Barnsley NCMP

Service Review

Anna Tummon & Rob Priest

17th July 2019

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How it works

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Question 1

As a national average, what % of YR carry excess weight

(overweight and obese) ?

A. 18%

B. 22.4%

C. 25.7%

Answer = B. 22.4% (PHE 2017/18) BMBC = A. 18% (PHE 2017/18)

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1A

100%

(1)

B C

Question 2

As a national average, what % of Y6 carry excess weight

(overweight and obese) ?

A. 29.8%

B. 32.1%

C. 34.3%

Answer = C. 34.3% (PHE 2017/18) BMBC = B. 32.1% (PHE 2017/18)

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1A B

100%

(1)

C

Question 3

Obesity related conditions are currently costing the

NHS….. per year?

Answer = B. 6.1 Billion (PHE 2018)

A. 3.6 Billion

B. 6.1 Billion

C. 9.8 Billion

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1A B

100%

(1)

C

Question 4

What system does your Organisation/Service use for

recording data for the National Child Measurement

Programme?

A. Child Health Information/Clinical System

B. NCMP IT System

C. Other Digital System

D. Paperwork

E. Don’t know

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1A B C D

100%

(1)

E

Service Review: NCMP

1.Why we did it

2.What we did

3.Outcomes & new processes

4.Lessons Learnt

5.Future Developments

6.Questions

Context

• YR and Y6 5443

• Participate rates 96% (provisional 18/19)

• 6 front line staff

• Opt-out process

Decision to review NCMP

• Structural & governance changes to 0-19

• Move from South West Yorkshire NHS Foundation Trust (SWYT) to Barnsley

Metropolitan Borough Council (BMBC)

• Realign all 0-19 pathways

• Admin errors

What we already knew

• Delays due to updating child record (Child Health: NHS)

• Relationships with schools needed to be improved

• Service needed to be more efficient & decrease potential for human error

• Staff wanted to do more proactive health promotion

What we did

• Observations

• Discussions & engagement

• Best practice

• Prioritisation: school engagement, planning , IT

& data, clinical pathway & result letter

• Tasks & finish group

• Staff journey

Changes we’ve made

• Introduced School Agreement, designated leads & specific contacts, clear communication GDPR

• Systems Process- broken down into 3 phases– Pre-measurement = Eligibility/School lists and administration.

– Opt-out = New process and way of recording at 1st point of call.

– Measurement = Eligibility populated from SystmOne from 2 phases above.

• Measurements inputted into on offline spreadsheet populated from SystmOne

• Communications: result letter

• Automatic task sent to relevant 0-19 team for nurses to review child’s record, if outside parameters

Pre-measurement

Opt-out

Measurement

Changes continued…

• Continuous data upload to NHS Digital rather than all at once at

the end of the academic year

• Updated clinical pathway

• Offer of health promotion

Outcomes • Easier system

• Improved validity: improved the integrity of the data

• Mitigated risk

• Removed the potential for human error

• Improvements for 0-19, schools, children and parents

Lessons Learnt

• Constantly reviewing & adapting

• Difficulties getting school to engage & nominate a lead but not specific to NCMP

• Monitoring phone call for results– Only 22 calls for results (approx. 0.4%)

• Lack of resilience

• This year service still uploading data ‘in bulk’ towards end of measurement period to NHSD NCMP IT system

Future Developments

• New centralised mailbox and calendar for all NCMP Team

• Workflow document to track progress for each school (resilience)

• and enabling technology

• New technology trials such as auto height and weight data collection

scales