
Art of listening Robert Scott-Jupp, Nick Brown Archives of Disease in Childhood Correspondence to Dr Robert Scott-Jupp, Salisbury District Hospital, Salisbury SP2 8BJ, UK; scottjupp{at}virginmedia.com Statistics from Altmetric.com patient perspective medical journalism What are your patients, and their parents, really thinking? What they say to us may be very different to what is going on inside their heads.
All doctors working night shifts should have a room with a bed
Robert H Scott-Jupp consultant paediatrician Scott-Jupp Robert H. All doctors working night shifts should have a room with a bed BMJ 2019; 364 :l1345
Art of listening
What are your patients, and their parents, really thinking? What they say to us may be very different to what is going on inside their heads. This month, Archives launches the first of a series of commissioned articles penned by children or young adults who, through their life experiences, have had frequent dealings with child health professionals.1 It is an insightful account of the life experiences of an adolescent boy with Down syndrome. …
Why do babies cry?
Why do babies cry? Robert Scott-Jupp Correspondence to Dr Robert Scott-Jupp, Salisbury District Hospital, Salisbury SP2 8BJ, UK; scottjupp{at}virginmedia.com Abstract Persistent, inconsolable crying in young infants is common, distressing but usually benign. This selective review examines perceptions and perceived origins of this phenomenon in babies where serious pathology has been excluded. Adult brains have evolved to become hypersensitive to infant cries.
Why do babies cry?
Persistent, inconsolable crying in young infants is common, distressing but usually benign. This selective review examines perceptions and perceived origins of this phenomenon in babies where serious pathology has been excluded. Adult brains have evolved to become hypersensitive to infant cries. Babies respond to parental stress by crying more, thus setting up a vicious cycle. Most treatments appear to work largely through a placebo effect.
The brains of children with developmental coordination disorder
First they were dismissed as ‘clumsy children’, then we called them ‘dyspraxic’, now the preferred terminology is developmental coordination disorder (DCD). We see children with these problems frequently, but are they just one end of a spectrum of normality, or do they have a definable neuropathological condition? There has been much research coming from diverse areas, and now a multinational team have put it all together in a comprehensive systematic review (Wilson P, et al.
More new treatments for cystic fibrosis
In August 2015, Archivist reported on trials of what are now known as CFTR modulator drugs, which offer new hope for treating and preventing the progression of cystic fibrosis (CF) (doi:10.1136/archdischild-2015–309089). These drugs work at an intracellular molecular level, and can improve deficient functioning of the abnormal CFTR protein. Among other things they can improve chloride transport across the respiratory epithelial cell membrane, and hence reduce the problematic viscosity of mucus.
Highlights from the literature
Macrolide antibiotics such as azithromycin are frequently prescribed as a first-line antibiotic in presumed community-acquired pneumonia (CAP): the usual rationale is that narrower-spectrum beta-lactam antibiotics would not cover atypical organisms such as Mycoplasma pneumoniae. Indeed, first-line macrolides are officially recommended by some US authorities. The outcome of a large prospective trial challenges this (EPIC study. Williams D et al. JAMA Peds 2017. doi:10.1001/jamapediatrics. 2017.3225).
Highlights from the literature
Seasonal Greetings from Mount Olympus, where Lucina has again been arguing with her fellow deities. Mars, the God of War, insists that exposure to fighting skills is essential for character development. I’m not so sure. Over the holiday season, many of you will be settling down to watch a film with younger relatives. It might be worth checking how much gun-related violence it contains, if the results of a remarkable experiment from Columbus, Ohio are to be believed (Dillon K et al. JAMA Peds 2017.
Highlights from the literature
In April 2014, Lucina reported on studies supporting the use of probiotics in infants to prevent allergic symptoms (doi.org/10.1136/archdischild-2014–306?137), and in November 2017 Archivist featured the PPOIT trial (doi.org/10.1136/archdischild-2017–314?082), where a probiotic helped induce peanut tolerance in allergic children. Probiotics are the ‘good’ bacteria, usually lactobacillus species, which are supposed to change the gut microbiome in an immunologically favourable way.
How does pollution damage children’s health?
As practising paediatricians we may suffer from a certain cognitive dissonance about environmental pollution: we have been told that it is bad for children’s health, but only rarely can we directly attribute a child’s illness to their pollution exposure, at least in the West. The epidemiological evidence of a link between various form of pollution and ill-health has been covered in depth by a Lancet special commission (Landrigan P et al. 2017.doi.org/10.1016/S0140-6736(17)32345-0).
Discharge communication: do parents hear what we say?
Every day we send home children from our wards and emergency departments (EDs), with specific instructions to the parents about medication, follow-up and what symptoms to look out for. How much do they remember and then act on correctly? In many cases not much, according to a systematic review written by authors from New York (Glick A et al. Pediatrics 2017. doi: 10.1542/peds.2016-4165).
Peanut immunotherapy: still working after four years
Peanut allergy probably causes more disruption and anxiety than any other, at least in the West, perhaps because of its propensity to cause anaphylaxis and its tendency to be lifelong. In April 2014, Archivist reported the successful outcome of the STOP II trial, where continued exposure to small but increasing amounts of ingested peanut protein effectively induced tolerance (doi.org/10.1136/archdischild-2014-306139). But the question remained: how long will this tolerance last?
Bedroom TVs and obesity
Most of us, when asked by parents, would recommend against putting a television in a child’s bedroom. We might consider it to be a ‘bad thing’ without being entirely sure why. Now the UK Millennium Cohort Study has come up with firm evidence that it is associated with obesity, long after the exposure (Heilmann A, et al. Int J Obes 2017. doi: 10.1038/ijo.2017.129).
Highlights from the literature
It’s summertime, and we should all be outdoors and active. We routinely recommend physical activity to our patients, but what is the evidence that it does any good? Coincidentally, three recent reviews have looked at this in specific conditions. Researchers from Canada looked at all the evidence for any benefit for physical activity (PA) in young people up to age 19 years with depressive symptoms (Korczak D, et al. Pediatrics 2017. doi: http://dx.doi.org/10.1542/peds.2016-2266).
Highlights from the literature
It’s summertime, and we should all be outdoors and active. We routinely recommend physical activity to our patients, but what is the evidence that it does any good? Coincidentally, three recent reviews have looked at this in specific conditions. Researchers from Canada looked at all the evidence for any benefit for physical activity (PA) in young people up to age 19 years with depressive symptoms (Korczak D, et al. Pediatrics 2017. doi: http://dx.doi.org/10.1542/peds.2016-2266).
Bedroom TVs and obesity
Most of us, when asked by parents, would recommend against putting a television in a child’s bedroom. We might consider it to be a ‘bad thing’ without being entirely sure why. Now the UK Millennium Cohort Study has come up with firm evidence that it is associated with obesity, long after the exposure (Heilmann A, et al. Int J Obes 2017. doi: 10.1038/ijo.2017.129).
Highlights from the literature
Inhaled corticosteroids (ICS) have been around for a long time, and there is plentiful evidence for their effectiveness in asthma prevention. Some adult evidence has suggested that they carry an increased risk of pneumonia and other respiratory tract infections (RTIs), which would not be surprising given that steroids are immunosuppressant.
Who should we scan after head injury?
Head injury is one of the the most common reasons for children to attend accident and emergency departments. Perhaps more than any other area of acute paediatrics, head injury presents the greatest challenge in picking out the tiny proportion that might require intensive care and neurosurgical intervention from the vast majority that will come to no harm. With CT scanning becoming quicker, simpler and more widely available, the threshold for scanning has fallen in recent years.
Archives of Disease in Childhood
A number of observational cohort studies, including some from the UK, have shown lower rates of long-term obesity in children who are breastfed for longer. This is one of the many potential benefits used to encourage hesitant new mothers. However all these studies are inevitably biassed by confounding: whatever it is that makes a mother choose to breastfeed is associated with other, sometimes unmeasurable, favourable parenting practices.
Highlights from the literature
In April 2017, Lucina reported on evidence that most of the apparent effectiveness of drugs used for migraine prevention is probably placebo effect (doi.org/10.1136/archdischild-2017– 3?12?882). Wouldn’t it be good if there was a treatment that was highly effective in the real world, whether through placebo effect or not, without any risk of drug side-effects? Well there is, according to a systematic review and meta-analysis (Ng QX, et al; Headache 2017 doi: doi.org/10.1111/head.13016).
The Romanian adoption ‘Experiment’
How much does very early physical and emotional deprivation damage long-term cognitive ability and mental health? Population cohort studies are inevitably subject to all sorts of ongoing confounding factors. So the only way to answer this question would be to do a controlled trial. Unethical, surely? Well yes, but a unique set of circumstances in the 1990s presented an opportunity for a natural experiment.
Preventing rotavirus in Africa
In the West, rotavirus immunisation became routine several years ago, and we are now enjoying the benefits of fewer admissions for infectious diarrhoea. In low-income countries, rotavirus gastroenteritis is not just an inconvenience, but a common and frequently fatal illness. This is particularly true of sub-Saharan Africa. Uptake of mass immunisation has been slow, because of cost and difficulty in getting refrigerated vaccine to remote communities: the ‘cold-chain’ problem. Unlike bacterial …
Highlights from the literature
In April 2017, Lucina reported on evidence that most of the apparent effectiveness of drugs used for migraine prevention is probably placebo effect (doi.org/10.1136/archdischild-2017– 3?12?882). Wouldn’t it be good if there was a treatment that was highly effective in the real world, whether through placebo effect or not, without any risk of drug side-effects? Well there is, according to a systematic review and meta-analysis (Ng QX, et al; Headache 2017 doi: doi.org/10.1111/head.13016).
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