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Surveillance proposal consultation document

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Overview of 2019 surveillance methods

NICE's surveillance team checked whether recommendations in the following three guidelines (unintentional injuries theme) remain up to date:

For all guidelines, the surveillance process consisted of:

  • Feedback from topic experts via a questionnaire.

  • A search for new or updated Cochrane reviews and national policy.

  • Consideration of evidence from previous surveillance.

  • Examining related NICE guidance and quality standards and NIHR signals.

  • A search for ongoing research.

  • Examining the NICE event tracker for relevant ongoing and published events.

  • Literature searches to identify relevant evidence.

  • Assessing the new evidence against current recommendations to determine whether or not to update sections of the guideline, or the whole guideline.

  • Consulting on the proposal with stakeholders (this document).

For further details about the process and the possible update decisions that are available, see ensuring that published guidelines are current and accurate in developing NICE guidelines: the manual.

Evidence considered in surveillance

Search and selection strategy

For details of the individual search and selection strategies used please refer to the following appendices:

Intelligence gathered during surveillance

Views of topic experts

We considered the views of topic experts who were recruited to the NICE Centre for Guidelines Expert Advisers Panel to represent their specialty. For this surveillance review, topic experts completed a questionnaire about developments in evidence, policy and services related to each of the 3 guidelines.

The following responses were received from 16 topic expert questionnaires sent for each guideline:

NICE guideline PH29 – 8 responses were received, 5 of the experts felt an update was needed.

NICE guideline PH30 – 8 responses were received, 6 of the experts felt an update was needed.

NICE guideline PH31 – 8 responses were received, 4 of the experts felt an update was needed.

In the areas where topic experts felt an update was necessary, no published evidence was identified in the surveillance review to indicate a need for new or updated recommendations. These included:

  • Home injuries: new hazards, home safety assessments and equipment provision.

  • Road injuries: subgroups who are potentially at greater risk of injury, parking bans around schools.

  • Outdoor play and leisure injuries: skate parks.

  • Strategies: coverage and quality of hospital admissions data, socioeconomic inequalities and the Healthy Child Programme.

For full details of the topic expert feedback for these 3 guidelines, please see appendices A1-A3.

Views of stakeholders

Stakeholders are consulted on all surveillance reviews except if the whole guideline will be updated and replaced. Because this surveillance proposal is to not update the guidelines, we are consulting with stakeholders.

See ensuring that published guidelines are current and accurate in developing NICE guidelines: the manual for more details on our consultation processes.

Editorial amendments

During surveillance of the guideline we identified the following points in the guideline that should be amended.

Unintentional injuries: prevention strategies (PH29)

  • Recommendation 4: In the 'Who should take action' section:

    • Remove mention of Children's Workforce Development Council should be removed because this no longer exists.

    • Health Professions Council is now Health and Care Professions Council and should be changed accordingly.

  • Recommendation 5: 'Department of Health' should be changed to 'Department of Health and Social Care'

  • Recommendation 7: In the 'Who should take action' section:

    • Remove 'Association of Public Health Observatories' as these no longer exist

    • 'Department of Health and its Public Health Service' should be changed to 'Department of Health and Social Care and Public Health England'

    • 'Department for Communities and Local Government' should be changed to Ministry of Housing, Communities and Local Government

    • 'Data Protection Act 1998' should be replaced by 'Data Protection Act 2018'

  • Recommendation 16: In the 'Who should take action' section, 'Primary care and hospital trusts' should be replaced by 'Clinical commissioning groups and hospital trusts'.

  • Footnote 3: The broken link should be amended to direct to the following policy document URL:

https://www.gov.uk/government/publications/an-information-revolution-summary-of-responses-to-the-consultation

  • Footnote 4:

The broken link to the Information Governance Toolkit should be replaced by the following URL:

https://www.igt.hscic.gov.uk/

The archived link to NHS Information Governance - Guidance on Legal and Professional Obligations should be replaced by

https://www.gov.uk/government/publications/nhs-information-governance-legal-and-professional-obligations

The cross reference and link to "Also see HM Government (2008) Information sharing: guidance for practitioners and managers. London: Department for Children, Schools and Families and Communities and Local Government."

Should be replaced by "Also see HM Government (2015) Information sharing advice for safeguarding practitioners. London: Department for Education."

https://www.gov.uk/government/publications/healthy-child-programme-0-to-19-health-visitor-and-school-nurse-commissioning

  • Recommendation 9: The bullet points referring to smoke and carbon monoxide alarms should be removed, and a cross referral added after the remaining bullets to state:

'For duties about installing and maintaining smoke and carbon monoxide alarms, refer to the Smoke and Carbon Monoxide Alarm (England) Regulations 2015''

  • Footnote 13: The broken link to 'Firework safety: be media wise!' should be replaced by

"See Department for Business, Energy & Industrial Strategy (2010): Firework safety: be media wise!"

Unintentional injuries in the home (PH30)

Unintentional injuries on the road (PH31)

Overall surveillance proposal

After considering all evidence and other intelligence and the impact on current recommendations across the 3 guidelines, we propose that no update is necessary.