Policy for the Discharge and transfer of children and young people ...

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Health, specifically in relation to the availability of the Macdonald Suite Familyaccommodation.6.20. A discharge summary should be sent to the GP.6.21. The Health Visitor/Midwife (under 5’s) and School nurse (over 5’s) should be notifiedof the attendance.6.22. Transfer of Children and Young People• When children/young people are being transferred within the hospital details of thetransfer should be documented in the health record.• When children/young people are transferred to another provider the transferdocument (appendix 8) should be completed and the Patients Transport Service(PTS) at RCHT should be consulted to book appropriate transport.• Out of hours transfers should be minimal and based on risk assessment of theclinical situation as outlined in RCHT Guideline for Critical Care Transfers.Arrangements for this type of transfer will be made with SWAST directly and theRCHT site co-ordinator notified.• The personnel who accompany the child /young person will be decided by seniorclinical staff based on clinical need and staff availability – this will be documented inthe health record or on the transfer document. Clinical assessment should be done inline with RCHT Policy for Observation and Monitoring in Child Health and recordedon the patient records for intra hospital transfers and on the transfer document ifbeing transferred to another provider.6.23. Discharge involving Children and Young People from The Isles ofScilly (IoS)• When planning a discharge/transfer to the IoS due regard must be given to theadditional time needed to reach the Islands because of the limited transport servicesavailable, particularly at weekends. In addition consideration should also be given totransfer times involved if onward transport by boat from St. Mary’s is required whenthe child/young person lives on an off-island.• It will need to be confirmed that the child/young person is medically fit to travel to theairport, and onward by air.• If the family have a return ticket nursing staff will provide assistance/advice, ifnecessary, about how to book a flight.• If the family do not have a return ticket it will be necessary for them to contact thePatient Transport Service Office (PTS) on 01872 252211 to request a travel warrantto return to the Isles of Scilly and to arrange a flight.• Nursing staff will provide families with information regarding transport to the airport.• Where a child and their parent/carer have arrived by ambulance and are deemedmedically fit for discharge, it is the parent/carers responsibility to arrange transporthome. If the discharge is to occur during unsocial hours further advice can be soughtfrom Child Health, specifically in relation to the availability of the Macdonald SuiteFamily accommodation.7. Dissemination and Implementation7.1. Ward and Department Managers are responsible for ensuring adequatedissemination and implementation of the policy within their own areas.Policy for the discharge and transfer of children and young people from child healthPage 10 of 38
7.2. All managers will be aware of the contents of this policy and will ensure that theirstaff have read and understood the procedures and processes relating to the dischargeand transfer of patients. New versions of the policy will be circulated to all managers fordissemination to their staff with a summary of all amendments made to the updatedversion.8. Monitoring compliance and effectivenessElement to bemonitoredLeadToolFrequencyReportingarrangementsActing onrecommendationsand Lead(s)Change inpractice andlessons to besharedCompletion of a discharge planDocumentation of liaison with other professionals and agenciesTimeliness of documentation to other professionalsCompletion of a transfer documentDocumentation of details of transfer in patient notesSenior Matron Child HealthAn agreed audit tool developed by the Directorate and registeredwith clinical effectiveness as part of the annual records audit, toinclude the elements to be monitored described aboveMonthly quality audits will monitor the completion of discharge plansAnnually for the whole policy through audit of recordsMonthly for ward quality audits on discharge plansAudits will be reported via the Divisional Audit and Guidelinesmeeting in the Directorate. Action plans, incidents and complaintsrelated to discharge and transfer will be brought back to theDirectorate via Clinical Governance meetings.Reports should be discussed at the appropriate Operational BoardReports should be discussed at the appropriate Operational Board andany high risk areas highlighted and action plans developed to addressany gaps identified.Lessons will be shared with all the relevant stakeholders bypresentation at Child Health audit and guidelines meetings and via theChild Health risk management newsletter. Following liaison withrelevant stakeholders, any required changes to practice will bediscussed at Directorate Clinical Governance meetings, prior to beingreflected in this policy and implemented clinically.9. Updating and ReviewThe policy author is responsible for ensuring the policy is kept up to date, with reviews beingcarried out at least once every 3 years, reflecting changes in legislation where necessary.The author must also ensure the policy has been screened to establish if it requires a fullImpact Assessment against the Race Relations Amendment Act to ensure no minority groupis discriminated against within the document.10. Equality and Diversity10.1. This document complies with the Royal Cornwall Hospitals NHS Trust serviceEquality and Diversity statement.10.2. Equality Impact AssessmentThe Initial Equality Impact Assessment Screening Form is at Appendix 2.Policy for the discharge and transfer of children and young people from child healthPage 11 of 38
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