6. Informed choice to decline To make sure that the limitations of Declines should be At the time of the screen To review and screening: the screen are communicated and recorded on S4H. monitor number of To facilitate informed choice, understood Parents should be declines, as detailed have mechanisms in place for given a decline in the quarterly data recording declined screening, Parents should have information to letter outlining what reports, and in order to: be able to decline the screen based to do if they change investigate any on personal choice their mind, and what inequalities that may ensure parents make an they should do if exist and any informed choice they are worried in significant changes the future about monitor declines outcome from the offer their child’s hearing. of screening is known The HV and GP should be informed Trust response: this row is for you to enter results, or, summarise whether you have these checks in place. If not, you can use this space to identify gaps and develop an action plan. How When Additional checks and Why What This is how you might This is how we audits These are the reasons why we are This is what we recommend do this recommend you undertake recommending this you do the action/check Earlier diagnosis leads to NHSP local service to Weekly Use the national 7. Identify babies where screening is incomplete: improved outcomes check S4H for babies monthly data reports to Have systems in place to without a screening check that eligible track from offer to a valid We have evidence from screening outcome and take babies have been screening result, or, safety incidents of: appropriate action, in identified, as detailed in confirmation of decline. Have line with the guidance (within a process in place for taking screening not completed the operational remedial action to offer and babies with hearing Interrogate S4H and guidance) undertake screening impairment entering late into the child health information systems, care searching for any
6. Informed choice to decline screening: To facilitate informed choice, have mechanisms in place for recording declined screening, in order to: ensure parents make an informed choice monitor declines outcome from the offer of screening is known To make sure that the limitations of the screen are communicated and understood Parents should have information to be able to decline the screen based on personal choice Declines should be recorded on S4H. Parents should be given a decline letter outlining what to do if they change their mind, and what they should do if they are worried in the future about their child’s hearing. The HV and GP should be informed At the time of the screen To review and monitor number of declines, as detailed in the quarterly data reports, and investigate any inequalities that may exist and any significant changes Trust response: this row is for you to enter results, or, summarise whether you have these checks in place. If not, you can use this space to identify gaps and develop an action plan. What This is what we recommend you do Why These are the reasons why we are recommending this How This is how you might do this When This is how we recommend you undertake the action/check Additional checks and audits 7. Identify babies where screening is incomplete: Have systems in place to track from offer to a valid screening result, or, confirmation of decline. Have a process in place for taking remedial action to offer and undertake screening Earlier diagnosis leads to improved outcomes We have evidence from screening safety incidents of: screening not completed babies with hearing impairment entering late into care NHSP local service to check S4H for babies without a screening outcome and take appropriate action, in line with Interrogate S4H and the child health information systems, searching for any Weekly Use the national monthly data reports to check that eligible babies have been identified, as detailed in the guidance (within the operational guidance)
NHSP_Checks_and_audits_template.docx