Table 5.

Delphi consensus survey—summary of results from rounds 1, 2 and 3

	Amber BDA	Red BDA
Round 1
75% consensus achieved	The amber BDA result should be shared with the GP, HV, PEC and other relevant health professionals (91%). Child should be under PEC at local hospital (75%). It is the responsibility of the child's paediatric cardiologist in the tertiary centre to refer the child to a PEC (79%).	The red BDA result should be shared with the GP, HV, PEC and other relevant health professionals (90%). Child should be under community paediatrician (91%). Referral to a community paediatrician should be undertaken at the point of first assessment when abnormal BDA is recorded (81%).
75% consensus not achieved	Timing of referral and to whom: at first assessment by tertiary cardiac centre to the PEC (70%) and to the community paediatrician (64%). Whether re-assessment should be undertaken before referral to the community paediatrician (70%). Which professional should undertake re-assessment: HV (71%), PEC (65%) and GP (35%). Referral to community paediatrician by whom: PEC (69%), HV (40%) and tertiary cardiac centre (48%).	On who should make this referral to community paediatrician?—PEC (73%), tertiary cardiac team (69%), HV (43%) and GP (39 %).
Round 2
75% consensus achieved	Child with CHD at first assessment when identified to have an amber BDA should be referred by the tertiary cardiologist to the PEC (77%).	The referral to the community paediatrician containing the results of the red BDA should be made by the PEC (82%). If there are any on-going developmental concerns, the PEC should refer to the community paediatrician (86%).
75% consensus not achieved	Any on-going developmental concerns after discharge from tertiary cardiac centre if noted by HV should be referred to PEC (72%). The child with amber BDA should be re-assessed before referral to the community paediatrician (46%).	–
Round 3
75% consensus achieved	If the HV had concerns in the 1–2 month assessment after discharge from the tertiary centre, the HV should refer to the community paediatrician with a notification to the PEC—90%.	—
75% consensus not achieved	The child with amber BDA should be re-assessed by the HV 1–2 months after discharge home (73%).	—

BDA, brief developmental assessment; CHD, congenital heart disease; GP, general practitioner; HV, health visitor; PEC, paediatricians with expertise in cardiology.