1. Future Role of the Advanced Practitioner with Adult Metabolic Medicine
Diane Green
Mark Holland Metabolic Unit
Salford Royal NHS Foundation Trust

2. Mark Holland Metabolic Unit
National specialist service managing the care of adult patients with inborn errors of metabolism

3. Metabolic Conditions seen
Disorders of amino acid and peptide metabolism
Disorders of carbohydrate metabolism
Disorders of fatty acid and ketone body metabolism
Disorders of energy metabolism
Disorders in the metabolism of purines, pyrimidines and nucleotides
Disorders of the metabolism of sterols
Disorders of porphyrin and haem metabolism
Disorders of lipid and lipoprotein metabolism
Congenital disorders of glycosylation and other disorders of protein modification
Lysosomal disorders
Peroxisomal disorders
Disorders and variants in the metabolism of xenobiotics
Disorders of neurotransmitter metabolism
Disorders in the metabolism of vitamins and (non-protein) cofactors
Disorders in the metabolism of trace elements and metals
Total of 698 conditions

4. Growing up – reaching adulthood

5. Next generation

6. Trying to make paediatric research care fit adults

7. Evidence

8. Treatment - diet

9. Currently planned role

10. Triage of new patients

11. Autonomous management diet controlled conditions
GSD

12. Telehealth and satellite clinics

13. Decompensation and in-patient management

14. Pregnancy Management

15. Enteral Feeding Management

16. Case Reports