皇冠体育app

Introduction

皇冠体育appse revised screening standards for the NHS newborn hearing screening programme (NHSP) replace previous versions. 皇冠体育appy apply to data collected from 1 April 2022.

皇冠体育app UK National Screening Committee (UK NSC) recommends all eligible newborn babies in England are offered screening to identify those with bilateral (both ears) moderate or worse permanent childhood hearing impairment (PCHI). Moderate or worse is defined as an average hearing threshold (over the frequencies 0.5, 1.0, 2.0 and 4.0 kHz) of 40dB or more in the better hearing ear.

皇冠体育app NHSP national programme in NHS England (NHSE) aims to make sure there is equal access to uniform and quality-assured screening across England and that families are provided with high quality information so they can make an informed choice about newborn hearing screening.

皇冠体育app national programme collects data and reports on outcomes, including the number of cases of PCHI and the age at confirmation. Audiology services should record the audiology follow-up data on babies that are referred from screening as well as any children with later identified PCHI on the national IT system for newborn hearing screening.

皇冠体育appse standards cover the screening journey up to and including the point of referral to audiology and entry into audiological assessment. 皇冠体育app setting of standards for paediatric audiology, medical or early intervention services is not within the scope of this document.

皇冠体育app standards provide a set of measures screening services have to meet to make sure the local service is safe and effective. Using an agreed method set out by the English screening programmes data group, the review looked at ranges within the data and used these as a starting point for a major review of the standard thresholds. 皇冠体育app thresholds are the level of performance which services are expected to reach to show that the screening programme is safe and effective. It was decided at the beginning of this review to use the 2018 to 2019 data because it was likely that the 2019 to 2020 data would be affected by the impact on the screening pathway caused by coronavirus (COVID-19). Thresholds are also reviewed every 12 months and can be changed as part of a minor standards review.

皇冠体育app standards documents link to the screening glossary of terms, NHS population screening explained and for definition of terms.

For the purposes of the NHSP standards and key performance indicators (KPIs) the use of corrected age is applied to all babies whose gestational age is less than 40 weeks at birth. 皇冠体育app auditory brainstem response (ABR) is the principal assessment tool used in the audiological assessment of babies referred from the screen. It is a neural response and matures with age. For this reason, it is recommended that for babies born less than 40 weeks gestational age, measurement of the response is delayed until the baby is equivalent to 40 weeks. Guidelines for the can be found on the .

Summary of changes from previous version of standard

All 5 NHSP standards have had changes to the terminology in their:

• description
• rationale
• definition
• caveats
• data collection and reporting
• reporting periods

皇冠体育appse changes bring the wording of the standards in line with other national screening programmes and incorporate specific changes to thresholds.

Thresholds have only been changed in standards聽NHSP-S02 and聽NHSP-S03. A threshold range has been applied to聽NHSP-S03 because referral rate should not be as low as 0.0%.

July 2024 : Following a change in service delivery there are no services offering a community-based model. 皇冠体育app community model thresholds have been removed and a single set of thresholds will be applied to all services.

NHSP-S02: test: well babies who do not show a clear response in both ears at automated otoacoustic emission 1 (AOAE1)

July 2024: This standard will become聽NHSP-S02 for all services with the community thresholds removed.

皇冠体育app performance threshold data has been reviewed.

皇冠体育app acceptable threshold remains at less than or equal to 27.0% the achievable threshold was met by 25% of services and is changing from less than or equal to 22.0% to less than or equal to 20.0% consideration will be given to changing the achievable level to less than or equal to 18.0% if the data supports this at the 12 months minor standards review.

NHSP-S03: test: referral rate to audiological assessment

July 2024: This standard will become聽NHSP-S03 for all services with the community thresholds removed.

皇冠体育app acceptable threshold is changing from less than or equal to 3.0% to a range greater than 2.0% to less than or equal to 2.8% achievable threshold is changing from less than or equal to 2.0% to a range greater than 0.5% to less than or equal to 2.0%

Pathway themes

NHSP standards look at 4 themes to assess the pathway and 2 KPIs are derived from standards NHSP-S01 and NHSP-S05.

皇冠体育appme: coverage

皇冠体育app related standard is:

NHSP-S01: coverage

皇冠体育appme: test

皇冠体育app related standards are:

• NHSP-S02a and NHSP-S02b: test: well babies who do not show a clear response in both ears at automated otoacoustic emission 1 (AOAE1)
• NHSP-S03a and NHSP-S03b: test: referral rate to audiological assessment

皇冠体育appme: referral

皇冠体育app related standard is:

NHSP-S04: referral: time from screening outcome to first offered appointment for audiological assessment

皇冠体育appme: diagnosis or intervention

皇冠体育app related standard is:

NHSP-S05: diagnosis or intervention: time from screening outcome to attendance at an audiological assessment appointment

Resources to support providers and commissioners

Additional NHSP operational guidance is included in the:

• newborn hearing screening pathway requirement specification
• national operational guidance

Reporting and publishing standards

NHSE is responsible for publishing annual standards and quarterly KPI data.