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- 13.4.4 Summarise the importance of failsafe systems within health screening
- Failsafe processes minimise the risks of anything going wrong in the screening pathways used by the NHS population screening programmes.
- Each NHS screening programme has a defined care pathway. The pathways show how the individual undergoing screening moves from one stage of the pathway to the next. Checks are needed at each stage to ensure the individual moves seamlessly and safely through the pathway unless they choose not to.
- For example if a patient is going through the diabetic eye program there are set timetables that a patient would received their results by writer letter within 3 weeks (DES-PS-10), or if they required a routine referral to the Hospital Eye Service (following a R2M0, R2M1, or R1M1 result) such a referral MUST be issued within 3 weeks (DES-PS-11) & said patient seen in HES clinic within 13 weeks (DES-PS-12) from first identification of a positive screening results. In the event of an URGENT referral, it must be issued within 2 weeks (DES-PS-11) & seen by HES clinic within 6 weeks (DES-PS-12) from first identification of a positive screening results. In the event of an Ungradeable Images Determination, whether due to poor image quality or field position, then said patient is referred for further assessment in a “slit lamp biomicroscopy surveillance clinic” within 13 weeks of last of their last digital screen date (DES-PS-13).
- If these checks are not in place there is a risk that an individual does not complete the pathway or the pathway is delayed unnecessarily. Quality assurance of screening programmes includes checking these failsafe procedures are in place and operating effectively.
- The guidance covers 8 of the 11 NHS approved screening programs :
- NHS abdominal aortic aneurysm (AAA) programme
- NHS diabetic eye screening (DES) programme
- NHS fetal anomaly screening programme (FASP)
- NHS infectious diseases in pregnancy screening (IDPS) programme
- NHS newborn and infant physical examination (NIPE) screening programme
- NHS newborn blood spot (NBS) screening programme
- NHS newborn hearing screening programme (NHSP)
- NHS sickle cell and thalassaemia (SCT) screening programme
- https://www.gov.uk/government/collections/nhs-population-screening-failsafe-procedures
- https://phescreening.blog.gov.uk/2017/06/19/a-failsafe-officer-is-for-life-not-just-for-christmas/
- http://eyeseeyou.care/wp-content/uploads/2016/11/Diabetic_eye_screening_aministrative_staff_competencies-2017.pdf
- https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/661677/NHS_Screening_Programmes_in_England_2016_to_2017_web_version_final.pdf
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