Shared learning database
Type and Title of Submission
Implementation of NICE guidance on Feverish Illness in ChildrenDescription:
Local Implementation of NICE CG 47 : Feverish Illness in Children
Please note that this example was submitted to demonstrate implementation of CG47. This guideline was updated and replaced in May 2013 by CG160. The practice in this example remains consistent with the updated guidance.
ClinicalDoes the submission relate to the general implementation of all NICE guidance?
NoDoes the submission relate to the implementation of a specific piece of NICE guidance?
YesFull title of NICE guidance:
CG160 - Feverish illness in childrenCategory(s) that most closely reflects the nature of the submission:
Is the submission industry-sponsored in any way?
Description of submission
- To implement NICE Clinical Guideline 47: Feverish illness in Children.Objectives
The main objective of this piece of improvement work is to implement NICE Clinical Guideline 47 and to: - Identify the local, clinical and financial implications of CG 47 - Assess the current/baseline provision of care against the standards set out in CG 47 - To implement CG 47 locally to ensure that the service provided is based on the best evidenceContext
In May 2007 guidelines were published by the National Institute for Health and Clinical Excellence regarding the management of feverish illness in children under the age of 5 years. Following the development of these guidelines it was necessary to assess whether the referrals made by the GP and A&E departments to the paediatric department at Prince Charles Hospital, Merthyr Tydfil, were appropriate and whether the management of these children by the A&E and paediatric department met the NICE guidelines. A baseline audit was undertaken to establish the situation prior to the implementation of the NICE guidelines and thereafter develop a protocol for the management of children with feverish illness to be applied to the A&E and paediatric departments of Prince Charles Hospital, Merthyr Tydfil. The development of this protocol would, thus, help to ensure both departments were meeting the NICE guidelines in the management of children with feverish illness.Methods
Baseline audit results identified low compliance with the guidance therefore local guidelines were produced to reflect the criteria within the NICE Guidance. The 'traffic light system' as recommended by NICE was implemented within the Trust and incorporated into a 'Fever in children' poster (annexure 1) which was produced and placed in appropriate areas within A&E and the Paediatric department to act as a prompt for Health Care Professionals.Results and evaluation
Annual monitoring occurs through re-audit within the Paediatric Clinical Audit Programme; which continues to demonstrate year on year improvement in compliance with NICE.Key learning points
- Keep the implementation process as simple as possible - Involve all key stakeholders at the outset (primary and secondary care) - Education, training and continuing professional development have been crucial elements of successful elements
View the supporting material
|Job Title:||National Guidance Facilitator|
|Organisation:||Cwm Taf NHS Trust|
|Address:||Prince Charles Hospital|
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This page was last updated: 28 September 2009