Guideline Creation

We encourage creation of guidelines wherever a need is identified and will support individuals to take this initiative. Those interested should refer to the following steps when writing a regional guideline:

Written Guidelines

Step 1

Guideline writing and clinical network review
  • Templates are available for written guideline and flow chart 
  • Guideline written using available local and national resources
  • Send to the relevant clinical network representatives AND clinical network lead (see list below)
    • If guideline requires general paediatric review rather than speciality network, send to PIER regional representatives (list available here)
    • Pharmacists MUST be involved in guidelines which include drugs. Pharmacists may come from any regional Trust
  • Collaboration with other stakeholders (such as specialities) as required
  • Once clinical network have actioned comments and final guideline agreed, move to step 2
Step 2

​Regional electronic sign off
  • Complete this form including all required information. Upon submission, this will send the completed guideline to all signatories who will be required to confirm that the guideline is complete.
  • Please include a pharmacy representative if the guideline includes medications
  • For revised/renewed guidelines, only the authors signature and one other clinical network representative signature is required unless there have been significant changes in recommendations
Step 3

Governance review and sign off
  • Once all signatures are received, the PIER admin team will send the completed guideline to Governance for sign off. Governance is currently run at Southampton Children's Hospital.
Step 4

Upload to PIER
  • Once governance approval is given, the guideline will be uploaded to the PIER website and highlighted in the 'New/Updated Guidelines' header
After 3 years

​Guideline Renewal/Updating
  • Every guideline will require review after 3 years
  • ​The guideline author and relevant clinical network lead will be contacted in advance to inform them that the guideline is reaching the end of the 3 year period
  • If no changes are required, the clinical network lead and author can sign off the guideline again using the form in Step 2
  • If significant changes are required, the guideline will need to go through the regional consultation process from Step 1
Video Guideline/Education Governance Process
Step 1
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Identify the need
  • Ensure similar resources are not available elsewhere
  • Link with the relevant speciality network clinical lead and specialist nurse(s)
Step 2
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Create and check storyboard
  • Create a storyboard for the video
  • Review the storyboard with the following people before starting filming
Step 3
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Create video
  • High quality filming should be achieved wherever possible - discuss with local education team for available resources
  • Use closed captioning where possible
  • If the video contains patients, written consent must be obtained and retained by the video author. Consent forms must also be sent with video submission to PIER
  • Review completed video with PIER education lead and relevant clinical specialist
Step 4
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Governance submission and Upload to PIER
  • When completed, send the video with accompanying consent forms (if applicable) to admin@piernetwork.org
  • The video will then be submitted to governance (currently at Southampton Children's Hospital) for sign off and upload to the PIER website
Clinical Network Contacts
Local operational delivery network leads
  • Neonatal (Thames Valley and Wessex neonatal network) - Victoria Puddy -Victoria.puddy@uhs.nhs.uk
  • South Paediatric Neurosciences ODN - Andrea Whitney - andrea.whitney@uhs.nhs.uk
  • Paediatric critical care network - Iain MacIntosh and Rachel Oliver - iain.macintosh@uhs.nhs.uk and rachel.oliver3@nhs.net
  • Paediatric Cardiology Network - Aisling Caroll - aisling.caroll@uhs.nhs.uk

Wessex clinical network leads