Читать книгу Examination of the Newborn - Группа авторов - Страница 16

Historically, the standards set out within the UKNSC’s document Newborn and Infant Physical Examination (NIPE) (UKNSC 2008) included standards for both 72 hours and 6–8‐week screening elements of the examination. The current standards can be found at https://www.gov.uk/government/publications/newborn‐and‐infant‐physical‐examination‐screening‐standards/newborn‐and‐infant‐physical‐examination‐programme‐standards‐valid‐for‐data‐collected‐from‐1‐april‐2018.

It is important to note that following stakeholder consultation in 2018 the NIPE programme team are planning changes to the current standards. These will come into effect across England in April 2021. More information can be found on the following link: file:///C:/Users/aloma/AppData/Local/Packages/microsoft.windowscommunicationsapps_8wekyb3d8bbwe/LocalState/Files/S0/1/Attachments/Communication%20to%20Stakeholders%20Changes%20to%20NIPE%20National%20Standards%20and%20Pathways%20October%202020[1048].pdf

The standards should be read alongside the updated NIPE Programme Handbook which has now been published (PHE 2020). Some of the changes include: amended guidance for when consent for the NIPE examination is declined; updated guidance around dealing with the baby who is deemed ‘too ill’ for the newborn examination; updated guidance regarding the transfer of babies between Trusts, and some changes to the screen positive criteria for examination of the hips. The new handbook also provides further clarification on training for practitioners along with guidance for student midwives undertaking pre registration training. The PHE NIPE Programme Handbook (2020b), informs and supports best clinical practice whilst undertaking the examination (https://www.gov.uk/government/publications/newborn‐and‐infant‐physical‐examination‐programme‐handbook/newborn‐and‐infant‐physical‐examination‐screening‐programme‐handbook). In additon, the current PHE NHS National Service Specification 21 Newborn and Infant Physical Examination Screening Programme (PHE 2019/20) ensures consistency in approach to the newborn and infant examinations and will be used to commission and monitor provision of NIPE services across England (https://www.england.nhs.uk/wp‐content/uploads/2017/04/Service‐Specification‐No.21‐NIPE.pdf). Screening programmes fall under the remit of the agreement (PHE 2019/20), which allows responsibility for commissioning some of the public health budget. It also ensures that decisions are made by those with subject expertise, that a collaborative and strategic leadership approach is adopted and that screening programme boards are in place. The service specification defines the kind of NIPE service that should be provided within Trusts and outlines the requirements for commissioning of a safe and effective screening programme.