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Impact of Newborn Hearing Screening Programme on Paediatric Audiology Services in England. Kai Uus MD PhD NHSP Evaluation Team University of Manchester United Kingdom . Newborn Hearing Screening Programme in England. NHSP started on 1 st December 2002

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impact of newborn hearing screening programme on paediatric audiology services in england

Impact of Newborn Hearing Screening Programme on Paediatric Audiology Services in England

Kai UusMD PhD

NHSP Evaluation Team

University of Manchester

United Kingdom

newborn hearing screening programme in england
Newborn Hearing Screening Programme in England
  • NHSP started on 1st December 2002
  • The plan is to cover 100% of England (600,000 births pa) by end March 2005
  • Department of Health funds the Evaluation of the 1st phase of NHSP (23 areas)
  • More information on NHSP: www.NHSP.info

NHSP Evaluation

nhsp evaluation team
NHSP Evaluation Team:
  • John Bamford University of Manchester
  • Rachel Crocket (Holly Baker) King’s College London
  • Theresa Marteau King’s College London
  • Wendy McCracken University of Manchester
  • David Parker University of Manchester
  • Helen Tattersall University of Manchester
  • Rod Taylor University of Birmingham
  • Alys Young University of Manchester

NHSP Evaluation

NHSP Evaluation

aims objectives
Aims & Objectives:
  • To explore and quantify impact of Newborn Hearing Screening Programme (NHSP) on Paediatric Audiology services

NHSP Evaluation

material methods
Material & Methods:
  • Questionnaires sent to Heads of the Paediatric Audiology Services (N=23)
  • Follow-up telephone interviews with Heads of the Paediatric Audiology Services (ca 30 min)
  • Repeat questionnaires and interviews ca 1 year into the programme

NHSP Evaluation

readiness for nhsp
Readiness for NHSP:

How well do you think your Service is prepared for NHSP?

A year later, how well do you think your Service was prepared for NHSP?

NHSP Evaluation

readiness vs routine procedures
Readiness vs routine procedures:
  • No correlation between self-perceived readiness and routine tests/procedures:
    • Tone-pip ABR: (Mann-Whitney U=18.5, Z=-1.938, p=0.053)
    • BC ABR: (Mann-Whitney U=20.5, Z=-1.446, p=0.148)
    • High-frequency tympanometry: (Mann-Whitney U=28.5, Z=-0.730, p=0.465)
    • DSL, NAL or other published hearing aid prescription procedure: (Mann-Whitney U=20.0, Z=-1.213, p=0.225)
    • Probe-tone measures: (Mann-Whitney U=28.5, Z=-0.730, p=0.465)

NHSP Evaluation

expected challenges
Expected Challenges:
  • Shortage of staff
  • Lack of skills/knowledge
  • Resource problems
  • Lack of facilities
  • Organisational barriers
  • Inadequate links with other services
  • Management attitude  

NHSP Evaluation

expected opportunities
Expected Opportunities:
  • Better opportunities for children and families
  • Raising the profile
  • New skill development
  • Increased resources 
  • Better links with other services

NHSP Evaluation

major training needs
Major training needs:
  • Working with very young babies
    • handling babies
    • child development
  • Advanced diagnostic assessment
    • SSEP
    • BC ABR
    • tone-pip ABR
    • aetiological investigation

NHSP Evaluation

major training needs cont
Major training needs (cont):
  • (Re)habilitation
    • Current HA technology
    • Probe tone measurements
    • Practical aspects (earmoulds)
    • Assessing the subjective benefit of the intervention
  • Support parents
    • Counselling and breaking bad news
    • Dealing with anxious parents

NHSP Evaluation

training
Training:
  • Centrally funded training
  • Supervised, practical, hands-on
  • Quality control, standards, accreditation
  • Affordable
  • Easy access
  • Good information on courses
  • MORE TRAINING OPPORTUNITIES

NHSP Evaluation

who will meet the training needs
Who will meet the training needs?
  • In-service training, peer training
  • Networking
  • Visits to the clinical centres of excellence
  • Manufacturers, suppliers etc.
  • NDSC
  • Universities
  • Local, regional and national

NHSP Evaluation

conclusions
Conclusions:
  • Great variety in
    • current practices
    • expectations
    • links with other services
  • Training is urgently needed

NHSP Evaluation

acknowledgements
Acknowledgements:

This work was undertaken by the Evaluation Team for the Implementation Pilot of Newborn Hearing Screening which received funding from the Department of Health. The views expressed in the publication are those of the authors and not necessarily those of the Department of Health

NHSP Evaluation

contact
Contact:

Dr Kai Uus

NHSP Evaluation

Human Communication & Deafness Group

The University of Manchester

Oxford Road

Manchester M13 9PL

Phone: +44 (0) 161 275 8282

Fax: +44 (0) 161 275 3373

E-mail: [email protected]

NHSP Evaluation

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