The NHS Grampian Paediatric Unscheduled Care web and mobile toolkit is intended to support primary healthcare professionals to check and confirm their assessment of paediatric patients. It provides reference information to help a healthcare professional to use their knowledge to make a clinical decision. It does not provide prescriptive directions for action.
NHS Grampian has collaborated with the national decision support service – the Right Decision Service led by the Digital Health & Care Innovation Centre to deliver a web and mobile toolkit for paediatric unscheduled care for primary care staff.
The toolkit is designed to support the Realistic Medicine goals of patient safety, reducing unwarranted variation and harm and delivering consistent, high quality care based on validated evidence. It includes interactive algorithmic tools for:
- Sepsis screening in different paediatric age groups, based on the Sepsis Trust guidelines. The screening tools cover face to face consultation and out of hours/phone triage.
- Assessment pathways when a specific diagnosis is suspected – for acute asthma, acute otitis media, bronchiolitis, croup, lower respiratory tract infection and tonsillitis. These are based on the NHS Grampian pathways.
The primary audience for this toolkit comprises primary care healthcare professionals, including Advanced Nurse Practitioners, GP trainees, newly qualified GPs, and experienced GPs occasionally wanting to check paediatric assessments.
The toolkit has been extensively tested and is now in beta-testing format ready for wider use and evaluation across NHS Grampian.
In accordance with EU Directive 93/42/EEC, MedDev 2.1/6 and MHRA guidance including the MHRA specific guidance on calculators, the tools within this toolkit are not considered to be medical devices because:
- They exist only to provide reference information to help a healthcare professional to use their knowledge to make a clinical decision.
- The intended user will be fully aware of the pathways underpinning the tool and will be readily able to verify the tool’s output from their professional knowledge or by following the links provided to visual pathways.