Improving the Compliance with NICE Guidelines, for the Physical Health Monitoring of Young Persons, on Treatment for Attention Deficiet Hyperactivity Disorder (ADHD), in West of Glasgow Child and Adolescent Mental Health Service (CAMHS)

TL;DR

This study aimed to improve compliance with health monitoring guidelines for young ADHD patients in Glasgow by implementing educational and technological interventions.

Contribution

The study introduced staff education, posters, and a BP Percentile app to enhance compliance with NICE guidelines in CAMHS.

Findings

A 19% increase in blood pressure recordings within 6 months was observed.

There was a 47% increase in blood pressure recorded as percentiles.

Compliance improved significantly, though the 50% target was not fully met.

Abstract

Aims: To improve the compliance with the NICE (National Institute for Health and Care Excellence) physical health monitoring guidelines, for young persons on medications, for ADHD, attending the West of Glasgow CAMHS, by at least 50%.

Methods: A quality improvement project was implemented to improve the compliance. As intervention staff education, multiple poster placement and introduction of the BP Percentile app was made within the team. The PDSA (Plan-Do-Study-Act) cycle was used to test the change in ideas.

Results: The repeat audit done 5 weeks after implementing the above interventions, resulted in a 19% increase in Blood Pressure recorded within 6 months along with 47% increase in them recorded as percentiles.

Conclusion:
The results of the study showed marked improvement in the compliance in all aspects, especially in the recording of Blood Pressures in percentiles. The improvement was from 0% to 47% almost reaching the goal of 50%. Having said that there is still room for improvement! Future change of ideas include adding an EMIS template which automatically calculates the values in percentiles and re-auditing the cycle after the changes are implemented.