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NHS 111 Clinical Assessment Services: paediatric consultations
Philippa Anna Stilwell1, Sarah Fissler2, Sarah Burkitt3
1Community Paediatrics, Evelina London Children's Hospital, London, UK.
Archives of Disease in Childhood
|October 26, 2021
Summary
During the COVID-19 pandemic, NHS 111 integrated volunteer pediatricians to manage high call volumes for children and young people (CYP). A framework was developed to train pediatricians for NHS 111 consultations, improving CYP urgent care.
Area of Science:
- Health Services Research
- Pediatrics
- Emergency Medicine
Background:
- NHS 111 and urgent care services in the UK utilize varied delivery models, primarily phone-based.
- The COVID-19 pandemic caused a significant surge in NHS 111 call volumes.
- Children and young people (CYP) account for 25-30% of all NHS 111 calls.
Purpose of the Study:
- To describe the development of a paediatric 111 consultation framework.
- To outline learning outcomes and capabilities for paediatricians undertaking NHS 111 calls.
- To enhance urgent care delivery for CYP within the NHS 111 service.
Main Methods:
- Redeployment of volunteer paediatricians into NHS 111 Clinical Assessment Services (CAS).
- Development of a consultation framework, learning outcomes, and capabilities.
- Mapping of competencies against the Royal College of Paediatrics and Child Health (RCPCH) Progress curriculum.
Main Results:
- A paediatric 111 consultation framework was created.
- Defined learning outcomes and key capabilities for paediatricians in this role.
- Framework and competencies endorsed by the RCPCH Curriculum Review Group.
Conclusions:
- The developed framework and competencies can aid paediatricians in training for NHS 111.
- Recommendations for integration into urgent care service specifications and workforce planning.
- Potential to improve health outcomes for children and young people accessing urgent care.