This programme of work is underpinned by the ethos of ensuring that children and young people have the best possible health and wellbeing outcomes.
The two major programmes of work identified in the business plan parameter for Children and Young People relate to:-
• Improving transition from paediatric to adult services in long term conditions (epilepsy, diabetes) and continuing work around paediatric asthma to target NRAD (National Review of Asthma Deaths) recommendations, improving care and reducing mortality for each condition
• Improving acute medical and surgical paediatric care and their interfaces and improving the safety and provision of neonatal care
Information on the RCPCH work can be found here
A summary of some of our projects can be found below:
Quality Improvement Service Provision for Children in the Community (CCNT)
What was the issue
Improving the experiences of children, young people and their families, care needs to be delivered across integrated pathways of services: primary, secondary and in some cases tertiary care; transition into adult services; and health, children's social care, education and housing services. Young people with long-term conditions are increasingly surviving into adulthood. Consideration must be given to the expertise required to provide care for these young people across all settings. The transition to adult services has been identified as a period of time when young people can be lost from health care, due to the failure of transition arrangements. Community children's nurses play a pivotal role in an individual's transition from children's services to adult services.
What we did
The purpose of a Community Children Nursing Team (CCNT) review was to evaluate existing services across the Greater Manchester, Lancashire and South Cumbria Strategic Clinical Networks (GMLSC SCNs) geographical footprint against national guidance and current best practice.
How we made a difference
The findings have resulted in this Quality Improvement Strategy with recommendations for the future provision of Community Nursing Services.
The overarching aim was the production and development of a Quality Improvement Strategy in pursuit of identifying and sharing good practice in CCN teams. The strategy illustrates how children's community nurses are a major component of out of hospital services.
There are 23 recommendations in the Quality Improvement Strategy all of which will greatly enhance existing CCN services and reduce the unwarranted variation in service standard across the SCN. A copy of the full report can be viewed via the link below:
CYP A&E and Short Stay Paediatric Assessment Units (SSPA) department peer review
What was the issue
Our first priority must be the delivery of value-based care that puts young people and the family at the heart of what we are doing. We are there to offer patient-centered care and to offer young people the best integrated care pathway whatever the nature and degree of their difficulties are at any one point in time. Pathways for urgent and unscheduled care are often complex. During 2013/2014 there were a total of 309,582 CYP attendees at emergency departments in the GMLSC SCN footprint which equates around 30% of CYP population.
What we did
The Greater Manchester, Lancashire and South Cumbria SCN (GMLSC SCN) completed a peer review of service provision in emergency care settings across the footprint throughout the summer of 2014. A total of 16 emergency care service team visits took place for the review.
The purpose of the peer review was to benchmark each of the emergency care services against the Royal College of Paediatrics and Child Health Standards for Children and Young people in emergency care setting developed by the Intercollegiate Committee for Standards for Children, Young People in Emergency Care settings 2012. There are 9 key standard topics with a subset of standards for each topic.
How we made a difference
The report demonstrated that there are many organisations that show excellent examples of good practice along with innovative ideas of managing and delivering services. The review does not examine patient outcomes, nor does it measure standards against perceived outcomes for children and their families using the services.
Ready, Steady, Go
What was the issue?
Young people (YP) face plenty of challenges when preparing for adult life. For the 40,000 children and young people with complex physical health needs, there are many additional hurdles. In many cases, the health needs of these young people will have been met by the same people who have looked after them for as long as they can remember. However, one of the changes as they reach adulthood is the transfer to an adult environment where they may need to consult several different health teams, therapy teams, and adult social care services.
Care Quality Commission (2014)
In April 2015 a key enabler highlighted by a SCN Transition consultation event was the need to provide clinicians with training in the use of tools that could be used to support young people and their families through the transition process.
What we did?
On the 22nd October 2015 we held the 'Time to Act – Ready, Steady Go Workshop' under the direction of Dr Christian DeGoede, SCN Transition Project Clinical Lead.
Ready Steady Go is a structured, but where necessary adaptable, transition programme for YP with a long-term condition aged 11+ years. A key principle throughout Ready Steady Go is 'empowering' the YP to take control of their lives, equipping them with the necessary skills and knowledge to manage their own healthcare confidently and successfully in both paediatric and adult services.
How we made a difference?
The event successfully achieved the following objectives:
• To train clinicians in the use of the Ready Steady Go Tool
• To provide an opportunity for clinicians to develop an action plan that supports the implementation of Ready Steady Go in their organisation or clinical area
• To provide an opportunity for networking and sharing of good practice around transition services
Please see the full evaluation report and Ready Steady Go resources on our events page.