Pennine Acute Trust - Paediatric Observation Priority Score (PAT-POPS)

The Pennine Acute Hospitals NHS Trust has been awarded over £300,000 to undertake a children’s research study in its emergency department (A&E) and urgent care centre.

The Trust has been awarded over £300,000 by the National Institute for Health Research (NIHR) Research for Patient Benefit Programme, to undertake a study involving children arriving at emergency departments (ED/A&E) and an urgent care centre (UCC). This is the first NIHR grant that the Trust has ever received and is expected to be the largest research study in Greater Manchester.

With increased attendances to EDs it is important to ensure that children and young people are treated in the most clinically appropriate environment and that systems are in place to identify those who need to be admitted and others who could be reassured and discharged home.

The Pennine Acute Hospitals Trust Paediatric Observation Priority Score (PAT-POPS) is a tool to help professionals to decide which children, aged 0-16 years of age, should be admitted to hospital and which could be discharged home. The tool was developed from the original POPS score, devised by Dr Damian Roland in Leicester. Early research on PAT-POPS showed that it was more effective than the Manchester Children’s Early Warning System (ManChEWS) at identifying those children who should be admitted to hospital, but further developments were necessary to improve its accuracy. This PAT-POPS NIHR study, the first of its kind in a paediatric setting, is designed to refine the original PAT-POPS so it will be better able to predict outcomes.

Parents of children and young people that have attended A&E or an UCC will be advising the research team.  They will also be helping the research team to answer parents’ questions regarding the study as well as telling other parents and professionals about the findings. 

Professor Andrew Rowland (pictured), Consultant in Paediatric Emergency Medicine and Principal Investigator, said: 

‘‘I am delighted that the NIHR has awarded this grant – the first of its kind – to The Pennine Acute Hospitals NHS Trust. This research is all about collecting observations on children and young people attending the emergency departments and urgent care centre. Those observations include things such as heart rate, temperature and breathing rate, to help us develop a tool which we hope will better enable clinicians to decide better which children and young people should be admitted to hospital and which could be reassured and go home or to a better service.

I want to reassure children, young people and families that this research does not involve anything painful being done to children and young people who attend the emergency departments and urgent care centre. This research has been designed in partnership with families, and I am already grateful to all of the members of the public and the clinicians who have been involved in developing this project over the last two years.’

Data collection for PAT-POPS is due to start in January 2018 and is expected to last one year. The findings will be published in scientific journals and will be made available on this website. We will also be using Twitter to broadcast key messages.

The PAT-POPS research group is a partnership between the Universities of Manchester, Leicester and Salford together with The Pennine Acute Hospitals NHS Trust and University Hospitals of Leicester NHS Trust.

List of contributors:

  • Dr Damian Roland -  Consultant in Paediatric Emergency Medicine, University Hospitals of Leicester NHS Trust and Honorary Associate Professor, University of Leicester. Chief investigator.
  • Professor Andrew Rowland -  Consultant in Paediatric Emergency Medicine, The Pennine Acute Hospitals NHS Trust and Honorary Professor (Paediatrics) at the University of Salford. Local Principal Investigator. Follow Professor Rowland on Twitter
  • Professor Steve Woby  - Director of R&D Operations, Northern Care Alliance NHS Group (Salford Royal NHS Foundation Trust & The Pennine Acute Hospitals NHS Trust). Lead Sponsor; Research & Development (R&D) Adviser.
  • Dr Joan Livesley -  Senior Lecturer, the School of Health and Society, University of Salford. Lead on patient and public involvement, including training and support.
  • Professor Tony Long  - Professor of Child and Family Health, University of Salford. Lead on Research Ethics Committee approval, R&D processes and staff training.
  • Dr Sarah Cotterill  - Research Fellow, University of Manchester. Data Analysis and Statistical Lead.
  • Calvin Heal  - Research Assistant, University of Manchester. Data analysis.
  • Stephen Brown  - Academic Network Manager, Northern Care Alliance NHS Group (Salford Royal NHS Foundation Trust & The Pennine Acute Hospitals NHS Trust). Database creation.

For more information

Please contact the Research Project Manager via email Pat-Pops@pat.nhs.uk or telephone 07970 724693.  

Follow NIHR Research on Twitter

Disclaimer

This webpage presents independent research funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Reference Number PB-PG-0815-20034). The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.