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Children’s Services at the RNOH Overview of children’s services Nursing achievements Speech & Language Therapy Paediatricians Psychology & Psychiatry.

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Presentation on theme: "Children’s Services at the RNOH Overview of children’s services Nursing achievements Speech & Language Therapy Paediatricians Psychology & Psychiatry."— Presentation transcript:

1 Children’s Services at the RNOH Overview of children’s services Nursing achievements Speech & Language Therapy Paediatricians Psychology & Psychiatry

2 Of all the words of tongue and pen the saddest are - It might have been Far sadder these it seems to me - It is but didn’t ought to be 1929 poster in our Out-Patient clinic at Stanmore requesting donations for children’s surgery here.

3 Overview of children’s services Quality and safety of care provided Child-centred Hospital services Quality of setting and environment Shane McCabe General Manager

4 Paediatric Orthopaedic Surgery AHN-Adolescent & Young adult hip PC-General paeds & limb reconstruction DE (GOS)-General paeds, neuro-muscular ST (St Mary’s)-General paeds, feet (Ponseti clubfoot) Team approach- hand on referrals, utilise spare op lists within department Miss Tennant Orthopaedic Surgeon

5 Paediatric Orthopaedic Surgery Outreach clinics-Hillingdon, Oldchurch Northwick Park referrals, ? Overflow Hillingdon Queen Charlotte’s-antenatal counselling Continue to see “normal variants”- ?Role for Extended Scope Physiotherapist Miss Tennant Orthopaedic Surgeon

6 Paediatric Orthopaedic Surgery Pre-assessment clinic for every child Minimum-opportunity for pre-operative ward visit Multi-disciplinary approach for complex patients Better preparation (surgical team and child) Improved discharge planning Fewer pre-operative overnight stays Miss Tennant Orthopaedic Surgeon

7 Children’s Nursing Achievements Fully established ward team Local budget is well controlled Presented at international and national conferences, sharing our practice and knowledge Documentation overhaul Siobhan Lalor-McTague Paediatric Matron

8 Current Initiatives 8 nurses studying university modules November ‘Festival of Lite’ Learning Cleanliness of equipment review Providing nursing care for children around the hospital where children go Siobhan Lalor-McTague Paediatric Matron

9 Siobhan Lalor-McTague Paediatric Matron By: One of our spinal cord injured patients

10 Paediatric Speech and Language Therapy Ensuring that a child / young person’s specific needs are identified and managed Ensuring the child / young person has information provided in an accessible way and that their individual communication skills / systems are recognised and supported Ensuring that staff are informed and supported Sophie Scott Speech & Language Therapist

11 Development of the Communication Passport Service (Millar – 2003) Currently established for all children / young people who attend for pre-operative assessment Audited in August 2007 To be rolled out to the wider paediatric special needs population Sophie Scott Speech & Language Therapist

12 Audit of the Passport Service Matched questionnaires to families (24% response) and staff (24% response) 100% of families and staff felt the passport helped communication and care 100% of staff would like to see more passports in the hospital setting Sophie Scott Speech & Language Therapist

13 Paediatrics Clinical Support Teaching Child Protection Team Building Rheumatology Neuromuscular Spinal Injury Metabolic Bone Disease Craniosynostosis Somatoform Disorders 2 ST5 Registrar posts Dr Jacobs Dr Oren Dr Muller

14 Strategic Opportunities Separate Children’s HDU Acute Osteomyelitis Service Rehabilitation for Somatisation Disorders Dr Jacobs Dr Oren Dr Muller

15 Child (C) and Adolescent (A) Psychiatry and Psychology at RNOH  Dr Caroline McKenna, Consultant Child and Adolescent Psychiatrist (0.3 wte)  Monica Kopershoek, Clinical Psychologist (0.5 wte) SLA with The Tavistock and Portman NHS Foundation Trust Aim: Provision of integrated medical and psychological care to children, young people (< 18) and their families Within multidisciplinary framework

16 Why is C and A Psychiatry and Psychology Input Needed?  Prevalence psychiatric disorder -10% ________________________________  X2 rate – chronic illness, X3 rate – chronic illness + disability, X5 rate – CNS disorder  ↑ risk repeated hospitalization, post trauma  Psychiatric disorders can present with physical sx (e.g. AN)  Physical Sx as a manifestation of psychological distress ( e.g. Somatoform disorders)  Psychosocial factors – adverse outcome on course of physical illness. Caroline McKenna Monica Korpershoek

17 Developments  Short term - Consolidation - Database, Referral pathways, Protocols, Audit, Training  Longer term- Service Development - Spinal Injury, Scoliosis, Rehabilitation  Research “Attention to the mental health of the child/young person and their family should be an integral part of any children’s service, and not an afterthought” (NSF 2004,4.25)

18 Children’s Services at the RNOH


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