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A scottish framework for nursing in schools
SERVICE COMPONENTS
13. Surveillance Programmes
Standard Statement
There is an agreed local protocol for universal and targeted surveillance, based on national policies and evidence of effectiveness.
Rationale | Criteria | Achieved | Action Plan |
Recent and emerging evidence indicates that universal screening and surveillance may not be addressing the needs of children and young people today. A broader concept of health care, population targeting and health promotion is required. The forthcoming Health for all Children report version 4 (Hall 4) will recommend significant changes in child health surveillance and should form the basis for future development of programmes. The future success of the school nursing service depends on the ability to leave behind practice that is outdated and lacks evidence of effective use. There is a need to move forward to a service sensitive to the changing needs of young people and the communities they live in. A move away from universal programmes of surveillance will require nurses to work in different ways in order to effectively identify need and target vulnerable children. | - Local surveillance protocols are based on the recommendations of Health for all Children version 4.
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- Equipment required for surveillance is suitable for the task, regularly serviced or maintained and is capable of being safely transported. Staff are trained and updated on its use.
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- One to one contact with children and young people via screening and surveillance is used as a platform for health promotion in line with priorities in the school health plan.
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- Appropriate use is made of skill mix in the delivery of programmes, ensuring that nurses and support staff are competent for the roles they undertake.
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- Surveillance is targeted at those children and young people most likely to benefit, in line with local protocols.
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- There are effective links with the child's GP practice, ensuring sharing of information and referral for children where an abnormality is detected.
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- The results of abnormal surveillance tests and any necessary actions are communicated sensitively with parents and where appropriate, dependent on the child's age and understanding, with the child.
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