Point of Care (PoC) ultrasound and the introduction of the HEAD-US protocol across the South Thames Haemophilia Network

Guy's and St Thomas's NHS Foundation Trust

The goal of this service development exercise is to embed the use of the Early Arthropathy Detection with Ultrasound (HEAD-US) protocol in the assessment process of severe and moderate patients with haemophilia (PWH) within the South Thames Haemophilia Network (STHN). The project can be defined as a quality improvement programme. The methodology is pragmatic and supportive in design. It includes a series of interventions designed to address the barriers that prevent a network introduction. Individual interventions include strategies to raise awareness of the value of HEAD-US, provide technical support and training, introduce a governance framework and provide short-term material support in the form of US machines.  The project will be evaluated through site-specific audits against a set of service standards.  The minimum service standards will state that  seventy five percent of severe and moderate PWH over the age of five should be assessed using the HEAD-US within a calendar year by a competent HEAD-US trained clinician.  The audit will also report on the impact of HEAD-US on patient management and evaluate patient satisfaction/dissatisfaction with the introduction of the HEAD-US protocol.

Full ProposalInterim ReportsFinal Report
Approval Date:
December 2016
Amount Awarded:
Start Date:
End Date:
In Progress
Implementation of HEAD-US Protocol- Europe