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Improving Services Toolkit: children with long-term conditions

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This toolkit is aimed at commissioners and service managers who are aiming to redesign services for children with long-term conditions. It provides evidence and data which can be used to help develop strategies and business cases. It examines emergency hospital admissions for children because of asthma, diabetes or epilepsy. It also looks at how long these children spend in hospital, and presents information specifically on how they were admitted, and levels of activity at different providers.

The guidance on use and interpretation explains how the toolkit works and how you can use it to understand the situation in your area and help make decisions about where to target resources and services.

Reviewing children and young people's use of secondary care: Disease Management Information Tool (DMIT)
The Disease Management Information Tool (DMIT) is a good practice tool originally developed by the Department of Health for the NHS to help service providers identify which conditions contribute to high numbers of emergency bed days.

It provides detailed information about emergency hospital admissions for children with asthma, diabetes or epilepsy and subsequent time spent in hospital. Information can be viewed against a range of comparators, and trends are also shown. The tool shows clinical commissioning group (CCG) level data (based on registrations at practices within the CCG) on emergency admissions, emergency bed days and length of stay.

To use the tool, select Save File and enable macros.

Charts and maps
View the indicators on a map of England, or on a correlation chart allowing you to plot factors and activity indicators against one another, to explore the relationship, if any, between the two.

Reviewing clinical management of children and young people's long term conditions: clinical audit data
Epilepsy 12 is a national clinical audit, established in 2009, with the aim of helping epilepsy services, and those who commission health services, to measure and improve the quality of care for children and young people with seizures and epilepsies. Information and resources relating to the audit are available on the Royal College of Paediatrics and Child Health (RCPCH) website.

The National Paediatric Diabetes Audit (NPDA) aims to improve the care provided to children with diabetes, their outcomes and experiences and that of their families. It is funded by the Healthcare Quality Improvement Partnership (HQIP). The NPDA is based on data given by healthcare professionals from diabetes clinics in England and Wales. The audit produces yearly reports to examine the quality of care for children and young people with diabetes. Information and resources relating to the audit are available on the RCPCH website.

Evidence and resources


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