Thames Valley & Milton Keynes Strategic Clinical Networks commissioning guidance

Thames Valley & Milton Keynes Strategic Clinical Networks have produced commissioning guidance with recommendations for action and best practice case studies for cancer, cardiovascular health, children, end of life care, long term conditions, maternity, mental health and neurological conditions. Although locally focused, the guides may have wide spread interest. 

Access the guides here.

Development and evaluation of a community respiratory physiotherapy service for children with severe neurodisability

"This small study suggests that a community respiratory physiotherapy service can reduce hospital admissions and bed days for disabled children. The admissions cost savings have enabled the service to "pay for itself"."

Development and evaluation of a community respiratory physiotherapy service for children with severe neurodisability
A Wolff, H Griffin, M Flanigan, S Everest, D Thomas, W Whitehouse
BMJ Quality Improvement Reports 2015;4: doi:10.1136/bmjquality.u208552.w3411

Read more here.

Children and young people's survey 2014

"This is the first national children’s survey conducted by CQC. It represents the experiences of nearly 19,000 children and young people who received inpatient or day case care in 137 acute NHS trusts in 2014."

Children and young people's survey 2014
Care Quality Commission
July 2015

Read more here.

Pediatric Trigger Toolkits

"Adapted from proven adult trigger tools, the Pediatric ADE Trigger Tool provides a powerful yet simple method to detect medication-related harm in pediatric inpatients. The related Trigger Toolkit available below can help hospitals implement medication system changes to ensure fewer drug-related injuries."

Pediatric Trigger Toolkit: Measuring Adverse Events in the PICU Using a PICU Trigger Tool 
​Child Health Corporation of America

Access the toolkit here.

Compliance of monitoring side effects of medication in the treatment of ADHD

"The audit was carried out to determine compliance of monitoring side effects of medication in the treatment of ADHD/ADD in children and young people as recommended by NICE Clinical Guideline 72. The audit was deemed necessary to provide a basis on which to carry out future audits and to improve the service."

To determine compliance of monitoring side effects of medication in the treatment of ADHD in children and young people as recommended by NICE CG72
NICE Shared Learning example
South Eastern Health and Social Care Trust
March 2015

Read more here.

NICE Guideline: Depression in children and young people

The NICE guideline for depression in children and young people has been updated, with a number of changes to the recommendations for safe and effective antidepressant use.

Depression in children and young people: Identification and management in primary, community and secondary care
NICE guidelines [CG28]
March 2015

Find out more here.

How to improve prescription of inhaled salbutamol by providing standardised feedback on administration

"The effectiveness of inhaled salbutamol in routine care depends particularly on prescribed dosage and applied inhalation technique. To achieve maximum effectiveness and to prevent drug-related problems, prescription and administration need to work in concert."

How to improve prescription of inhaled salbutamol by providing standardised feedback on administration: a controlled intervention pilot study with follow-up
MP Neininger et al.
BMC Health Services Research 2015, 15:40  doi:10.1186/s12913-015-0702-x

Read more here.

Implementation of multidimensional knowledge translation strategies to improve procedural pain in hospitalized children

"The overall aim of this study was to improve pain assessment and management over time.  Multifaceted, tailored KT [knowlegge management] interventions may be the first step in promoting optimal pain practices; however whether or not they are the answer to sustained improvement is unknown." 

Implementation of multidimensional knowledge translation strategies to improve procedural pain in hospitalized children
BJ Stevens, J Yamada, S Promislow, J Stinson, D Harrison, JC Victor
Implementation Science 2014, 9:120  doi:10.1186/s13012-014-0120-1

Read more here.

Prevalence and severity of patient harm detected by the Paediatric Trigger Tool

"There is a significant, measurable level of harm experienced by children admitted to hospitals in the UK. While most of this harm is temporary, some of it is serious. The UKPTT offers organisations the means to measure and examine the adverse events occurring in their hospital in order to reduce harm."

Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool
SM Chapman, J Fitzsimons, N Davey, P Lachman
BMJ Open, 2014; 4: e005066

Read more here.

RCS commissioning guide: general children’s surgery

"Commissioners should aim to build on the successes of existing clinical networks. Where these networks do not exist, commissioners should aim to create them. The south west, North West and the East Midlands have developed a network approach to general paediatric surgery which provides a good reference point."

Commissioning guide: provision of general children’s surgery
Royal College of Surgeons, British Association of Paediatric Surgeons

April 2014 

Read more here.

Report of the Children and Young People’s Health Outcomes Forum

"If we compare ourselves with the country with the lowest mortality for children and young people, Sweden (after controlling for population size among other variables), we find that in the UK every day five children under the age of 14 die who would not die in Sweden."

Report of the Children and Young People’s Health Outcomes Forum 2013/14
I Lewis, C Lenehan
April 2014

Read more here.

Commissioning children's palliative care

"This resource is designed to support CCGs to effectively commission palliative care for children and young people. It covers the following:

• What is children’s palliative care?
• Who needs children’s palliative care?
• Who provides children’s palliative care?
• How should children’s palliative care be commissioned?"

Commissioning children's palliative care: a guide for Clinical Commissioning Groups (CCGs)
Together for short lives
August 2013

Read more here.

Designing and commissioning services for children and young people with asthma

"Delivering excellent child-centred services requires co-operation and partnership between clinicians, children’s professionals in health and education, strategic leaders in local services and children, young people and families."

Designing and commissioning services for children and young people with asthma: a good practice guide
Primary Care Commissioning
August 2013

Read more here.

SAFER communication guidelines

"These are guidelines for communications between health visitors and local authority children’s social care teams using the SAFER process when a child may be suffering or is likely to suffer significant harm."

SAFER communication guidelines
Department of Health
June 2013

Read more here.

Joint health and social care quality standards

The National Institute for Health and Care Excellence (NICE) has published the first joint health and social care quality standards, covering:

• QS30: Supporting people to live well with dementia
• QS31: Health and wellbeing of looked after children and young people health and wellbeing of looked-after children

Latest evidence from NHS Evidence QIPP

QIPP Evidence provides users with practical case studies that address the quality and productivity challenge in health and social care. All examples submitted are evaluated by NICE. This evaluation is based on the degree to which the initiative meets the QIPP criteria of savings, quality, evidence and implementability. These are the latest QIPP case studies:

• Children and young people cancer survivorship initiative: improving quality and the patient experience
• Service redevelopment: integrated whole system services for people with dementia
• Reducing hospital admission rates for people with diabetes: a systematic approach to improving primary care outcomes

Access more QIPP initiatives here.

VIPER: Voice. Inclusion. Participation. Empowerment. Research.

"VIPER is a research project looking at disabled children and young people’s participation in decision-making."

Policy briefing: Hear us out! 
VIPER: Voice. Inclusion. Participation. Empowerment. Research.
Council for Disabled Children
February 2013

Read more here.

Standards of evidence for impact investing

"The Standards of Evidence recognise the need to ensure that demand for evidence is appropriate for different stages of product of service development, that it doesn't hamper innovation, and that it is realistic and proportionate."

Standards of evidence for impact investing
R Puttick, J Ludlow
NESTA
October 2012

Read more here.

Are we there yet? A review of organisational and clinical aspects of children's surgery

"This is the third study that NCEPOD has undertaken on surgery and anaesthesia in children."

Are we there yet? A review of organisational and clinical aspects of children's surgery
DG Mason, K Wilkinson, MJ Gough, SB Lucas, H Freeth, H Shotton, M Mason
National Confidential Enquiry into Patient Outcome and Death
October 2011

Read more here.