To ask the Scottish Executive how and when the scripts and protocols used by NHS 24 have been peer-reviewed prior to use in Scotland and what continuing or periodic reviews take place.
NHS 24’s Clinical DecisionSupport Software algorithms were originally developed by an external supplier, “ClinicalSolutions”. In advance of launching NHS24, the algorithms were further developed and extensively peer reviewed by arange of clinicians working within the NHS in Scotland, including primary caredoctors, Accident and Emergency consultants, nurses from both primary care andhospital settings, midwives, acute medicine specialists, pharmacists,paediatricians, A&E consultants, mental health specialists and a number ofallied health professionals.
Thisprocess ensured that the algorithms were fully suitable to provide soundclinical decision-support within the Scottish health service environment andthat they were consistent with clinical guidelines from both NICE (NationalInstitute for Health and Clinical Excellence) and, in Scotland,SIGN (Scottish Inter Collegiate Guidelines Network). The algorithms, therefore,provide an up-to-date clinically-evidenced decision-support tool for the NHS 24nurses who are experienced clinicians in their own right.
Since the initial peerreview, there has been further review and development of the algorithms inresponse to feedback from patients, professionals, new clinical guidelines,newly-evidenced best practice and NHS 24 management information, as well as NHS24’s Core Clinical Group (CCG) which is comprised of multi-disciplinaryclinicians, internal and external to NHS 24.
NHS24’s Healthcare Governance Committee, which is a statutory committee, meetsquarterly to ensure that NHS 24’s services, people, processes and technologyoperate not just within clinically safe parameters but exceed those parametersin order to provide the best possible patient care.
The NHS 24 Clinical Forum isan additional review mechanism with membership drawn from both within NHS 24and from a wide range of clinical peers across the health service to support on-goingengagement and direction.