Epilepsy Paediatric Teams

Colin Dunkley an SFH Consultant Paediatrician from Sherwood Forest Hospital (SFH) started using PKB in 2021 as part of his role as implementing ‘best practice epilepsy services’. He's current NHSE digital project developing open-source epilepsy data interoperability solutions.

About Epilepsy

• 1 in 200 children

• Seizures 5% of ED and 5% of outpatient attendances

• Average child 2.7 visits/year • 2/3 do well and ‘grow out of their epilepsy’ • ~50% have learning difficulties or disability, 30% have mental health difficulties

• Priority long term condition within NHS plan

SFH Epilepsy service

• Small core team

• 2 consultant paediatricians, 1 specialist nurse, 1 PPC

• 2 epilepsy clinics per week

• 250 children

• Choosing to stay 50% ‘virtual’ via Attend Anywhere

• Much activity in between ‘care episodes’: WhatsApp,

• email, mobile

• A service if ‘contactable’, is 20x more likely to be positively experienced (Seizure, 2018)

Epilepsy challenges to solve

• Unpredictable and not ‘one size fits all’

• Video vital to diagnosis (sensitive, large file size, already on patient’s phones)

• Need complex drug changes with consistency between patient, hospital, school, GP

• Need dynamic individualised care planning for home and education

• Easy to go wrong with unnecessary ED attendances, drug errors, SUDEP, misdiagnosis

Invite Process

Children with epilepsy now have

• Secure 2-way direct messaging with the epilepsy team retained within shared health record

• Secure video submission

• Repository for individualised patient information and care plans

• Service wide customised library of resources

• Seizure and symptom diaries

• Automated appointment diary with Attend Anywhere links

• Digital transition toward independence

Clinical pathway

Share information digitally instantly

In between clinics team receive an email alert

Can look in PKB and see messages and reply

Can manage messages across the team, triage the info and decide who best in the team to help

See their whole record as is useful

Usage Stats

Further information

• Epilepsy care plan template examples: three examples of care plans used by epilepsy pediatric teams