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

Future capacity in centralised services. Stakeholders suggested that increased
patient traffic at major hospital sites could limit disability parking or allowed parking
times, increase waiting times, or stretch a service to a lower quality of provision.
Over UCC‟s paediatric capability. There was a local concern that the level of
paediatric expertise at the UCCs could be reduced if inpatient paediatric services are
moved from a (proposed) local hospital.
Whilst the proposals describe future investment, training and integration, those caring for
children sought assurance that provider networks would remain strong with easy access
(For further information please see the Deloitte Equalities Report, Appendix G).
It is recommended that NW London Paediatric Network works with providers and
commissioners of services during implementation to ensure that access to and quality of
services is rigorously maintained during the implementation period.
7.29 Mental Health
It is recognised that there are range of issues with older children presenting with mental
health issues. To ensure that this is dealt with the CIG has agreed the Implementation of
LHP standard 21:
Single call access for children and adolescent mental health (CAMHS) (or adult
mental health services with paediatric competencies for children over 12 years old)
referrals to be available 24 hours a day, seven days a week with a maximum
response time of 30 minutes. Psychiatric assessment to take place within 12 hours of
call.
For children with acute mental health disturbance (e.g. acute severe behavioural disturbance
or psychosis) requiring inpatient care, currently these children are looked after on a general
paediatric inpatient ward by staff that don‟t have the resources (skills and nursing ratios) to
look after these children. Further work will need to be done with mental health providers
within NW London to set up clear protocols and pathways to ensure these children are
looked after safely and transferred to an appropriate therapeutic facility as soon as possible.
The proposed NW London Paediatric Network will take this work forward as part of
implementation.
7.30 Implementation Issues to be addressed
The implementation of all of the recommendations must be made in a safe and step wise
way, ensuring that services are properly maintained and improved:
1. A NW London Paediatric Network will be established, similar to the NW London
Maternity Network, to oversee the implementation of the reconfiguration. Governance
arrangements and resourcing for this network will need to be decided early on during
implementation
2. Amongst the six NNUs there would be two Neonatal Intensive Care Units (NICU)
(Level 3 units) C&W and QCCH. The final disposition of the other four units will be
decided during implementation, recognising that current and future workforce issues
may be a constraint. To support the designation of units, the Paediatric and Neonatal
Networks will work with both Commissioners and Providers, understanding staffing
7c. Work of the Paediatric CIG 191