10. Siobhan O'callaghan findings from QA activities
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The QA advisor summarizes findings from 30 QA visits reports between September 2017 and July 2018. A total of 786 QA recommendations were made across various themes. The top theme was infectious diseases in pregnancy, receiving 218 recommendations. Of these, 61 recommendations were specific to the laboratory, focusing on issues like properly identifying and tracking antenatal samples, notifying screening results, and ensuring UKAS accreditation. Generic recommendations that appeared across themes included formalizing governance, managing incidents, and meeting standards for staff training and turnaround times.
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9. Developing a quality improvement action plan
This document discusses developing quality improvement action plans for antenatal and newborn screening services. It explains that a good action plan clearly identifies issues to address, involves stakeholders, uses clear language and formatting, prioritizes targets and outcomes, focuses on improvements, and includes monitoring indicators and criteria for recognizing progress. It also outlines the process of constructing, implementing, evaluating, and auditing an action plan. Leaders must have oversight of implementation and ensure resources are available to execute, assess, and audit the quality improvement plan.
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5) New standards for DESP (diabetes in early pregnancy) screening and coverage seen within 6 weeks of pregnancy notification.
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- Outcomes included significant reductions in mortality rates, increased usage of antenatal care, skilled birth attendance and postnatal care. Nutrition and malaria indicators also improved.
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2. Programme updates
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1) Styayb leaflets and audio files for screening during pregnancy.
2) Changes to SCT (sickle cell and thalassaemia) screening including remembering to identify the biological father and new screening standards.
3) Stories from women who accepted or declined prenatal diagnosis after screening, and clinical/service audits.
4) Updates on IDPS (infectious disease in pregnancy) screening including data workshops, resources, and known hepatitis B positive referral timeframes.
5) New standards for DESP (diabetes in early pregnancy) screening and coverage seen within 6 weeks of pregnancy notification.
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Elective care conference: imaging demand and capacity
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20171021 Personalized Prevention Strategy for Cervical Cancer
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NHS screening leaflet short urls and qr codes PDF
This document provides short URLs and QR codes for digital information leaflets about various NHS screening programs in the UK, including antenatal and newborn, AAA, bowel cancer, breast cancer, cervical cancer, and diabetic eye screening. Short URLs and QR codes are included to easily direct people to online collections of digital information leaflets for each screening program through mobile devices.
NHS screening leaflet short urls and qr codes
This document provides short URLs and QR codes for digital information leaflets about various NHS screening programs in the UK, including antenatal and newborn, AAA, bowel cancer, breast cancer, cervical cancer, and diabetic eye screening. Short URLs and QR codes are included to easily direct people to online collections of digital information leaflets for each screening program through mobile devices.
PHE screening inequalities conference final slides
This document outlines plans for a conference on addressing inequalities in screening. The aims of the conference are to share information on actions being taken to tackle inequalities, seek expert input on further steps, and discuss successes and new learning. The document provides background on PHE's screening inequalities strategy, examples of data showing inequalities, and initiatives underway like the FIT screening implementation and health equity audit toolkit. Speakers will discuss evidence-based practices to address inequalities including effective invitee interventions and potential program-level changes. The final section covers accessing screening data to support inequalities work while complying with information governance.
AAA screening nurses inequalities presentation final
1) The document discusses health inequalities and screening inequalities, noting that uptake rates tend to be lower for those in more deprived socioeconomic groups and for certain minority populations.
2) It provides an overview of the Public Health England's Screening Division Inequalities Strategy, which aims to increase uptake in the most deprived areas by 10% by addressing barriers to screening.
3) The strategy involves tools to help services analyze uptake data and identify groups with lower participation, as well as guidance on improving access for populations such as those with severe mental illness.
AAA screening technicians inequalities presentation final
The document discusses health inequalities in cancer screening programs. It aims to familiarize screening technicians with health inequalities, update them on initiatives to address inequalities from the UK Public Health England screening division, and explore further actions that could be taken. It notes that screening inequalities exist for groups experiencing economic deprivation, minority ethnic groups, people with disabilities, and other protected groups. Addressing inequalities requires understanding differences in participation within and between screening programs and targeting groups at higher risk who are less likely to participate. Actions discussed include analyzing screening data to identify inequalities, making programs more accessible, and establishing collaboration groups to share information.
AAA Technicians - Screening Inequalities
1) The document discusses health inequalities in cancer screening programs. It notes that uptake rates tend to be lower for populations experiencing economic deprivation, belonging to minority ethnic groups, or having disabilities.
2) Data is presented showing gaps in life expectancy between deprived and affluent areas of up to 9 years for males. Screening coverage and outcomes also tend to be lower for disadvantaged groups.
3) Actions are proposed to improve accessibility of screening for people with disabilities or severe mental illness through targeted outreach and accommodations. Establishing collaborations through online platforms and sharing work at program board meetings is encouraged.
AAA Nurses - Screening Inequalities
This document discusses health inequalities and screening inequalities. It aims to refresh knowledge on health inequalities, update on the Public Health England screening division's inequalities strategy, and explore actions screening nurses can take to tackle inequalities. It provides data showing screening uptake disparities based on factors like learning disabilities, ethnicity, and socioeconomic status. It also outlines guidance and tools to help screening services increase uptake in deprived areas and make screening more accessible for groups facing inequalities.
AAA Screening : Extending the screener role
This document describes extending the role of screening technicians in an abdominal aortic aneurysm (AAA) screening program to include basic physical health checks. It provides details on the current and proposed screening models, including the additional training and guidance technicians receive to take blood pressure and seek nurse advice. An example is given of how a high blood pressure reading was identified during screening and subsequently treated, benefiting both the patient and their GP. Feedback from patients and GPs is positive about the expanded technician role in detecting other health issues alongside AAA screening.
AAA Screening : Extending the screener role for nurses
The document discusses extending the role of screening technicians in an abdominal aortic aneurysm (AAA) screening program to include basic physical health checks. The program saw a decline in eligible men for screening over time as the population grew. The extended screener role would have technicians take basic observations like blood pressure and seek nurse practitioner advice if needed. Patients would receive education materials and follow up calls. Nurses would conduct further assessments over the phone. The changes aim to catch other health issues and assure quality through training, audits, and patient and doctor feedback. The feedback received has been positive.
AAA screening national programme update September 2019: Lisa Summers
This document provides a national update on the AAA screening programme in the UK. It discusses updates to clinical leads, screening figures, key performance indicators, standards and guidance, IT systems, equipment evaluation, rationale for modifying surveillance intervals, and initiatives across the four nations and to address inequalities in screening.
Improving outcomes of patients on AAA surveillance Adam Haque
This document discusses improving outcomes for patients undergoing abdominal aortic aneurysm (AAA) surveillance through exercise interventions. It presents evidence that cardiovascular fitness, as measured by cardiopulmonary exercise testing (CPET), is a key determinant of outcomes for AAA patients. A trial is proposed to evaluate the effects of a 24-week patient-directed exercise program on CPET measures of fitness for AAA surveillance patients compared to standard advice. The goal is to determine if objective measures of cardiovascular fitness can be improved through a scalable and deliverable exercise program to provide benefits like reduced peri-operative risk and improved survival for AAA patients.
AAA nurses training: programme boards presentation September 2019
This document discusses programme boards for screening quality assurance. It notes that nurses rarely attend all programme boards due to small team sizes and priority being given to patient assessments. Programme boards ensure screening programmes meet national standards and involve multiple stakeholder organizations. They discuss performance against quality standards, learning from incidents, and service improvement initiatives. The most discussed topics include performance metrics, incidents and lessons learned, quality assurance visit outcomes, and risks/mitigation plans. Nursing contributions could involve audits on access, uptake, and waiting times. Key messages from boards should be communicated to nursing teams.
AAA screeners LGBT awareness training September 2019
The document discusses LGBTQ+ awareness in abdominal aortic aneurysm screening programs, including definitions of key terms like sexual orientation, gender identity, and pronouns. It also notes potential health inequalities faced by LGBTQ+ people and how current AAA screening procedures and invitations may need improvements to be more inclusive of transgender and non-binary individuals.
Digital screening information event 2 October 2019
Slides from the event for antenatal screening co-ordinators in Birmingham on 2 October 2019 to discuss the plans for moving to digital screening information.
NHS Breast Screening Programme & Association of Breast Surgery Audit
The document describes the NHS Breast Screening Programme (NHSBSP) and Association of Breast Surgery (ABS) audit. The audit compares surgical data to quality assurance standards to assess performance. It analyzes data on all breast cancers detected through screening in the UK each year. The annual audit has three parts - the main audit examines the most recent year's data, the adjuvant audit examines treatment data from the prior year, and the survival audit examines 5-year survival rates. The document provides guidance on extracting data from the NBSS database system, checking the data for errors or missing information, and resolving issues by updating records in NBSS before uploading the data to the Breast Screening System Information System (BSIS
IDPS programme update Sharon Webb
This document provides an update on the Infectious Diseases in Pregnancy Screening (IDPS) Programme in the UK. It discusses the aims of the programme, which include enabling early detection and treatment of infections in pregnancy to reduce mother-to-child transmission. It summarizes screening activity data which shows high uptake rates of over 99% for HIV, hepatitis B, and syphilis screening. It also discusses efforts to improve laboratory quality, establish screening standards and outcomes data, and provide education resources to professionals and the public. Specific updates are provided on actions relating to HIV, syphilis, hepatitis B, and developing seamless maternal and neonatal pathways between screening and immunization programs.
9. Judith Timms HIV screening incidents
This document discusses false positive HIV results that can occur during HIV screening. The main causes of false positives are wrong blood in the tube or laboratory error. Laboratory error is found to be the most common cause, responsible for false positives in 8 of 9 cases reviewed from 2014 to 2017. Specific cases of laboratory errors are presented, including possible contamination during automated testing processes and issues with old laboratory equipment. The implications of false positive results, such as distress to patients, are also covered.
8. Nadia Permalloo learning from incidents
This document summarizes themes from quarterly incident reports of a screening program covering October 2015 to December 2017. Key issues identified include screening without informed consent, insufficient samples not being repeated in a timely manner, tracking and communication failures leading to unreported positive screening results, delays when using reference laboratories, and unconfirmed screening results being communicated to patients. The document concludes with a checklist of questions around improving processes to address these issues.
7. Tom Lewis Getting it right for pathology presentation
This document summarizes a presentation on the Getting It Right First Time (GIRFT) program and its workstream focused on pathology. GIRFT aims to reduce unwarranted variation in clinical care through data collection, identifying best practices, and promoting changes. The pathology workstream is led by four clinical leads and aims to measure current variability in pathology services, create a vision for the future, and test changes. Key activities will include collecting data through questionnaires and site visits to understand variations and identify opportunities for improvement.
6. Madeline McMahon IDPS workshop 13 march v2.0
The document discusses standards for infectious disease screening in pregnancy. It outlines 7 standards for screening coverage and test turnaround time. Standard 4 focuses on the test turnaround time for HIV, hepatitis B, and syphilis screening, requiring results be reported within 8 working days of sample receipt. Performance is tracked by region. Common issues with submitting data are outlined, and a proposed change to the submission template is presented to help clarify reporting of pending or inconclusive results. Laboratories are responsible for submitting Standard 4 data to maternity services by the end of June for the previous year's reporting period.
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10. Siobhan O'callaghan findings from QA activities
- 1. Findings from QA activities Siobhan O’Callaghan Senior QA Advisor
- 2. Methodology • 30 QA visits reports • 786 QA recommendations • September 2017 to 4 July 2018 2 QA visits by region
- 3. All recommendations by theme – 786 3 259 96 56 27 34 53 69 63 41 42 44 2 0 50 100 150 200 250 300 numberofrecommendations
- 4. Infectious diseases in pregnancy 4 218 51 40 26 22 61 93 111 42 57 63 0 50 100 150 200 250 governance infrastructure invitation cohort- antenatal cohort- newborn IDPS SCT FASP NBS NHSP NIPE numberofrecommendations
- 5. Infectious diseases in pregnancy – priority 3 1 1 15 9 5 41 24 13 5 15 10 10 45 48 46 37 67 68 48 17 10 30 41 172 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Blank NIPE NHSP NBS FASP SCT IDPS cohort - newborn cohort - antenatal invitation infrastructure governance immediate high standard low blank 5
- 6. Infectious diseases in pregnancy – 61 6 12 8 7 1 1 7 6 5 3 3 2 2 2 1 1 0 2 4 6 8 10 12 14 numberofrecommendations 17 34 2 8 Timescales 3 months 6 months 9 months 12 months
- 7. Laboratory (29/61 recommendations) • ability to identify antenatal samples as distinct from other pathology samples • samples to the laboratory or reference laboratory to be tracked/booking to result tracking system • laboratory to notify the screening team/maternity services directly of rejected or untested samples or screen positive results • weekly failsafe of screen positive results • wording on reports – remove ambiguity • do not release screening results until confirmed • update standard operating procedures to reflect current processes • remove reference to rubella from local documents 7
- 8. Laboratory (29/61 recommendations) • store national documents on quality management systems • commissioner to identify risks and issues in the laboratory • UKAS accreditation • risk assessment of screening sample in the lab • laboratory to schedule regular audits specific to the screening pathways (vertical audits) • implement electronic requesting 8
- 9. Generic recommendations– under other themes • formalise governance arrangements (programme boards) • terms of reference to ensure operational oversight and representation for all key stakeholders • management of incidents in NHS screening programmes https://www.gov.uk/government/publications/managing-safety- incidents-in-nhs-screening-programmes • staffing and job descriptions – named laboratory lead • training and competency assessments • standards and key performance indicators – standard 4: turn around times 9