advertisement

Newborn Screening Programmes

57 %
43 %
advertisement
Information about Newborn Screening Programmes
Education

Published on January 15, 2008

Author: Semprone

Source: authorstream.com

advertisement

August 2006 :  August 2006 Newborn Screening Programmes Introduction:  Introduction These slides bring you up to date with the three NSC Newborn Screening Programmes The Blood Spot Programme The Newborn Hearing Programme The Newborn and 6-8 week Infant Physical Examination Please refer back to the NSC GP resource for the ‘key messages’ from these programmes & for information relating to the antenatal screening programmes The Blood Spot Programme:  The Blood Spot Programme National newborn screening based on the blood spot sample with the aim of preventing serious, but rare conditions, through early treatment before symptoms develop. The Newborn Blood Spot currently screens for: Phenylketonuria (PKU) Congenital Hypothyroidism (CHT) Sickle cell disorders (SCD)* - linked to the antenatal screening programme Cystic fibrosis (CF)* Other conditions within regional programmes *screening in some areas - coverage increasing Blood Spot Blood Spot National standards:  Blood Spot National standards Timely sample collection Timely sample despatch Completeness of coverage Enhanced tracking abilities Timely identification of babies for whom the laboratory has not received a decline notification or a blood sample Timely processing of positive screening samples Blood Spot Do parents have a choice?:  Do parents have a choice? Screening is strongly recommended Parents can decline screening for all or any of the conditions They should be given information to make their choice All discussions and decisions should be recorded A parental signature is not required Blood Spot How should the results be given if::  There is no cause for concern? By the 6-8 week physical examination at the latest A baby is thought to be affected by one of the 4 conditions or a carrier of sickle cell disease or CF? As quickly as possible By a well-informed health professional In person, or by phone & followed up in person as soon as possible Supported by written information For affected babies with PKU, CHT or CF With an appointment for diagnostic tests within 24 hours How should the results be given if: Blood Spot Information for Parents:  Detailed information on the screened conditions are available to give to parents Parent Info Information for Parents Blood Spot Newborn Hearing Screening Programme (NHSP):  Newborn Hearing Screening Programme (NHSP) Aim is to identify moderate, severe and profound bilateral deafness and hearing impairment in newborn babies Programme offers all parents in England the opportunity to have their baby’s hearing tested shortly after birth Similar programmes are in place in Scotland, Wales and N Ireland Early diagnosis enables earlier intervention which can lead to better outcomes through; family support, communication support or specific technology based intervention such as hearing aids or cochlear implants Hearing Why? The numbers in the UK :  Hearing Why? The numbers in the UK Approx 900 children are born every year with a bilateral permanent childhood hearing impediment (PCHI) There are degrees of hearing loss: Profound -25% Severe -25% Moderate -50% The Newborn Hearing Screening Test:  The Newborn Hearing Screening Test The programme tests babies’ hearing using an Automated Otoacoustic Emissions test (AOAE). The test takes a few minutes only and is painless and safe A second test – the Automated Auditory Brainstem Response (AABR) test may be offered if the AOAE test does not show a strong response in one or both ears Babies who do not show strong responses to either above tests are referred to the local audiology department for further tests Previously , an Infant Distraction Test (IDT) was used and as a result half of the children with a permanent hearing loss were not identified until they were 18 months old and a quarter not identified by three and a half years of age. Risk factors of Hearing Loss :  Hearing Risk factors of Hearing Loss Slide12:  This six minute online video is designed for parents, or anyone requiring a short introduction to hearing screening, and gives information about why and how babies are screened. Online video A series of leaflets explaining the tests have been developed to support parents decide about screening and support information for parents of affected babies is also provided by the programme in partnership with the National Deaf Children’s Society. Available via http://www.nhsp.info/cms.php?folder=143 Hearing Parent Information Newborn and 6-8 week physical examination:  Newborn and 6-8 week physical examination Health For All Children (Hall, Elliman, 2003) recommends a physical examination is performed by 72 hours and again at 6-8 weeks The aim of the newborn physical examination is to detect less obvious adverse conditions or abnormalities in a newborn child.      Newborn Physical The examination includes::  The examination includes: Taking a family history Taking account of previous pregnancies & births Taking an account of problems during the antenatal, Perinatal and postnatal periods Performing a physical examination of the baby Listening to parental concerns   Newborn Physical Standards & Competencies:  Standards & Competencies Standards A draft standards document is being drawn together using expert working groups Competencies The subgroup recommends that any health professional undertaking the newborn and 6-8 week physical examinations should be competent to undertake the task and have sufficient ongoing clinical experience to maintain competency. To support this a competency document for all health professionals is being agreed Newborn Physical Future Programme Activity:  Future Programme Activity Training Resources A web based digital toolbox is being developed to support training for the newborn and 6-8 week examinations for all health professional groups Parent Information This will be delivered as part of the programme of work Information systems Outputs from the standards document will inform the information requirements These resources will be available via http://www.screening.nhs.uk/physical/index.htm Newborn Physical More information…including national coverage:  About UK Newborn Blood Spot Screening Programme: www.screening.nhs.uk/bloodspot About Newborn Hearing Screening Programme: www.screening.nhs.uk/hearing About the Newborn and 6-8 week Infant Physical Examinations www.screening.nhs.uk/physical More information…including national coverage Please refer back to the NSC GP resource for the ‘key messages’ from these programmes & for information relating to the antenatal screening programmes Thank you:  Thank you

Add a comment

Related presentations

Related pages

NEWBORN SCREENING PROGRAMMES IN SPAIN

Historical Background Blood spot newborn screening (NBS) in Spain dates from 1968–1969, at which time Pr. Federico Mayor-Zaragoza at Granada University ...
Read more

Population screening programmes - GOV.UK

Population screening programmes. NHS abdominal aortic aneurysm (AAA) programme; NHS bowel cancer screening ... NHS newborn hearing screening programme (NHSP)
Read more

Newborn screening programmes for cystic fibrosis.

1. Paediatr Respir Rev. 2003 Dec;4(4):299-305. Newborn screening programmes for cystic fibrosis. Southern KW(1), Littlewood JM. Author information ...
Read more

Welcome to Newborn Screening.ie - HSE.ie

Clinical Programmes; Cancer Control Programme; See All HSE Departments; ... Newborn Screening. Newborn Bloodspot Screening; Newborn Hearing Screening ...
Read more

Newborn screening - Wikipedia

Newborn screening is a public health program of screening in infants shortly after birth for a list of conditions that are treatable, but not clinically ...
Read more

NHS screening - Live Well - NHS Choices

Find out about the different types of screening offered by the NHS in England, including screening in pregnancy, newborn screening, bowel cancer screening ...
Read more

Newborn Bloodspot Screening Programme : NHS National ...

Newborn Blood Spot Screening Programme. National Services Division has an ongoing role in the national multidisciplinary groups which monitor and evaluate ...
Read more

Expanded Newborn Screening - NHS UK - A Collaborative Project

Expanded Newborn Screening. Newborn blood spot screening identifies babies who may have rare but serious conditions. Most babies screened will not have ...
Read more