What do Neonatal Networks want from NNAP Rebecca

What do Neonatal Networks want from NNAP? Rebecca Lemin

Introduction �Rebecca Lemin �Manager of the South West Neonatal Network � 12 Units �Geographically large 250 miles � 60, 000 birth rate

Health Warning……

Questions asked……. �Does the data from NNAP/NDAU come in a useful format? �Does it come in the right frequency ? �Is NNAP online useful – do you use it? �Are the indicators sustainable/right ? �Do you have any questions in regards to the sources of info used and should anything be streamlined? �Could Networks do anything more to inform units about NNAP data?

Neonatal Networks Data Teams � 80% of all Networks have data analysts �All have access to Badgernet across all their units �Networks collaborate closely with Data Leads from across their units. �Much more skilled in cleaning, analysing and presenting data �Using data to support more complex work programmes e. g. Transformation programmes, large scale service reviews, research, projects. �All Networks produce dashboards for Units/NHSE – Encompasses Badgernet/NNAP/VON data

Does the data from NNAP come in a useful format? �User friendly, Good mixture of graphs, narrative and tables. �Concerns over methods to communicate data: �Too many emails – diminishes importance �Emails draconian and impersonal – esp when communicating to outliers �Difficulty in getting timely responses from NNAP – particularly to emails �Trend data not east to analyse Suggestions �More personal approach – similar to VON – make direct contact with units. �Ready made presentations for Clinicians to share locally �NNAP to understand better how Networks use data and what skills they have.

Does it come in the right frequency ? �Yes �Happy with reductions in time lags �Units likely to access it quarterly or as and when required. �Some Networks reported quarterly use to populate Network Dashboards �Other Networks only accessed data yearly – to obtain Annual Report. �Monthly reports not felt to be necessary.

Is NNAP online useful – do you use it? � Mixture of awareness re NNAP online. � Question about who the audience of NNAP online is? � Queries raised over the ‘patient friendly’ nature of the website � Limitations of online site � Can only compare 2 networks, 4 hospitals at a time � Cant compare all units within a network area. � Only 2 yrs of data online � Value to Networks � Feedback that one clinician uses it to show staff performance against other local hospitals Suggestions � Further promotion to Network and Clinicians � Consideration of parent audience

Are the indicators sustainable/right ? �Too many – need streamlining. �Increasing Maternity Measures – Not direct impact on Neonatal �Activity/process focused – Not outcomes �Do we have the best indicators for what we are wanting to measure? – e. g. Breast Milk at discharge, two yr follow up. �Uncertainty about new indicators - E. g Term Admission Indicator, parents on ward rounds – What is it telling us? �Effort needed in defining clinical terms more closely – E. g using better denominator data such as live birth rates �NNAP indicators drive Badger queries causing difficulties in data entry �Streamlining between NNAP and Badgernet - haphazard

Continued……. Suggestions �Remove Maternity focused measures. �Use live birth rate as denominator �Rather than developing additional indicators - focus on improving entry/reducing variability of data already entered �Increased clinical rather than process indicators e. g. CLD, HO rates, Line related sepsis, Bile stained aspirates. �Links to national work programmes to develop relevant targets e. g. Atain �Increased communication with Badgernet to streamlined process and iron out recording issues. �Increased frontline teaching to staff on recording and expectations

Could Networks do anything more to inform units about NNAP data? �Good communications and dissemination with Units - Proactive. �Satisfaction with current methods of communication between NNAP and networks. �Missing data useful �All Networks have data analysts /direct access to Badgernet – diminished usage. Suggestions �Would welcome greater assessment of data accuracy: e. g. % of data fields changed �NNAP to support networks in improving data accuracy across units