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Antenatal programme updates
- 1. Antenatal screening programmeupdates London Heads of Midwifery & Screening Coordinators ANNB Forum 2 March 2018 Public Health England leads the NHS Screening Programmes
- 2. Resources APS Group • leafletprinting, storage and distribution • online website order link from gov.uk New animated screening resource https://www.youtube.com/watch?v=_afr5olIpTM https://www.nhs.uk/conditions/pregnancy-and-baby/screening-tests- abnormality-pregnant/ 2 Antenatal screening programme updates
- 3. KPI’s Q2 2017 to2018 published 2018 to 2019 KPI possible introduction • ST4 – offer of counselling appointment 12+0 (standard 5) • FA3 – coverage of T21, T18, T13 combined screening (standard 1) Antenatal screening coverage KPI e-learning resource - gov.uk KPI quarterly summary factsheet….. 3 Antenatal screening programme updates
- 4. KPI summary factsheets 4Antenatal screening programme updates
- 5. SCT- laboratory update SCTlaboratory handbook for antenatal screening laboratories published into 2 separate publications • antenatal • newborn Laboratory workshops – closing date 1 April 2018 • London 13 April 2018 • Leeds 17 April 2018 5 Antenatal screening programme updates
- 6. SCT- data collectionand reporting Update on data returns 2016/17 Antenatal • 130/ 141 laboratory returns received • 4 labs cannot submit due to IT problems • delays due to the cyber attack PND data now collected by NCARDRS Newborn data received from all UK newborn blood spot laboratories - analysis in progress 6 Antenatal screening programme updates
- 7. SCT SCT Screening ProgrammeHandbook – to be published by end of 2018 Electronic Family Origin Questionnaire • implementation resources developed with Sunquest ICE available for rollout • workshops to be arranged shortly National guidance updated online • SCT screening overview • patient societies • counselling and referral for prenatal diagnosis • antenatal screening – special circumstances • failsafe, quality assurance & data collection • support & training 7 Antenatal screening programme updates
- 8. SCT – educationupdate Haemoglobinopathies: short counselling course 27 June 2018 Genetic risk assessment and counselling module 10/11 May 2018 and 14/15 June 2018 SCT screening: specialist counselling update- free one day course for practitioners who have completed PEGASUS or equivalent. 26 April 2018 (London), 15 May 2018 (TBC outside London) SCT multimedia e-learning resource- 9 units 8 Antenatal screening programme updates
- 9. IDPS Data report 2016-17to be published Initial findings • coverage high • not all trusts collate matched cohort coverage data • higher rate of declines in some areas outside London • majority of hepatitis B positive women seen within 6 weeks (ID2) • screening coordinators need to have effective processes in place to see women within 10 days, as some areas’ performance was low. The reasons and management of this cohort of women needs investigating further • delivery of hepatitis B vaccination and immunoglobulin variable 9 Antenatal screening programme updates
- 10. IDPS Resources • e-learning packageto be launched April 2018 • counselling table top information resource to support equality of information of screen positive women at initial 10 day appointment (in consultation) • miscarriage letter template in development - to be disseminated via QA teams and blog to promote use Screening outcomes- National Integrated Maternal and Paediatric Outcomes Surveillance (NIMPOS) system in development with PHE, Institute of Child Health and PHE National Infection teams. This will extend HIV study to include hepatitis B and syphilis via one web based submission process. Audit of perinatal HIV in children born in the UK 2006-2013 published Jan 2018 10 Antenatal screening programme updates
- 11. IDPS PHE congenital syphilisreview • rising incidence of syphilis infection • acquisition of maternal infection after a negative antenatal screen is an area of increasing concern – the ‘NEGATIVE NOW’ message when giving results • vital role of all health professionals in raising sexual health awareness Hepatitis B pathway review underway Laboratory work streams • laboratory task group to review lab handbook, results processes etc • annual lab IDPS workshop 2018 (TBC) - to give updates on current priorities and QA • laboratory QA and UKAS working together to agree IDPS measures 11 Antenatal screening programme updates
- 12. FASP KPI FA2- coverageof the fetal anomaly scan- completeness improving. Returns to be published from quarter 1 2018/19 FASP annual data report 2015-2016- published in November 2017 Challenges include • lack of adequate reporting and IT systems to collect and report data • unable to define exclusions and split exclusion categories • unable to provide matched cohort data Data is being analysed – actions plans recommended where not meeting thresholds 12 Antenatal screening programme updates
- 13. FASP Education • plans toupdate the NT resource • condition specific information leaflets being updated and reviewed. The leaflets for professionals will be removed as each leaflet is updated • congenital diaphragmatic hernia leaflet updated - available soon National Congenital Anomaly and Rare Disease Registration Service • higher chance results should be reported by laboratories • monthly report from software – some labs outstanding 13 Antenatal screening programme updates
- 14. NCARDRS 14 Antenatal screeningprogramme updates
- 15. DESP in pregnancy NHSDiabetic Eye Programme Standards DES-PS-6 standard Proportion of pregnant women with diabetes seen within 6 weeks of notification of their pregnancy to the screening provider. Submitted by local screening provider 15 Antenatal screening programme updates
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