Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Screening for thyroid insufficiency in adults with Down’s Syndrome
AU - Glover, Gyles
AU - Chauhan, Umesh
AU - Emerson, Eric
PY - 2013
Y1 - 2013
N2 - Purpose – The purpose of this paper is to introduce and present the first findings of a new English performance indicator in the primary healthcare of adults with Down syndrome. This is a performance target, with associated bonus payment, requiring General Practitioners (GPs) to undertake annually a screening blood test for thyroid hormone deficiency.Design/methodology/approach – Analysis and review of data collected from all GP practices and published by the National Health Service (NHS) Information Centre.Findings – In total, 82 per cent of those identified as in the target group were screened and 10 per cent were identified as not wanting to be screened or screening inappropriate. The target group numbered just over 60 per cent of the number estimated from epidemiological and other studies. The numbers of cases involved is small (0, 1 or 2 cases in 75 per cent of GP practices), and whilst variation in coverage at local level appears important, numbers are too small for the variations seen in the first year's data to be statistically significant. The scope of the data precludes useful strategic analysis of the value of the intervention.Research limitations/implications – Data from several years need to be taken together. The NHS Information Centre should slightly increase the scope of the data to allow analysis of whether the programme is having useful public health benefits.Originality/value – The paper examines a new data source and makes points applicable to a wider range of similar datasets in the same programme.
AB - Purpose – The purpose of this paper is to introduce and present the first findings of a new English performance indicator in the primary healthcare of adults with Down syndrome. This is a performance target, with associated bonus payment, requiring General Practitioners (GPs) to undertake annually a screening blood test for thyroid hormone deficiency.Design/methodology/approach – Analysis and review of data collected from all GP practices and published by the National Health Service (NHS) Information Centre.Findings – In total, 82 per cent of those identified as in the target group were screened and 10 per cent were identified as not wanting to be screened or screening inappropriate. The target group numbered just over 60 per cent of the number estimated from epidemiological and other studies. The numbers of cases involved is small (0, 1 or 2 cases in 75 per cent of GP practices), and whilst variation in coverage at local level appears important, numbers are too small for the variations seen in the first year's data to be statistically significant. The scope of the data precludes useful strategic analysis of the value of the intervention.Research limitations/implications – Data from several years need to be taken together. The NHS Information Centre should slightly increase the scope of the data to allow analysis of whether the programme is having useful public health benefits.Originality/value – The paper examines a new data source and makes points applicable to a wider range of similar datasets in the same programme.
KW - Adults
KW - Down syndrome
KW - England
KW - Health care
KW - Health checks
KW - Hypothyroidism
KW - Learning disabilities
KW - Statistical data
KW - Thyroid disease
U2 - 10.1108/13595471311315128
DO - 10.1108/13595471311315128
M3 - Journal article
VL - 18
SP - 98
EP - 103
JO - Tizard Learning Disability Review
JF - Tizard Learning Disability Review
SN - 1359-5474
IS - 2
ER -