Community Children’s Nursing Team.

Inverclyde

Overview of Inverclyde Community children’s nursing service Model.

Community Children’s Nursing service.

Paediatric Medical Outpatient clinics.

Nurse led clinics

Planned Medical investigations

Paediatric Day surgery.

Outreach services for Specialist centres.ie Birmingham Sick Children’s Hospital, Great Ormond Street, and Leeds.

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COMMENTS OR COMPLAINTS

The team is always trying to offer the best service possible, but if at any time you are unhappy with our service please bring it to the attention of one of the team ASAP so that we can discuss the matter with you in order that it can be dealt with quickly and efficiently.

Alternatively you can contact the Complaints Department : Tele 01505 821 552

Also if you have any comments or suggestions about how we could improve the service please contact us at the ad-dress overleaf.

Please note that children also have the right to complain about services they receive, and we would be happy to discuss any issues with your child.

United Nations Convention on the Rights of the Child states that for children:

• You have the right to be heard

• You have the right to express yourself

• You are important and adults need to

remember this.

TREATMENT ADVICE GIVEN

Tel: 01475 505065

Every child on the caseload will have a named nurse, who will be responsible for assessing and planning their care. However you may meet other members of the team if your named nurse is absent for any rea-son.

YOUR NAMED NURSE IS

_________________________ TELEPHONE NO.

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CONTACT US The team can be contacted by phone during working hours, out with these hours there is an answering machine for you to leave a message. Please do so and we will return your call ASAP. CCN TEAM L NORTH INVERCLYDE ROYAL HOSPITAL LARKFIELD ROAD GREENOCK PA16 0XN TELE: 01475 505065

INVERCLYDE COMMUNITY CHILDRENS

NURSING TEAM

The CCN Team We are a team of highly qualified childrens nurses, who offer a home visiting service to children. We cover the area from Kilmacolm to Wemyss Bay for children aged 0-16 (up to 19 for children with special needs) Aims of Service To prevent the initial referral/admission to

hospital. To facilitate the early discharge of children who

have been admitted to hospital. To prevent the re-admission of children to

hospital. To provide a service in the child's home, school

or nursery to minimise disruption to family routines.

To promote the health and well being of the sick child and their families through health educa-tion and support.

To work in partnership with parents within a rela-tionship of mutual trust and respect.

To ensure effective liaison occurs between all agencies involved in the care of the child at home.

Development of best practice guidance and service quality standards.

Information about the Inverclyde Community Childrens Nursing service Services Provided

We provide services where nursing care, education and support is provided for the child and family. These include:

• Any child with an identified nursing need.

• Post discharge care following short-term illness

or surgery.

• Wound Management.

• Dermatology.

• Chronic illness/disability.

• Oxygen dependant babies.

• Sleep studies.

• Planned medical investigations (e.g. Bloods)

• Allergy testing.

• Asthma/respiratory Care (e.g. inhaler technique)

• Nurse Led Clinics for :

*Continence/toileting problems (e.g. constipation,

Soiling, bedwetting)

Sleeping problems

Other services on L North Paediatric Consultant Led Clinics: • General Medical Clinic • Neonatal Clinic • Allergy Clinic • *Diabetes Clinic • *Cystic Fibrosis Clinic • Paediatric Dietician Clinic * indicates that a Specialist Nurse Practitioner is available for these clinics

HOURS OF SERVICE

The service currently operates from: Monday to Friday 0900hrs—1700hrs (with flexibility to meet the needs of the service) We are closed on Public Holidays

REFERRAL TO THE TEAM

We have an open referral system and are willing to discuss appropriate referrals with both parents and professionals alike. We will accept telephone referrals from other professionals, which should be followed up in writing for our records.

Role of the Inverclyde CCN team

Facilitate early discharge of children from acute services, by providing post discharge follow-up at home.

Empower parents/carers to care for their ill child at home, by providing education, advice and practical nursing skills.

Provide anticipatory care to prevent admission of complex children.

Act as a resource for other professionals, families and organisations.

Act as a key worker for families who have a child with complex or chronic needs, by liasing and setting up services with the aid of the Integrated assessment framework commenced January 2008.

Provide a holistic approach to family centred care and contribute to the Public Health Agenda.

Support for families with a terminally ill child and post bereavement follow-up.

Provide training session for schools, nurseries, voluntary sector, etc, to ensure children with health care needs are not excluded from mainstream activities.

Closely link with two Special Needs School and their staff to provide advice and support.

Identify and address child protection issues, attend case conference.

Shared care with other members of the Multidisciplinary Team.

Vision for the Future .To improve “Working Together” with GP’s, treatment rooms ,

acute services , Ward 15 RAH , RHSC Yorkhill.

To have an integrated service across Greater Glasgow and Clyde to improve access and equity of care for paediatric patients.

To continue to plan ,improve and deliver services for the Children and young people of Inverclyde. Ensuring that these reflect the principles and articles of the UN convention on the Rights of the child.

To work in partnership with local agencies to deliver Scottish Government Policy, frameworks and strategies i.e. HEAT targets, Infant feeding strategies, equity of care targets, service plans, Integrated service framework.

To work together as a multi disciplinary team to provide a range of services for children, young people and their families of the right kind, at the right time, and in the right place.

Scottish Index of Multiple deprivation reveals that 42%

of the Inverclyde population live in areas defined as being the

most deprived 20% across Scotland. (SIMD 2004)

Inverclyde Population

Total population of 82,430.0-4year 4,153Primary age 6,739Secondary age 6,594 (Inverclyde service plan 2005-08)

Inverclyde covers an area of approximately 61 square miles.Total mileage from Inverclyde Royal Hospital to Yorkhill

Hospital is 54 miles.

Some interesting information

Average number of day case attendances at RHSC from Argyll and Clyde 2004-2007 approx 3000 children.

Outpatient activity from Argyll and Clyde shows that 49% were referred from GP’s.

Case study

3 year old from Greenock travelling weekly to RHSC for heparin blood level review.Attended for 10 weeks with Single Mum , and younger

sibling using Public transport.Involved bus to train station, train to Glasgow central and

underground to Partick and then walk to Hospital.Considerations for us are minimum travel time of 2 hrs

each way , disrupted meal times, financial implications , time off nursery,stress for single mum.Future could be : Bloods within home or children’s

treatment room setting locally with paediatric nurses and play diversion and faxing of results to appropriate Nurse specialist or consultant. And review by team locally asindicated by tertiary centre.

Referral Criteria

Children aged between birth to 18 years.

Child must be resident in Inverclyde area.

Child must have health related problem.

All referrals will be considered on an individual basis, and discussion is welcomed regarding the appropriateness of a referral.

Mode of Referral

We have an open referral system, with referrals mainly coming from other healthcare professionals.

We also accept referrals from education, social work and the voluntary sector.

Referrals can initially be made by telephone, but must be followed up in writing ASAP, either by letter or by completing our referral form.

In summary

All of the West of Scotland health board partners are important to us.

We need to maximise the use of local services , explore outreach and in reach options to improve the patient journey.

In order for this to work there needs to be an openness to working differently.Our aim is to work together with local GPs/treatment rooms and Allied health professionals in order to deliver care locally, wherever possible.