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Seizure. 2014 Aug;23(7):548-52. doi: 10.1016/j.seizure.2014.04.004. Epub 2014 Apr 16.

A pilot of clinical performance indicators for suspected childhood epilepsies.

Author information

  • 1Nottingham Children's Hospital, Nottingham, NG7 2UH, UK.
  • 2Department of Paediatrics, King's Mill Hospital, Sutton in Ashfield, NG17 4JL, UK; British Paediatric Neurology Association Governance and Audit Group, UK. Electronic address:
  • 3United Lincolnshire Hospitals NHS Trust, Lincoln LN2 5QY, UK.
  • 4Derby Childrens' Hospital, Derby DE22 3NE, UK.
  • 5British Paediatric Neurology Association Governance and Audit Group, UK; Department of Paediatric Neurology, Leeds General Infirmary, Leeds LS2 9NF, UK.
  • 6Nottingham 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.



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.


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.


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.


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.

Copyright © 2014 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.


Audit; Children; Epilepsy; Paediatric; Quality; Seizures

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