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Related Experiment Videos

Paediatric NHS 111 Clinical Assessment Services pilot: an observational study.

Philippa Anna Stilwell1,2, Gareth Stuttard3,4, Robert Scott-Jupp5

  • 1Children and Young People's Transformation Team, NHS England and NHS Improvement London, London, UK.

Archives of Disease in Childhood
|December 8, 2021
PubMed
Summary

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Paediatric clinicians in NHS 111 Clinical Assessment Services (CAS) increased self-care advice and reduced referrals to emergency departments. Patient feedback indicated higher problem resolution rates when paediatric specialists handled calls.

Area of Science:

  • Healthcare Services Research
  • Paediatric Medicine
  • Digital Health

Background:

  • NHS 111 provides national telephone advice, with Clinical Assessment Services (CAS) managing urgent care needs.
  • Integrating specialist clinicians into telephone services is a potential strategy to optimize patient care and resource allocation.

Purpose of the Study:

  • To assess the feasibility and impact of paediatric clinicians working within NHS 111 CAS.
  • To compare call outcomes and patient experiences between paediatric and non-paediatric clinicians.

Main Methods:

  • An observational study involving six NHS 111 providers across England.
  • Paediatric clinicians (doctors and advanced nurse practitioners) volunteered in CAS between May and December 2020.
  • A data reporting framework compared dispositions and patient-reported outcomes for calls concerning under 16-year-olds.
Keywords:
child healthchild health servicesemergency careemergency servicehospitalpaediatrics

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Main Results:

  • 70 paediatric clinicians handled 2535 calls, compared to 137,008 calls by non-paediatric clinicians.
  • Paediatric clinicians significantly increased self-care advice (69% vs 43%) and reduced referrals to emergency departments (13% vs 18%) and primary care (13% vs 29%).
  • Patients/carers reported higher problem resolution (92% vs 27%) with paediatric clinician calls.

Conclusions:

  • Introducing paediatric specialists into NHS 111 CAS appears feasible and beneficial.
  • This integration can enhance self-care dispositions and decrease unnecessary referrals to higher care settings.
  • Future research should explore a national paediatric clinical assessment service for streamlined care.