Meet the team: Sepsis in Children #SepsisInChildren
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Consultant in Paediatric Emergency Medicine and Honorary Associate Professor
University Hospitals of Leicester NHS Trust
- England - East Midlands
Great North Children's Hospital, Newcastle upon Tyne Foundation Trust Hopsital
- England - North East and North Cumbria
Emergency Medicine (and PEM) Consultant
London North West Healthcare NHS Trust
- England - London (West)
Associate Medical Director for R&D
University Hospital Southampton NHS Foundation Trust / University of Southampton
- England - Wessex
- Equally important contributors are:
- Rahail Ahmed - Paediatric Emergency Doctor - Barts Health
- Enitan Carrol - Professor for Clinical Infection, Microbiology and Immunology - University of Liverpool/ Alder Hey Children's NHS Foundation Trust
- Akash Deep - Consultant Paediatrician and Paediatric Intensivist - King's College Hospital
- Sarah Eisen - Consultant Paediatrician - University College London Hospitals UCLH
- Tim Fooks - General Paractitioner - Pulborough West Sussex
- David Inwald - Paediatric Emergency and Intensive Care Consultant - Imperial College Healthcare
- Nelly Ninis - Paediatric Consultant - Imperial College Healthcare
- Joseph Piper - Paediatric St3 - Barts Health
- Alexandra Pledge - Paediatric Consultant - Barts Health
- Helen Rutkowska - Consultant Paediatrician - University Hospital Southampton
- Shye Wong - Consultant Paediatrician - Royal Free London
Sepsis in sick children is often difficult to recognise1. The consequences can be devastating to the children and their families and of course those providing the care2. Therefore, the more people are involved in addressing challenges associated with deterioration and sepsis in children and driving improvements the better.
UCLPartners Academic Health Science Partnership and Health Innovation Network South London have been running a joint community of practice for paediatric sepsis since September 2017. So far more than 100 individuals from across the three London academic health sciences networks (AHSNs) and patient safety collaboratives representing more than 30 hospital trusts and other healthcare providers came together to explore challenges and solutions to improving paediatric sepsis.
The interdisciplinary community consisting of doctors and nurses of different grades, researchers and other allied healthcare professionals with an interest in paediatric sepsis, continuously identified multiple key challenges, which include:
– Variation of paediatric sepsis screening tools
– Sensitivity of paediatric sepsis screening tools
– Variation of paediatric early warning scores
– Variation in patient safety netting and parental advice
– The differentiation between those children unwell with a virus and those developing sepsis at an early stage
– The need for a national dialogue to improve sepsis and deterioration care in sepsis
One of the outcomes from the pan-London community to date – next to sharing learnings and inspiring improvements for paediatric sepsis education, safety netting, screening and care escalation and de-escalation – was the idea to bring together paediatric and paediatric emergency experts from across England, who have been driving paediatric sepsis and deterioration improvements in their regions.
Aim and ambitions
The aim is to accelerate and share learnings across England and beyond to eventually work together with national stakeholders to address the gaps in paediatric sepsis and deteriorating care. The understanding is that a national “Improving recognition and care for children at the risk of deterioration and sepsis” community of practice or network, would help to accelerate learning and develop the momentum to:
– Learn from others and adopt improvements to improve care locally
– Share learnings, improvements and innovations to allow others to learn from these
– Bring together experts from nursing, medicine, research and policy to together shape and inform improvements that may have a regional and national impact
– Share and spread learnings and improvements through talks, posters and publications.
The community will act as pool of peers and patient representatives to discuss local, regional and national challenges related to paediatric sepsis and deterioration. It will provide a springboard for interdisciplinary collaboration to identify strategies and approaches to drive improvements and spread learnings within care providers, across regions and health systems.
In order to achieve this, we propose to hold a series of four quarterly community of practice meetings distributed across England over the period of a year with a capacity of 60-80 attendees each. The learnings and outcomes from each meeting would be shared via one webinar following the event, which will help spread the learnings and stimulate debates beyond the community itself.
Furthermore, the development of conference posters would be encouraged and supported as well as a final programme publication that summarises and discusses the development and achievements of the paediatric sepsis and deterioration community. The community would also be brought alive with a series of brief video interviews of participants sharing their story, motivation and ambition about improving care for children at the risk of sepsis and deterioration. Webinars and videos would also be shared through the Q community platform.
Multiple participants of the pan-London Paediatric Sepsis: Improving Recognition and Care were directly involved in the creation of public resources such as educational sepsis videos produced by the Health Innovation Network South London and ASK Sniff, as well as Health Education England. The community would further build on these and help raise the awareness of and the ability to spot sick children at the risk of sepsis and deterioration among the public and clinicians, whilst identifying and addressing areas with scope for improvement.
A shared platform would be set up to record and report changes, learnings and improvements that were inspired by the community. These may range from improvement projects to parent and patient involvement, policy changes, educational programmes, pathway redesign, care bundles, audits, and other local, regional activities and national activities.
(1) Adrienne G Randolph & Russell J McCulloh (2013) Pediatric sepsis: Important considerations for diagnosing and managing severe infections in infants, children, and adolescents. Virulence Volume 5, 2014 – Issue 1, pp 179-189
(2) Scott L. Weiss et al (2015) Global Epidemiology of Pediatric Severe Sepsis: The Sepsis Prevalence, Outcomes, and Therapies Study. Am J Respir Crit Care Med Vol 191, Iss 10, pp 1147–1157
How you can contribute
- Expertise in deterioration and sepsis in children
- Patient and parent involvement
- Hosting events
- Facilitation of events
- Cross-system leadership
This is a great project because…
This project looks has the potential to use the UK scale of Q to help expand progress made within London. Nice opportunity to link with other work underway in paediatrics and sepsis.
By the time of the event we encourage the project team to think more about…
How this could link with the Q infrastructure and offer learning for others within Q not working on this particular issue. We know networks take careful design to really thrive, so worth thinking how this can work best if expanded across the UK.