THE CHALLENGES OF PROVIDING A COMMUNITY CHILDREN’S NURSING SERVICE IN WALES

THE CHALLENGES OF PROVIDING A COMMUNITY CHILDREN’S NURSING SERVICE IN WALES NICOLA LEWIS CCN TEAM LEADER BRO-MORGANNWG NHS TRUST

AIM OF THE SESSION • IDENTIFY CCN SERVICES IN WALES IN COMPARISON TO THE REST OF THE UK. • IDENTIFY THE CHALLENGES CCN SERVICES IN WALES HAVE TO PROVIDE AND DEVELOP THEIR SERVICES. • HOW CCN’S IN WALES PLAN TO ADDRESS THESE CHALLENGES. • CREATE A DISCUSSION WITH COLLEAGUES AND SHARE EXPERIENCES.

RCN – CCN DIRECTORY 2006 • ENGLAND – 185 • SCOTLAND – 23 • NORTHERN IRELAND – 12 • WALES – 16 • CHANNEL ISLES – 2 • ISLE OF MAN - 1

MODELS OF CCN SERVICES IN WALES (Eaton 2001) • Model 1 • Model 2 • Model 3 • Model 4 • Model 5 • Model 6

POLICY RECOMMENDATIONS • 1962 – MOH – A hospital plan for England and Wales. • 1971 – MOH – Hospital facilities for children. • 1976 – DHSS – Fit for the future • 2002 – Carlisle review • 2005 – NSF

CHALLENGES FOR CCN SERVICE DEVELOPMENT IN WALES. • TRUST RECONFIGURATION • ROLE OF CCN • NURSE PRESCRIBING • CONTINUING CARE PACKAGES/RESPITE • EDUCATION • EQUIPMENT • TRANSITION • ON CALL SERVICES • FUNDING • EQUITY AND ACCESSIBILITY • MEDICAL RESPONSIBILITY • EVALUATION OF OUR SERVICES

WELSH CCN’S VS THE WORLD !!!! • RAISE OUR PROFILE • ASSESS LOCAL NEED • PUBLISH GOOD PRACTICE

POLICY RECOMMENDATIONS • HOUSE OF COMMONS HEALTH SELECT COMMITTEE (1997b) • NSF (2005)

CONCLUSIONS • All children who are sick or have complex health needs have the right to be cared for at home by an appropriately qualified nurse. • The frustration for Welsh CCN’s is that investment and resources are needed to ensure equity,accessibility from WAG,Trusts and LHB’s.

ARE WE ANY DIFFERENT FROM THE REST OF THE UK?

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THE CHALLENGES OF PROVIDING A COMMUNITY CHILDREN’S NURSING SERVICE IN WALES