NICE guidance CG72 was used as a tool to compare best practice with current service provided. The views of parents and carers were also used to help identify the gaps in current service. In addition eight families with newly diagnosed Children / Young People were involved in trialling a new care pathway for support to identify areas of good / positive support received and areas where our current service did not meet expectation or best practice as per CG72.
Aims and objectives
- To work closely with parents /carers and other professionals to identify their main concerns and issues with respect to ADHD
- To work together with families and professionals to identify the best manner to address the issues identified
- To create a proposal to address gaps in compliance
Reasons for implementing your project
Warrington was only compliant with guidance on assessment and diagnosis.
How did you implement the project
The project included accessing training, research; study time and liaison with professionals in other geographical areas to ensure that the pilot service was founded on evidence based practice and followed NICE guidance. Consultation with parents/carers/children with ADHD played a large part in the project, as did discussion with Community Paediatricians of all grades and other health professionals within Warrington division of Bridgewater Community Healthcare NHS Trust.
Care pathways and documentation for assessment visits, initial consultations and recording interventions was developed for trial to ensure standardised documentation was used throughout the project.
The cost has been 1 full time band 6 nursing post that has been divided between two members of staff job sharing the position, one member of staff was an existing member of the special needs nursing team who has increased her hours to cover the post.
8 newly diagnosed children (ranging in age from 6 to 15) and their carers were involved in this pilot project.
The nurses have began to see an increase in contact from parents, families and health professionals seeking support and advice on ADHD management. Parents are commenting that they are so pleased to see the service being offered and are welcoming the extra support at the end of the telephone or from a home visit.
A care pathway has been established that will give clarity on the referral process to our service and our involvement with clients and families.
An audit of our service will be established to monitor its effectiveness with our clients, families and other professionals.
Key learning points
Using this approach and ensuring clients, families and carers were involved in the consultation provided the necessary evidence of the gaps and the needs identified to provide a quality service that the clients and families of Warrington deserve.