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We’re consulting on proposed changes to the NIPE hip screening pathway

Posted by: , Posted on: - Categories: NHS Newborn and Infant Physical Examination

The NHS Newborn and Infant Physical Examination (NIPE) programme screens newborn babies within 72 hours of birth, and then once again between 6 and 8 weeks of age, for conditions relating to their eyes, heart, hips and testes.

We are asking all our stakeholders to comment on proposed changes to the NIPE hip screening pathway.

A baby undergoing a hip check

These proposals have been put forward by an expert group following a thorough review. 

Review of current position

In April 2016, we published revised hip screening guidance in the NIPE programme standards and handbook.

Following further stakeholder feedback on the standards and guidance we formed an expert hip screening working group in 2017. This group reviewed aspects of the hip screening pathway including:

  • risk factors
  • guidance for examination of hips in preterm infants
  • timescale for referral for ultrasound after screen positive examination at newborn check (currently 2 weeks)
  • timescale for referral for ultrasound after normal newborn examination, but in the presence of predisposing risk factors exam (currently 6 weeks)
  • the desired age at initiation of treatment.
  • optimum timescales for referral into treatment services

The group has now suggested some changes which we are putting out to consultation to make sure they are fit for purpose.

Consultation opened

Current guidance can be found in the NIPE programme standards and handbook.

Please participate in the consultation.

The consultation will be open for 6 weeks. Closing date Wednesday 27 June 2018.

Please also share this blog and details of the consultation with colleagues who may be involved in the NIPE hip screening pathways.

What happens next?

The NIPE hip screening expert working group will review the consultation responses and agree any changes. The NIPE programme will then produce guidance regarding timescales for the changes and work towards amending national standards and guidance and the NIPE SMART IT system.

NIPE expert hip screening working group membership

  • Chair: Dr Helen Lewis Parmar, national screening quality assurance service portfolio lead for newborn screening
  • Jill Walker, national NIPE programme manager
  • Dr David Elliman, clinical advisor
  • Dr Nigel Ruggins, consultant paediatrician/neonatologist and chair of NIPE advisory group
  • Steve Savage, consultant sonographer, Society of Radiographers (SCoR)
  • Sam Frater, superintendent radiographer, ultrasound
  • Rachel McLean, neonatal screening specialist midwife
  • Dr Jerry Vive, consultant radiologist
  • Professor Robin W Paton, consultant orthopaedic surgeon
  • Philip Henman, consultant orthopaedic surgeon
  • Mary Sheridan, midwife (NIPE lead) and clinical doctoral research fellow
  • Mervi Jokinen, Royal College of Midwives
  • Dr Hannah Shore, consultant neonatologist
  • Dr Emma Morley, research and information officer, Steps charity
  • Daniel Perry, consultant orthopaedic surgeon and senior clinical lecturer

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