Dr Nazia Hussain identifies five key learning points for primary care from the updated NICE guideline on the assessment and initial management of fever in children under 5 years old

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Implementation actions for STPs and ICSs

written by Dr David Jenner, GP, Cullompton, Devon

The following implementation actions are designed to support STPs and ICSs with the challenges involved with implementing new guidance at a system level. Our aim is to help you consider how to deliver improvements to healthcare within the available resources.

  • Establish a multi-professional team led by paediatricians to consider these guidelines and the challenges of applying them in both primary and secondary care
  • Review any triage systems in operation by GP, out-of-hours providers, and 111 services to ensure that they have been updated to accommodate these guidelines
  • Ensure any digital consultation tools are also compliant with these guidelines, including those using artificial intelligence or ‘chatbots’
  • Consider providing (or signposting to) online symptom checkers for members of the public to access, and advertise their presence on other nationally provided services such as NHS 111 online
  • Publish and disseminate the useful ‘traffic light’ guidance charts to all frontline health providers, including pharmacies.

STP=sustainability and transformation partnership; ICS=integrated care system

The guideline discussed in this article was produced by the Guideline Updates Team for the National Institute for Health and Care Excellence (NICE). The views expressed in this article are those of the author and not necessarily those of NICE.

National Institute for Health and Care Excellence (2019). Fever in under 5s: assessment and initial management. Available from www.nice.org.uk/guidance/ng143


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