Report into Paediatrics at UHMBT
|
|
- Lester Scott Haynes
- 5 years ago
- Views:
Transcription
1 Report into Paediatrics at UHMBT Introduction Professor Sir Alan Craft and Dr Alastair Campbell were commissioned by NHS Cumbria to undertake a review of the current and future safety and stability of paediatric services in the University Hospitals of Morecambe Bay NHS Trust, with particular reference to Furness General Hospital. This process was initiated by NHS Cumbria as part of its supportive measures to assist the University Hospitals of Morecambe Bay NHS Trust in making sustainable quality improvements. There have been a series of widely reported incidents, largely surrounding maternity and newborn services at Furness General Hospital. In addition there have been historic difficulties in staffing the paediatric department at the Furness General Hospital over the past few years. In 2009 the University Hospitals of Morecambe Bay NHS Trust commissioned Dr Andy Mitchell, Medical Director of the London Strategic Health Authority, to review children s services. His report included a review of the current pressures facing paediatrics nationally and these are not reiterated in detail in this report. Dr Mitchell was subsequently asked to provide a second report on paediatric services for the whole of Cumbria. His report contains an excellent review of the background and of the external pressures leading to increasing challenges for Furness General paediatric services. There have been several recent work streams initiated which have led to developments in paediatric services. In addition, there have been a number of incidents, largely in the maternity/newborn arena which have led to regulatory action by the Care Quality Commission, Nursing & Midwifery Council and by and Monitor The difficulties of staffing the paediatric department have been evident for several years and this is due to a variety of external factors which are common to many small and/or isolated units across the UK. Those that impact directly on Furness General Hospital are the shortage of sub-consultant grade staff to fill rotas and a withdrawal of most trainees from the hospital, largely because of lack of training opportunities. 1
2 Both of these factors need to be explored in more detail as part of the improvement programme initiated by the new, senior leadership the University Hospitals of Morecambe Bay NHS Trust. In the absence of an alternative, sustainable solution to these historic issues, a paediatric services at the Furness General Hospital may be required to move to a consultant-delivered service. This has been recognised and a plan devised to move to a consultant deliveredservice which does not rely upon sub-consultant grade staff. Initially the review team were asked by the University Hospitals of Morecambe Bay NHS Trust to provide support to the Paediatric Clinical Director, Dr Owen Galt, in implementing the plan which had been devised. A preliminary visit by the review team suggested concerns with the proposals and that a comprehensive review of paediatric services across the Trust should be undertaken, including community services and the established need to develop a greater role for primary care in the integrated delivery of paediatric care in the Furness area. Subsequent to a two day visit on January 9/ , NHS Cumbria have requested that the review be extended to all paediatric services in Cumbria. Terms of reference will be developed to incorporate this expansion. The review team will undertake further visits if required but believe that there is a need to report on their preliminary findings and to suggest a plan for hospital care of children for Furness General Hospital. This, therefore, is the purpose of this report. Current Position The Furness General Hospital is a small unit serving a limited population largely in the town of Barrow in Furness with a satellite population of around 10,000 further north on the Cumbria coast at Millom. Barrow is located on a peninsula with a single road in and out. At times, traffic can be very busy and this can impact on journey times. The next hospital with a full paediatric unit is at Lancaster (Royal Lancaster Infirmary) which is a journey time of approximately 60 minutes depending on the time of day and traffic. Helicopters are occasionally used but these only operate in daylight hours. There are around 1,300 deliveries each year in an obstetric led unit and there are 2,300 ward admissions and 700 day cases. Present staffing; There are currently six consultants, one associate specialist and two FY2 doctors. Two of the consultants are currently not working or are on restricted duties. 2
3 The present pattern of work sees current staff working on a rota which provides a consultant delivered service with consultants sleeping in at the hospital at night. One of the consultants only does occasional nights. When the associate specialist is on duty they are covered by a consultant living at home. The FY2 doctors are sometimes on the night duty rota and there are plans to combine them with the GP trainees in obstetrics to provide cross cover. In view of the fact that a doctor on call could have simultaneous emergencies in A&E, the ward and the maternity unit, a back up rota of a consultant at home is in place but not remunerated. There is good quality and appropriately trained nurse staffing in the children s ward and in out-patients. In the maternity unit there are trained midwives and neonatal nurses. The A&E department is staffed by two to three consultants, six associate specialists, two staff grades, three GPVTs and two FY2s. Most staff in A&E, including nurses, are APLS trained and there is a plan to have all trained within the next 6 months. Within the hospital there are 14 anaesthetists many of whom have regular experience of anaesthetising children down to the age of three-years. They are currently led by a doctor who has considerable experience of children. The plan is to increase the paediatric consultant numbers to eight and the extra posts were shortly to be advertised at the time of this review. Maternity and newborn Much of the recent regulatory action focussed on Furness General Hospital has been around maternity and newborn services. These have resulted in several major external reviews and an action plan to address the issues identified. External support is being provided also from Liverpool. The paediatric review team were impressed with the strengthening of maternity services which is currently underway and the new cross-bay director of maternity services was reassuring in describing the action taken. Newborn care is undertaken by SCBU nurses with medical input from the consultant paediatricians. Until very recently all babies under 32 weeks gestation were transferred o but raising this to 34 weeks was being considered at the time of this review. We heard some 3
4 concern from the consultant obstetricians that this may lead to a withdrawal of their training recognition. We did not undertake a major review of newborn care as part of this review. Concerns identified at visit In effect there are three doctors on the consultant-delivered rota at nights. Some consultants are doing much more than others with one supplying 40 per cent of night-time cover. Consultants have no compensatory rest and, on the rota that we saw during our review, there were occasions when one doctor was on call for four days and four nights. The consultants on this rota have not formally opted out of EWTD nor has it been suggested that they do so. There is now a formal back-up rota for multiple emergencies but the robustness of this arrangement needs to be considered. There seemed to be a much larger number than expected of children admitted to the paediatric ward and the Director of Public Health s report for Cumbria compared asthma admissions across Cumbria and Furness General Hospital stood out as having an unusually high number. The long-established need for a greater primary care role in delivering integrated paediatric services in Furness is a key component in addressing this and other care anomalies. Safeguarding is a high profile issue and one which crosses hospital and community boundaries. We met with the named nurse for safeguarding. She also has responsibility as a practice educator and her duties for both extend across the whole Trust. This is an important post which needs to be strengthened. There appears to be poor provision of CAMHS services. The community services appear poor and fragmented with a single acute Trust having to relate to community paediatricians in two separate provider Trusts i.e. South Cumbria and North Lancashire What was good? Excellent general paediatric facilities. 4
5 A plan to reorganise neonatal/maternity facilities. A strongly committed nursing workforce. A major improvement in midwife provision. Strong commitment across the hospital to the special needs of children and to do their best for them. We met with two local GPs who are also part of the new Clinical Commissioning Group. We were impressed with their knowledge of the paediatric issues and their commitment to ensure a safe and sustainable service. Possible solutions The agreed plan of the Trust is to run paediatrics as a consultant delivered service. This is based upon on other similar models elsewhere in the country. Some of these have been successful and are providing a safe and effective service. The University Hospitals of Morecambe Bay NHS Trust has cited Salisbury as the main model that they are trying to emulate. This review does not believe this will provide an appropriate long-term solution. Salisbury is a larger unit, about twice the size, and not as isolated as the Furness General Hospital. It still runs a three tier service with a full rota of FY/SpR1-2 doctors and five SpRs. There are eight consultants and they work no more than 12.5 hour shifts with a day off after a night on call. Their commitment is in line with EWTD and they do not exceed the maximum number of annualised hours.they believe that if they did not have the other two tiers that they would need at least 11 consultants. Most of the other units with new ways of working are also not comparable. We therefore think that even if the University Hospitals of Morecambe Bay NHS Trust is able to recruit good doctors to the advertised posts there will not be sufficient to properly support a sustainable consultant delivered service according to EWTD. A preferred solution NHS Cumbria has demonstrated its commitment to making sure doctors and nurses in the University Hospitals of Morecambe Bay NHS Trust have the right tools to deliver modern, safe and sustainable care. 5
6 The review understands that, through the new leadership regime in place at the Trust, a two-tier approach is being taken to service improvements which can be characterised as: - Doing the basics better. The hospitals trust has created a programme office to implement improvements identified by regulators. - Planning future services. The hospitals trust has identified the need for radical change to deliver sustainable, safe and effective services into the future, As a contribution to future services planning, this review submits the following for consideration as part of that process with respect to paediatric services at the Furness General Hospital: 1. That there should be a move towards a consultant delivered service. 2. That thought should be given to an be 8 till late (or similar) service with a consultant staffed ambulatory/observation unit during the day. 3. During out of hours it could be considered to have nurse led overnight care. Any child requiring more than nurse care should be transferred to Lancaster. 4. Emergencies out of hours could be dealt with by a combination of advanced nurse practitioners with consultant back up from home. 5. Acute emergencies could be dealt with by APLS trained A&E staff and anaesthetists who would be able to resuscitate and stabilise whilst a paediatrician was called from home. 6. There is good experience from others who have tried such a model that much emergency activity can be brought within hours if the public and primary care are fully informed of what is available and when. 7. There would need to be significant buy-in and training for A&E and anaesthetic staff. 8. With regard to maternity and newborn care we recognise that a separate review of maternity services is being undertaken. 9. We welcome the move to increase the cut-off gestational age to 34 weeks and this should limit the need for paediatric involvement. 10. Further selection of pregnant mothers to ensure that only low risk deliveries occur in the Furness General Hospital would further diminish the need for consultant paediatric input. 11. A significant re-design and investment in primary care services in Barrow should be taken forward in order to achieve a sustainable, integrated service for children. 6
7 Conclusion We consider that the present paediatric service at Furness General Hospital requires reform to make sure it remains safe and sustainable for the future. The proposed solution of providing a 24-hour consultant delivered service with eight consultants may be impractical due to the lack of junior staff. A 24 hour consultant only delivered service would require at least 10 or 11 posts. However, there would be insufficient work to occupy such doctors when they are not on call. We recommend that consideration be given as part of future service planning to changing Furness General Hospital paediatrics into an 8 till late (or similar). We recommend that thought and debate should continue to be given to the type of maternity service which would best suit the population of Barrow and district. We also strongly support a significant re-design and investment in primary care services as a critical component to a sustainable long-term solution for children s services in Barrow. We believe that the only way to provide a safe and sustainable service for the future is to agree a realistic plan and work towards its implementation. Alan Craft Newcastle Retired paediatrician Emeritus Professor of Paediatrics Former President Alastair Campbell Preston Retired paediatrician Former Medical Director RCPCH April
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST TRUST BOARD
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST TRUST BOARD Date of meeting: 25 July 2012 Title / Subject: Status Internal Purpose: The attached paper provides an update of progess made in UHMB
More informationAccess to Public Information Response
Access to Public Information Response December 24 th 2016 REQUEST UNDER THE CODE OF PRACTICE FOR ACCESS TO PUBLIC INFORMATION Request sent on December 24 th 2016: I am making a request under the Code of
More informationSBAR Report phase 1 Maternity, Gynaecology & Neonatal services
North Wales Maternity, Gynaecology, Neonatal and Paediatric service review SBAR Report phase 1 Maternity, Gynaecology & Neonatal services Situation The Minister for Health and Social Services has established
More informationStakeholder engagement meetings
Stakeholder engagement meetings September 2016 1 Contents Executive Summary 3 Introduction 4 Engagement Methodology 5 Analysis of findings 6 Conclusion 13 Acknowledgements 13 References 13 2 Executive
More informationInformation for Midwives in relation to the Midwifery Scope of Practice Further interpretation, March 2005
Information for Midwives in relation to the Midwifery Scope of Practice Further interpretation, March 2005 March 2005 Although the Midwifery Council provided information in October 2004 about midwives
More informationFacing the Future: Standards for Paediatric Services. April 2011
Facing the Future: Standards for Paediatric Services April 2011 Facing the Future: Standards for Paediatric Services April 2011 (First Published December 2010 and amended by RCPCH Council March 2011) 2011
More informationThe West Sussex Safeguarding Children Board s Response to SCR O Serious Case Review
The West Sussex Safeguarding Children Board s Response to SCR O Serious Case Review Introduction by independent Chair This tragic case centred on a concealed pregnancy and the subsequent death of a new
More informationMEET THE ACADEMIC TEAM
MEET THE ACADEMIC TEAM Lancashire Teaching Hospitals Royal Preston Hospital and Chorley District Hospital 2016-17 Dr Paul Marsden Consultant Physician in Respiratory Medicine & Honorary Lecturer Respiratory
More informationCare of the critically ill child in Irish Hospitals
Care of the critically ill child in Irish Hospitals Recommendations of the Faculty of Paediatrics, RCPI and the Irish Standing Committee, Association of Anaesthetists of Great Britain and Ireland MEMBERSHIP
More informationStaffing of Obstetric Theatres
Staffing of Obstetric Theatres A Consensus Statement May 2009 Staffing of Obstetric Theatres A Consensus Statement In recent years, there has been an increase in the proportion of births by caesarean section
More informationAppendix 2 Safeguarding Children & Young People Level 3 training compliance
WCH Appendix 2 Safeguarding Children & Young People Level 3 training compliance LEVEL 3 CHILD PROTECTION TRAINING (in-house single agency training) AS AT 03/03/2014 EMERGENCY SURGICAL & ELECTIVE CARE BUSINESS
More informationSaving Babies Lives in Rural Cambodia Engaging, Educating and Equipping
Saving Babies Lives in Rural Cambodia Engaging, Educating and Equipping Aim: To develop a comprehensive community heath package utilising medical and social interventions that will decrease neonatal mortality
More informationMapping maternity services in Australia: location, classification and services
Accessory publication Mapping maternity services in Australia: location, classification and services Caroline S. E. Homer 1,4 RM, MMedSci(ClinEpi), PhD, Professor of Midwifery Janice Biggs 2 BA(Hons),
More informationEuropean Working Time Directive
European Working Time Directive Summary of positions of other postgrad training bodies, and issues specific to Faculty of Radiologists, RCSI Introduction: Efforts are being made to implement The European
More informationYour local NHS and you
South Wales Programme Local Engagement Document Your local NHS and you Local NHS services in Cardiff and the Vale of Glamorgan are run by Cardiff and Vale University Health Board (UHB). The UHB is one
More informationEnter and View Report FINAL
Enter and View Report FINAL Name of Establishment: Birmingham Heartlands Hospital Maternity Services Postnatal Services Bordesley Green East Birmingham B9 5SS Date of Visit: Friday 27 th February 2015
More informationMATERNITY SERVICES RISK MANAGEMENT STRATEGY
Trust Board Agenda Item 8.3 Enc 10 Appendix 1 January 2012 MATERNITY SERVICES NORTH CUMBRIA MATERNITY SERVICES RISK MANAGEMENT STRATEGY 2011-13 DOCUMENT CONTROL Author/Contact Head Of Midwifery / Clinical
More informationAnnie Hunter Head of Midwifery Isle of Wight NHS
Annie Hunter Head of Midwifery Isle of Wight NHS The Isle of Wight has a population of 140,500, this doubles in the holiday season with the Island receiving approximately 2.8 million visitors each year.
More informationResuscitation Training For New Staff To The Trust
Appendix 1- Training Requirements The Resuscitation Department provides a comprehensive resuscitation training programme for all Trust staff. The main topics covered in adult and paediatric resuscitation
More informationVisit to Hull & East Yorkshire Hospitals NHS Trust
Yorkshire and the Humber regional review 2014 15 Visit to Hull & East Yorkshire Hospitals NHS Trust This visit is part of a regional review and uses a risk-based approach. For more information on this
More informationCommunity, Health and Social Care. Placement Handbook. Leading to BSc (Hons) Midwifery/Registered Midwife. Year One
Community, Health and Social Care Placement Handbook Leading to BSc (Hons) Midwifery/Registered Midwife Year One with exit awards in Cert.H.E. Professional studies maternity care and Dip.H.E. Professional
More informationCare of Critically Ill & Critically Injured Children in the West Midlands
Care of Critically Ill & Critically Injured Children in the West Midlands University Hospitals Coventry & Warwickshire NHS Trust Visit Date: 4 th December 2013 Report Date: April 2014 Images courtesy of
More informationSCBU Escalation Policy & Procedure
Page 1 of 6 AGENDA ITEM: 5(d) SCBU Escalation Policy & Procedure Page 2 of 6 The Special Care Baby Unit at Colchester General Hospital admits over 500 babies each year and has a capacity of 18 cots within
More informationSafe shift working for surgeons in training: Revised policy statement from the Working Time Directive working party
Safe shift working for surgeons in training: Revised policy statement from the Working Time Directive working party THE ROYAL COLLEGE OF SURGEONS OF ENGLAND August 2007 2 SAFE SHIFT WORKING FOR SURGEONS
More informationRoyal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May 2016
Royal College of Paediatrics and Child Health Service Review Action Plan and Progress Report 26 th May RAG Dark green Light green Amber Red White Definition Action complete and assurance gained Action
More informationMaternity & Child Health Review
Maternity & Child Health Review PAEDIATRIC AND CHILD HEALTH WORKSTREAM NB This is a draft document for discussion and still very much in development. Any detail should not be considered a final proposal.
More informationCatherine Hughson Kathryn Kearney Number of supervisors relinquishing role since last report:
Name of Local Supervising Authority: Western Isles Health Board Period of report: 2005/2006 Date: September 2006 1. Supervision of Midwives and Midwifery Practice 1.1 Designated Local Supervising Authority
More informationSHREWSBURY AND TELFORD HOSPITAL NHS TRUST Training guideline (Includes the Training Needs Analysis as an Appendix)
SHREWSBURY AND TELFORD HOSPITAL NHS TRUST Training guideline (Includes the Training Needs Analysis as an Appendix) Lead Person : Angela Hughes Lead Midwife for Clinical Education Division : 2 Implemented
More informationJOB DESCRIPTION PAEDIATRIC SENIOR CLINICAL FELLOW (ST3+) PAEDIATRIC DEPARTMENT MEDICAL CARE GROUP JOB DESCRIPTION
INTRODUCTION JOB DESCRIPTION PAEDIATRIC SENIOR CLINICAL FELLOW (ST3+) PAEDIATRIC DEPARTMENT MEDICAL CARE GROUP JOB DESCRIPTION We are seeking to employ one whole time post on a fixed term contract for
More informationThe Future of Healthcare in West, North & East Cumbria. Public Consultation Document
The Future of Healthcare in West, North & East Cumbria Public Consultation Document Response from Copeland Borough Council 14 December 2016 PART ONE The Borough of Copeland includes the following postcode
More informationAcute care in remote settings: challenges and potential solutions
Report of a workshop involving the Academy of Medical Royal Colleges and the Nuffield Trust Acute care in remote settings: challenges and potential solutions Working paper July 2016 The Nuffield Trust
More informationUNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST TRUST BOARD
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST TRUST BOARD Date of meeting: 25 July 2012 Title / Subject: Vascular Services at UHMBFT; the Impact of Centralising Inpatient and Emergency Vascular
More informationObstetric, Maternity & Gynaecology Services
Action Plan Arising from Royal College of Paediatrics and Child Health (RCPCH) Evaluation Progress Update as at 30 th September 2016 Obstetric, Maternity & Gynaecology Services Strategy & Patient Safety
More informationObstetric, Maternity and Gynaecology Services
Action Plan Arising from RCPCH Evaluation Recommendation Obstetric, Maternity and Gynaecology Services Strategy and Patient safety 1 Expedite the Phase Two business case and commence development to provide
More informationUNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST BOARD OF DIRECTORS. Emergency Department Progress Report
UNIVERSITY HOSPITALS OF MORECAMBE BAY NHS FOUNDATION TRUST Date of meeting: 27 June Title / Subject: Status Purpose: Report of: Prepared by: BOARD OF DIRECTORS Public To update the Board of actions being
More informationBriefing on the first stage of the Acute Services Review the clinical recommendations
Briefing on the first stage of the Acute Services Review the clinical recommendations Introduction Over 100 clinicians from our four main hospitals, GPs, NHS managers and patient representatives have been
More informationCongenital Heart Disease Services
Congenital Heart Disease Services We are changing the way care is delivered across the North West of England, North Wales and Isle of Man for people living with congenital heart disease. Please read below
More informationCare of Critically Ill & Critically Injured Children in the West Midlands
Care of Critically Ill & Critically Injured Children in the West Midlands Heart of England NHS Foundation Trust Visit Date: 3 rd and 4 th October 2013 Report Date: December 2013 Images courtesy of NHS
More informationVisiting Professional Programme: Obstetric Medicine
Visiting Professional Programme: Obstetric Medicine Visiting Professional Programme Obstetric Medicine 1 Introduction The Guy s and St Thomas NHS Foundation Trust Obstetric Medicine Visiting Professional
More informationSupporting the acute medical take: advice for NHS trusts and local health boards
Supporting the acute medical take: advice for NHS trusts and local health boards Purpose of the statement The acute medical take has proven to be a challenge across acute hospital trusts and health boards
More informationResuscitation Training Policy
Resuscitation Training Policy Approved by & date HMB 12 November 2003 Date of Publication February 2003 Review date February 2005 Creator & telephone details Christopher Gabel, Senior Resuscitation Officer
More informationPaper 5.0 SHAPING A HEALTHIER FUTURE PAEDIATRIC TRANSITION: ANTICIPATED BENEFITS OF THE TRANSITION AND PROPOSED MODEL OF CARE.
SHAPING A HEALTHIER FUTURE PAEDIATRIC TRANSITION: ANTICIPATED BENEFITS OF THE TRANSITION AND PROPOSED MODEL OF CARE December 2015 Version 2.2 Paper 5.0 1 Purpose This document sets out the proposed new
More informationA National Model of Care for Paediatric Healthcare Services in Ireland Chapter 27: General Paediatrics
A National Model of Care for Paediatric Healthcare Services in Ireland Chapter 27: General Paediatrics Clinical Strategy and Programmes Division Table of Contents 27.0 Introduction 2 27.1 Current Service
More information7 NON-ELECTIVE SURGERY IN THE NHS
Recommendations Debate whether, in the light of changes to the pattern of junior doctors working, non-essential surgery can take place during extended hours. 7 NON-ELECTIVE SURGERY IN THE NHS Ensure that
More informationFacing the Future Audit 2017: Facing the Future: Standards for acute general paediatric services Facing the Future: Together for child health
: Facing the Future: Standards for acute general paediatric services Facing the Future: Together for child health April 28 These Standards were audited with involvement from &US Young Inspectors For more
More informationNHS England (London) Assurance of the BEH Clinical Strategy
NHS England (London) Assurance of the BEH Clinical Strategy NHS England (London) Assurance of the BEH Clinical Strategy Status Report 8 th September 203 - Version.0 2 Contents. Overview & Executive Summary
More informationOur Vision for Local Paediatric Services
Our Vision for Local Paediatric Services Paediatric care is changing. As time progresses, the problems children and young people face both acutely and with long term health are changing. Public health
More informationabcdefghijklmnopqrstu
Health Workforce Directorate Health Workforce Planning and Development abcdefghijklmnopqrstu T: 0131-244 5069 F: 0131-244 42837 E: Alastair.Cook@scotland.gsi.gov.uk To: Medical Directors Regional Workforce
More informationNETFS - Foundation School Individual Placement Description Newham University Hospital, Barts Health NHS Trust
NETFS - Foundation School Individual Placement Description Newham University Hospital, Barts Health NHS Trust Placement The department Duration The type of work to expect and learning opportunities MAU
More informationSpecialised Services Service Specification. Adult Congenital Heart Disease
Specialised Services Service Specification Adult Congenital Heart Disease Document Author: Executive Lead: Approved by: Issue Date: Review Date: Document No: Specialised Planner Director of Planning Insert
More informationDr Jennie Lambert. Ms Jill Crawford. Jennifer Barron, Quality Assurance Programme Manager. Simon Mallinson, East Midlands Workforce Deanery*
Check Targeted check Date 11 January 2013 Location Visited Team Leader Visitors Queens Medical Centre Professor Jacky Hayden Professor Simon Carley Dr Jennie Lambert Ms Jill Crawford GMC staff Jennifer
More informationLIBERATING THE NHS: COMMISSIONING FOR PATIENTS. The Royal College of Obstetricians and Gynaecologists:
Direct telephone: +44 (0) 20 7772 6369 Direct facsimile: +44 (0) 20 7772 6232 Email: cdhillon@rcog.org.uk 8 October 2010 LIBERATING THE NHS: COMMISSIONING FOR PATIENTS Key Points The Royal College of Obstetricians
More informationHealth Heroes 2017/ 18. Nomination Pack
Health Heroes 2017/ 18 Nomination Pack Welcome Categories I am delighted that we are now looking for nominations for our sixth annual Health Heroes awards. The awards celebrate the extraordinary work carried
More informationBOLTON NHS FOUNDATION TRUST. expansion and upgrade of women s and children s units was completed in 2011.
September 2013 BOLTON NHS FOUNDATION TRUST Strategic Direction 2013/14 2018/19 A SUMMARY Introduction Bolton NHS Foundation Trust was formed in 2011 when hospital services merged with the community services
More informationSupport for parents. Nursing & Midwifery. Council. How supervision and supervisors of midwives can help you
Nursing & Midwifery Council Support for parents How supervision and supervisors of midwives can help you This leaflet informs you how the supervision of midwives and a supervisor of midwives can directly
More informationDelivering surgical services: options for maximising resources
Delivering surgical services: options for maximising resources THE ROYAL COLLEGE OF SURGEONS OF ENGLAND March 2007 2 OPTIONS FOR MAXIMISING RESOURCES The Royal College of Surgeons of England Introduction
More informationLOCAL SUPERVISING AUTHORITY ANNUAL REPORT
LOCAL SUPERVISING AUTHORITY ANNUAL REPORT 2006 Table of Contents 1.0 PURPOSE OF REPORT...1 2.0 ORGANISATION OF SUPERVISION OF MIDWIVES...1 2.1 Appointment of Supervisor of Midwives...1 2.2 Resignation/De-Selection
More informationSt Mary s Birth Centre
University Hospitals of Leicester NHS Trust St Mary s Birth Centre Quality report Thorpe Road Melton Mowbray Leicestershire LE13 1SJ Tel: 0300 303 1573 www.uhl-tr.nhs.uk Date of inspection visit: 13-16
More informationSuRNICC Full Business Case. Benefits Realisation Strategy and Framework
SuRNICC Full Business Case Benefits Realisation Strategy and Framework Purpose The purpose of this document is to set out the arrangements for the identification of potential benefits, their planning,
More informationNURSING WORKLOAD AND WORKFORCE PLANNING PAEDIATRIC QUESTIONNAIRE
NURSING WORKLOAD AND WORKFORCE PLANNING PAEDIATRIC QUESTIONNAIRE INSTRUCTIONS FOR COMPLETION IN EXCEL Please complete this questionnaire electronically. Questions should be answered by either entering
More informationNHS GREATER GLASGOW AND CLYDE Vale of Leven Hospital REVIEW OF ANAESTHETIC SERVICES
NHS GREATER GLASGOW AND CLYDE Vale of Leven Hospital REVIEW OF ANAESTHETIC SERVICES 1. Purpose of Paper 1.1 In September 2006 at the time of considering services within Clyde by the Greater Glasgow and
More informationTrust Policy Maternity Operational Staffing and Escalation Policy
Trust Policy Maternity Operational Staffing and Escalation Policy Purpose Date Version October 2014 3 Maternity Operational Staffing and Escalation policy to ensure safer Midwifery Staffing Levels at times
More informationJersey General Hospital, States of Jersey Individual Placement (Job) Descriptions for Foundation Year 2
Jersey General Hospital, States of Jersey Individual Placement (Job) Descriptions for Foundation Year 2 Placement The type of work to expect and learning opportunities Where the is based Clinical Supervisor(s)
More informationSUBJECT: Medical Staffing Update Report 1. PURPOSE
Meeting of Lanarkshire NHS Board: Wednesday 25 March 2015 Lanarkshire NHS Board Kirklands Fallside Road Bothwell G71 8BB Telephone: 01698 855500 www.nhslanarkshire.org.uk SUBJECT: Medical Staffing Update
More informationNorth Cumbria Clinical Strategy NHS Cumbria & North Cumbria University Hospitals NHS Trust
North Cumbria Clinical Strategy NHS Cumbria & North Cumbria University Hospitals NHS Trust March 2011 North Cumbria Reconfiguration Plan: Clinical Strategy 1 Foreword This document describes a clinical
More informationExamination of the Newborn by Registered Midwives Protocol (CG484)
Examination of the Newborn by Registered Midwives Protocol (CG484) Approval and Authorisation Approved by Maternity Clinical Governance Committee Job Title or Chair of Committee Chair, Maternity Clinical
More informationThe Care Values Framework
The Care Values Framework 2017-2020 1 States of Guernsey An electronic version of the framework can be found at gov.gg/carevaluesframework Contents Foreword from the Chief Secretary Page 05 Chief Nurse
More informationAnnual monitoring report of performance in mitigating key risks identified in the NMC Quality Assurance
2013-14 Annual monitoring report of performance in mitigating key risks identified in the NMC Quality Assurance framework for nursing and midwifery education Programme provider Programmes monitored University
More information8.1 NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CLINICAL SERVICES REVIEW CONSULTATION OPTIONS. Date of the meeting 18/05/2016
NHS DORSET CLINICAL COMMISSIONING GROUP GOVERNING BODY MEETING CLINICAL SERVICES REVIEW CONSULTATION OPTIONS Date of the meeting 18/05/2016 Author Sponsoring Clinician Purpose of Report Recommendation
More informationDermatology Patient Information Leaflet
The role of the skin cancer nurse specialist and the multi-disciplinary team Dermatology Patient Information Leaflet What is a skin cancer nurse specialist? A skin cancer nurse specialist is an experienced,
More informationQuality Surveillance Team. Neonatal Critical Care (NCC) Quality Indicators
Quality Surveillance Team Neonatal Critical Care (NCC) Quality Indicators Neonatal Critical Care Quality Indicators Introduction These neonatal critical care quality indicators have been developed using
More informationChild Health 2020 A Strategic Framework for Children and Young People s Health
Child Health 2020 A Strategic Framework for Children and Young People s Health Consultation Paper Please Give Us Your Views Consultation: 10 September 2013 21 October 2013 Our Child Health 2020 Vision
More informationAn overview of the planning process, findings and emerging proposals for the future
An overview of the planning process, findings and emerging proposals for the future South Wales Programme objectives Safe and high quality care for patients which matches the best elsewhere Deliverable
More informationConsulted With Post/Committee/Group Date Dr Agrawal
DRUG AND ALCOHOL MISUSE IN PREGNANCY CLINICAL GUIDELINES Register No: 06056 Status: Public Developed in response to: Contributes to CQC Outcome 4 Intrapartum NICE Guidelines RCOG guideline Consulted With
More informationUniversity Hospitals of Morecambe Bay NHS Foundation Trust
University Hospitals of Morecambe Bay NHS Foundation Trust Westmorland General Hospital Quality Report Burton Road Kendal Cumbria LA9 7RG Tel: 01539 732288 Date of publication: 26 June 2014 Website: www.uhmb.nhs.uk
More informationManaging deliberate self-harm in young people
Managing deliberate self-harm in young people Council Report CR64 March 1998 Royal College of Psychiatrists, London Due for review: March 2003 1 2 Contents Background 4 Commissioning services 5 Providing
More information2017/ /19. Summary Operational Plan
2017/18 2018/19 Summary Operational Plan Introduction This is the summary Operational Plan for Central Manchester University Hospitals NHS Foundation Trust (CMFT) for 2017/18 2018/19. It sets out how we
More informationSerious Incident Report Public Board Meeting 28 July 2016
Serious Incident Report Public Board Meeting 28 July 2016 Presented for: Presented by: Author Previous Committees Governance Dr Yvette Oade, Chief Medical Officer Louise Povey, Serious Incidents Investigations
More informationAll areas of Trust Medical and Dental Staff Medical & Dental Staff, General Managers Executive Director of Workforce & Communications Agreed
Trust Policy & Procedure Document Ref No: PP(16)129 ACTING DOWN BY MEDICAL AND DENTAL STAFF For use in: For use by: For use for: Document Owner: Status: All areas of Trust Medical and Dental Staff Medical
More informationBarts Health Whipps Cross Hospital Individual Placement Description
Barts Health Whipps Cross Hospital Individual Placement Description Placement FY2 Paediatrics The department The Dept of Paediatrics comprises 11 Consultant Paediatricians of whom all do acute General
More informationMedia Kit. August 2016
Media Kit August 2016 Please contact External Communications and Media Advisor, Ali Jones on 027 247 3112 / ali@alijonespr.co.nz Or Maria Scott, The College Communications Advisor on 03 372 9744 / 021
More informationServices for Children and Young People with Special Educational Needs and Disabilities. Lancashire s Local Offer. Lancashire s Health Services
Services for Children and Young People with Special Educational Needs and Disabilities Lancashire s Local Offer Lancashire s Health Services University Hospitals of Morecambe Bay - Community Neurodevelopmental
More informationNHS ISLE OF WIGHT CLINICAL COMMISSIONING GROUP COMMISSIONING SAFEGUARDING CHILDREN POLICY
NHS ISLE OF WIGHT CLINICAL COMMISSIONING GROUP COMMISSIONING SAFEGUARDING CHILDREN POLICY AUTHOR/ APPROVAL DETAILS Document Author Written By: Human Resources Authorised Signature Authorised By: Helen
More informationHumber Acute Services Review. Question and Answer sheet February 2018
Humber Acute Services Review Question and Answer sheet February 2018 Across the Humber area, local health and care organisations are working in partnership to improve services for local people. We are
More informationResponse from The Royal College of Radiologists. 1. TRANSPOSITION Comments
Consultation - practical implementation of Directive 2003/88/EC (Working Time Directive) concerning certain aspects of the organisation of working time Response from The Royal College of Radiologists 1.
More informationWorkforce Transformation
1 Workforce Transformation Prof Lis Paice OBE FRCP North West London Whole Systems Integrated Care Julie Screaton, Managing Director, Health Education South London 5 themes from 30 enquiries into major
More informationDebbie Vogler, Director of Business & Enterprise. Kate Shaw, Associate Director of Service Transformation
Reporting to: Trust Board 24 September 2015 Paper 5 Title Sponsoring Director Author(s) Future Configuration of Hospital Services - Post-Project Evaluation Debbie Vogler, Director of Business & Enterprise
More informationNorth West London Perinatal Network (NWLPODN) Induction Package. NWLPODN March
North West London Perinatal Network (NWLPODN) Induction Package NWLPODN March 2015 1 Introduction This package is for staff working within the 7 NWLPODN hospitals: To explain how the NWLPODN functions
More information1.3 At the present time there are 370 post-graduate medical trainees within NHS Lanarkshire across all services
APPENDIX 4 MODERNISING MEDICAL CAREERS 1. Background 1.1 Modernising Medical Careers (MMC) is a UK-wide reform of all postgraduate medical training involving introduction of a two-year foundation programme
More informationJersey General Hospital, States of Jersey Individual Placement (Job) Descriptions for Foundation Year 2
Wessex Deanery Jersey General Hospital, States of Jersey Individual Placement (Job) Descriptions for Foundation Year 2 Placement The department The type of work to expect and learning opportunities Where
More informationClassification: Official. Cheshire & Merseyside Maternity Escalation and Divert Policy
Cheshire & Merseyside Maternity Escalation and Divert Policy 1 Document Title Cheshire and Merseyside Maternity Escalation and Diversion Policy Subtitle (please add or delete this text) Version number:
More informationApproval Approval Group Job Title, Chair of Committee Date Maternity & Children s Services Clinical Governance Committee
The Delivery Suite Shift Co-ordinator: Roles and Responsibilities (GL819) This document forms appendix 4 of the Policy document Delivery Suite Staffing (Obstetric, Anaesthetic, Paediatric and Midwifery
More informationStewart Mason, Emergency Planning and Resilience Officer Tom Jones, Clinical Programme Manager
Paper 8 Recommendation DECISION NOTE Reporting to: The Trust Board is asked to RECEIVE and APPROVE the Emergency Department Service Continuity Plan (Princess Royal Hospital site). Trust Board Date Thursday
More informationAnnex C: Notes of meeting between Liverpool and Manchester Hospitals
Annex C: Notes of meeting between Liverpool and Manchester Hospitals Email from Professor Huon Gray Dear Colleagues, It was very good to meet with you all on October 23 rd. I felt the discussion was constructive
More informationKaren King (Link) Kathleen Hamblin Carole McBurnie Frances Wright Joyce Linton Catriona Thomson
Name of Local Supervising Authority: Dumfries and Galloway Health Board Period of report: 2005/2006 Date: September 2006 1. Supervision of Midwives and Midwifery Practice 1.1 Designated Local Supervising
More informationFive Reconfiguration Tests Self-assessment (Path to Excellence Phase 1a)
Appendix 5.2: Five Reconfiguration Tests Self-assessment (Path to Excellence Phase 1a) Version 1.0 March, 2017 Draft to be updated post-consultation to inform final decision Five tests self-assessment
More informationCity and Hackney Clinical Commissioning Group Prospectus May 2013
City and Hackney Clinical Commissioning Group Prospectus May 2013 Foreword We are excited to be finally live as a CCG, picking up our responsibilities as commissioners for the bulk of the NHS. The changeover
More informationNHS WIRRAL SAFEGUARDING CHILDREN ANNUAL REPORT
NHS WIRRAL SAFEGUARDING CHILDREN ANNUAL REPORT 1 st APRIL 2011 31 st MARCH 2012 BACKGROUND All NHS bodies have a statutory duty to make arrangements to safeguard and promote the welfare of children under
More informationSCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification No. Service E08/S/b Neonatal Intensive Care Transport Commissioner Lead Provider Lead Period Date of Review 12 Months 1. Population
More informationPROTOCOL FOR UNIVERSAL ANTENATAL CONTACT (FOR USE BY HEALTH VISITING TEAMS)
Scope - CP12 PROTOCOL FOR UNIVERSAL ANTENATAL CONTACT (FOR USE BY HEALTH VISITING TEAMS) RATIONALE The Healthy Child Programme Pregnancy and the first five years of life (DH, 2009) states that health professionals,
More information