Angela Pollock and Paula Forrest Assistant Service Managers Royal Belfast Hospital for Sick Children...
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Transcript of Angela Pollock and Paula Forrest Assistant Service Managers Royal Belfast Hospital for Sick Children...
![Page 1: Angela Pollock and Paula Forrest Assistant Service Managers Royal Belfast Hospital for Sick Children 15 February 2013.](https://reader036.fdocuments.in/reader036/viewer/2022062407/56649d1a5503460f949efedd/html5/thumbnails/1.jpg)
Angela Pollock and Paula ForrestAssistant Service Managers
Royal Belfast Hospital for Sick Children
15 February 2013
![Page 2: Angela Pollock and Paula Forrest Assistant Service Managers Royal Belfast Hospital for Sick Children 15 February 2013.](https://reader036.fdocuments.in/reader036/viewer/2022062407/56649d1a5503460f949efedd/html5/thumbnails/2.jpg)
Where are we now?Civil Eyes WorkshopsBenchmarking workshops for Acute paediatrics Benchmark with 15 other paediatric centres in
the UKHow do we compare / what do we need to
change?Scope Models of Care already in place
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Surgical specialties: % day cases
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Surgical specialties: % same day operations for elective activity
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Surgical specialties: inpatient length of stay
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30 Day emergency readmissions vs. length of stay – non-elective activity (excluding GOSH)
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% Emergency readmissions within 7 days
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% Emergency readmissions within 30 days
![Page 9: Angela Pollock and Paula Forrest Assistant Service Managers Royal Belfast Hospital for Sick Children 15 February 2013.](https://reader036.fdocuments.in/reader036/viewer/2022062407/56649d1a5503460f949efedd/html5/thumbnails/9.jpg)
What has been achievedIntroduction of Day of Surgery UnitIntroduction of Pre assessmentCentralisation of service referrals which are
then triage to the appropriate care settingOrthopaedics / Asthma / Epilepsy
Scoping of OP clinics to move to Health and Well being centresDiabetes / General Medical
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Next Steps 1: The Manchester ModelCCN managed within Acute Sector – based in
the same buildingAttend the daily COW ward round 7 days a
weekAid discharge processIdentify possible pathways for children to the
communityRotational Posts – set number every year
3 places over a year – 4 month placements eachA&E / SSPAU, Inpatient ward and Community
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Working pattern8am to 10pm Monday to Friday
8am to 8pm Saturday and Sunday
On-call system to deliver care for End of LifeTo support Care Workers managing complex children in
the community
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Possible referrals:IV AntibioticsDressingsSupport with enteral feedingFacilitation of equipment provisionOngoing family support/teachingDiabetes team Better Links with specialist services i.e.
CYSTIC FIBROSIS/ONCOLOGY
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Next Steps 2: CRAFT teamCCN accepts referrals from any provider of
emergency/unscheduled care in an attempt to reduce the need for SSPAU/acute admission
Referrals also accepted for follow-up visits from ED/SSPAU/inpatient wards to facilitate safe earlier discharge
CCN visits within 4 hours of receiving referral
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Working pattern
10am to 8pm 7days per week including bank holidays
Answer phone for non-urgent messages 24/7
Parents provided with appropriate contact numbers for out of hours support
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Possible referralsHigh temperatures-fever managementVomiting and diarrhoea-hydration checksViral wheeze, bronchiolotis, asthma, croupCoughs, colds & pneumoniaEar & throat infectionsConstipationRashesGastro-oesophageal refluxHenoch-Schonlein PurpuraUTI
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Interventions
Observation/monitoringAdministration of medicationCollection of laboratory samplesFamily supportTeaching of other professionals
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Educational NeedsRotation posts for both local Trust and
regionallySimulation Training – updates for whole regionRegional standards for paediatricsStandardisation of services across NI for
paediatrics; equity of serviceWorkforce standardisation of roles, Band 6’s in
Special Needs Schools, Band 3 at home with ventilated Children
Modernisation of skill mix
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