% agree | % middle ground | % disagree | |
Round 2 | |||
Q1. At first assessment when identified to have an amber BDA, the child with CHD (if not already under local services) should be referred by the tertiary cardiologist to PEC (general paediatrician if no PEC). | 77 | 8 | 14 |
Q2. Any on-going developmental concerns after discharge from tertiary cardiac centre if noted by HV should be referred to PEC (general paediatrician if no PEC at local hospital). | 72 | 10 | 18 |
Q3. The child with amber BDA should be re-assessed before referral to the community paediatrician. | 46 | 30 | 24 |
Q4. If there are any on-going developmental concerns, the PEC (general paediatrician where there is no nominated PEC) should refer to the community paediatrician | 86 | 11 | 3 |
Q5. The referral to community paediatrician containing the results of the red BDA should be made by the PEC (general paediatrician if no nominated PEC). | 82 | 11 | 7 |
Round 3 | |||
Q1. The child with amber BDA should be re-assessed by the HV 1–2 months after discharge home. | 73 | 15 | 12 |
Q2. If concerns are noted at the HV assessment 1–2 month after discharge from tertiary centre, the HV should refer to the community paediatrician with a notification to the PEC (general paediatrician if no PEC). | 90 | 6 | 4 |
The results from responses were coded as: agree—if the level of agreement was 7, 8 or 9; middle ground—if the level of agreement was 4, 5 or 6; and disagree—if the level of disagreement was 1, 2 or 3.
BDA, brief developmental assessment; CHD, congenital heart disease; HV, health visitor; PEC, paediatricians with expertise in cardiology.