Y&H PCC ODN
Annual Report 13/14
Annual Report 2013/2014
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Foreword /introduction – Simon Morritt (Alison Hollett) CE, SCH as Network hosts.
Sheffield Children’s NHS Foundation Trust is delighted to be the host of the Yorkshire
and Humber Paediatric Critical Care ODN, the only ODN of its kind in the UK which is
working alongside the Yorkshire and Humber Neonatal ODN thus ensuring a
seamless and consistent approach to the standards of care expected for children
within the region from birth.
Sheffield Children’s NHS Foundation Trust is one of only 4 independent children’s
Trusts in the UK. As a specialist Trust it has a focus on patients both locally and
regionally and has an ability to ‘make things happen’. It also has experience of
establishing and running other Yorkshire and Humber based services, as it also hosts
Embrace, the Yorkshire & Humber Infant and Children’s Transport Service, again the
only one of its kind in the UK.
The Yorkshire and Humber Paediatric Critical Care ODN is part of the Surgery &
Critical Care Division at Sheffield Children's NHS Foundation Trust which includes as
well as the Neonatal ODN, Embrace, Paediatric Intensive Care, High Dependency
Care, Paediatric Anaesthesia, Theatres, Pain Service the Surgical Specialities and the
surgical wards, including Neurosciences and Burns. Working within a Division that
focuses on the delivery of care to patients at a critical time and already has
experience of ensuring that a regional wide service is allowed to develop has been
critical for the ODN at it’s launch. The Paediatric Critical Care ODN has to hold
Sheffield Children’s NHS Foundation Trust to account for the quality of care it
provides, and the Division welcomes this role and ensures that the ODN has the
same expectations of compliance to standards as elsewhere within the region.
The Trust is excited to be working as part of the Paediatric Critical Care ODN as well
as hosting this service, as it develops to be at the forefront of the delivery of high
quality Paediatric Critical Care.
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Y&H Paediatric Critical Critical Care ODN Executive Group Chair – Lisa Marriot,
Senior Service Specialist, NHS England
As a parent, few things can be more stressful than your child being seriously ill or
injured. When this happens you rely on the staff that care for them having the
highest levels of skill and experience. It is increasingly the case that clinicians need
to work together across organisational boundaries to make sure that the right level
of care is available when and where it is needed.
In Yorkshire and Humber, we have a long and successful history of working together
to ensure that high quality critical care for children is provided through the region.
The restructuring of the NHS in 2013 and the subsequent formation of Operational
Delivery Networks, allowed us to build on the success of existing Clinical Networks in
the north and south of the patch and for the first time bring together clinicians from
across the whole of Yorkshire and Humber into a single network.
The new Yorkshire and Humber Paediatric Critical Care ODN was formed in October
2013. Membership is open to all staff involved in critical care for children. There is
an Executive Group, with senior representation from Hospital Trusts across Yorkshire
and Humber which sets the direction for the network and agrees the ODN work
programme.
The ODN is hosted by Sheffield Children's Hospital NHS Foundation Trust, who is
responsible for employment of the network staff, infrastructure and performance
reporting on the work of the network to NHS England and there are close working
arrangements and some shared infrastructure with the Yorkshire and Humber
Neonatal ODN (also hosted by SCFT); this ensures that any issues that affect both
babies and children are dealt with effectively and that there is best use made of
management resource.
This annual report details the progress that has been made over the previous 12
months, and as Chair, I would like to thank the provider organisations and the
network team for their dedication and hard work over the year.
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Clinical Leads – Jeff Perring, Rum Thomas, Mark Darowski
We are proud to present this, the first Annual Report of the Yorkshire and Humber
Paediatric Critical Care Operational delivery Network (PCC-ODN).
The PCC-ODN was formed on the 1st April 2013 as a single network incorporating the
two existing clinical networks covering Yorkshire and North Trent. Having spent a
few months developing an infrastructure our Network was formally launched in
October 2013. Since then the ODN has built upon its foundations, encouraging
partnership working and providing much needed outreach education.
This coming year will have new challenges for the Network and all of us who are part
of it. The ODN needs to be fully embedded within our region. Its core activities
developed further whilst providing room to meet the new demands placed upon it.
However, at the centre of the ODN remains the care of the critically ill child and his
or her journey from arrival at hospital through transfer to a high dependency or
critical care unit, transfer back for continuing care and onwards towards home.
We have come a long way since the 1st April 2013 but know that we still have a long
way to travel. We look forward to sharing the journey with you.
ODN Manager – Helen Brown
I joined the newly formed Yorkshire and Humber Paediatric Critical Care ODN team
in October 2013 having previously managed the Jessop Wing in Sheffield.
I first came to work in the NHS in the early 1990s as a Data Analyst working in Clinical
Research, later becoming a Researcher in my own right and working alongside
eminent Professors in the field of Cancer, contributing to many published studies.
With the publication of the ‘Improving Outcomes Guidance’ in 2000 I stepped into
the world of NHS Management and Managed Clinical Networks helping to shape
Surgical Cancer Services across what was formerly known as the North Trent Cancer
Network. Waiting Times compliance formed a large part of this role resulting in the
redesigning of how services were delivered in order to meet the challenge.
It was these acquired skills I took with me to Jessop Wing helping to establish
maternity and neonatal services as the Tertiary Referral Centre for South Yorkshire
and beyond.
With the arrival of the Health & Social Care Act in April 2013 the NHS was once again
dramatically changed and the concept of Clinical Networks revisited. Whilst the
benefits of wide clinical engagement and delivered sustained improvements were
recognised any previous variation that existed in form and function was now to be
addressed.
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Now known as Operational Delivery Networks (ODNs); they have specified roles and
remits with their focus being one of an operational supporting role. To ensure
quality standards and networked patient pathways are in place and to support
provider Trusts in meeting their new challenges.
ODNs operate on a membership model across a wide geographical area; bringing
together clinical opinion, sharing good practice; influencing policy/commissioner
decisions and supporting provider units to operationalise strategy.
Whilst it is mandatory for provider units to be a member and participate in the ODN
it is not a statutory body with the authority to impose change, to police provider
units or to provide a source of funding.
The former North Trent and Yorkshire Paediatric Intensive Care Networks that
existed before were very different from each other as well as very different from the
expectations as an ODN. In addition, and understandably, concerns existed, and to
some extent, still do, about the future of networks and their survival.
Many staff previously involved took opportunities to either leave the NHS or move to
new roles so one of my first challenges as ODN Manager was to provide reassurance
and minimise further loss of knowledge, skills and capacity. My focus was to build a
cohesive team, working together. This was in part achieved by maintaining the focus
on continuation of existing valid outputs such as provision of training and education.
But building on previous successes has in itself proved challenging as starting points
varied both across specialities and across geographical areas. Clinicians, themselves,
requiring support to aid their own understanding of the changes and reassurance
that good practice will continue albeit under a different umbrella.
Having said all that, the achievements within the first year, of the Yorkshire and
Humber Paediatric Critical Care ODN’s existence have been significant and
commendable as this report will show. On a personal note I feel privileged to work
with such personable and committed teams with the ability to show a genuine sense
that children and their families remain firmly and squarely at the centre of clinical
care whilst still meeting new challenges head on.
Administrator – Laura Murphy
I started working for the network in August just as the ODN was being developed
from the former Yorkshire Neonatal Network, North Trent Neonatal Network and
the Paediatric Critical Care Network. It has been a learning curve for all involved as
people’s roles have changed to accommodate the new structure and new avenues of
work are being looked at.
My main role is to support Helen Brown the Network Manager and the Lead Nurses
and Lead Clinicians in their projects and meetings as well as undertaking the general
administration work for the networks. I hope to get more involved with the network
data in the near future.
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Previously I have worked at Mid Yorkshire Hospital Trust, YHIP hosted by Bradford
Teaching Hospitals Foundation Trust and West Hull Primary Care Trust so bring NHS
experience as well as a variety of administrative and project work experience gained
from other organisations to the role.
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Paediatric CC Clinical Educators – Elaine Eckersley and Karen Perring
The hospitals covered by the Y&H PCCODN have been divided between the
educators so that they can effectively meet the needs of each hospital in terms of
education and training. This also enhances communication, ability to attend case
reviews, M&M meetings etc around the region.
Karen Perring
Elaine Eckersley
Airedale NHS Foundation Trust
Barnsley Hospital NHS Foundation Trust
Bradford Teaching Hospitals NHS Foundation
Calderdale and Huddersfield NHS
Trust
Foundation Trust
Doncaster and Bassetlaw Hospitals NHS
Chesterfield Royal Hospital NHS Foundation
Foundation Trust
Trust
Harrogate and District NHS Foundation Trust
Hull and East Yorkshire Hospitals NHS Trust
The Rotherham NHS Foundation Trust
Leeds Teaching Hospitals NHS Trust
Sheffield Children’s NHS Foundation Trust
The Mid Yorkshire Hospitals NHS Trust
York Teaching Hospitals NHS Foundation
Northern Lincolnshire and Goole Hospitals Trust
NHS Foundation Trust
Karen Perring – Network educator, Yorkshire & Humber Paediatric Critical Care
Operational Delivery Network
RGN, RN Child Dip HE, BSc Open Degree, ENB 415, 998 , APLS Instructor , Faculty
Development Course at Montagu hospital.
Post started August 2013 0.5 WTE for ODN.
Remaining time working as Senior Transport Nurse at Embrace, Yorkshire & Humber
Infant and Children’s transport Service (Been Embrace 4 years including 1 year as
Educator).
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Previously roles as Senior Sister in Paediatric Intensive Care in Newcastle (8 years in
PCC including 2yrs in senior role) and Leeds (4 years including 1 year in educator
role).
The first few months were spent visiting each hospital within the region establishing
contacts and discussing education / training requirements. The face to face visits
allowed the educators to make contact with the many departments within each
hospital that deal with the management and care of critically ill children.
An education needs scoping questionnaire was also sent out to each trust within the
region in December 2013. The purpose of this exercise was to assist in the
development of an education work programme for the region.
Due to winter pressures within the regional hospitals training sessions have mainly
been booked from May to September.
To date I have delivered 3 study days to 3 hospitals within the region, one day of
which included insitu simulation for the multiprofessional team. These training
sessions have been delivered in partnership with the Embrace education Team.
A further 2 multiprofessional simulation days were delivered alongside my colleague
Elaine Eckersley. Feedback from all these days has been extremely positive and has
led to requests for further training.
Over the next 5 months we have organised 30 study days around the region. Each
trust is represented in this training programme. These days are a mixture of Multiprofessional and nurse education days. They include a mixture of lectures, skills
stations and simulation. The education programme is planned and delivered in
collaboration with the ODN Clinical leads. The PReS (Paediatric Resus and
Stabilisation) study days have also been awarded CPD accreditation.
The Network educators have worked in partnership with Embrace and the Y&HCaNS
network in planning and delivering some of these training days in the region.
There has also been collaboration with Hallam University staff in the development of
a HDU course for staff in Bradford Teaching Hospitals as part of their long term plans
for HDU care.
The Education team have recently purchased a high fidelity simulation manikin
which will enhance the experience of candidates in clinical scenario training across
the network.
The Network Educators have also attended case review meetings, clinical
Governance and Paediatric Critical Care Forum group Meetings held in the various
trusts within the Network. These are invaluable in developing relationships between
the PCCODN and the hospitals within region and help to encourage a learning
environment.
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There is a constant demand for more sessions throughout the year and an increased
workload for the education team over the summer months is apparent. This is
largely due to difficulty in releasing staff to attend training in the winter months due
to workload.
Educator:- Elaine Eckersley
Two year secondment to Y&H PCC ODN 18.75 hours per week (0.5 wte) commenced
October 2013.
Clinical commitment to substansive post, Clinical Nurse Educator PCCU at SCH NHSFT
for remaining 11.25 hours per week (0.3 wte). Total contracted hours 30 per week
(0.8wte).
Initial Activity
On commencement in post the initial activity focused on the need to establish
contacts and identify learning needs so that priorities and initial work plans could be
set. In order to understand the current situation visits to the hospitals within the
Network provided an opportunity to introduce the Y&H PCC ODN and establish new
contacts. Resuscitation and Stabilisation of children is identified as a key role for
education in addition to High Dependency and Intensive Care. Therefore, it was
necessary to identify where children are resuscitated and stabilised and which staff
groups are involved
The Educators have divided the hospitals to prevent duplication of work however we
may need to work together on occasions to facilitate some of the study days.
Summary of Initial Findings
Most of the previous Paediatric Critical Care Network contacts have moved to other
positions, with new staff in post. There are teaching facilities and educators at other
hospitals and networks that can be a resource to the Y&H PCC ODN educators.
There are staff groups that have identified learning needs that extend beyond the
anticipated areas of Paediatric wards and Critical Care units. Additional education
work involving Paediatric Resuscitation and Stabilisation including High dependency
care of children has been identified in other areas, for example:
Some emergency departments have no Paediatric qualified nurses. Some are
not covering 24 hours the children are seen in the adult areas at night. There
is some reliance on availability of ward staff attending emergencies at night
with some preferences to moving children to anaesthetic departments for
intubation.
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Annual Report 13/14
Some staff have identified that they are not confident to use Paediatric
equipment and make up infusions.
Adult Critical Care staff have some paediatric facilities but staff identify a
knowledge and skills deficit.
Some staff have concerns re facilities and equipment skills in some
emergency departments. One unit has identified that the nursing staff may
not recognise the ‘sick’ child as they have no paediatric training.
There is a widespread need identified re preparation for Embrace retrieval
(e.g. infusions).
.
The focus of Paediatric Critical Care with stabilisation and resuscitation therefore
extends to all areas where children are admitted, this includes Emergency
Departments, AAU’s and Wards. Children can be ‘held’ in other areas waiting for
transfer, some are cared for by non Paediatric qualified nurses. The initial work plans
for the Y&H PCC ODN educators have therefore included some non paediatric
qualified staff in addition to paediatric qualified staff.
Plans & Actions
All hospital will have some education input during the first year. Study days have
been agreed with individual areas to begin to address their identified knowledge and
skills deficit. Some study days are multidisciplinary and include clinical skills and
knowledge with some clinical simulation event. They are facilitated with the Lead
Clinicians, some have attracted CPD accreditation, the day is entitled Paediatric
Resuscitation and Stabilisation or (PReS) study day.
There are some days that have been designed for nurses and include clinical skills for
resuscitation and stabilisation and recognition of the deteriorating child. A common
theme identified by nursing staff is that they would like education events in the
autumn on caring for the child with bronchiolitis and CPAP.
Some of the study days planned are full days of clinical simulation and are
multidisciplinary. We have established links with the Simulation Network Fellows
and have agreed to run some events together to utilise our joint skills and resources
in a collaborative way to avoid duplication.
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Unit
Chesterfield
SCH
Rotherham
York
Scarborough
Huddersfield
Calderdale
Hull
Barnsley
Open
Annual Report 13/14
Study Days
22nd April Recognition of Sick Child
22nd May PReS Day
10th June Recognition of Sick Child
20th June PReS Day
23rd June Simulation Day
19th Aug Recognition of Sick Child
21st Oct Recognition of Sick Child
11th Nov Recognition of Sick Child
9th April Montagu Sim day
28th April Montagu Sim day
6th June Montagu Sim day
4th July Montagu Sim day
5th Sept Montagu Sim day
3rd Oct Monatgu Sim day
21st Aug Nurses PReS Day
7th May Paediatric Nurses Stabilisation
skills
2nd July PReS Day
8thAug Paediatric Nurses Stabilisation
skills
7th Oct PReS Day
16th May Invited to the Calderdale Day
16th May Paediatric Nurses Stabilisation
skills
5th June Nurses PreS Day
11th Feb Paediatric stabilisation &
critical care
9th April & 28th April Montagu Sim Day
12th June Ward & ED Nurses PReS
30th July Ward & ED Nurses PReS
3rd Sept Ward & ED Nurses PReS
11th Sept Paediatric stabilisation
& critical care
3rd Nov Montagu Sim Centre booked
Participants
Adult ED Nurses
TBC
TBC
TBC
TBC
TBC
TBC
TBC
Multidisciplinary
Multidisciplinary
TBC
TBC
TBC
TBC
TBC
Nursing staff
TBC
TBC
TBC
Nursing staff
12 booked
Adult GICU nurses
GICU nurses
TBC
TBC
TBC
TBC
Resouces
The PCC ODN has purchased a Sim baby, this equipment is portable and will enable
simulation events to be possible in situ on wards and enable simulation training
events in hospitals that do not have equipment. The Montagu Simulation centre is
used for some teaching days, this is a free high fidelity training facility.
The training facilities and education centres at some hospitals have been utilised for
study days where possible. The assistance of Resuscitation Training officers and
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Clinical Educators has proved helpful, it is hoped that they can build some of the
education into events that they can facilitate independently in future, however it is
anticipated that advice would be needed from the PCC ODN Educators.
The work planned so far has filled the diary for the Education time available, there is
further work needed to link with Emergency departments and wards not yet
contacted. In particular Huddersfield. This is a nurse led unit and as such it is
anticipated that there will be Education needs re resuscitation and stabilisation.
There is an ongoing challenge for nursing staff to be released for study time, this is
resulting in small groups attending it will, therefore take longer to complete training
events for all staff that need to attend. The impact of this for the Y&H PCC ODN
Educators is that if staff can only be released in small groups more study days will be
required.
Unplanned Education
February
ECG training for spinal nurses at SCH NHSFT – as no staff with skills to teach.
March
 RTO York Hospital- during planning meeting asked for update re Paediatric
fluid management.

Education following drug syringe error followed up and drug calculation
practise built into nurse skills days.
Information
 Re Critical Care modules Hallam University sent to other units as requested
 Leeds asked for information re Pressure Ulcer prevention in PICC
 As a result of Y&H PCC ODN Educator contact one hospital has provided
funding for 6 weeks for one of their senior nurses to help with their
education activity.
PCC ODN Educator asked to help facilitate a programme of education at a hospital
that has dedicated some financial resource to education training activity.
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Tracy Latham, Strategic Clinical Skills Advisor, Health Education Yorkshire &
Humber
The Yorkshire and Humber Children’s and Neonatal Simulation network (YHCaNS)
network has recently been established with the primary aim of bringing together a
wealth of clinical and educational expertise from around the region, to provide a
cohesive approach to deliver simulation training. Its multi-professional members are
from tertiary NHS trusts, district general hospitals and higher educational institutes.
The purpose of the network is to support the development of knowledge, skills and
performance of multi-professional teams who have the responsibility for the
assessment, management and where necessary the transfer of the critically ill child
or neonate.
Through collaboration and sharing resources the YHCaNS network endeavours to
develop healthcare workers that can ultimately improve patient safety, outcomes
and experience. The YHCaNS strategy action plan sets out the network aspirations
and priorities and is endorsed by the Local Education Training Board, Health
Education Yorkshire and the Humber. (http://yh.hee.nhs.uk/educationtraining/clinical-skills-and-simulation/
The PCCODN educators are a pivotal resource to the network and were invited to sit
on the YHCaNS steering group committee in October 2013, helping to develop the
strategy. They work closely with other colleagues in the network, including over 100
simulation “champions” and provide nursing expertise of the critically ill child. They
support clinical skills and simulation training that is delivered both in our wellequipped clinical skills and simulation centres and “in-situ” in clinical settings across
the region. This type of training and education can assist with identifying latent risks
and planning mitigating actions to prevent further potential patient harm.
Their expert nursing knowledge and skills combined with team working and
communication factors is paramount for successful multi-disciplinary training and
education. Through blending both theoretical teaching with high and low fidelity
simulation as part of educational programmes, healthcare workers can be provided
with the “right training and education in the right places”. Through partnership
working with the Paediatric simulation fellows, Embrace educators and local teams,
the PCCODN educators maximise multi professional clinical skills and simulation
training, providing both equity and quality of provision with economies of scale.
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Clare Hillitt, Y&H Maternity & Chidren’s Strategic Clinical Network Manager
I am delighted to contribute to the Annual Report 2013/14 for the Y&H Paediatric
Critical Care Operational Delivery Network.
2013/14 marked the first year of operation of Strategic Clinical Networks and
Operational Delivery Networks - new organisations amongst many other new
organisations in a very new NHS landscape. For both the challenge has been
establishing and developing new organisations with committed commissioners,
providers, clinicians and patients, retaining the best of the work and success that had
been undertaken before whilst developing new ways of working.
During 2013/14 the Y&H Children’s and Maternity Strategic Clinical Network and the
Y&H Neonatal and Paediatric Critical Care Operational Delivery Networks have
started collaborating and working together with the objective of improving
outcomes and experience for babies, children and their families across Y&H.
This work commenced in September 2013, when Clinicians and Managers from the
Y&H ODN were amongst over 100 stakeholders from across Yorkshire and the
Humber who attended a Children’s and Maternity Strategic Clinical Network
engagement event. This event helped the SCN to shape its work programme and
governance arrangements and ensured that the views of the Neonatal and PCC
ODNs were reflected in both the outcome of the event and the SCNs plans to
improve services and outcomes for children and their families.
In October 2013, Mr Jim Dwyer, SCN Clinical Lead for Maternity and I were pleased
to be asked to present the keynote speech at the launch of the ODN to over 90
clinicians from across Y&H. This gave us a valuable opportunity to explore with a
wider audience the emerging relationship and shared ambitions of the two Networks
and as a result of both events we are pleased that there will be representation from
the ODN on both the SCN Regional Maternity Clinical Expert Group whose first
meeting is to be held on June 13th 2014 and the SCN Regional Children’s Clinical
Expert Group which meets on June 24th 2014.
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Embrace Transport – Claire Harness, Lead Nurse, Embrace
Highlights 2013-2014

Embrace received 3408 referrals and sent teams for 2293 transfers of infants
and children across Yorkshire, the Humber and beyond

Embrace Aero medical Service development

Yorkshire and Humber Neonatology and Paediatric Critical Care Operational
Delivery Network collaboration

Childrens Emergency Rescue, BBC2
Mission Statement
Embrace aims to provide the highest quality paediatric and neonatal care for infants,
children and their families from the first point of contact to arrival at the destination
unit.
It is the mission of Embrace to provide:





A single point of telephone contact for referring clinicians.
Access to immediate specialist clinical advice.
Triage to an appropriate level of transport provision and dispatch of transport
teams within a clinically appropriate time window.
Identification of a suitable cot or bed so that the most appropriate care is
provided in the most appropriate location for any infant or child requiring
specialist care in the Yorkshire & Humber region.
Logistical support for high risk obstetric transfers by locating a suitable
maternal bed and neonatal cot.
This is across the Yorkshire and Humber region taking in 15 Hospital Trusts.
Activity 2013 – 2014
During the report period Embrace took 3405 referrals which resulted in 2292
transfers and 442 in-utero transfers.
The following graphs show this activity in greater detail.
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Consolidated
activity
Referrals
Paediatric
transfers
Neonatal
transfers
Total transfers
Apr- May- Jun- Jul- Aug- Sep- Oct- Nov- Dec- Jan- Feb- Mar13
13
13
13 13
13
13
13
13
14
14
14
Total
307 251
295 283 258 294 278 281 324 301 297 239 3408
42
32
37
43
147
154
151
189
186
No
52
transfer/advice
In
utero
transfers
45
facilitated
Other transfers 21
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47
47
66
86
70
58
46
154 149
157
125
121
120
133
157
118
188
197 182
204
172
187
206
203
215
163
27
55
33
26
49
50
45
75
46
42
43
30
45
45
37
34
46
42
26
41
27
24
8
16
7
8
33
13
7
10
7
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17
11
13
8
607
1686
2293
543
442
130
Y&H Neonatal ODN
Annual Report 13/14
Embrace aeromedical service
2013/14 was a period of growth and development in the aero medical service that
Embrace provides. The philosophy is to ensure that our patients have access to the
best form of transport depending on clinical condition, distance, weather and
logistics. This will often be a road ambulance but may be a fixed wing aircraft or
helicopter.
Embrace transferred patients by 10 fixed wing aircraft including 4 international
missions, Yorkshire Air Ambulance assisted us by flying Embrace team and
equipment by helicopter to 12 critically ill patients, 30 with The Childrens Air
Ambulance and 1 with the RAF.
Stakeholder Events:
4th October 2013
Official launch of the Yorkshire & Humber Neonatal and
Paediatric Critical Care Operational Delivery Networks, Encore
Hotel, Barnsley.
23rd January 2014
Inaugural meeting of the Yorkshire & Humber Paediatric
Critical Care ODN Executive Group, Encore Hotel, Barnsley
3rd March 2014
PCC ODN Executive Group, Hatfeild Hall, Wakefield
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Finances – David Gosling, Accountant SCH
Paediatric Critical Care Operational Delivery Network
At 31st March 2014, the Paediatric Critical Care Operational Delivery Network had a
surplus/under spend of £30k, against the annual allocated budget of £140k:
£
139,711
Income:
Income from NHS England
Staff cost expenditure:
Medical - Consultant
Nursing
Admin/Support
32,480
25,484
19,130
77,094
62,617
3,659
58,958
Non-pay expenditure
11,086
7,116
One-off set up costs - Pay
One-off set up costs - Non-pay
18,202
40,756
Overheads
11,177
Surplus/(deficit)
29,579
The under spend on the Paediatric Critical Care Operational Delivery Network is
largely a result of slippage on the recruitment of staff on set up of the service.
Set up costs have been identified separately. These include non-recurrent staff costs
incurred in setting up the network, and non-pay costs incurred such as temporary
premises costs, website design and logo design.
Overheads have been applied to the service, at 8% of the annual budget. This is
based on an analysis of the relevant overhead functions utilised by the network Risk Management, Finance, HR and Trust Governance Costs.
The under spend of the Paediatric Critical Care Operational Delivery Networks was
£29,579. This balance will be carried forward into 2014/15, and will be in addition to
the new funding allocation for 2014/15. As such, all unspent funding will remain ring
fenced within the Neonatal and Paediatric Critical Care Operational Delivery
Networks.
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A look forward to 2014/15:
Whilst this has been a year of tremendous change, both for networks nationally and
for the NHS as a whole, it has been one of regrouping and growth for the Yorkshire &
Humber Paediatric Critical Care ODN, giving us an opportunity to build upon
successes of the past and to move forward in new partnerships. It is currently the
only one of its kind in the country, but already has achieved much in recognition of
fulfilling a need.
One of the greatest challenges the ODN continues to face is to smooth pathways of
care with geographical divides within the network disappearing. Many other
networks nationally have maintained the same geographical footprints that already
existed for managed clinical networks and have therefore found the transition
easier.
The biggest potential advantage of a larger ODN is the greater combined influence
and buying power created which can be used to add a ‘recognised authoritative
voice’ to relevant processes and projects both locally and nationally. The
disadvantage and an additional challenge of such a large geographical entity is the
diversity of cultures and differences between provider organisations.
The ODN will need to assess and agree capacity and configurations that meet the
demands placed on services regionally and locally and support providers through
change processes if required. It will need to maintain a focus on quality and
outcomes which in turn informs the development of robust meaningful service
specifications.
ODNs must ensure their long term financial stability, whilst continuing to provide a
valuable support service that adds value at provider level. Current budgets are
already reduced compared to what previous networks were used to and in a period
of continued austerity it will be vital to ensure that leaner and smarter models and
ways of working are embraced.
Many provider units have already expressed the wish that the ODN co-ordinates a
Peer Review Process, cited as being a recognisable and valuable achievement of the
work of previous clinical networks. The ODN must engage with and be responsive to
meet the needs and ideas of all stakeholders to foster an environment of trust and
mutual respect but in order to do so we must ensure that network staff are of the
right skill mix have the right skill set in order to succeed.
A willingness to delve into challenging discussions whilst creating an ethos of
collective sharing and solving of problems is the strength of an ODN and as such it
will assess its resources and work in partnership to explore how a Peer Review type
process may be achieved alongside the continued provision of education, training
and partnership projects already underway.
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The development of affiliated Clinical Forums e.g. Anaesthetics is also ‘work in
progress’ and benefits of such partnership working will be the provision of specialist
expertise that will contribute to overall provision of the best possible patient
outcomes and further efficiencies optimised.
In addition, engagement with patients/parents and carers remains a priority, which
to date has proved challenging, predominantly due to the intensive, short term
nature of the service are we cover.
Unfortunately, the PCC ODN remains without a Chair for the Executive Group and
will also have a change of clinical leadership (north) to address in earnest and a
priority going forward,
The ODN wishes both Lisa Marriott and Mark Darowski all the best and thank them
for the hard work, dedication and support they have given the network especially
during the transition phase.
Future Events:
16th June 2014
Educational Conference, Wetherby Race Course
9th July 2014
PCC ODN Executive Group Meeting, Encore Hotel, Barnsley
PCC Clinical Forum, Encore Hotel, Barnsley
Please visit the website www.yorkshirehumberodn.nhs.uk/pcc and help us in its
development by providing feedback.
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