Working across interfaces. The screening programme is dependent on strong working relationships (both formal and informal) between professionals and organisations along the screening pathway. These include maternity services, the screening and PND laboratories, SCT counselors, health visiting and specialist haematology clinical services. Accurate and timely communication and handover across these interfaces is essential to reduce the potential for errors and ensure a seamless pathway for service users. It is essential that there remains clear named clinical responsibility at all times and at handover of care the clinical responsibility is clarified. The provider will be responsible for ensuring that the pathway is robust. For their part the Provider will ensure that appropriate systems are in place to support an interagency approach to the quality of the interface between these services. This will include, but is not limited to: ensuring that midwives are supported to facilitate early booking for maternity care within all care settings agreeing and documenting roles and responsibilities relating to all elements of the screening pathway across organisations providing strong clinical and managerial leadership and clear lines of accountability developing joint audit and monitoring processes working to nationally agreed Programme standards and policies agreeing jointly on what failsafe mechanisms are required to ensure safe and timely processes across the whole screening pathway contribute to any NHS England Screening Lead’s initiatives in screening pathway development in line with NHS Screening Programmes expectations develop an escalation process for screening incidents (SIs) facilitate education and training both inside and outside the provider organisation Newborn laboratory and care services should be guided by The National Haemoglobinopathies Project: A Guide to Effectively Commissioning High Quality Sickle Cell and Thalassaemia Services and Specification for Specialised Services for Haemoglobinopathy Care (All Ages) (B08/S/a) xxxx://xxx.xxxxxxx.xxx.xx/wp- content/uploads/2013/06/b08-speci-serv-haemo.pdf
Working across interfaces. There must be accurate and timely communication and handover across interfaces of the screening pathway. The programme interfaces with professionals responsible for primary care including local GPs, and GPs providing services for prison populations and Armed Forces personnel. They involve the communication of information in order to ensure that: the register of people with diabetes is maintained up to date primary care is made aware of any failure to attend appointments primary care is made aware of screening results in order to ensure integration with the overall diabetes care of that person with diabetes the person with diabetes has a local point of contact to discuss any aspect of the delivery and outcomes from the screening programme The programme interfaces with the region’s hospital eye services. The interfaces which involve the referral of people with diabetes to the HES are shown in the care pathway. In addition, the programme must deliver failsafe in accordance with national guidance in order to ensure safe and appropriate transfer of the person with diabetes to the care of the HES has been completed.
Working across interfaces. The screening programme is dependent on strong working relationships (both formal and informal) between the screening programme, national IT system supplier, audiology departments, maternity services, medical services (paediatric audiology, ENT, audiovestibular medicine, genetics etc.), NICU/SCBU, child health departments, health visiting services and primary care professionals. Accurate and timely communication and handover across these interfaces is essential to reduce the potential for errors and ensure a seamless pathway for service users. It is essential that the responsible care provider is identified at all times, including during and after handover of care. The provider will be expected to fully contribute to ensuring that cross organisational systems are in place to maintain the quality and safety of the entire screening pathway. This will include, but is not limited to: • work to nationally agreed programme standards, policies and guidance • provide strong leadership and clear lines of accountability • agree and document roles and responsibilities relating to all elements of the screening pathway across organisations to ensure appropriate handover arrangements are in place between services • develop joint audit and monitoring processes • agree jointly on the checks and audits required to ensure safe and timely processes across the whole screening pathway • develop an escalation process for safety incidents • contribute to any NHS England and NHS Improvement initiatives in screening pathway development in line with NHS screening programme expectations • facilitate education and training both inside and outside the provider organisation and maintain records of training outcomes
