Upload
solomon-baldwin
View
219
Download
3
Tags:
Embed Size (px)
Citation preview
Introduction
These slides bring you up to date with the three NSC Newborn Screening Programmes
The Blood Spot Programme
The Newborn Hearing Programme
The Newborn and 6-8 week Infant Physical Examination
Please refer back to the NSC GP resource for the ‘key messages’ from these programmes & for information relating to the antenatal screening programmes
The Blood Spot Programme
National newborn screening based on the blood spot sample with the aim of preventing serious, but rare conditions, through early treatment before symptoms develop.
The Newborn Blood Spot currently screens for:
Phenylketonuria (PKU) Congenital Hypothyroidism (CHT) Sickle cell disorders (SCD)* - linked to the
antenatal screening programme Cystic fibrosis (CF)* Other conditions within regional programmes
*screening in some areas - coverage increasing
Blood Spot
Blood Spot National standards
Processes measured:
1. Timely sample collection 2. Timely sample despatch 3. Completeness of coverage4. Enhanced tracking abilities5. Timely identification of babies for whom the laboratory has not
received a decline notification or a blood sample 6. Timely processing of positive screening samples
Blood Spot
Do parents have a choice?
Screening is strongly recommended Parents can decline screening for all or any of the
conditions They should be given information to make their
choice All discussions and decisions should be recorded A parental signature is not required
Blood Spot
There is no cause for concern? By the 6-8 week physical examination at the latest
A baby is thought to be affected by one of the 4conditions or a carrier of sickle cell disease or CF?
As quickly as possible By a well-informed health professional In person, or by phone & followed up in person as soon as possible Supported by written information
For affected babies with PKU, CHT or CF With an appointment for diagnostic tests within 24 hours
How should the results be given if:
Blood Spot
Detailed information on the screened conditions are available to give to parents
Parent Info
Information for Parents
Blood Spot
Newborn Hearing Screening Programme (NHSP)
Aim is to identify moderate, severe and profound bilateral deafness and hearing impairment in newborn babies
Programme offers all parents in England the opportunity to have their baby’s hearing tested shortly after birth
Similar programmes are in place in Scotland, Wales and N Ireland
Early diagnosis enables earlier intervention which can lead to better outcomes through; family support, communication support or specific technology based intervention such as hearing aids or cochlear implants
Hearing
Hearing
Why? The numbers in the UK
Approx 900 children are born every year with a bilateral permanent childhood hearing impediment (PCHI)
There are degrees of hearing loss:
Profound -25% Severe -25% Moderate -50%
The Newborn Hearing Screening Test
The programme tests babies’ hearing using an Automated Otoacoustic Emissions test (AOAE). The test takes a few minutes only and is painless and safe
A second test – the Automated Auditory Brainstem Response (AABR) test may be offered if the AOAE test does not show a strong response in one or both ears
Babies who do not show strong responses to either above tests are referred to the local audiology department for further tests
Previously , an Infant Distraction Test (IDT) was used and as a result half of the children with a permanent hearing loss were not identified until they were 18 months old and a quarter not identified by three and a half years of age.
This six minute online video is designed for parents, or anyone requiring a short introduction to hearing screening, and gives information about why and how babies are
screened. Online video
A series of leaflets explaining the tests have been developed to support parents decide about screening and support information for parents of affected babies is also provided by the programme in partnership with the National Deaf Children’s Society. Available via http://www.nhsp.info/cms.php?folder=143
Hearing
Parent Information
Newborn and 6-8 week physical examination
Health For All Children (Hall, Elliman, 2003) recommends a physical examination is performed by 72 hours and again at 6-8 weeks
The aim of the newborn physical examination is to detect less obvious adverse conditions or
abnormalities in a newborn child.
Newborn Physical
The examination includes:
Taking a family history Taking account of previous
pregnancies & births Taking an account of problems
during the antenatal, Perinatal and postnatal periods Performing a physical examination
of the baby Listening to parental concerns
Newborn Physical
Standards & Competencies
Standards A draft standards document is being drawn together
using expert working groups
Competencies The subgroup recommends that any health
professional undertaking the newborn and 6-8 week physical examinations should be competent to undertake the task and have sufficient ongoing clinical experience to maintain competency.
To support this a competency document for all health professionals is being agreed
Newborn Physical
Future Programme Activity
Training Resources A web based digital toolbox is being developed
to support training for the newborn and 6-8 week examinations for all health professional groups
Parent Information This will be delivered as part of the programme
of work
Information systems Outputs from the standards document will
inform the information requirements
These resources will be available via http://www.screening.nhs.uk/physical/index.htm
Newborn Physical
About UK Newborn Blood Spot Screening Programme:www.screening.nhs.uk/bloodspot
About Newborn Hearing Screening Programme:www.screening.nhs.uk/hearing
About the Newborn and 6-8 week Infant Physical Examinationswww.screening.nhs.uk/physical
More information…including national coverage
Please refer back to the NSC GP resource for the ‘key messages’ from these programmes & for information relating to the antenatal screening programmes