NICE CLINICAL GUIDELINE NUMBER 47
They have quite a bit to say about it.
The document is called:
Its about the initial diagnosis, examination, investigation and management of young children with infections. Bread and butter of general practice and paediatrics.
Hot children are common but sometimes scary!
Well, scary for doctors who know and have seen all the possible causes of hot children.
Dr Flower Power and Dr Sixties Sideburns, would never ever have passed the medical assessment of a pyrexial child to a non-medical member of staff nor would they have made a remote assessment. Never! Never ever!
Dr Flower Power and Dr Sixties Sideburns had never heard of a remote assessment! If they had they would have been gob-smacked!
Its OK now though, not to bother seeing a hot child.
NICE is not keen on children being seen by doctors who know how scary a pyrexia can be.
Much better if the patient is seen by a competency, a clipboard or a telephone. None of which get scared.
Its not the person with the competency that matters, it’s the competency itself.
The Witch Doctor wonders exactly how many competencies are required to assess a pyrexial child.
Perhaps the “Scared Competency” is un-necessary and should be ditched.
Remember MMC – its all about competencies too!
Remember – MMC would not have come into being without the Great and Good of the medical profession.
Remember – NICE Clinical Guideline Number 47 would not have come into being without the Great and the Good of the medical profession.
Here is the list of the Great and the Good of the medial profession that brought NICE Clinical Guideline Number 47 into being.
THE GUIDELINE DEVELOPMENT GROUP
Consultant Paediatrician, GDG Chair
Paediatric Specialist Registrar
Associate Medical Director – NHS Direct
Consultant in Paediatric Infectious Diseases & Immunology
Consultant in Paediatric Emergency Medicine
THE GUIDELINE REVIEW PANEL
Dr Peter Rutherford – Chair
Senior Lecturer in Nephrology, University of Wales and Medical Director,
North East Wales NHS Trust, Guideline Review Panel Chair until June 2006
Dr Robert Walker
General Practitioner, Workington, Guideline Review Panel Chair from June 2006
Dr John Young
Medical Director, Merck Sharp & Dohme Ltd
Dr John Harley
Clinical Governance and Prescribing Lead and General Practitioner, North Tees PCT
Its a pity NICE Clinical Guideline Number 47 was not around for Dr Sixties Sideburns and Dr Flower Power. It would have stopped them being scared.