Manchester Children’s Community Nursing Team – Who are we? and what do we do?

1. Manchester Children’s Community Nursing Team – Who are we? and what do we do?

2. When did it all start? First UK children’s community team formed in 1949. Manchester team formed in 1984 by Peggy Keating. Manchester’s was one of the first children’s community nursing teams. Initially based in north Manchester, later became citywide.

3. CCN Teams in the Local Area Stockport Bury Oldham Rochdale Tameside Bolton Trafford Wigan Salford Manchester

4. Manchester Children’s Community Nursing Team ‘Working together to provide a holistic family centred service to children, young people and families living in Manchester’ .

5. AREAS WE COVER

6. Who Are We? • General Nursing Team • Palliative Care team • Complex Care Team • Epilepsy specialist nurses • Special needs specialist nurse • Advanced Nurse Practitioner • Children’s Asthma team • Children’s Continence service • Children’s Phlebotomy Service

7. General Nursing Team • Very wide range of services • Chronic Condition Support • Acute Condition Support • Minimise Hospital Admissions • Support for Specialist Services • Home IV provision • Home Visits and Nurse led clinic appointments • Working hours 8am – 10pm, 365 days a year

8. Staff on General Team 1 x band 7 4 x band 6 8 x band 5 1 x band 4 4 x band 2

9. Examples of Referrals to General Team Fractured Femur Gastroenteritis HSP IV antibiotics Juvenile Arthritis Post op surgery Rashes Renal Conditions Tonsillitis Viral illness Wound Care Bronchiolitis Acute Asthma Burns and scalds Cancer Cardiac conditions Chronic lung disease Cystic Fibrosis Constipation Eczema Enteral Feeding Fever

10. Who Refers to the Team?

11. Child is a Manchester resident Under 16 years old (19yrs with Special Needs) Referral by phone: NURSING TEAM & SPECIALIST SERVICES 0161 248 8501 (24 hr answer phone) Referral by post: Children's Community Nursing Team Longsight Health Centre 526-528 Stockport Rd Manchester M13 0RR Referral by FAX NURSING TEAM & SPECIALIST SERVICES 0161 248 6267 Referral by email ccnt@cmft.nhs.uk We endeavour to respond to any referral within 2 hours (within operational hours) ALL URGENT REFERRALS SHOULD BE MADE BY PHONE

12. Referral Pathway to CCN team • Referral checked by co-ordinator. • Child lives in Manchester Area. • Child is aged 0-16 years. • Child has a medical need. • Child’s condition is most appropriately managed by CCN team, not another agency. • All relevant info is on referral. • Co-ordinator then determines care needed by team and when this should be provided. • Contact is made with family to arrange either a home visit or clinic appointment.

13. Children’s Community Nursing Clinics Offer: • Clinical assessment of acute and chronic diagnosed conditions • Administration of medication in line with CMFT & NMC guidelines, via prescribed route this may be inhaled, oral, gastrostomy, subcutaneous or intravenous. • Advice and education in the management of the child’s condition • Wound Care & Dressings • Flushing of central lines and devices • Monitoring of oxygen saturations, • Injections Subcutaneous and intra muscular

14. Where are clinics are situated: Charlestown Health Centre Blackley Monday and Friday 9am until 12.30pm Ancoats Primary Care Centre Ancoats Monday to Friday 9am until 7pm Longsight Health Centre Longsight Monday to Friday 9am until 7pm Wythenshawe Monday to Friday 9am until 7pm Forum Health Centre

15. Who do we liaise with? Other members of the team Hospices Nursery staff Charities Physio OT Moving and Handling dept Speech and Language Midwives Family/extended family University School nurse Health Visitor GP Teachers A & E/ward staff Social workers Safeguarding staff Other community teams Specialist nurses Consultants

16. Children’s Asthma Service "Delivery of a high quality of care, management, educational and support package in line with best practice to children and their families with asthma" .

17. Service Provided by Asthma Team • Home Visits • Appointment Clinics Longsight, Charlestown, Northenden, Wythenshawe • Drop-in Clinic Each Thursday 2-4pm at Longsight Health Centre .

18. Reason For Referrals To Asthma Service • Repeated oral steroids • Repeated attendances/admissions to hospital. • Repeated GP/PN visits • Uncontrolled symptoms • Concerns Referrals should be made to the service from the health professional/GP surgery .

19. Children’s Phlebotomy Service • City wide clinics • Run by band 3’s and band 4’s • Overseen by band 6 sister • Referrals from GP/Consultant • Very popular service! Professionals will signpost to this service once it is indicated that a blood test is needed. A blood form must be given to the family as well as Ametop prescribed if needed. Appointments are made by phone, usually by the child’s parent/carer. Tel: 0161 248 1229 .