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Local Audit Actions

ADHD (Attention Deficit The audit was presented at the Alder Hey Community Paediatrics Department
Hyperactivity Disorder) meeting in October 2017.
prescription audit
Action/Recommendation:
• To update and disseminate ADHD guidelines,
• Adhere to guidelines.

• To ensure guidelines are readily available to all prescribers.
• To facilitate regular case review and Multi disciplinary Team meetings. In complex
cases discuss with the lead clinician for that patch.

• To Re-audit at an agreed timescale with the team.

What is a post tonsillectomy The audit was presented at the Alder Hey E.N.T. (Ear, Nose and Throat) Department
bleed? weekly meeting in November 2017.
Action/Recommendation:

• Update to existing policy to include advice to give post operatively.
• Follow up phone calls for four weeks then repeated after changes to policy.
• Re-audit in 1 month.

Audit of blood loss during The audit was discussed with the senior author in January 2018. A date for
scoliosis correction in presentation is to be confirmed at the Alder Hey Department of Surgery local
Duchenne Muscular Mortality and Morbidity meeting.
Dystrophy.
Action/Recommendation:
• Continue current practice.
• No changes to practice needed as there was no change in primary outcome
measure.

• Re-audit in 5-10 years (extremely low volume of patients make it difficult to obtain
significant numbers for analysis).

Service Evaluation of The audit was presented at the Alder Hey Department of Paediatric Dentistry
Dental Treatment done as a governance meeting in March 2018.
‘piggyback’.
Action/Recommendation:
• Appropriate radiographs to be obtained to aid assessment. Justification for
absence of radiographs should be recorded.
• Patients identified for piggyback should have the consent process started at the
time of assessment and treatment planning.

• All patients for piggyback dental treatment to be assessed by appropriate staff.
• Follow up and preventative care arranged for all patients.
• Prospective Re-audit in 3 months after dissemination of findings.

Alder Hey Children’s NHS Foundation Trust 93 Annual Report & Accounts 2017/18