Imperial College London
Dr Ian Maconochie

DrIanMaconochie

Faculty of Medicine, Department of Infectious Disease

Professor of Practice (Paediatric Emergency Medicine)
 
 
 
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Contact

 

+44 (0)20 3312 3729i.maconochie

 
 
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Location

 

Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Stilwell:2022:10.1136/archdischild-2021-322908,
author = {Stilwell, PA and Stuttard, G and Scott-Jupp, R and Boyle, A and Kenny, S and Maconochie, I},
doi = {10.1136/archdischild-2021-322908},
journal = {Arch Dis Child},
title = {Paediatric NHS 111 Clinical Assessment Services pilot: an observational study.},
url = {http://dx.doi.org/10.1136/archdischild-2021-322908},
volume = {107},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - OBJECTIVE: To determine the feasibility and impact of having paediatric clinicians working in the Clinical Assessment Services (CAS) within NHS 111, a national telephone advice service. DESIGN: Observational study. SETTING: Six NHS 111 providers across England with CAS where volunteer paediatric clinicians (doctors and advanced nurse practitioners (ANPs)) worked between May and December 2020. A data reporting framework was used to compare the outcomes of calls taken by paediatric vs non-paediatric clinicians. PATIENTS: Under 16-year-olds prompting calls to NHS 111 over the study period. MAIN OUTCOME MEASURES: The disposition (final outcome of calls) taken by paediatric versus non-paediatric clinicians, paediatric clinicians' and patient experience. RESULTS: 70 paediatric clinicians (66 doctors and 4 ANPs) worked flexible shifts in six NHS 111 providers' CAS over the study period: 2535 calls for under 16-year-olds were taken by paediatric clinicians and 137 008 by non-paediatric clinicians. Overall, disposition rates differed significantly between the calls taken by paediatric versus (vs) non-paediatric clinicians: 69% vs 43% were advised on self-care only, 13% vs 18% to attend emergency departments (EDs), 13% vs 29% to attend primary care, 1% vs 4% to receive an urgent ambulance call out and 4% vs 6% referred to another health service, respectively. When compared with recent (all age) national whole data sets, the feedback from calls taken by paediatricians noted a greater proportion of patients/carers reporting that their problem was fully resolved (92% vs 27%). CONCLUSIONS: Introducing paediatric specialists into NHS 111 CAS is likely to increase self-care dispositions, and reduce onward referrals to primary care, ED and ambulances. Future work will evaluate the impact of a national paediatric clinical assessment service to which specific case types are streamed.
AU  - Stilwell,PA
AU  - Stuttard,G
AU  - Scott-Jupp,R
AU  - Boyle,A
AU  - Kenny,S
AU  - Maconochie,I
DO  - 10.1136/archdischild-2021-322908
PY  - 2022///
TI  - Paediatric NHS 111 Clinical Assessment Services pilot: an observational study.
T2  - Arch Dis Child
UR  - http://dx.doi.org/10.1136/archdischild-2021-322908
UR  - https://www.ncbi.nlm.nih.gov/pubmed/34876400
VL  - 107
ER  -
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