The newborn blood spot failsafe processes and failsafe solution (NBSFS) help ensure that all babies born in England are offered screening.

Documents

Newborn blood spot screening: failsafe processes

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Newborn blood spot failsafe solution: quick reference for maternity

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Newborn blood spot failsafe solution: quick reference guide for child health records department

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Newborn blood spot failsafe solution: operational level agreements for maternity users

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Newborn blood spot fail safe solution: operational level agreements for child health records department

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Newborn blood spot failsafe solution: operational level agreements for laboratory users

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Detail

Failsafe processes minimise risks of anything going wrong in the screening pathway.

The failsafe processes document maps failsafe measures against the Map of Medicine pathway for newborn blood spot screening.

The newborn blood spot failsafe solution (NBSFS) is in use by maternity units across England. It identifies babies who have missed newborn blood spot (NBS) screening.

The documents here set out the procedures for NBSFS and include feedback forms.

Failsafe process

Babies can miss screening and blood spot samples can sometimes fail to reach screening laboratories, or get delayed in transit.

Babies affected by screened conditions can suffer serious harm by the time these failures get detected. In some cases they are not detected at all.

These errors can show wider failures in the postnatal care process.

The impact on lives of babies and parents, as well as costs of treatment and care, is avoidable through the use of NBSFS.

Evidence base

Analysis of data from a pilot of the new system identified 2.3% of babies as having missed or not completed NBS screening.

NBSFS reduces serious incidents and supports key performance indicator requirements for NBS screening.