Redesign Urgent Care: paediatric pathway to flow navigation centres - review

6. Survey

Given the range of opinion within the group, after the final meeting, members were invited to complete a survey (Annex 4). There were six questions and 12 of the 14 group members responded.

The first three questions explored the group member's sense for if and when it would be appropriate to include <12s in the FNC.

• 10 respondents agreed ("definitely yes") that the FNC should include <12s under the correct conditions, 3 agreed that FNC should include <12s at the end of January and 8 agreed that the FNC should include <12s once the COVID surge has passed.

The 4th question asked "Do you think that the risks of harm would be reduced by including only children aged two years old and older in the FNC?"

• Of the 11 respondents 6 answered definitely yes and 5 possibly yes.

The 5th question asked SLWG members to rank the disadvantages/risks of the FNC identified in earlier discussions.

• Provision (or lack of) of a robust SDM was ranked the greatest risk.

The final question asked SLWG members to rank the advantages/benefits of the FNC identified in earlier discussions.

• There was no consensus on the greatest advantage/benefit, and the following were equally rated:
  • shorter time to access senior decision maker
  • ability to direct to MIU and away from ED
  • this is realistic medicine; a move from reactive to proactive care.
• The respondents rated the potential to reduce the number of <2 year olds conveyed to ED by ambulance as having the least benefit.