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
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
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.