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Current Service Provision

Appendix 8 ‘CHANGING FOR CHILDREN’ The Southern Trust’s Strategic Plan for Children's Services Providing the Right Care in t he Right Place at t he Right Time. Current Service Provision. 2 Acute inpatient wards 52 beds (0-14yrs) Peak activity ED & ward 6pm-10pm

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Current Service Provision

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  1. Appendix 8‘CHANGING FOR CHILDREN’The Southern Trust’s Strategic Plan for Children's ServicesProviding the Right Care in the Right Place at the Right Time

  2. Current Service Provision • 2 Acute inpatient wards 52 beds (0-14yrs) • Peak activity ED & ward 6pm-10pm • High rates of admission with short LOS • Low occupancy • Elective surgery provided on 3 sites • No facilities for adolescents • 1 PAW DHH - 2 beds open 9am-5pm Mon-Fri • 3 locality based CCN teams 9am-5pm Mon-Fri

  3. Future Service Provision • Enhanced triage & treatment in ED by Emergency Paediatric Nurse Practitioners • Ambulatory services in CAH 9am-10pm Mon-Fri & extension of DHH opening hours • PALs for advice on appropriate admission routes • Reduce medical inpatient bed numbers • Move all paediatric elective surgery to DHH • Adolescent beds on each site (16 yrs) • Specialist nursing role development (diabetes/epilepsy/resp/palliative) • Extend working hours of CCN service 8am-10pm + weekend • Rapid Response teams linked to 2 ambulatory units • Step down from regional unit to acute HD bed • Support discharge of complex/palliative care • Follow up of ambulatory patients

  4. Educational Requirements ACUTE COMMUNITY Paediatric assessment PEWS Rehydration therapy Palliative care Low dose chemotherapy at home Paediatric pain management Enteral feeding for paediatric patients • Emergency Paediatric Nurse Practitioner • Advanced Paediatric Nurse Practitioner • APLS • Paediatric respiratory/allergy, diabetes, epilepsy, palliative care, enuresis/encopresis • Infant feeding management • Adolescent issues • Child and adolescent mental health • High dependency care • Extension of the role of the HCW within paediatric services

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