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NHS Infectious Diseases in Pregnancy Screening Programme

NHS Infectious Diseases in Pregnancy Screening Programme. Marie Coughlin Screening Lead September 27 th 2010. Today’s Session. Fifth of 6 Antenatal & Newborn sessions throughout 2010. Reasons for Today’s Session. As a result of ChaMPs commissioned review of screening

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NHS Infectious Diseases in Pregnancy Screening Programme

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  1. NHS Infectious Diseases in Pregnancy Screening Programme Marie Coughlin Screening Lead September 27th 2010

  2. Today’s Session Fifth of 6 Antenatal & Newborn sessions throughout 2010

  3. Reasons for Today’s Session • As a result of ChaMPs commissioned review of screening • A need to further engage public health in Antenatal & Newborn Screening Programmes • At the request of public health screening leads • Part of C&M Screening Action Plan • Thought it useful to invite commissioners also

  4. Aim of the Session • To increase knowledge base within public health and commissioning

  5. Session Format • Overview of Programme structure • Overview of Infectious Diseases in Pregnancy Screening • Review of patient pathway • Data, performance and QA • Future developments • Questions/comments

  6. Overarching Structure • UK NSC, Dept of Health & Health Protection Agency jointly responsible for Programme • National team recently formed • NWSHA team has some involvement

  7. Infectious Diseases in Pregnancy Screening • Infectious Diseases in Pregnancy Programme established in 2003 • Screens for Hepatitis B; HIV; Syphilis; Rubella • Programme Board responsible for overseeing national projects • Emphasis on patient choice and uptake of 90% • Objective to create focus and identity for infectious diseases in pregnancy screening

  8. Programme Aims • To ensure screening is undertaken as early in the pregnancy as possible • Screen acceptance rate of at least 90% • 100% of samples to be sent to Lab within 1 working day • No longer need second sample to confirm positive status • Lab to confirm receipt of 100% of samples within 10 working days • 100% of referrals to be made within 6 weeks of positive result

  9. Infectious Diseases in Pregnancy Statistics • In the UK in 2007/8 • 3091/661905 (0.47%) were Hepatitis B positive • 1066/637309 (0.17%) were HIV positive • 1086/656689 (0.17%) tested positive for syphilis • 19804/647820 (3.06%) were susceptible to rubella

  10. Patient Pathway…

  11. Infectious Diseases in Pregnancy Screening Pathway Rebecca Al-Ausi North West Antenatal, Newborn & Child Health Deputy Screening Coordinator Rebecca.al-ausi@alwpct.nhs.uk Tel: 07810506043

  12. Aims • Pathway • Protocol • Standards • Mapping report • Data returns • Quality assurance http://infectiousdiseases.screening.nhs.uk/

  13. Pathway

  14. Protocols • Four separate protocols • Individual pathways • Failsafe • Named leads • Communication links • Accountability http://infectiousdiseases.screening.nhs.uk/

  15. Standards • Revised June 2010 • http://infectiousdiseases.screening.nhs.uk/standards • Confirmation bloods • Timeliness • Accountability http://infectiousdiseases.screening.nhs.uk/

  16. 2008 Mapping Report • National • Maternity units, laboratory leads, PCT’s & CHRD’s • Pathways • North West report http://infectiousdiseases.screening.nhs.uk/

  17. Data Returns • HPA quarterly data & annual report • Trust annual reports • NSC’s KPI’s • 2 infectious diseases KPI’s http://infectiousdiseases.screening.nhs.uk/

  18. HIV • Quarterly returns • December 2010 • Proportion of tested women (tested/eligible = %) • 90% uptake http://infectiousdiseases.screening.nhs.uk/

  19. Hepatitis B • Quarterly returns • June 2011 • Proportion of Hepatitis B women who are referred in timely manner (women referred/women with hepatits B = %) • 90% uptake http://infectiousdiseases.screening.nhs.uk/

  20. Quality Assurance • Cross programme benchmarking • Failsafe • Structure • Peer reviews • Governance • Improvement http://infectiousdiseases.screening.nhs.uk/

  21. Data & Performance • Trusts required to produce annual report – difficult to obtain copies • Programme Board produce an annual report – Details on next few slides

  22. Hepatitis B Statistics – 2007/8

  23. HIV Statistics – 2007/8

  24. Syphilis Statistics – 2007/8

  25. Rubella Statistics – 2007/8

  26. Key Messages in Annual Report • Need to improve communications between Labs and Maternity Units • Need to improve I.T. systems in Labs and Maternity Units • Need to improve data collection and analysis

  27. Quality Assurance • QA function being developed – some in place for Labs

  28. Current Projects/Future Developments • Several projects underway, including: • Improve I.T. systems • Refine complex referral system for those needing further assessment • Develop patient pathway for HIV and define roles & responsibilities in the pathway • Review of confidentiality policies for HIV

  29. Questions/Comments • With regard to QA, how do we assure our Boards that local programmes run satisfactorily? • Set of recommendations re Trust data issue for all 6 programmes submitted to C&M DsPH and DoCs

  30. All today’s presentations will be available on the ChaMPs website www.champs-for-health.net Next CPD – Date and title If you would like to receive our regular bulletin, please e-mail info@champs.nhs.uk

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