Public Health England (PHE) and NHS England (NHSE) brought together over forty North West (NW) key stakeholders on the 17th June 2015 in Manchester to reflect and build on the previous successes of the NW Tuberculosis (TB) Summit and discuss the transition to a NW TB Control Board.

Graham Urwin (NHS England) and Jane Rossini (PHE NW) clearly set out the future and the vision for the TB Control Board and highlighted the importance of a system wide approach to addressing TB.

The event offered an opportunity to hear about the National Collaborative TB Strategy for England and some of the work the North West TB Summit has delivered since its establishment in 2011, including a systematic “Cohort Audit” of all TB cases, a new care pathway for children with TB, an annual stock-take of TB nurse capacity and work to raise the profile of the importance of tackling the disease.

Stakeholders had an opportunity to reflect, discuss and shape the structure and future priorities of the North West TB Control Board.

The slides from the event are available here:  NW TB Control Board Event June 2015


Poster for BTS Winter Conference

Posted: 01/12/2014 in BCG

Please see below poster which is being presented at the BTS Winter Conference on 3rd December 2014 which explores how the TB Cohort Audit has changed practice in the North West.


This poster was presented at the ARNS* Conference held at the University of Warwick on 9-10 May 2014, and we’re pleased to say it won 3rd prize! Thanks go to Stacey Farrow, TB Nurse Specialist at Royal Bolton Hospitals and a member of the NW TB Cohort Audit Steering Group, for presenting it.

The poster outlines the NW TB Cohort Process and the 9 Outcomes from  the first two years of Audits. It highlights some key improvements made and the first year of results for the NW initiative to categorise all cases with a level of Enhanced Case Management (ECM). Level Zero denotes no ECM was required and levels 1 to 3 describe increasing levels of support required with level 3 requiring the most intensive support.

*The Association of Respiratory Nurse Specialists

The poster can be viewed here: ARNS%20POSTER%20FINAL1



This was our poster presentation at the FIS (Federation of Infectious Societies) conference on the 11-13th November in Birmingham. It describes the pilot work we have undertaken in the NW to categorise all TB cases with a level of ECM (Enhanced case management) from 0 (none) to 3 (cases needing the highest level of input from the nurses).  This is to help quantify the workload of the TB Nurses in a more detailed way and inform workforce planning.

FIS Conference

Cohort Audit  is a systematic approach to capturing quantitative and qualitative data about TB control. In the North West reviews  are held 4 times a year in each of 4 geographic footprints across the North West. These are: Cumbria & Lancashire, Cheshire and Merseyside, North Manchester and South Manchester. The North West has around 800 cases per year so each audit covers around 50 cases.

Coordinating Regional Audits is a complex task and in the North West we have put together a handbook to outline the process. We hope that this is useful to anyone looking to introduce Cohort Audit to their area!

North West TB Regional Audit Handbook

The North West has seen a worrying increase in the number of children being diagnosed with TB.  Anecdotal evidence suggested that the delivery of  the neonatal BCG programme could be improved, and that we needed to get better at measuring the proportion of eligible babies that had been vaccinated.

In 2012 the TB Summit commissioned a review of the neonatal BCG vaccination programme, across the North West and the findings of this work are published today (14/01/13).  The report includes an assurance framework that can be used by  providers and commissioners to strengthen their programmes and lists the high impact actions that need to addressed as a matter of priority.

The full report can be accessed here: BCG Review – Final Report Jan 2013    

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