NHS AAA Screening Programme development event session - Extending the Screener role

1. Extending the
Screener Role
(to include basic physical health
checks)
AAA Screening Technicians Day 18th September 2019
Tracy Gilchrist, Paula Ball & Marie-Therese McAlinden

2. Why we did it
2011- Popn. 2.6 million
131 miles North to South
59 miles East to West
Eligible men 19,281
2017- Popn. 3.1million
131 miles North to South
120 miles East to West
Eligible men 18,626
Surveillance men 830

3. NE AAASP model (2011)
Aneurysm
identified
• technician performs basic observations
• Completes proforma
• arranges follow up telephone call appointment from nurse
Nurse
assessment
• nurse reviews proforma
• telephone assessment completed
• Lifestyle & next steps information sent to GP & gentleman
Surveillance
appointment
• technician & nurse attend clinic
• basic observations, medication & lifestyle review completed
• Lifestyle & next steps information discussed & sent to GP & gentleman

4. NENC AAASP model (2019)
Aneurysm
identified
• technician takes basic observations
• Seeks nurse practitioner advice via telephone if required
• Advice slip, MECC intervention & BHF leaflets given
• Completes proforma
• Arranges follow up telephone call appointment from nurse
Nurse
assessment
• nurse reviews proforma
• telephone assessment completed
• Lifestyle & next steps information sent to GP & gentleman
Surveillance
appointment
• technician & nurse attend clinic
• basic observations, medication & lifestyle review completed
• Lifestyle & next steps information discussed & sent to GP & gentleman

5. • Guidance
NICE clinical guidance, PHE physical health checks in prison
guidance, local policies & work instructions
• Background
Accurate BP, what impacts BP, strategies for correct
measurement
• Equipment & Technique
BP machine, maintenance & calibration, applying the cuff/
checking bladder coverage, how to take BP
• Diagnosis & Treatment
Information about expected targets/ thresholds, next steps, self
care
Training

6. • Annual updates from nurse practitioners
• NEWS training
• MECC training
• Guest speakers- health & wellbeing champions
Additional Training

7. How does it impact on the
working day?
Paula and Marie-Therese
Discussion & demonstration

8. Patient Information

9. 3.7cm AAA. BP 177/117mmHg and 154/111mmHg
• GP
– patient underwent further home monitoring and several other tests
performed
– patient now on appropriate treatment
– pleased this had been picked up by the screening programme
team
• Screening subject
– unaware that his BP was high, no recent check & no plans to have
his BP checked
– pleased that not only was his AAA picked up but he now could
have treatment for his blood pressure
– made a specific point to complement the technicians
What do our men & GPs
think?

10. Thank you
for
listening…
…
Any
questions?