title: A pilot of clinical performance indicators for suspected childhood epilepsies.
abstract: OBJECTIVE
  In response to continuing concerns regarding the quality and equality of care for children and young people, the British Paediatric Neurology Association (BPNA) has supported the development of practical and meaningful audit to support quality improvement.
  
  
  METHODS
  In 2006, the Children's Epilepsy Workstream in Trent (CEWT) coordinated a retrospective multi-service audit of paediatric epilepsy care against NICE and SIGN guidelines. This aimed to both facilitate quality improvements for participating services and act as a pilot for future potential national audits.
  
  
  RESULTS
  The audit was achieved in 4 hospital services using prospective and retrospective ascertainment methods. 12 performance indicators were applied to each cohort. Overall 54% (12/22) of children with epilepsy had input from a paediatrician with "expertise" and 23% (5/22) had input from an epilepsy specialist nurse.
  
  
  CONCLUSIONS
  Audit can be developed for epilepsies that delivers standardised quality metrics against national recommendations. As well as supporting local quality improvement initiatives, comparative and aggregate data can be produced to potentially give regional and national perspectives. The results and experience describe the journey towards the 2009-2012 Epilepsy 12 UK multicentre epilepsy audit.
authors.affiliation: Nottingham Children's Hospital, Nottingham, NG7 2UH, UK.
authors.forename: Katherine
authors.initials: K
authors.lastname: Martin
authors.affiliation: Department of Paediatrics, King's Mill Hospital, Sutton in Ashfield, NG17 4JL, UK; British Paediatric Neurology Association Governance and Audit Group, UK. Electronic address: colin.dunkley@sfh-tr.nhs.uk.
authors.forename: Colin
authors.initials: C
authors.lastname: Dunkley
authors.affiliation: Nottingham Children's Hospital, Nottingham, NG7 2UH, UK.
authors.forename: Rachel
authors.initials: R
authors.lastname: Sunley
authors.affiliation: United Lincolnshire Hospitals NHS Trust, Lincoln LN2 5QY, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Gough
authors.affiliation: Derby Childrens' Hospital, Derby DE22 3NE, UK.
authors.forename: Mark
authors.initials: M
authors.lastname: Anderson
authors.affiliation: Derby Childrens' Hospital, Derby DE22 3NE, UK.
authors.forename: Rachael
authors.initials: R
authors.lastname: Wheway
authors.affiliation: British Paediatric Neurology Association Governance and Audit Group, UK; Department of Paediatric Neurology, Leeds General Infirmary, Leeds LS2 9NF, UK.
authors.forename: Colin
authors.initials: C
authors.lastname: Ferrie
authors.affiliation: Nottingham Children's Hospital, Nottingham, NG7 2UH, UK; British Paediatric Neurology Association Governance and Audit Group, UK; School of Medicine, University of Nottingham, Nottingham NG7 2UH, UK.
authors.forename: William P
authors.initials: WP
authors.lastname: Whitehouse
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D004827:Epilepsy / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010865:Pilot Projects
keywords: Audit; Children; Epilepsy; Paediatric; Quality; Seizures