SMARTIE (SMART-Integrating Evidence)

1 in 1000 babies are born with a completely dislocated hip, and more with minor dysplasia. Although there is a national screening programme, the national screening committee have acknowledged that two-thirds of dislocated hips are missed by current policy. Even when diagnosed, there is no agreement concerning treatment pathways. Trials are needed to develop the evidence to inform screening and treatment policy.

NHS England have recently changed the NIPE system to collect the BSCOS Core Measurement Set (for everyone) and treatment details (for all hospitals that sign up). There are 500,000 babies per year, so screening trials will take a few months if everyone joins in. This will enable world-leading observational studies and data-enabled trials through routine care, in a pathway that affects almost every baby born throughout the world.