Hospital service form 1. Hospital information * denotes required field 1.1. Unit/hospital name * 1.2. Does the hospital have a paediatric inpatient service? * ☐ Yes ☐ No 1.2.1. What is the maximum age of children admitted to your inpatient ward? * --- 1.2.2. Is there a separate adolescent ward or area? * ☐ Yes ☐ No 1.2.3. What is the minimum age of children admitted to your adolescent ward/area? * --- 1.2.4. What is the maximum age of children admitted to your adolescent ward/area? * --- 1.3. How many times has the paediatric inpatient unit had to close to new admissions in the year prior to 30 September 2015 due to shortages of nurses and/or doctors? 1.4. Does the hospital have a paediatric outpatient service? * ☐ Yes ☐ No 1.4.1. Please provide the average weekly total of general paediatric outpatient clinics held by staff who work in your unit? * --- 1.5. Do children admitted for surgery have a named paediatric consultant responsible for the overall management of care and liaison between teams? * --- 1.5.1. If other, please specify 2. Neonatal care 2.1. Level of neonatal unit * --- Special care units (SCUs) provide special care for their own local population. Depending on arrangements within their neonatal network, they may also provide some high dependency services. In addition, SCUs provide a stabilisation facility for babies who need to be transferred to a neonatal intensive care unit (NICU) for intensive or high dependency care, and they also receive transfers from other network units for continuing special care. Local neonatal units (LNUs) provide neonatal care for their own catchment population, except for the sickest babies. They provide all categories of neonatal care, but they transfer babies who require complex or longer-term intensive care to a NICU, as they are not staffed to provide longer-term intensive care. The majority of babies over 27 weeks of gestation will usually receive their full care, including short periods of intensive care, within their LNU. Some networks have agreed variations on this policy, due to local requirements. Some LNUs provide high dependency care and short periods of intensive care for their network population. LNUs may receive transfers from other neonatal services in the network, if these fall within their agreed work pattern. Neonatal intensive care units (NICUs) are sited alongside specialist obstetric and fetomaternal medicine services, and provide the whole range of medical neonatal care for their local population, along with additional care for babies and their families referred from the neonatal network. Many NICUs in England are co- located with neonatal surgery services and other specialised services. Medical staff in a NICU should have no clinical responsibilities outside the neonatal and maternity services. 2.2. How many times has the neonatal unit had to close to new admissions in the year prior to 30th Sept 2015 due to shortages in nurses and/or doctors? 3. Emergency departments 3.1. Are children seen in the emergency department? * ☐ Yes ☐ No 3.2. Are children seen in a dedicated paediatric emergency department? * ☐ Yes ☐ No A dedicated paediatric emergency department is one with separate waiting, assessment and treatment areas for children. 3.2.1. For each of the following staff groups, please indicate how they work with children and young people in the emergency department. * Please select one option from 1 to 5. Time allowed means that there is time allocated in the general inpatient rota to cover the emergency department. No time allowed means that there is no time allocated in the general inpatient rota to cover the emergency department. Paediatric consultant Paediatric emergency medicine consultant Paediatric SAS doctor Paediatric emergency medicine SAS doctor ST4-ST8 doctor – paediatric trainee ST1-ST3 doctor – paediatric trainee 1. Present for all opening hours 2. Present for part of the opening hours 3. Present when required as part of general inpatient rota (Time allowed) 4. Present when required as part of general inpatient rota (No time allowed) 5. Do not work in this unit ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ Advanced children’s nurse practitioner General practitioner (trained) Physician associate ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ 4. Short stay paediatric assessment unit (SSPAU) or equivalent unit 4.1. How many SSPAU (or equivalent) units does this hospital have? * --- An SSPAU is a facility within which children with acute illnesses, injuries or other urgent referrals (e.g. from GPs, community children's nursing teams, urgent care centres or emergency departments) can be assessed, investigated, observed and treated without recourse to inpatient areas. The SSPAU may also be called a paediatric assessment unit, clinical decision unit, or short stay ward. Please include all equivalent units that serve a similar purpose. If you have more than 2 units, please contact workforce@rcpch.ac.uk. SSPAU (or equivalent) 1 4.2. What type of SSPAU or equivalent is this unit? --- For example, paediatric assessment unit, clinical decision unit, short stay ward. 4.2.1. If other, specify 4.3. Where is the SSPAU located? * --- 4.3.1. If other, specify 4.4. Total hours SSPAU (or equivalent) open per week * --- Please select the option that most closely fits the opening hours at your unit. 4.4.1. If other, specify 4.5 For each of the following staff groups, please indicate how they work in the SSPAU. * Please select one option from 1 to 5. Time allowed means that there is time allocated in the general inpatient rota to cover the SSPAU. No time allowed means that there is no time allocated in the general inpatient rota to cover the SSPAU. Paediatric consultant Paediatric emergency medicine consultant Paediatric SAS doctor Paediatric emergency medicine SAS doctor Adult emergency medicine consultant ST4-ST8 doctor paediatric trainee HST doctor emergency medicine trainee Other nontraining grade 1. Present (rostered) for all opening hours 2. Rostered for part of the opening hours 3. Present when required as part of general inpatient rota (Time allowed) 4. Present when required as part of general inpatient rota (No time allowed) ☐ 5. Do not work in this unit ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ (middle grade equivalent) ST1-ST3 doctor paediatric trainee CST1-CST3 - emergency medicine trainee Other specialty trainee Other nontraining grade (junior doctor equivalent) Advanced children's nurse practitioner Nurse General practitioner (trained) GP or FY trainee Physician associate ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ 5. Additional staffing arrangements 5.1. Are physician associates employed to work within the hospital setting with children and young people? * ☐ Yes ☐ No Physician associates (also known as physician assistants) support doctors in the diagnosis and management of patients. They are trained to perform a number of roles including: taking medical histories performing examinations diagnosing illnesses analysing test results developing management plans They work under the direct supervision of a doctor. (NHS Careers). 5.1.1 How many WTE physician associates are employed to work within the hospital setting with children and young people? 5.2. Are advanced children's or neonatal nurse practitioners employed to work within the hospital setting with children and young people? * ☐ Yes ☐ No 5.2.1. How many WTE advanced children’s or neonatal nurse practitioners are employed to work within the hospital setting with children and young people? 5.3. Please use the text box to record any additional information or comments about this section.