“Hub and Spoke”

A model for Child Branch community practice

Wendy Wigley Practice Academic Co-

ordinator

Wendy Wigley 2009 2

NHS Next Stage Review (Darzi 2008)

“Provide more integrated services for patients, by piloting new integrated care organisations, bringing together health and social care professionals from a range of organisations – community partnerships.” (page 7)

Wendy Wigley 2009 3

Better at Home Campaign – RCN & WellChild• Recognition that many children and young people

remain in hospital when their ongoing long-term and often complex health care and general well-being might be better and more cost-effectively managed from home.

• Timely, high quality and effective care to be delivered in the home where possible.

• Packages of care which co-ordinate health, social care and education in a way that meets the individual and ongoing needs of the children and their families

• Greater financial investment in children’s nurses to work specifically with this group of vulnerable children and bridge the gap between hospital and community services

Wendy Wigley 2009 4

Practice Based Commissioning: budget guidance for 2009/10 (DH 2009)

• 4 -What PCT’s need to do…4.6 – Enabling training and continuing professional development:

• “ Continued investment in training, pre-registration clinical education and placements is essential to support staff in providing quality services and enabling them to transform their individual practice” (page 23)

Wendy Wigley 2009 5

Wendy Wigley 2009 6

Professional Responsibilities

• NMC standards of conduct, performance and ethics for nurses and midwives - must facilitate students and others to develop their competence (NMC, 2008)

Wendy Wigley 2009 7

Wendy Wigley 2009 8

3CCN2

CCN3

CCN1

HUBSpSch2

OPD1

InitiatesYear 2 (P3 or

4)

ManagesYear 3 (P5 or 6)

ParticipatesYear 1 (P1 or 2)

1

3

2

3

2

2

2

1

2

3

2

3

3

3

2

3

1

2

3

Wendy Wigley 2009 9

Practice Learning Needs

• Consider past experiences of student: personal and professional

• Be realistic, achievable and agreed in partnership

• Enhance learning and link to theory

Wendy Wigley 2009 10

Potential experiences• Year 1 (Placement 1 or 2)

• Children's centres

• Basic Safeguarding

• Cook and eat classes

• Parenting groups

• Nurseries

• SALT

• Library

• School Nursing

• Health Visiting

• After school/holiday club

• Immunisation clinic

• Housing

• Transport provision

• Play areas

• Midwife

• Continence services

• Community nursing

• Year 2 (Placement 3 or 4)

• Community paediatrician

• Child development centre

• Supportive therapies (snoozlen)

• CAMHS

• Physiotherapy

• OT

• SALT

• Social services

• School nursing/health visiting

• Residential special needs

• Continence clinics

• Orthoptist

• Dietician

• Audiology

Wendy Wigley 2009 11

Potential experiences for year 3 (placement 5 0r 6)• Needs assessment

• SALT

• Social services/child protection

• School nursing /health visiting

• Continence assessment

• Dietician

• End of life care

• Family support

Wendy Wigley 2009 12

3CCN2

CCN3

CCN1

HUBSpSch2

OPD1

InitiatesYear 2

ManagesYear 3

ParticipatesYear 1

1

3

2

3

2

2

2

1

2

3

2

3

3

3

2

3

1

2

3

Wendy Wigley 2009 13

Children's Health Services

Hounslow

Children's health services in Hounslow have been redesigned to meet the health needs of our culturally diverse population in response to both national and local health targets.

We are currently looking for enthusiastic, self motivated Health Visitors and Nurses to join our 0 -16 Integrated Children & Family Teams. You will have excellent communication and interpersonal skills and have an understanding of the strategic agenda for children*s services.

This is an exciting opportunity to work within our modernised service and be at the forefront of major service change. In return we can offer you excellent support, training and development opportunities. Applications from Student Health Visitors welcome.

Children's Public Health Nurse• Band 5 £20,225 - £26,123 pa+ High Cost Area Supplement @ 15% of basic salary(min £3,261- max £4,156 pa) * Full/Part time• Ref: 687-NQ-681

Closing Date: 15 March 2009.