Table 1

NHS Sickle Cell and Thalasaemia Screening Programme Standards, Second Edition, 2011

Standard numberObjectiveAcceptable StandardAchievable Standard
NO1Babies detected with sickle cell disease should have the best possible survival as assessed by mortality rate in children<5 years.Four per 1000 person-years of life or 2 deaths per 100 affected babies.Two per 1000 person-years of life or 1 death per 100 affected babies.
NO2iIdentify babies with disease with specified sensitivity and offer early intervention if required.99% detection rate for Hb SS, 98% for Hb SC and 95% for other conditions.99.5% detection rate for Hb SS, 99% for Hb SC and 98% for other conditions.
NO2iiCoverage of screening test (tested/eligible)95% of babies eligible for sickle cell screening receive a conclusive bloodspot screening test.99% of babies eligible for sickle cell screening receive a conclusive bloodspot screening test.
NP4All registered screen-positive babies are followed up and entered in care with a specialist/local centre.90% seen by a specialist/local centre by 3 months of age; 95% reviewed annually by a specialist centre.95% seen by a specialist/local centre by 3 months of age; 98% reviewed annually by a specialist centre.
NP6iEnsure prophylactic treatment is offered and prescribed to screen-positive babies in a timely manner; offer parental education.90% offered and prescribed Penicillin V or alternative by 3 months of age.99% offered & prescribed Penicillin V or alternative by 6 months of age.