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Fetal Anomaly Screening
Programmes Update
Alison Fiddler QAadviser
Public Health England leads the NHS Screening Programmes
FASP priorities for 2017-18
NIPT
• Education and training
• Information
• Data
• Clinical and Laboratory
• Procurement
• Working with QA and laboratories around DQASS processes for
laboratories offering NIPT
2 FASP updates London QA forum 09 June 2017
FASP priorities for 2017-18
3 FASP updates London QA forum 09 June 2017
NCARDRS reporting framework (including NIPT) April 2018
Review and update the NT eLearning resource April 2018
Produce an annual report of the programme standards October 2017
Review and update where necessary the following
programme specific publications:
Congenital Diaphragmatic hernia
Congenital Heart Disease
Alobar Holoprosencephaly
April 2018
NIPT
“Supporting personalised informed choice”
• Revised STFYAYB – focus groups coming soon
• New animations onto NHS Choices for explaining risk
• Revised resource cards
• Parent information leaflets for women with a higher chance of Down’s and
Edwards’/Patau’s syndromes
• Video for women about the 3 conditions and the screening pathway
• Updated information in all documents and website content
• Working with Down’s syndrome association, Support for families with trisomy 18/13
(SOFT), ARC, Down’s syndrome research foundation
4 FASP updates London QA forum 09 June 2017
NIPT: 2 day training events
Champions to be identified in each Trust to attend for the 2 days and then
cascade the training
2-3 attendees per Trust (Screening coordinators and community midwifery reps)
Day 1: Information day: What is NIPT?
Day 2: Supporting personalised informed choice
Dates (still to be confirmed):
27 & 28 September
1 & 2 November
6 & 7 December
5 FASP updates London QA forum 09 June 2017
NIPT
• NIPT is being implemented as an evaluative roll out
• Real time feedback will be needed from Trusts on cascade of training
• Updating of programme handbooks and service specifications
• Service specification 2018/19 will include NIPT
• Laboratory procurement
• Timeframes yet to be finalised: the plan is to introduce the offer of NIPT in
2018
6 FASP updates London QA forum 09 June 2017
Reporting FASP data: KPI FA2 – coverage
for fetal anomaly scan
Improving coverage data reporting is the key priority for FASP in 2017/2018
KPI FA2 – coverage fetal anomaly scan:
•revisions to the definitions to improve understanding of the data requirements
•improvements to the data submission tool to include all exclusions
•FA2 guidance document to be published following Purdah
7 FASP updates London QA forum 09 June 2017
Reporting FASP data:
Standard 1: Coverage for T21, 13 & 18
Standard 1 – coverage Down’s, Edwards’ /Patau’s
syndromes screening:
2015/16 data:
• Expected submissions: 144
• Number of submissions: 106 (74%)
• Accepted submissions: 54 (38%)
Data excluded where:
•providers were unable to account for 3 or more exclusion criteria
•data was clearly non-matched cohort data
8 FASP updates London QA forum 09 June 2017
Sonography:
• SSS attendance at the Trust Screening Steering Group meetings
• SSS should be attending the TSSG and providing feedback on DQASS
reports, image review processes and screening incidents in sonography
• Embedding the quarterly local image review processes with a supporting
local policy
• Further audit activities. Eg. Group review of images, using stored images to
measure and compare
9 FASP updates London QA forum 09 June 2017
Sonographer criteria guidance
Any practitioner undertaking first trimester screening for T21, 13 & 18
should hold:
• Certificate/Diploma (as appropriate) in Medical Ultrasound
(CMU/DMU) of the College of Radiographers (CoR) with evidence
of appropriate continuous professional development (CPD)
• Postgraduate Certificate in Medical Ultrasound (PgCert) approved
and validated by a higher institute of education and accredited by
the Consortium for Sonographic Education (CASE) or equivalent
(the qualification should be relevant to obstetric ultrasound practice)
• Royal College of Obstetricians and Gynaecologists (RCOG)/Royal
College of Radiologists (RCR) Diploma in Obstetric Ultrasound or
the Advanced Training Skills Module (ATSM)
10 FASP updates London QA forum 09 June 2017
Sonographer criteria guidance
Practitioners must also complete the following e-learning
resources:
• Screening for Down’s, Edwards’ and Patau’s syndromes
• Nuchal translucency (NT) training resource (this
resource should be completed every 12 months)
11 FASP updates London QA forum 09 June 2017
Sonographer criteria guidance
Trusts must:
• Check the sonographers last DQASS report was
green or amber flagged
• Image review should be undertaken
• Submission of data to DQASS
12 FASP updates London QA forum 09 June 2017
E-learning for T21, 13 & 18
E-learning for healthcare: www.e-lfh.org.uk
Replaces the old ‘CEMT21’
• 10 interactive units
• Can be completed in multiple sittings
• Should be completed every 2 years
• Certificate for download
• Positively evaluated at pilot
13 FASP updates London QA forum 09 June 2017
Any questions?
To register for the blog:
phescreening.blog.gov.uk
14 FASP updates London QA forum 09 June 2017

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3. Fetal anomaly screening programmes update

  • 1. Fetal Anomaly Screening Programmes Update Alison Fiddler QAadviser Public Health England leads the NHS Screening Programmes
  • 2. FASP priorities for 2017-18 NIPT • Education and training • Information • Data • Clinical and Laboratory • Procurement • Working with QA and laboratories around DQASS processes for laboratories offering NIPT 2 FASP updates London QA forum 09 June 2017
  • 3. FASP priorities for 2017-18 3 FASP updates London QA forum 09 June 2017 NCARDRS reporting framework (including NIPT) April 2018 Review and update the NT eLearning resource April 2018 Produce an annual report of the programme standards October 2017 Review and update where necessary the following programme specific publications: Congenital Diaphragmatic hernia Congenital Heart Disease Alobar Holoprosencephaly April 2018
  • 4. NIPT “Supporting personalised informed choice” • Revised STFYAYB – focus groups coming soon • New animations onto NHS Choices for explaining risk • Revised resource cards • Parent information leaflets for women with a higher chance of Down’s and Edwards’/Patau’s syndromes • Video for women about the 3 conditions and the screening pathway • Updated information in all documents and website content • Working with Down’s syndrome association, Support for families with trisomy 18/13 (SOFT), ARC, Down’s syndrome research foundation 4 FASP updates London QA forum 09 June 2017
  • 5. NIPT: 2 day training events Champions to be identified in each Trust to attend for the 2 days and then cascade the training 2-3 attendees per Trust (Screening coordinators and community midwifery reps) Day 1: Information day: What is NIPT? Day 2: Supporting personalised informed choice Dates (still to be confirmed): 27 & 28 September 1 & 2 November 6 & 7 December 5 FASP updates London QA forum 09 June 2017
  • 6. NIPT • NIPT is being implemented as an evaluative roll out • Real time feedback will be needed from Trusts on cascade of training • Updating of programme handbooks and service specifications • Service specification 2018/19 will include NIPT • Laboratory procurement • Timeframes yet to be finalised: the plan is to introduce the offer of NIPT in 2018 6 FASP updates London QA forum 09 June 2017
  • 7. Reporting FASP data: KPI FA2 – coverage for fetal anomaly scan Improving coverage data reporting is the key priority for FASP in 2017/2018 KPI FA2 – coverage fetal anomaly scan: •revisions to the definitions to improve understanding of the data requirements •improvements to the data submission tool to include all exclusions •FA2 guidance document to be published following Purdah 7 FASP updates London QA forum 09 June 2017
  • 8. Reporting FASP data: Standard 1: Coverage for T21, 13 & 18 Standard 1 – coverage Down’s, Edwards’ /Patau’s syndromes screening: 2015/16 data: • Expected submissions: 144 • Number of submissions: 106 (74%) • Accepted submissions: 54 (38%) Data excluded where: •providers were unable to account for 3 or more exclusion criteria •data was clearly non-matched cohort data 8 FASP updates London QA forum 09 June 2017
  • 9. Sonography: • SSS attendance at the Trust Screening Steering Group meetings • SSS should be attending the TSSG and providing feedback on DQASS reports, image review processes and screening incidents in sonography • Embedding the quarterly local image review processes with a supporting local policy • Further audit activities. Eg. Group review of images, using stored images to measure and compare 9 FASP updates London QA forum 09 June 2017
  • 10. Sonographer criteria guidance Any practitioner undertaking first trimester screening for T21, 13 & 18 should hold: • Certificate/Diploma (as appropriate) in Medical Ultrasound (CMU/DMU) of the College of Radiographers (CoR) with evidence of appropriate continuous professional development (CPD) • Postgraduate Certificate in Medical Ultrasound (PgCert) approved and validated by a higher institute of education and accredited by the Consortium for Sonographic Education (CASE) or equivalent (the qualification should be relevant to obstetric ultrasound practice) • Royal College of Obstetricians and Gynaecologists (RCOG)/Royal College of Radiologists (RCR) Diploma in Obstetric Ultrasound or the Advanced Training Skills Module (ATSM) 10 FASP updates London QA forum 09 June 2017
  • 11. Sonographer criteria guidance Practitioners must also complete the following e-learning resources: • Screening for Down’s, Edwards’ and Patau’s syndromes • Nuchal translucency (NT) training resource (this resource should be completed every 12 months) 11 FASP updates London QA forum 09 June 2017
  • 12. Sonographer criteria guidance Trusts must: • Check the sonographers last DQASS report was green or amber flagged • Image review should be undertaken • Submission of data to DQASS 12 FASP updates London QA forum 09 June 2017
  • 13. E-learning for T21, 13 & 18 E-learning for healthcare: www.e-lfh.org.uk Replaces the old ‘CEMT21’ • 10 interactive units • Can be completed in multiple sittings • Should be completed every 2 years • Certificate for download • Positively evaluated at pilot 13 FASP updates London QA forum 09 June 2017
  • 14. Any questions? To register for the blog: phescreening.blog.gov.uk 14 FASP updates London QA forum 09 June 2017