Acute Abdominal Pain-Paediatric Pathway V2.0

ACUTE ABDOMINAL PAIN-
PAEDIATRIC PATHWAY V2.0

1. Aim/Purpose of this Guideline
1.1. This guideline applies to all medical and nursing staff in the Child Health
Directorate caring for patients presenting with acute abdominal pain.
2. The Guidance
2.1. For pathway and quick guide to common causes see page 2-3.
Acute Abdominal Pain - Paediatric Pathway.

Page 1 of 8
Page 2 of 8
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3. Monitoring compliance and effectiveness
Element to be Compliance with pathway and referral process.

monitored
Lead Paediatric consultant
Audit lead
Tool Individual review
Weekly safety audits
Frequency Rolling program of weekly safety audits
At guideline review or before if change in practice
Reporting Child Health Audit and guidelines meeting
arrangements
Acting on Paediatric consultants
recommendations Audit lead
and Lead(s) Disseminated at Audit and guidelines meeting
Change in Required changes to practice will be identified and actioned within
practice and 3-6 months. A lead member of the team will be identified to take
lessons to be each change forward where appropriate. Lessons will be shared
shared with all the relevant stakeholders
4. Equality and Diversity

4.1. This document complies with the Royal Cornwall Hospitals NHS Trust
service Equality and Diversity statement which can be found in the 'Equality,
Diversity & Human Rights Policy' or the Equality and Diversity website.
4.2. Equality Impact Assessment

The Initial Equality Impact Assessment Screening Form is at Appendix 2.

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Appendix 1. Governance Information
Paediatric Acute Abdominal Pain Pathway-
Document Title
Clinical Guideline.
Date Issued/Approved: 9th Nov 2017
Date Valid From: 9th Nov 2017
Date Valid To: 9th Nov 2020
Directorate / Department responsible

Dr.M.Thorpe- Paediatric Consultant
(author/owner):
Contact details: 01872 252716
Pathway and common causes table for

Brief summary of contents paediatric acute abdominal pain. Includes
referral information and timings.
Abdominal
Pain
Suggested Keywords: Pathways
Paediatric
Child Pain
RCHT PCH CFT KCCG
Target Audience

Executive Director responsible for
Medical Director
Policy:
Date revised: 9th Nov 2017
This document replaces (exact title of Paediatric Acute Abdominal Pain Pathway-
previous version): Clinical Guideline.
Surgical governance meeting
Approval route (names of Emergency Department
committees)/consultation: Child Heath Audit and Guidelines meeting
Divisional Board meeting.
Surgical governance meeting
Divisional Manager confirming Emergency Department
approval processes Child Heath Audit and Guidelines meeting
Divisional Board meeting.
Name and Post Title of additional
Not Required
signatories
Name and Signature of {Original Copy Signed}

Divisional/Directorate Governance
Lead confirming approval by specialty
and divisional management meetings Name: Caroline Amukusana

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Signature of Executive Director giving
{Original Copy Signed}
approval
Publication Location (refer to Policy
on Policies – Approvals and Internet & Intranet  Intranet Only
Ratification):
Document Library Folder/Sub Folder Clinical / Paediatrics
Links to key external standards n/a
Related Documents: n/a
Training Need Identified? No
Version Control Table
Version Changes Made by

Date Summary of Changes
No (Name and Job Title)
March Dr. M.Thorpe-
V1.0 Initial Issue
2015 paediatric consultant
Nov 2017 V2.0 Reviewed and Reauthorised Matt Thorpe
All or part of this document can be released under the Freedom of Information
Act 2000
This document is to be retained for 10 years from the date of expiry.

This document is only valid on the day of printing
Controlled Document
This document has been created following the Royal Cornwall Hospitals NHS Trust
Policy on Document Production. It should not be altered in any way without the express
permission of the author or their Line Manager.

Page 6 of 8
Appendix 2. Initial Equality Impact Assessment Form
This assessment will need to be completed in stages to allow for adequate
consultation with the relevant groups.
Name of Name of the strategy / policy /proposal / service function to be assessed

Paediatric Acute Abdominal Pain Pathway- Clinical Guideline
Directorate and service area: Is this a new or existing Policy?

Child Health Existing
Name of individual completing assessment: Telephone:
T.Fergus 01872252800
1. Policy Aim* Clear guidance and referral information for .Paediatric Acute
Abdominal Pain.
Who is the strategy /
policy / proposal /
service function aimed
at?
2. Policy Objectives* Clear guidance and referral information for .Paediatric Acute
Abdominal Pain.
3. Policy – intended Evidenced based standardised practice.
Outcomes*
4. *How will you Audit and review.

measure the outcome?
5. Who is intended to Children and families.

benefit from the policy?
6a Who did you consult Workforce Patients Local External Other

with groups organisations
x
b). Please identify the Please record specific names of groups

groups who have been
consulted about this Clinical Guideline Group
procedure. Paediatrics Directorate
What was the outcome Guideline agreed

of the consultation?

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7. The Impact
Please complete the following table. If you are unsure/don’t know if there is a negative impact you
need to repeat the consultation step.
Are there concerns that the policy could have differential impact on:
Equality Strands: Yes No Unsure Rationale for Assessment / Existing Evidence
Age X
Sex (male, X
female, trans-gender /
gender reassignment)
Race / Ethnic X
communities
/groups
Disability - X
Learning disability,
physical
impairment, sensory
impairment, mental
health conditions and
some long term health
conditions.
Religion / X
other beliefs
Marriage and X
Civil partnership
Pregnancy and X
maternity
Sexual X
Orientation,
Bisexual, Gay,
heterosexual, Lesbian
You will need to continue to a full Equality Impact Assessment if the following have been
highlighted:
 You have ticked “Yes” in any column above and
 No consultation or evidence of there being consultation- this excludes any policies which have
been identified as not requiring consultation. or
 Major this relates to service redesign or development
8. Please indicate if a full equality analysis is recommended. Yes No

X
9. If you are not recommending a Full Impact assessment please explain why.
No areas indicated
Signature of policy developer / lead manager / director Date of completion and submission
9th Nov 2017
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Chris Warren
Names and signatures of 1. Chris Warren

members carrying out the 2. Human Rights, Equality & Inclusion Lead
Screening Assessment
Keep one copy and send a copy to the Human Rights, Equality and Inclusion Lead
c/o Royal Cornwall Hospitals NHS Trust, Human Resources Department, Knowledge Spa, Truro,
Cornwall, TR1 3HD
This EIA will not be uploaded to the Trust website without the signature of the Human Rights,
Equality & Inclusion Lead.
A summary of the results will be published on the Trust’s web site.
Signed Chris Warren
Date 9th Nov 2017

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Acute Abdominal Pain-Paediatric Pathway V2.0

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ACUTE ABDOMINAL PAIN-

PAEDIATRIC PATHWAY V2.0

Acute Abdominal Pain - Paediatric Pathway.

Element to be Compliance with pathway and referral process.

4. Equality and Diversity

4.2. Equality Impact Assessment

Acute Abdominal Pain - Paediatric Pathway.

Date Issued/Approved: 9th Nov 2017

Date Valid From: 9th Nov 2017

Date Valid To: 9th Nov 2020

Directorate / Department responsible

Contact details: 01872 252716

Pathway and common causes table for

Name and Signature of {Original Copy Signed}

Acute Abdominal Pain - Paediatric Pathway.

Related Documents: n/a

Training Need Identified? No

Version Control Table

Version Changes Made by

This document is to be retained for 10 years from the date of expiry.

Acute Abdominal Pain - Paediatric Pathway.

Name of Name of the strategy / policy /proposal / service function to be assessed

Directorate and service area: Is this a new or existing Policy?

4. *How will you Audit and review.

5. Who is intended to Children and families.

6a Who did you consult Workforce Patients Local External Other

b). Please identify the Please record specific names of groups

What was the outcome Guideline agreed

Acute Abdominal Pain - Paediatric Pathway.

 Major this relates to service redesign or development

8. Please indicate if a full equality analysis is recommended. Yes No

Names and signatures of 1. Chris Warren

A summary of the results will be published on the Trust’s web site.

Signed Chris Warren

Date 9th Nov 2017

Acute Abdominal Pain - Paediatric Pathway.

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