General Paediatrics Local Offer

Services for Children and Young People with Special Educational Needs and Disabilities

Lancashire’s Local Offer

Lancashire’s Health Services

Lancashire Teaching Hospitals NHS Trust

Name of the service and what the service provides

We provide care for children and young people up to 16 years of age.

Our core inpatient provision is located at the Royal Preston hospital, with 58 beds (including 3 high dependency beds and PAU) We have a day case facility on the day case unit at Royal Preston Hospital We have children’s outpatient provision across the catchment area, and some outreach clinics to the boundaries of our catchment.

Our acute service also includes sub-specialist Children’s services for a range of complex and chronic needs, including

  •  Cystic Fibrosis
  •  Diabetes
  •  Haematology
  •  Nephrology
  •  Cardiology
  •  Complex needs
  •  Allergy
  •  Respiratory care
  •  Neurodisability and developmental delay
  •  Paediatric oncology (lower tier service only – level 1 POSCU)

Specialist Nurse-led services are provided in

  • Paediatric Diabetes
  • Children’s Outreach Nursing
  • Paediatric Respiratory Care
  • Paediatric Epilepsy

Safeguarding Children

Address and contact details and area covered

Children’s Ward – 01772 522248

Children’s Observation & Assessment Unit, 01772 523189

Children’s Day Case Unit Ward 8  Tel 01772 522245

Children’s Outpatient Departments 01772 523080

Children’s Diabetes Team – Tel 01772 401340

Children’s  Outreach Nursing Team – Tel 01772 522939

The service is for

The service is available for children up to the age of 16 years and provides inpatient and outpatient provision for the following;

  • General illness /problems –acute or chronic
  • Cystic Fibrosis
  •  Diabetes
  •  Haematology
  • Rheumatology
  • Endocrinology
  • Nephrology
  •  Cardiology
  •  Complex needs
  •  Allergy
  •  Respiratory care
  •  Neurodisability and developmental delay
  •  Paediatric oncology (lower tier service only – level 1 Paediatric Shared Care Oncology Unit -POSCU)

The team works closely with other professionals and services and will refer the child or young person to other appropriate services if they are unable to provide certain interventions.

Accessing the service

Elective outpatient Care:

The outpatient service can be accessed by a process of referral through Choose and Book from GPs.  The outpatient service does not accept self-referrals.

The service can be accessed free of charge and waiting lists for initial appointments are currently within 6 weeks.

Referrals other than from health need to be with an open and active Common Assessment Framework (CAF) to ensure that early intervention and prevention has been addressed before referral.

Emergency Care:

We provide a 24/7 service at the Royal Preston Hospital and Chorley and District site for emergency care.

For emergency care, the service is accessed via ambulance, Emergency Department or Primary Care Centre referrals or urgent direct GP referral. Patients access our service through either the Paediatrics Assessment Unit (PAU) at the Royal Preston Hospital for assessment and observation and then may be admitted to our Children’s Ward.

Whilst patients attend the ED or PCC, the Children’s Units are not ‘walk in’ and are accessed as described above.

Decision making processes used to determine who is eligible to receive a service

Outpatient care- The child or young person will be eligible to receive the service if they are aged 16 or below and upon triage our consultants identify that we can provide assessment/care of their symptoms. All referrals are ‘triaged’ by the consultant team and either appointed to the service or referred on to the most appropriate agency. The referring practitioner is advised of outcome if the referral is not accepted, otherwise an appointment will be arranged with family.

Emergency care – All presentations/referrals are triaged either on telephone or on admission. Children attend our PAU for initial triage, assessment and observation. The PAU based at the Royal Preston Hospital is 24/7. 

Methods of communication with service users/patients and how they are involved in decision making/planning

We provide copy letters of all our consultations to the GP and to the family/carer of a child/young person attending the service.

The service encourages Children and Young People and their families and or carers to voice their views about the service either directly to the practitioner involved in delivering their care, contacting the Matron or Directorate manager or through Lancashire Teaching Hospitals PALS or the Trust’s formal complaints procedure.

Other methods of communication include:

  • Suggestion box in the waiting room
  • Trust website and emails to the service
  • Service user information leaflets
  • Young people friendly materials and magazines in all waiting rooms.
  • Phone calls and meetings with families
  • CHI feedback forms

The service adopts a collaborative care planning approach.  This approach allows the young person and their family/carers to be actively participating in their treatment and care.

The use of bilingual interpreters as appropriate for families whose first language is not English can be arranged, as can British sign language or other requests.

Service accessibility

Services are provided in a variety of settings, both within the hospital sites and within the community.  This involves use of schools, health centres, children’s centres and young people’s homes as well as a number of different venues that young people may request. 

All the health and local authority provision used is wheelchair accessible and have disabled toilet facilities.

For young people who present to ED, they may be admitted to our children’s assessment unit at Royal Preston Hospital or may be admitted to the Children’s ward and for an appropriate assessment and care to take place.

Workforce skills and training

The team carries out all mandatory training and have an annual personal development review which identifies training needs.

The team have specialist training according to their role and national guidelines/standards.

Contacts for further information

The first point of contact for the parent/carer or child/young person to discuss something about their care would be to the practitioner involved in delivering their care. If the service user has any urgent worries or urgent concerns, they are able to call the central teams on numbers identified above.

Once referred, the appropriate team will consider whether the child or young person will benefit from the service. The referrer will also be able to contact the service to discuss whether the child or young would benefit from service support.

Health Visitors, School Nurses, GPs, other CAMHS teams and other professional therapies will be involved in providing support for interventions for children and young people.

Feedback

The service is keen to receive feedback about the service.

  • Compliments:   The service is happy to hear if you have been pleased and satisfied with the service and treatment provided.  We like to ‘Share to Care’ amongst our teams too to roll out good practice. If you wish to send a compliment to any of the staff or services please do so. It gives valuable feedback and acknowledges the positive work that is carried out.  You can send a card or letter or ask a member of staff for a compliments form.
  • Resolving problems:  The service wants everyone to receive the highest standard of care. If you feel this has not been achieved then let the service know. Your comments and complaints can help the service to improve. Some problems can be dealt with on the spot by the staff providing the care. Please contact the practitioner involved in your care, or the service lead. Alternatively contact switchboard on 01772 716565 and ask to speak to the Matron or General Manager for Women’s and Child Health.
  • Making a complaint: If your problem cannot be settled informally by talking to a member of staff then you may wish to make a complaint. Please remember that your complaint will be treated in confidence, details will not be filed in your medical records and it will not affect your treatment in any way. There are several ways for you to make a complaint. You can ask the staff you see to provide you with a form to complete or you can write, email or phone the PALs Service or the Complaints team. This information is provided below:

PALs- Patient Advice & Liaison Service :Telephone 01772 522972 or email PALS@lthtr.nhs.uk

Complaints Team : Telephone 01772 522793 or email customerservices@lthtr.nhs.uk or write to Customer Services Team, Royal Preston Hospital, Sharoe Green Lane, Fulwood, Preston, PR2 9HT.