LEICESTER CITY PRIMARY CARE TRUST - NHS

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Paper Y<strong>NHS</strong> Leicester City Board Meeting24 September 2009A statement (pledge) which is intended to underline the organisation’scommitment to patient and public engagement is included in the plan and wasendorsed by the Board.SERVICE DELIVERYIT WAS RESOLVED:-- to note the work being undertaken in regard to patient & public involvement- to endorse the action plan- to consider and agree the content and publication of the document “Patientand Public Involvement Our Pledge”PS/09/88To Receive a Report on the Adult Community Nursing Services IntegrationProgramme – Update and Introduction to Phase IITeresa Smith updated the Board on the achievements of phase I of the adultcommunity nursing services integration programme and described the next stage,phase II of the project.Phase I concentrated on integrating mainstream community nursing services toprovide a more responsive provision matched to patient need across the twentyfour hour period. The background, project and outcomes were relayed to thegroup. All of the intended outputs were achieved, with the main examples being:-- Single Point of Access (SPA)- Three Localities- Extended Nursing Service- Development of a Rapid Intervention Team- Development of an Intravenous Antibiotic Service for Cellulitis- Implementation of System One- Customer Care TrainingPhase II will develop this project to integrate adult therapies (podiatry,occupational and physiotherapists) and specialist nursing (heart failure respiratorynurses and community matrons) provision within mainstream community servicesand align these with the new ways of working achieved in phase I.It is proposed that the project is developed with the same rigorous PRINCE IIapproach as Phase I; lasting 9 months. The project will incorporate and focus ongreater productivity and quality and will include an evaluation and review of thewhole combined integration programme. It will also take into account the recentlypublished DoH guidance on the community services quality framework, inparticular the individual clinical areas covered by adult services.Mrs Smith reported that there was still a lot of hard work to be done, andconfirmed that patients would see the benefits in improved continuity of care, inparticular for palliative care patients, patients with catheters and patients withblocked catheters.10
IT WAS RESOLVED:-Paper Y<strong>NHS</strong> Leicester City Board Meeting24 September 2009- to note the achievements made with phase I of the adult community nursingintegration project and to support the progression of phase II of theprogrammePS/09/89To Receive a Report on the Use of Sensory Integration Approach withinChildren’s Community Health ServiceJanet Harrison outlined the current issues relating to the expectations of internaland external agencies regarding the provision of Occupational TherapyIntervention using a Sensory Integration approach. Mrs Harrison described theSensory Integration approach, a theory based on behaviours seen in somechildren with poor registration of sensory information that affects behaviour andmotor skills. Recent research suggests that there are gaps within the sensoryprocessing disorder for children. Careful assessment carried out by appropriatelytrained therapists is required in several settings, who can then find the problemand then use appropriate treatment through consultation in order to achieve apositive response by the child.Mrs Harrison highlighted the need to discuss the use of this approach withinCommunity Children’s Health Services (CCHS) which has become increasinglynecessary due to:- A significant increase in requests for Occupational Therapy to providereports and assessments to Special Educational Needs tribunals, in relationto sensory integration intervention being named on the statement of specialeducational needs. The amount of treatment suggested by CCHSOccupational Therapists and privately commissioned therapists has beendisputed, and challenged.- CCHS receives referrals from Occupational Therapy colleagues withinChild and Adolescent Mental Health Services (CAMHS) who haveundergone training courses and this includes a request for ‘sensory’interventions.- An increase in referrals from other professionals within CCHS who suspectsensory processing or sensory difficulties such as physical defensivenessare referred to Occupational Therapy for further assessment andassistance with diagnosis.The service currently provides a limited service provision based on the knowledgeand experience of Occupational Therapy Staff, and capacity within the service,and available facilities within Leicester and Leicestershire. It is becomingincreasingly necessary to assess where sensory integration is appropriate andprovide high quality service where this is indicated. In order to provide thisChildren’s Community Health Service require a highly trained workforce, effectivereferral and intervention pathways, and appropriate facilities in order to offer highlyspecialised intervention.Mr Paul Miller considered this a very interesting paper and agreed that appropriatefacilities would be ideal. Further consideration needs to be given to a specification11
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LEICESTER CITY PRIMARY CARE TRUST - NHS

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