Article Figures & Data
Tables
Practice Met regularly with HV in 2017 (before GP Connect)? Number of registered patients (on day search was run) Number of LEAP children aged 0–3 years Number of individual immunisations that were late (in LEAP children)* Total number of GP and HV meetings during pilot Number of LEAP children discussed during pilot 1 No 12 602 135 181 4 20 2 Yes 6204 33 24 4 31 3 Yes 7786 174 270 4 20 4 No 7868 129 115 6 31 5 Yes 7311 85 21 2 10 6 No 12 055 411 578 4 26 7 Yes Not provided 129 246 4 20 Total 158 LEAP = Lambeth Early Action Partnership.
*Computer searches of children late for immunisations on the GP system are done by searching for each individual vaccine which is overdue and then combining the lists, meaning that children who are late for several immunisations appeared on several lists and so would be counted more than once in these numbers.
Detailed questionnaire results: ACEs or other risk factors (developmental, medical, social) identified and recorded for 21 children (three children per practice) Number of children (out of 21) Frequent attender A&E (>2 times in 12 months) 8 Calls to out-of-hours GP 1 Split family (children divided or living with another carer) 2 Did not attend developmental reviews 1 Mother thought child was registered at a different practice 1 HV 1-year review: child not crawling 1 HV unable to contact family 1 Child very active, HV to assess and refer to GP if felt to be a medical issue 1 Maternal concerns re: speech and language development 1 Maternal mental health problems; history of mental health illness; mother low mood postnatally 3 Homelessness 1 Previous domestic abuse 1 No recourse to public funds 1 Mother does not speak English 1 Poor family relationship 1 Social isolation 2 Not engaging with services or difficulty engaging 2 Ongoing social services contact with family 4 Ongoing follow-up by GP or other specialists 6 Documented evidence that parents previously refused immunisation 5 ACE = adverse childhood experiences. HV = health visitor.
Action Number of children (out of 21) Attendance documented Referral to children’s centre 1 (5%) 0 (0%) Referral to health visitor 16 (76%) 9 (56%) Referral to community paediatrics 1 (5%) 1 (100%) Referral to GP 4 (19%) 4 (100%) Advice to caregiver about immunisations 19 (90%) N/A Any other issues identified 12 (57%) N/A Other action points 5 (24%) N/A Child discussed at further HV and GP meeting 7 (33%) N/A Evidence child had immunisation 8 (38%) N/A HV = health visitor.
Supplementary Data
- Kilner_BJGPO.2022.0035_Supp.pdf -
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