1 antenatal updates Michelle Onslow

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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• 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



• 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/


http://cpd.screening.nhs.uk/


• 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


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


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


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


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


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


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


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:

[email protected]

The old address ([email protected])

will be deactivated on 01.11.15


https://phescreening.blog.gov.uk/

mailto:[email protected]

mailto:[email protected]

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


Government & Nonprofit

1 antenatal updates Michelle Onslow