Raising Healthcare Standards

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    "Consistently good healthcare which continually improves is our aim."

    Monitoring health visitor experiences and the outcomes of children of vulnerable mothers, using routine data sources

    Project objectives

    • To identify a cohort of drug using mothers with 6/7 year old children in two separate NHS Board areas of Scotland with high prevalence of drug use and specialised maternity services for drug using women
    • To trace and contact these mothers and obtain informed consent to access routine data on their children’s outcomes
    • To compare immunisation rates/health surveillance rates, education attainment, social circumstances and child protection concerns of children of drug using mothers with the rest of the population
    • To use these data to monitor the impact of drug use on children and to consider service responses
    • To set up systems for ongoing monitoring of the study cohort of children
    • To ascertain the acceptability to parents of routine continuous audit of outcomes of children of drug using mothers
    • To make recommendations about a national surveillance system for children of drug using mothers

    Clinical Audit Reference no

    P02/23

    Project initiation date

    March 2007

    Scheduled completion date

    May 2009

    Expected publication date

    November 2009

    About this project

    Drug use is associated with increased maternal and perinatal mortality and morbidity, and increased mortality and morbidity in families.

    The project aims:

    • To assess health, educational and social outcomes of children 0 -6/7 years of age of drug using mothers using routine data
    • To establish ongoing audit of the study cohort and explore the feasibility of establishing routine audit of children of drug using mothers nationally

    Project team members and contributors

    • Grant holder: Dr Mary Hepburn, Senior lecturer in women’s reproductive health/Honorary consultant obstetrician and gynaecologist, University of Glasgow/North Glasgow University Hospitals Division
    • Mr John O’Neill, Project Manager

    Budget and special resources

    £300,892

    For more information

    • Orlagh Sheils, Clinical Audit Programme Co-ordinator, CECU, NHS QIS
    • Mary Hepburn