Tag Archives: RCPCH

RCPCH responds to new child mortality study

English under 5’s are one and half times more likely to die than those living in Sweden. RCPCH responds to new paper published in Lancet.

The paper, published in The Lancet, compares child mortality rates of more than 3.9 million English births and 1 million Swedish births and says the difference is largely due to children in England typically weighing less at birth, being born earlier, and having more birth anomalies (such as congenital heart defects) than in Sweden.

Responding to paper published in The Lancet today which seeks to understand why child mortality is higher in England than in Sweden, Dr Ronny Cheung, of the Royal College of Paediatrics and Child Health (RCPCH), said:

“The results of this paper emphasise what we have known for many years. Yet the stark reality remains that in England, more children are dying than our Western European counterparts. As this paper points out, Sweden and England are two high-income countries with similar levels of economic development and universal healthcare –  so why are children in England more likely to die than those in Sweden?

“We know that deprivation plays a major part and this can lead to higher rates of poor mental health, increased chance of alcohol or substance misuse, and obesity.  Babies of the most deprived families are more likely to be born premature or with low weight than the most affluent ones, and twice as likely to die in the first year of life. As the gap between rich and poor continues to widen, we have little chance of catching up with our European neighbours without social inequalities being addressed.

“At a time where public health budgets are being cut, the very services that are required to help improve these rates are being lost. We need a commitment from Government that health visiting services will be protected- helping professionals support mothers at risk of ill physical and mental health, in addition to providing stop smoking services, breastfeeding support and weight management advice to those at risk groups.”

The study used routinely collected medical data from the English NHS and Swedish health services to compare births from 2003 to 2012, and track the children’s health and death records up to their fifth birthday. These records included information on the mother’s age, family’s socioeconomic position, as well as length of pregnancy, the child’s birthweight, gender, and whether they had any birth anomalies.

Link to article page here

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RCPCH – Stroke in Childhood: Clinical guideline for diagnosis, management and rehabilitation (2017)

Stroke 2017 guidelines

The first clinical guideline on stroke in childhood was published by the Royal College of Physicians (RCP) in 2004. These guidelines may no longer reflect the best and most up-to-date clinical practice, and as such required urgent updating to ensure utilisation of current evidence.

This 2017 iteration of the clinical guideline delivers an update and scope extension, and provides guidance on the identification, diagnosis, management and rehabilitation of children and young people (aged 29 days to 18 years at time of presentation) with arterial ischaemic stroke (AIS) and haemorrhagic stroke (HS).

Link to guidance here

RCPCH State of Child Health short report: Sustainability & Transformation Partnerships

STP report 2017.PNG

Launched on 16 May 2017, the RCPCH Sustainability and Transformation Partnership (STP) report is based on a review of the 44 published STP plans, which reveal major deficiencies – they are failing to take into account the needs of infants, children and young people. STPs are the proposals put together by the NHS and local councils to meet the health needs of the local population in 44 areas of England.

Link to report here

RCPCH responds to new report by The King’s Fund

understanding nhs

The King’s Fund have released a report, ‘Understanding NHS Financial Pressures’, which looked at four services including neonatal care, to explore the impact of financial pressures on patient care. The report found that access to and quality of care are both being affected in different ways across the NHS.

Responding to the King’s Fund report, Professor Neena Modi, President of the Royal College of Paediatrics and Child Health, said:

“It’s heartening, and consistent with our own findings from the National Neonatal Audit, that the quality of neonatal services in the UK is considered high. But there is no room for complacency.