ANNUAL REPORT 2010-2011 Case study: How NELA Networks are supporting improvement and innovation Denise Horsley
A member of the North East Clinical Leaders Network, Denise is currently leading an improvement project to implement the electronic birth book across NHS South of Tyne and Wear.
The electronic birth book was designed to overcome the limitations of traditional hard copy birth books by providing standardised information in a consistent format to allow accurate reporting.
Birth books contain basic demographic details (and sometimes public health information) of every child either born, or transferring into a caseload. For instance, whereas all birth books should contain the name, address, contact number and GP of a child or family, some will also include such information as whether or not the child was breast fed. The birth book contains information for every pre-school child living within the three Primary Care Trust areas.
‘The data provided by the electronic birth book can inform service and workforce planning, as well as facilitate the development of community profiles. It provides evidence of the service’s contribution to meeting public health targets and supports the information governance requirements, Care Quality Commission standards, public health priority targets, whilst simultaneously providing commissioners with evidence of the effectiveness of health visiting outcomes.
The academy has helped me by raising the profile of this work and by financially supporting the implementation of phase 2: the move from Excel based birth books to one South of Tyne and Wear-wide Hydra database. The new web based system provides greater information security, improved reporting capabilities, is more user friendly and reduces waste in the system.’
Denise sees potential benefits in expanding the birth book to other health visiting services regionally and nationally but also in adapting the template for use in other services where registers are kept of patients and clients.
By acting as a vehicle for promoting the use of the system regionally and nationally, the Clinical Leaders Network is supporting a number of agendas (such as public health priorities) and is enabling the organisation to provide assurance to commissioners and service users of effective, efficient, and good value for money services.
Denise has identified that the ultimate goal in developing this system would be to have one national child health system to which health visitors can add and extract data, with access rights restricted to those who have a justifiable need to use it.
“The data provided by the electronic birth book can inform service and workforce planning, as well as facilitate the development of community profiles.”
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