Dear NHS Dorset Integrated Care Board,

NICE Quality Standard 204 on Fetal Alcohol Spectrum Disorder was published 16 March 2022 (https://www.nice.org.uk/guidance/qs204)

1. Please confirm, has this quality standard been circulated to each team and service in your network?

2. Have teams or other organisations within your ICB been asked to identify whether NICE Quality Standard 204 is applicable to their service?

3. Which teams/organisations/ICB leads have identified that NICE Quality Standard 204 is applicable to them.

4. Please confirm if the lead ICB board members for a) children and young people (aged 0 to 25); b) children and young people with special educational needs and disability; c) safeguarding (all-ages); and d) learning disability and autism (all-ages) have to date included consideration of FASD and implementation of the NICE FASD Quality Standard 204 in their decision making about service provision and assessment of local need. If so, for each of the identified leads please explain how and provide any related documents.

5. Please indicate who in your ICB has responsibility for each NICE Quality Standard 204 statement:
5a. Statement 1: Advice on avoiding alcohol in pregnancy (Pregnant women are given advice throughout pregnancy not to drink alcohol.)
https://www.nice.org.uk/guidance/qs204/c...

5b. Statement 2: Fetal alcohol exposure (Pregnant women are asked about their alcohol use throughout their pregnancy and this is recorded)
https://www.nice.org.uk/guidance/qs204/c...

5c. Statement 3: Referral for assessment (Children and young people with probable prenatal alcohol exposure and significant physical, developmental or behavioural difficulties are referred for assessment.)
https://www.nice.org.uk/guidance/qs204/c...

5d. Statement 4: Neurodevelopmental assessment (Children and young people with confirmed prenatal alcohol exposure or all 3 facial features associated with prenatal alcohol exposure have a neurodevelopmental assessment if there are clinical concerns.)
https://www.nice.org.uk/guidance/qs204/c...

5e. Statement 5: Management plan (Children and young people with a diagnosis of fetal alcohol spectrum disorder (FASD) have a management plan to address their needs.)
https://www.nice.org.uk/guidance/qs204/c...

6. If your NICE lead or other relevant person has created a review sheet, please provide that with a breakdown of every statement in the quality standard by structure, process and outcome measures.

7. If you don't have a review sheet, please indicate how your ICB is responding to NICE Quality Standard 204.

8. How are you involving stakeholders and/ or tracking patient experiences of your response to the NICE Quality Standard 204?

9. Is there any other document your ICB has created that is related to improvement of quality of care regarding NICE Quality Standard 204? If so, please provide a copy.

Yours faithfully,

Sandra Butcher
Chief Executive
The National Organisation for FASD