Our specialist neonatal team provides care and support for premature babies in our newly developed Neonatal Unit. The children’s ward at Royal Preston Hospital provides a range of care and treatment for young people. The ward is designed to be welcoming and friendly and put children and young people at ease. Play specialists are on hand to occupy young people during their stay in hospital, and education support is provided to enable children to keep up to date with their studies. The children’s outreach team provides care and treatment for young people in their own homes. Click on a consultant to see more information. Consultant Paediatrician & Diabetes Lead Consultant Paediatric Neurologist Consultant Consultant Paediatric Neurologist
Maria Taylor, 01772 522246 Consultant Neonatologist Paediatrics consultant Consultant Paediatric Neonatologist Consultant Consultant in Paediatrics Consultant Paediatrician with an interest in Diabetes and Endocrinology Senior Teaching Fellow and Honorary Consultant Paediatrician Consultant Paediatrician Consultant Paediatrician Consultant Paediatrician
01772 523551 Consultant Paediatrician Consultant Paediatrician Consultant Consultant Support to Children, Young People and Families during COVID-19 Outbreak under Our Care While a lot of children ‘grow out’ of their epilepsy, there are a number of young people who will continue to have epilepsy. After many years coming to children’s clinic, they will need to move on to our services for adults. We are aware this can be a daunting process, but we are very keen to support our young people and their families through this process. Some of our young people have made this video to share not only their worries, but also their experience of this transition, and even more importantly give some advice on how to tackle this. We hope this video helps you understand things to come, but please don’t hesitate to ask more at your next clinic visit.’ This short video has been made with the help of the Paediatric and Young Adult Diabetes team. In it, young people with diabetes have shared their thoughts, worries and experiences of transition alongside expert advice, reasurrance and support from our dedicated team. We hope this video helps you understand things to come, but please don’t hesitate to ask more at your next clinic visit. The Community Paediatric team in Lancashire Teaching Hospitals NHS Foundation Trust provides community and neurodevelopmental services for children and young people across Chorley, South Ribble and Greater Preston. We offer specialist assessment, coordination with other services and long-term support to children and young people and their families with developmental conditions or complex health needs. We are an outpatient service. We work very closely with our therapy colleagues (physiotherapy, occupational therapy, speech & language therapy) and a specialist nurse. We have established links with health visitors, school nurses, education professionals, educational psychology, audiological physicians, Clinical Psychology, Child & Adolescent Mental Health Services (CAMHS) and Children’s Social Care. The service is divided into two teams; the team seeing children & young people who live in Chorley and South Ribble, and the team managing those living in Greater Preston. The contact details are: • Child Health Office, Broadoaks Child Development Centre, Balcarres Road, Leyland PR25 3ED • Child Health Office, Ashton Health Centre, Pedders Lane, Ashton, Preston PR2 1HR Greater Preston: The service is available 9.00 am to 5.00pm Monday to Friday. Outside working hours if there was an emergency the This service is designed to serve children and young people between the ages of 0 - 16 years, or up to 19 years if attending a special school setting. The child or young person can be referred into the service by a professional such as their GP, health visitor, school nurse, nursery teacher or school teacher and we accept referrals from colleagues in therapy services, general paediatricians, neonatologists and consultants in other specialties. The service is accessed free of charge. The child or young person will be eligible to receive the service if they are aged between 0 - 16 years, or 0-19 years if attending a special school. The team will assess the referral to decide whether the service is appropriate. All referrals are triaged by the consultant team and either appointed to the service or referred on to a more appropriate service. The referring practitioner is advised of the outcome if the referral is not accepted, otherwise an appointment will be sent to the family. We offer a family-centred approach. Children and young people are directly consulted about their plan of care where they are able to comment. Clinical management takes into account the views of parents and carers and is individualised according to the identified needs. Parents and carers receive copies of all clinic letters and consent is obtained before discussing their child with an outside agency. Other methods of communication include: All staff are compliant with mandatory training requirements and have completed an annual personal development The first point of contact for the parent/carer or child/young person to discuss something about their care would be the practitioner involved in delivering their care. Queries, compliments and complaints can be discussed with a member of staff or team manager. If you wish to make a formal complaint or compliment we advise that you contact the LTHTR Patient Advice and Liaison Service: PALS@lthtr.nhs.uk Tel: 01772 522972. Incidents and complaints are investigated thoroughly and lessons learnt shared with those concerned and the Here are the details for 'Lancashire’s Local Offer : Lancashire’s Health Services' for our hospital. Our team currently comprises 3 Physiotherapists and 1 Occupational Therapist. The team aims to provide a high standard of therapy across a wide range of presentations and complex needs within Paediatrics. The service includes input into; Neonatal Unit Children’s Ward including Day case Unit Children’s Clinic including Talipes, Orthopaedics, Cystic Fibrosis and Neuromuscular We also provide a service for out-patient assessment and treatment of patients within our catchment area. Our service also includes close MDT working with Ward staff, Occupational Therapists, Community Paediatric Therapists, Speech and Language Therapists, Specialist Nurses, Specialist teachers, Consultants, Psychologists and School Nurses to ensure the child’s needs are met holistically with an integrated approach. Therapy Department 01772 522876 Written referrals into the service are accepted from Consultants, Therapists from specialist Children’s Hospitals and members of the wider MDT (Multi Disciplinary Team). The referrer should provide a brief outline of the child’s presenting condition and relevant medical history. There are waiting lists within the service, however we aim to see children within the allocated 18 weeks wait guidelines. All referrals are triaged by a senior member of staff for their appropriateness and relevance, prioritised to their urgency and then placed on the waiting list. Should a parent wish to know where their child is on the waiting list then they can ring the department and a member of staff will inform them of their position and give parents an idea of the expected waiting time. We do have information leaflets about the service and some of the treatments we provide. Some of these have been translated into other languages as appropriate. Children receiving treatment are provided with a physiotherapy programme of exercises to be carried out at home. These will include both a written description of the exercise alongside a picture to aid understanding. Goals will be set alongside both the child and their parents/carers so that we work together to achieve the best clinical outcome. The child will be regularly assessed using recognised validated outcome measures so we can monitor their development / progress and feedback will be provided. The Therapy department within Royal Preston Hospital is wheelchair accessible. There is a disabled toilet and changing facilities nearby in main out-patients. We have a range of staff with various skills and experience who are available to support one another and provide joint assessments if required, in the best interests of the child. Should parents / carers / children who are already receiving treatment have any questions or queries they should contact their named Physiotherapist in the first instance, if they were unable to answer the query they would liaise with a more senior member of staff / manager. If the child is not already known to a named Physiotherapist then any member of the team could be contacted, or alternatively the Therapy reception. If the child or parents did not feel they could contact the named Physiotherapist then they should contact the Team Leader(s) for the service or the Clinical Therapy Manager. Questions, queries or complaints can be made directly to a senior member of staff within the department, or the Clinical Therapy Manager. Alternatively if parents did not want to contact the Physiotherapy department themselves they could speak with the Patient Advice and Liaison Service (PALS) at the hospital. The department regularly seeks parents and child feedback about the service with questionnaires. Feedback can also be provided in writing via Therapy Reception of the Clinical Therapy Managers. Lancashire’s Local Offer Lancashire’s Health Services Lancashire Teaching Hospitals NHS Trust Lancashire Teaching Hospitals NHS Trust Outreach Enuresis Service is a specialist nurse-led tier 2 NHS service providing assessment and treatment for children and young people (age 7 years and over) for the management of nocturnal enuresis. The service supports and promotes physical and emotional health and wellbeing for children and young people who have medium to long-term continence problems. The service aims to promote continence to ensure that optimum health, hygiene and developmental goals are achieved. The service offers a range of expertise in managing and treatment for nocturnal enuresis: Interventions could range from one session to on-going support and involvement with the service depending on the presenting problem. The main location of the service and contact details are: The service works across Preston and South Ribble with clinics based at a variety of community locations. Home and school visits are offered where required. The service is available 9.00 am to 5.00pm Monday to Friday. Outside working hours if there was an emergency the family would be directed to contact their G.P. or the Paediatric Assessment Unit at Royal Preston Hospital. Telephone 01772 523189 This service is designed to serve children and young people between the ages of 7 - 19 years who suffer from nocturnal enuresis. Daytime continence issues and children under 7 years with nocturnal enuresis will be seen by a Consultant at either Royal Preston or Chorley & District Hospital. To be eligible to receive the service, the child or young person should be aged between 7 - 19 years and be registered with a Preston or South Ribble GP. Transition into adult continence services begins at age 16 years and as we are a small team this is usually a seamless process enabling the adult nursing team to meet young people and their families when continuous care into adulthood is needed. The child or young person can be referred into the service if they are experiencing bladder problems. Initial assessment of need will be completed by GP, School Nurse, Health Visitor or Consultant and they will begin initial treatment. Where treatment is unsuccessful, or needs are complex, referral into the Continence Service will be accepted. The team can be contacted directly to gain advice, support or signposting. The service can be accessed free of charge. Waiting lists exist however individual needs are reviewed at referral and allocated for initial assessment accordingly. The child or young person will be eligible to receive the service if they are aged between 7 - 19 years and are registered with a Preston or South Ribble GP. The team will assess the referral to decide whether the service is appropriate. If the team require more information they will try to contact the referrer and / or the family and school nurse once the permission of the family is obtained. If clarity cannot be established the team will offer a consultation appointment to assess whether the Continence Service can meet the young person’s needs. Children and Young People are directly consulted about their plan of care and decisions made about future care options. Staff will ensure that care plans are sensitive to children’s needs and that young people contribute to their future care plans. Parents and carers’ views will also be considered in the context of care planning to ensure that the needs of the whole family are taken in to account. The service encourages Children and Young People and their families to voice their views about the service either directly to the nurse involved in delivering their care, contacting the service manager, or through LTHTR Patient Advice and Liaison Service. PALS@lthtr.nhs.uk Telephone 01772 522972 Other methods of communication include: The service accesses bilingual interpreters as appropriate for families whose first language is not English. Parents or carers may be present at appointments and will be informed of how their child is doing. All the health centres and community hospital sites are wheelchair accessible and have disabled toilet facilities. Appointments can be offered in a variety of locations including health centres, family homes, and mainstream schools. There is no out of hours service. If there was an emergency the family would be directed to contact their G.P or Paediatric Assessment Unit Telephone 01772 523189 as appropriate. All staff are compliant with mandatory training requirements and have completed an annual personal development review with learning and development opportunities identified. Queries, compliments and complaints can be discussed with a member of staff or team manager. If you wish to make a formal complaint or compliment we advise that you contact the LTHTR Patient Advice and Liaison Service: PALS@lthtr.nhs.uk Telephone 01772 522972 Incidents and complaints are investigated thoroughly and lessons learnt shared with those concerned and the wider professional team. Patient experience surveys are distributed to families and children via random selection throughout the year. 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 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 Specialist Nurse-led services are provided in Safeguarding Children 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 available for children up to the age of 16 years and provides inpatient and outpatient provision for the following; 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. 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. 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. 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: 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. 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. 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. 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. The service is keen to receive feedback about the service. 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. Child Health
Children’s outpatient clinics are held at both Chorley and South Ribble Hospital and Royal Preston Hospital.
Consultants
Dr Omolola Ayoola
Dr Helen Basu
Dr Pijush Das
Dr Christian De Goede
Dr Sandeep Dharmaraj
Dr Hyacienth Egbeama
Dr Richa Gupta
Dr Sharmishtha Gupta
Dr Maria Hall
Dr Deborah Kendall
Dr Gail Lumsden
Dr Santa Masila
Dr Dinakaran Rengan
Dr Charmila Sugden
Dr Karnam Sugumar
Dr Kevin Turner
Ms Srividyadhari Krishnamurthy
Dr John Agbenu
Day case unit
Ward 8 Day Case
Introducing solids to babies with cow’s milk protein allergy
Reintroduction of cow's milk protein into your child's diet
Community Paediatric Service
We have a range of expertise areas including assessing and managing children & young people with:
Other involvement of the Community Paediatric team:
• Children 7 years and over with nocturnal enuresis – a dedicated enuresis clinic (nurse led) is available
Enuresis Continence Service Community Local offer
• Audiology: the community paediatric team contribute to the tier 2 audiology service
• Epilepsy: the team offer input into the specialist epilepsy clinics at Royal Preston Hospital
• Tone management: the team offer input into the specialist tertiary tone management clinic led by a consultant paediatric neurologist and a consultant in paediatric neurodisability, supported by a specialist physiotherapist and specialist occupational therapist.
Telephone: 01772 621062
Telephone: 01772 777222
Clinics are held in a variety of community locations including:
Chorley & South Ribble:
Broadoaks Child Development Centre, Leyland
Leyland Clinic
Shawbrook House, Leyland
St Mary’s Health Centre, Penwortham
Coppice School, Bamber Bridge
Mayfield School, Chorley
Chorley Health Centre
Ashton Health Centre, Preston
Brookfield Clinic, Preston
Avenham Clinic, Preston
Geoffrey Street Clinic, Preston
Ribbleton Clinic, Preston
Acorns School, Preston
Sir Tom Finney School, Preston
Royal Preston Hospital
Longridge Clinic
family would be directed to contact their G.P. or the Paediatric Assessment Unit at Royal Preston Hospital. 01772 523189
• Service user information leaflets
• Phone calls to families
The service accesses bilingual interpreters as appropriate for families whose first language is not English.
review with learning and development opportunities identified. The team have specialist training according to their roles and national guidelines and standards.
wider professional team. Patient experience surveys are distributed to families and children via random selection throughout the year.
Services for Children and Young People with Special Educational Needs and Disabilities
Paediatric Therapy Department.
The team provide therapy for Children and Young People from 0-18 (still within full time education).
How to contact us
Royal Preston Hospital
Sharoe Green Lane
Preston
PR2 9HTDecision making processes used to determine who is eligible to receive a service.
Methods of communication with service users/patients and how they are involved in decision making/planning.
All staff undertake mandatory training and Continual Professional Development to maintain and develop their knowledge and skills.
Therapy department 01772 522876
Royal Preston Hospital via switchboard 01772 716565, bleep 3800.
Enuresis Continence Service Community Local offer
General Paediatrics Local Offer
Services are provided in a variety of settings. All the health centres and community hospital sites are wheelchair accessible and have disabled toilet facilities. There is no out of hours service. If there was an emergency the family would be directed to contact their G.P or Paediatric Assessment Unit (01772 523189) as appropriate.
