Identify Pupils at Risk | Right Decisions

Announcements and latest updates

Welcome to the Right Decision Service (RDS) newsletter for August 2024.

Contingency planning for RDS outages

Following the recent RDS outages, Tactuum and the RDS team have been reviewing the learning from these incidents. We are committed to doing all we can to ensure a positive outcome by strengthening the RDS to make it fully robust and clinically resilient for the future.

We would like to invite you to a webinar on 26^th September 3-4 pm on national and local contingency planning for future RDS outages. Tactuum and the RDS team will speak about our business continuity plans and the national contingency arrangements we are putting in place. This will also be a space to share local contingency plans, ideas and existing good practice. We would also like to gather your views on who we should send communications to in the event of future outages.

I have sent a meeting request for this date to all editors – please accept or decline to indicate attendance, and please forward on to relevant contacts. You can also contact Olivia.graham@nhs.scot directly to register your interest in participating.

2.National IV fluid prescribing calculator

This UK CA marked calculator is now live at https://righdecisions.scot.nhs.uk/ivfluids . It has been developed by a multiprofessional steering group of leads in IV fluids management, as part of the wider Modernising Patient Pathways Programme within the Centre for Sustainable Delivery. It aims to address a known cause of clinical error in hospital settings, and we hope it will be especially useful to the new junior doctors who started in August.

Please do spread the word about this new calculator and get in touch with any questions.

New toolkits

The following toolkits are now live;

Gender identity healthcare: adults and young people standards. (https://rightdecisions.scot.nhs.uk/genderidentity ) Note that this toolkit includes self-evaluation forms for each standard. A Scottish Government launch of these standards, together with the toolkit and NES educational resources, is planned for 3^rd September.
Care Inspectorate staffing method framework.
Vascular surgery pathways from the Modernising Patient Pathways Programme within the Centre for Sustainable Healthcare Delivery.

Updated guidance on current and future Medical Device Regulations

We have updated and simplified this guidance within our standard operating procedures. We have clarified the guidance on how to determine whether an RDS tool is a medical device, and have provided an interactive powerpoint slideset to steer you through the process.

Guide to six stages of RDS toolkit development

We have developed a guide to support editors and toolkit leads through the process of scoping, designing, delivering, quality assuring and implementing a new RDS toolkit. We hope this will help in project planning and in building shared understanding of responsibilities throughout the full development process. The guide emphasises that the project does not end with launch of the new toolkit. Implementation, communication and evaluation are ongoing activities throughout the lifetime of the toolkit.

Training sessions for new editors (also serve as refresher sessions for existing editors) will take place on the following dates:

Thursday 5 September 1-2 pm
Wednesday 24 September 4-5 pm
Friday 27 September 12-1 pm

To book a place, please contact Olivia.graham@nhs.scot, providing your name, organisation, job role, and level of experience with RDS editing (none, a little, moderate, extensive.)

7 Evaluation projects

Dr Stephen Biggart from NHS Lothian has kindly shared with us the results of a recent survey of use of the Edinburgh Royal Infirmary of Edinburgh Anaesthesia toolkit. This shows that the majority of consultants are using it weekly or monthly, mainly to access clinical protocols, with a secondary purpose being education and training purposes. They tend to find information by navigating by specialty rather than keyword searching, and had some useful recommendations for future development, such as access to quick reference guidance.

We’d really appreciate you sharing any other local evaluations of RDS in this way – it all helps to build the evidence base for impact.

If you have any questions about the content of this newsletter, please contact his.decisionsupport@nhs.scot If you would prefer not to receive future newsletters, please email Olivia.graham@nhs.scot and ask to be removed from the circulation list.

With kind regards

Right Decision Service team

Healthcare Improvement Scotland

A system to identify new pupils with allergies should be in place. This may involve a form sent to parents asking for a Personalised Allergy Action Plan, signed by the child’s healthcare professional. Once pupils are identified, a scheduled meeting with parents is required to clarify the condition, and discuss the management plan and child’s individual needs.

Admin staff should liaise with the SMT and other stakeholders to review and improve the communication line with parents/carers.

Management Plans and Medication

All school staff need to know how to quickly locate the emergency medication.

A good communication line should be in place with parents/carers and reminders should be sent annually or biannually to update the pupil’s management plan or emergency medication.

School's emergency medication

It is common for schools to request pupils AAIs are left in school to avoid the situation where a pupil or their parents/carers forgets to bring the AAIs to school each day. This should be stored as part of an emergency kit in an unlocked, easily accessible place in the school such as the school office or staff room. The kit should be marked clearly with the pupils name. Before school holidays, schools may wish pupils to take their medication home to ensure they remain in date.

Child's own emergency kit

Primary School

Secondary School

The pupil must still have access to an AAI when travelling to and from school. The child’s own emergency kit should be carried by the parent/carer or left at school and passed back to the parent/carer for transport to and from school.

Where children are considered to be sufficiently responsible they should carry their emergency medication on their person. Staff should learn where this is kept.

Ideally pupils will store medication in an emergency bag that is carried with them at all times. However medication may also be stored in convenient places for pupils such as pencil cases, blazer pocket or school bag.

In large schools or split sites, it is often quicker for staff to use an adrenaline autoinjector that is with the child rather taking time to collect one from a central location.