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NHS Newborn Hearing Screening Programme. Marie Coughlin Screening Lead May 24 th 2010. Today’s Session. Third of 6 Antenatal & Newborn sessions throughout 2010. Reasons for Today’s Session. As a result of ChaMPs commissioned review of screening

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NHS Newborn Hearing Screening Programme

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NHS Newborn Hearing Screening Programme

Marie Coughlin Screening Lead

May 24th 2010


Today’s Session

  • Third of 6 Antenatal & Newborn sessions throughout 2010


Reasons for Today’s Session

  • As a result of ChaMPs commissioned review of screening

  • A need to further engage public health in Antenatal & Newborn Screening Programmes

  • At the request of public health screening leads

  • Part of C&M Screening Action Plan

  • Thought it useful to invite commissioners also


Aim of the Session

  • To increase knowledge base within public health and commissioning


Session Format

  • Overview of UK NSC/NWSHA structure

  • Overview of Newborn Hearing Screening

  • Review of patient pathway

  • Data, performance and QA

  • Future developments

  • Questions/comments


Overarching Structure

  • UK NSC oversees 6 Antenatal & Newborn Screening Programmes

  • UK NSC has defined accountability & governance structure for SHA, PCT and provider

  • National Programme Centre oversees QA function

  • NWSHA coordinators now recruited; Rebecca Till started 17th May & Sandra Smith starts 1st July


Newborn Hearing Screening

  • Full roll-out of Programme across England by 2006

  • Recognised as one of world leaders in Newborn Hearing Screening

  • Has one of the best clinical IT systems in NHS

  • Patient choice more important than uptake rates

  • To ensure equality of access & reduction of health inequalities


Programme Aims

  • To offer informed choice

  • To offer quality screening to the parents of 99% of babies born

  • To identify all children born with moderate to profound permanent bilateral deafness within 4-5 weeks of birth

  • Babies referred from Programme should receive full audiological assessment within 4 weeks of screen

  • To promote and develop family friendly integrated services which support effective early intervention for deaf children


Newborn Hearing Impairments Explained

  • On average every week in England

    • 12,500 babies are screened

    • 270 (2%) babies are referred for audiological assessment

    • 15 babies identified with a permanent childhood hearing impairment


Patient Pathway…


12

12


Aim of programme including mission statement

Quality standards

Newborn Hearing Screening care pathways

Quality assurance

Internal review and audit

INTRODUCTION

13

13


INTRODUCTION

Risk management

Cross boundary cooperation/Service level agreements

Responsibility of the NHSP care programme centre

Reporting structures

Planning for the future

14


AIM 

 Within the context of the Newborn Hearing Screening Programme the aim is to ensure that the whole screening pathway including associated follow on services is functional and safe.

MM

15

15


MISSION STATEMENT

High quality

Early identification

Family friendliness

Parental empowerment

Quality assurance which encompasses quality standards

MM

16


QUALITY STANDARDS

Newborn Hearing Screening Sites are externally assessed via fourteen quality standards which have to be reached

17


18


19

19


RISK MANAGEMENT

Prevention of mistakes

Management of risk

Recording discrepancies

Putting mechanisms in place to reduce mistakes

20


Risk management

Parental satisfaction survey

Screening coverage

Audiology referrals

Auditing

Safe and functional IT systems

21


Information systems

22


23


CROSS BOUNDARY COOPERATION

Transferring babies out to other sites in optimum time scales

Regional meetings

Inclusion of other professionals

24


WHAT ARE THE RESPONSIBILITIES OF THE NHSP CARE PROGRAMME CENTRE?

Support

Guidance

Risk management

Ensuring that qualities are maintained over country

25


REPORTING MECHANISMS

Regular reports

NHSP trends

End of second cycle of QA visits, What now?

26


FUTURE PLANNING

Originally 122 sites now 116

Screening coverage

Sites working together

Lets make sure that we put our families first!

27


ANY QUESTIONS

28

28


Data & Performance

  • Trusts required to produce annual report – difficult to obtain copies

  • NHSP produce annual report

  • 2008/2009 annual report in brief:

    • Screening Equipment Data Quality (SEDQ) project led to successful equipment upgrade and replacements

    • Completed 1st round of Peer Review QA visits across England

    • Implementation of NHSP Trends performance reporting tool

    • Major improvements need to be made to ensure that screening coverage, audiological assessments, social care support and involvement of families of deaf children in the development of services across England, meets the quality standards


Screen Decline Rate – 2009/2010 (Trends)


Screen Incomplete Rate – 2009/2010


Screen Complete by 4 Weeks after Birth – 2009/2010


Total Audiological Referrals from Programme – 2009/2010


Quality Assurance

  • Robust QA process in place managed by national programme centre

  • 1st cycle of Peer Review QA visits completed

  • 2nd cycle is underway

  • Highly effective eSP IT system used by local programmes

  • NHSP Trends performance monitoring tool


QA Site Reports 2008/2009


Future Developments

  • 3rd cycle of Peer Review QA visits

  • eSP improvements to include new audiology pages and new appointments system

  • Replace Echocheck screening equipment at community sites by 2010

  • Replace Echoport screening equipment in hospitals by 2011


Questions/Comments

  • With regard to QA, how do we assure our Boards that local programmes run satisfactorily?

  • Develop set of recommendations for DsPH re lack of screening data from local programmes (for all antenatal & newborn programmes)


Thank You


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