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?

THANK YOU FOR LISTENING

• ANY QUESTIONS?