Authors: Basu, Abhijit; Bellis, Amanda

Source: Clinical Governance: An International Journal, Volume 12, Number 4, 2007 , pp. 267-269(3)

Publisher: Emerald Group Publishing Limited

Abstract:

<B>Purpose</B> - This purpose of this study is to look at the availability of routine antenatal anti-D prophylaxis (RAADP) in the maternity units within the North-west Deanery, England five years after the publication of this technology appraisal guideline (no. 41) by the National Institute for Clinical Excellence (NICE). <B>Design/methodology/approach</B> - Antenatal clinics of all the major 18 maternity hospitals were contacted about their existing practice on RAADP. Responses were obtained by facsimile and telephone. <B>Findings</B> - A total of 11 of the 18 units had implemented the practice between April 2003 and May 2007. Some had changed their practice from two doses to a single dose on the grounds of logistics. Cost appeared to be the most important reason in non-user units. The practice is under consideration in two units. <B>Practical implications</B> - There may be difficulty in universal implementation of NICE guidelines despite the supporting evidence. <B>Originality/value</B> - This study demonstrates the issue of difficulty of local health economies in supporting national guidelines.

Keywords: Auditing; Auditing guidelines; Medical care; United Kingdom

Document Type: Research article

DOI: http://dx.doi.org/10.1108/14777270710828946

Publication date: 2007-10-23

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