AH ANNUAL REPORT 2018

Local Audit
How often are high ferritin
levels associated with serious
illness (a retrospective service
evaluation of diagnosis in
patients with ferritin >10,000
μg/L)
Audit on the pathway for
single ventricle hearts in Alder
Hey Children’s Hospital
Audit of the referral pathway
for prolonged neonatal
jaundice
Actions
The audit was presented at the Rheumatology department academic meeting in
October 2017. The audit will be presented in national meetings (British Society for
Rheumatology (BSR) and Royal College of Paediatrics and Child Health (RCPCH)
annual meetings) as part of a national audit.
Action/Recommendation:
• To contribute towards national guidelines.
• To discuss with other specialities including cardiology to increase awareness and
provide details of investigations to carry out when highly elevated ferritin level
(HEF) is detected.
• Update existing training to increase awareness about HEF and link with secondary
HLH (a severe and potentially fatal inflammatory condition) and investigations
needed.
• Re-audit once the revised national guidance is in place.
The audit was presented at the Alder Hey Cardiology/Cardiothoracic Department
Quality Assurance meeting in November 2017.
Action/Recommendation:
• A checklist has been created to be used alongside the current guideline.
• Re-audit to compare compliance before and after the addition of the checklist in
12 months.
The audit was presented to the Alder Hey Community team and the
Gastroenterology Consultant in January 2018.
Action/Recommendation:
• Designing a pathway for managing prolonged jaundice in the community and in
hospital.
• No Re-audit was required as this was a study to see the pattern of actions in the
community - designed to help in making a pathway for jaundiced babies.
Audit of boys undergoing
emergency scrotal exploration
to assess outcome for testis
and surgical technique
The audit was presented at the Alder Hey Department of Surgery audit meeting in
January 2018.
Action/Recommendation:
• Possible implementation of a standard technique, pending further data collection.
• Re-audit in 12 months.
A survey of patient use of
social media for information
about Clubfoot
Treatment for radial club
hand at Alder Hey Children’s
Hospital. A service evaluation.
The audit was sent for presentation at the EFORT congress (European Federation of
National Associations of Orthopaedics and Traumatology) in January 2018.
Action/Recommendation:
• Parents should be encouraged to use social media to learn about clubfoot.
• Re-audit in 12 months.
The audit was presented at the British Society for Surgery of the Hand (BSSH)
Autumn meeting in November 2017.
Action/Recommendation:
• To continue the use of this technique, and to consider its use a primary procedure
in the future.
• A Re-audit could be undertaken, but will require a time gap of 5-6 years.
Alder Hey Children’s NHS Foundation Trust 92
Annual Report & Accounts 2017/18