Background and Aims:
NICE guidelines advise that children and young people born preterm are at increased risk of developmental problems. Therefore, these children should receive increased surveillance. Aim is to determine compliance with the NICE guideline "Developmental follow-up of children and young people born preterm (NG72)" (2017). Audit standards were those born before 30+0 weeks' gestation required a minimum of two face-to-face follow-up visits focusing on development, at the following corrected ages- 3 to 5 months and 1 year.  All require a detailed face-to-face developmental assessment at 2 years (corrected age) and a further at 4 years (uncorrected age) for those born before 28+0 weeks' gestation.

Methods:
A retrospective audit was performed of all infants born <30/40 gestation between 2014 and 2017. A review of the clinic notes performed to see if follow up had met audit standards.

Results:
3-5 month follow up achieved in 72.2%, 1 year follow up in 87.5% and 2 year follow up in 90.4%. 2 year follow up was performed by general paediatricians in 76% of patients and 24% by community paediatricians. Overall, 16% had a formal developmental assessment, all by community paediatricians. 4 patients met requirement to be followed up at 4 years of these 2 were followed up, 1 had been discharged at 2 years and 1 had died.

Conclusions:
Consider a telephone review for those not attending, to assess if issues need to be addressed. In addition, medical professionals to be reminded of NICE guidelines for follow up and to perform a formal developmental assessment.

7th Congress of the European Academy of Paediatric Societies