The app is a digital solution in line with the NHS Long Term Plan, that takes into account children with additional needs. The app provides a universally available part of the NICE care pathway, that can be replicated across services and minimise the high level of variability across the country that the NICE guideline CG60 highlights and provides appropriate help and support for children in a format they like and recognise (an app) and have come to expect. Therefore the app directs parents to these and further trusted links. The app was designed to contain evidence-based, reliable, trusted advice as stated in the guideline: “Clinicians should be aware that there is a wealth of information available through charities, the internet and particularly NHS Direct”. In our experience of patients and their families we found this was true, since parents had Googled non-evidence based and sometimes dangerous interventions. The NICE guideline highlights the problem that “parents and carers often receive well-meant but erroneous advice on a variety of non-surgical treatments for OME”. The app aims to deliver accurate accessible information for parents across services in a paperless system. These were addressed within the app by allowing parents to track their child’s hearing and access remote speech and language therapy if needed. The guideline states that “the main problems cited by parents.were hearing, behaviour and speech“. The app we designed was inclusive of these conditions. The guideline introduction includes “special consideration” for children with cleft palate and Down syndrome. ![]() ![]() The app allows children to work on educational strategies to prevent them falling behind with speech, language, listening skills and learning when they have glue ear, Whilst providing parents with up- to-date “evidence based written information“ as suggested in NICE CG60 and behavioural strategies. This was a core component of all 3 care pathways within the NICE guideline and therefore the main aim of the app. The main aim of the app was to deliver specific NICE guidance by advising “on educational and behavioural strategies to minimise impact of hearing loss” (Recommendation 1.3.2, CG60).
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