1 antenatal updates michelle onslow
TRANSCRIPT
Public Health England is responsible for the NHS Screening Programmes
Quality Assurance (London)
Antenatal Updates
Michelle Onslow, Senior QA Advisor
Sickle Cell and Thalassaemia
• Review of failsafe processes the Map of Medicine
pathways – mapping incidents against the pathway
• Reviewing of UK NSC publications, educational resources
and NHS Choices
• Looking at the main reasons why women present late for
booking – aiming to focus resources in key areas
• IVF/Fertility – screening often undertaken if donor eggs
used but not if using their own, National programme doing
communication on this in conjunction with voluntary
agencies
• 2016/17 service specification to be released soon
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Sickle Cell and Thalassaemia
• Courses at KCL – funded places being offered:
Short counselling course – for non specialists, 19th November and 21st April 2016 both in London.
Genetic risk assessment and counselling module, four day course for staff delivering counselling 12th/13th May 2016 and 16th/17th June 2016
Email sent out yesterday with instructions
http://cpd.screening.nhs.uk/sct-externaltraining
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Sickle Cell and Thalassaemia
• SC&T e-learning resource:
Target audience, midwives, health visitors, GP’s and
counsellors
Nine modules that follow the screening pathway
Films on completing the FOQ, partner testing and
giving positive results
Information on sickle cell complications, thalassaemia
complications and a world map of prevalence
Tips on talking to parents, links to key resources and
quiz/test and certificate
Coming soon: http://cpd.screening.nhs.uk/
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Sickle Cell and Thalassaemia
• PND Outcome forms:
Short term: Decision following PND
Long term: Pregnancy outcome, delivery etc.
Completion and return of the forms is low
Lack of evidence at National level to inform
standards, KPI’s etc.
We will now look for evidence that these are
completed and returned as part of a QA visit
Included as part of policy, evidence of a process in
place for completion and return of the forms
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FASP
• New Standards:
Nine new standards
Some data required from local providers, some
collected nationally, most already collected via KPI’s
annual reports etc.
National submission template with instructions
coming soon
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FASP
• T13/18:
Written consent not required but there must be clear
documentation of the offer + acceptance/decline of
T21 and T13/18
Request form needs to have an option to accept or
decline T21 and T13/18 separately
Report must have two risks one for T21 and one for
T13/18
Parents must be aware that PND would identify a
result for all three conditions regardless of risk results
Most Trusts directly contract the lab – you can
influence change
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FASP
• KPI FA2 Pilot:
Overall positive feedback from the units that took part
– many continuing to submit
Some challenges identified – IT, correct identification
of the cohort
A number of women were identified as missed
Failsafe’s not in place
Recommending that it is introduced as a KPI
Awaiting a National decision – will provide more detail
as soon as we know
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Infectious Diseases
• New standards, 2016/17 service specification, laboratory
and operational handbooks
• Regional roll out workshops Jan-March 2016
• Cessation of Rubella: No decision made yet, awaiting
ministerial sign off, we will update you as soon as we
know
• New e-learning resource coming next year
• New Hep B and HIV leaflets, leaflets translated into 20
different languages, available to download
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Infectious Diseases
• Professional forum, midwives, nurse specialists, self
nominated members, helping to produce educational
resources
• Women who decline:
Evidence to show they have a higher prevalence of
HIV
Need a robust pathway for re-offer
Should see screening team or specialist
• ‘Late Booking’ will become 20 weeks gestation – due to
commencement of antiretroviral therapy
• Request form needs to include acceptance and decline
for each condition
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Infectious Diseases
• Results should be given by an appropriately trained
clinician (including Hep B)
• New KPI’s for coverage for Hep B & Syphilis
• ID2: being reviewed based on findings from national
audit
• Looking at all data collected:
streamlining to reduce duplication of requests
ensure consistency
simplify the process
Online data reporting system
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General
• Screening Blog: https://phescreening.blog.gov.uk
All up to date information re: screening
Sign up to receive updates
Email cascades will stop so if you are not signed up
you won’t know!
If you would like to do a blog contact us
• London QA Service have a new email address:
The old address ([email protected])
will be deactivated on 01.11.15
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General
• Annual reports 2014/15:
QA Team will not be doing individual feedback reports
General London wide presentation at the next forum
Local feedback at your TSSG
Template will be reviewed nationally once new
standards are published to reduce duplication etc.
• NMC Revalidation:
Remind staff looking for CPD evidence of the free
NSC e-learning resources
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