G310(P) Tackling epilepsy in a dgh: seizing nice quality standards and auditing against current practice

Abstract

ObjectivesTo compare our clinical practice against the NICE quality standards for children’s epilepsy service.MethodsOutpatient clinic lists for consultant specialist in diagnosis and management of epilepsy were obtained for one year (April 2016 – May 2017) and outpatient letters were reviewed. All patients diagnosed with epilepsy within the last ten years were included. Patients diagnosed abroad or at another hospital were excluded.ResultsA total of 119 patients were audited; 65 male and 54 female.Seen by specialist in the diagnosis and management of epilepsy within 2 weeks of presentation with a suspected seizure? Yes=33, No=86Investigations (MRI/EEG) undertaken within 4 weeks of request? Yes=66, No=53Children meeting criteria for neuroimaging have an MRI? Yes=69, No=4, N/A=46Agreed and comprehensive written epilepsy plan? Yes=116, No=3Patients seen by epilepsy specialist nurse? No=115, N/A=4Agreed written emergency care plan for prolonged/repeated seizures? Yes=14, No=63, N/A=42Seen within 4 weeks of referral to tertiary centre if required? Yes=6, No=17, N/A=96Structured review with paediatric epilepsy specialist minimum annually? Yes=107, No=1, N/A=11Agreed transition period where care reviewed jointly by adult and paediatric services? Yes=14, No=5, N/A=100ConclusionsThe results highlight our patients are having comprehensive written care plans (97%), structured reviews annually (99%) and are reviewed jointly for transition (74%). Epilepsy service enhancement is needed in the time taken to be seen by the secondary care epilepsy specialist (28%) or tertiary centre (26%) once a referral is a made. Investigation time waits could also be improved (55%). Quality of care could be enriched by employing an epilepsy nurse specialist.Numerous studies have demonstrated that inadequate epilepsy care results in significant consequence. It is imperative to implement NICE quality standards to provide better quality of care to children/young people diagnosed with epilepsy.

1270 An unusual case of foot drop

“…2 Goal setting is a recommended part of therapy and is being used more commonly to help patients when planning their treatments and therapies. From previous studies, 3 when patients became teenagers, their autonomy was a priority that patients with CP highlighted. However, most of these studies were focused on young children and were conducted outside of the UK.…”

“…Aishwarya Krishnan,2 Melissa Gladstone,3 Renuka Mithyantha, 4 Reshma Sule.1 University of Liverpool, Alder Hey; 2 Liverpool; 3 Consultant Community Paediatrician -Alder Hey Children's Hospital; 4 Alder Hey Children's Hospital 10.1136/archdischild-2022-rcpch.375…”