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SaHF DMBC Volume 1 Edition 1.1.pdf - Shaping a healthier future

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Figure 7.46: Specific Responses the Paediatric CIG has considered<br />

Organisation<br />

Sub-Theme<br />

Support Concerns/Comments Actions<br />

raised<br />

Case for<br />

Change<br />

Royal College of<br />

Paediatrics and<br />

Child Health<br />

Strongly support the Case for Change<br />

set out in the consultation document.<br />

We agree that in NWL, as in a number<br />

of other areas of the country, services<br />

are spread too thinly to ensure safe,<br />

sustainable, high quality care. Our own<br />

modelling, in common with that of the<br />

project team, demonstrates that only by<br />

reducing the number of inpatient units<br />

will we be able to improve outcomes for<br />

the sickest patients<br />

The London Health Programmes (LHP)<br />

standards which include the RCPCH<br />

standards, have being adopted by the<br />

Paediatric CIG.<br />

There is an opportunity within the<br />

reconfiguration to re-deploy staff as a<br />

result of the change from 6 to 5<br />

paediatric units.<br />

Case for<br />

Change<br />

Staffing and<br />

competencies<br />

(Maternity/<br />

Paediatrics)<br />

K&C HOSC<br />

Ealing HOSC<br />

Broadly support the principle to<br />

centralise specialist care where this will<br />

lead to improved clinical outcomes.<br />

Panel would like to place on record its<br />

concern at PCBC stating that staffing at<br />

maternity and paediatric units would still<br />

be challenging after reconfiguration, and<br />

query what <strong>future</strong> maternity services<br />

might look like if appropriate staffing<br />

levels are not met.<br />

Proposals made as a result of<br />

reconfiguration will ensure staffing<br />

issues are addressed as well as LHP<br />

standards.<br />

Standards<br />

Royal College of<br />

Paediatrics and<br />

Child Health<br />

Full agreement with the standards set<br />

for both in hospital and out of hospital<br />

care. The hospital-based standards are<br />

in line with the recommendations<br />

previously laid out by RCPCH in our<br />

standard-setting document Facing the<br />

Future. We strongly support the<br />

principle of care provision using<br />

integrated care pathways within the<br />

The London Health Programmes (LHP)<br />

standards which include the RCPCH<br />

standards, have been adopted by the<br />

Paediatric CIG.<br />

We will establish networks e.g. for<br />

management of HDU children outside<br />

of the PICU setting.<br />

7c. Work of the Paediatric CIG 185

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