Child Health for NHS Fife hosted within
Dunfermline and West Fife Community Health Partnership
Community Children’s
Nursing Team
Student Nurse Welcome Pack
Children and Young People Community Nursing Service January 2014
1
Contents
Page
1. Information for Students on Community Placements
3
2. Evaluation of Your Learning Experience
3
3. Quality Standards for Practice Placements
4
4. Philosophy for Providing a Positive Learning Environment for
Student Nurses
4
5. Education Facilitator – Community Paediatrics
5
6. Practice Education Facilitator
5
7. Fife Community Children’s Nursing Team
6
8. Home Visiting Service
6
9. Advanced Paediatric Nurse Practitioner
6
10. Community Children’s Nursing – staff list
7
11. Children and Young People’s Community Nursing Service
8
12. Mission Statement of the Fife CCN Team
9
13. Principles of Service Delivery and Key Aspects of Care
9
14. Multi-agency Approach
11
15. Structure of Home Visits
12
16. Sick Leave
13
17. Confidentiality
13
18. Equality and Diversity
13
19. Family-centred Care
13
20. Appendix
14
21. References and National Drivers
17
Children and Young People Community Nursing Service January 2014
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Information for Students on Community Placements
Welcome to your placement within the Community Children’s Nursing Team which
is hosted in Dunfermline & West Fife Community Health Partnership (D&WFCHP).
This guidance aims to provide you with the resources you require to make the
most of your community placement.
The way in which nursing care is delivered is forever changing and recent political
drivers such as Curam (SG 2009), Better Health Better Care (SG 2007), Delivering
for health (SEHD 2006) and The Community Nursing Review (SEHD 2006) all
identify the need to provide quality healthcare services that meet the needs of the
individual patient by shifting the balance of care from secondary care to primary
health care settings. This poses many challenges as medical and technological
care advances increasing the dependency of children within the community setting.
Many Specialist nurses and other Healthcare professionals work in roles within the
community to provide services to empower families to care for their children /
young person at home optimizing quality of care. Other national drivers which
influence care delivered within our service are Getting Right for Every Child (2008)
and Living and Dying Well (2008).
During your allocated placement you will be given a named mentor who will be
responsible for your learning experience. In line with the Quality Standards for
Practice Placements (NES 2008) you will have a team approach to your learning
experience and will work with many nurses and health care professionals during
your placement. As a student you have a responsibility to contribute as a partner
in the achievement of your required learning outcomes.
Main office contact: Ward 12, Lynebank Hospital, Halbeath Road, Dunfermline,
KY11 4UW, 01383 565359
Evaluation of Your Learning Experience
You will be asked by your mentor to provide feedback at the end of your
placement.
Your feedback is welcome in order to evaluate and improve the
learning environment within the clinical area. It is an NMC requirement for all
mentors to reflect and review their learning environment to provide a positive
learning experience for nursing students, your feedback is important to assist them
to do this.
Enjoy your Primary Care Placement!
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Quality Standards for Practice Placements (NES 2008)
These Quality Standards for Practice Placements have been created so that
students and those individuals and organizations who support them understand
their responsibilities and expectations in relation to practice placement learning.
The standards have been distributed to all areas in NHS Fife, either as a poster or
in leaflet form (pictured above) and should be available to all students on clinical
placements. During your placement if you have any concerns that these standards
are not being implemented fully, please discuss this with your mentor or nurse
manager / mentor.
Philosophy for Providing a Positive Learning Environment for Student
Nurses
Author: Community Children’s Nursing Team
Version Number:
1
Date of Issue:
07/12/12
Next Review:
31/01/15
The community children’s nursing team recognises that a student’s practice
experience is widely acknowledged as being one of the most important parts of
their educational preparation to become healthcare professionals.
We will make every effort to create a partnership with the students allowing them to
translate theory into practice, by sharing our knowledge/skills and experience with
them effectively. We aim to create opportunities to meet the students learning
needs.
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Education Facilitator
The above post holder leads and facilitates education provision within the Children
and Young People’s Community Nursing Service and supports staff to make
necessary changes in their practice as required by the profession and the service.
The Education Facilitator for the Children and young People’s Community Nursing
Service in Fife is:
Angela Waddell, Ward 12, Lynebank Hospital, Halbeath Road, Dunfermline,
KY11 4UW
Office:
01383 565145
Mobile:
07747762769
Please feel free to contact her if you have any questions / queries regarding your
student nurse placement.
Practice Education Facilitator
The Practice Education Facilitator role is designed to enhance the quality of the
practice learning experience and positively contribute to the future nursing and
midwifery workforce.
The key focus of Practice Education Facilitator role is to:

Enhance and support the role of the mentor within the practice placement area

Provide robust communication networks between practice placement areas and
higher educational institutions

Suggest strategies to enhance the practice placement learning environment
The practice education facilitators positively influence the quality of the clinical
learning environment for all nurses, midwives, learners and health care assistants
utilising lifelong learning strategies and continuous professional development.
Addressing the training and educational needs of staff enhances the quality of the
clinical learning environment resulting in improved patient care.
The Practice Education Facilitator for this placement is:
Julie Smith, Lynebank Hospital, Dunfermline, KY11 4UW, 01383 565387
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Fife Community Children’s Nursing Team
The Fife Community Children’s Nursing Team is part of the wider Children and
Young People’s Community Nursing Service based in Ward 12, Lynebank
Hospital, Halbeath Road, Dunfermline KY11 4UW. This team consists of 1 x Nurse
Team Manager, 2 x full time Community Children’s Nurses, 2 x part-time
Community Children’s Nurses and 1 x Health Care Support Worker, who cover a
geographical area from the Kincardine Bridge in the west, the Forth Road Bridge in
the South up to Tayport in the north (this includes the East Neuk of Fife). See map
on next page. As of January 2014, a Health Care Support Worker (HCSW) has
joined the community children’s nursing team to support service delivery. This is an
exciting new post which will be based in the community and also in the clinic
environment carrying out specific aspects / episodes of care.
Home Visiting Service (based Children’s Ward, Victoria Hospital, Kirkcaldy)
As a result of a review of children and young people’s services in Fife (2011) an
integrated approach to acute care from the Children’s Ward, Victoria Hospital,
Kirkcaldy is providing a much more collaborative model of care.
The aims of the service are:

To facilitate early discharge from the ward / ambulatory care

Prevent hospital readmission

Enable parents to feel confident and competent when caring for their child at
home

Provide health promotion for the whole family

Make effective links with the primary health care team and between hospital
and community.
The Home Visiting Service receives referrals from the children’s ward, Ambulatory
care, G.P. assessment unit, A+E at the Victoria Hospital, Kirkcaldy. Other referrals
include self referrals, minor injuries unit (QMH), other hospital (e.g. RHSCE +
Yorkhill Hospital). Their contact number is: 01592 643355 ext 22889
Advanced Paediatric Nurse Practitioner (based Ward 12, Lynebank Hospital,
Dunfermline)
Following successful NDP funding we have the first community based APNP in
Scotland. They have been in post since September 2012. The role of the
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Advanced Nurse Practitioner is to undertake a care co-ordination approach for the
exceptionally complex children operating across NHS Fife. The APNP works in
close partnership with the community children’s nursing team in ensuring that
children / young people and their families are identified and supported as early as
possible ensuring the co-ordination of the appropriate care package across the
multi-professional groups.
Community Children’s Nursing Team – staff list
Community Children’s Nurse Manager
Lynn Mushet
Community Children’s Nurses
Gill Deaves
Phyllis Davidson
Louise Russell
Health Care Support Worker
Stephanie Scott
Home Visiting Service
Joanne Bruce
Aileen Kyle
Advanced Paediatric Nurse Practitioner
David Smyth
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Children and Young People’s Community Nursing Service
The Children and Young People’s Community Nursing Service (CYPCNS) is part
of Child Health for NHS Fife hosted within Dunfermline and West Fife Community
Health Partnership. The goal of the CYPCNS is to promote health and prevent
illness by providing family centred care for children / young people in their home,
school / development centre or respite environment. Children and young people’s
community nursing relies on effective planning to enhance positive links between
the tiers of health, education, social work and voluntary services.
The wider Children and Young People’s Community Nursing Service consists of 8
other specific areas and operates on a Fife-wide basis:
Service areas:

Children and Young People’s Home Care Team

Glenmar Respite Care House

Out of School Nursing Support

Nursing within Special Education Schools

Child Development Centre’s

Service for Children and Young People with Learning
Disabilities

ADHD Nurse Specialists
Although each service area has its own staff with differing group skills and
responsibilities, the service as a whole is supported by the following management
structure:
Lead Nurse
Nurse Team
Manager
Community
Children’s
Nursing
Service
Nurse Team
Manager
Child
Development
Centre’s
ADHD Nurse
Specialist
Child
Development
Nurse
Children and Young People Community Nursing Service January 2014
Advanced
Paediatric
Nurse
Practitioner
8
Mission Statement of the Fife CCN Team
As community children’s nurses, we consider the needs of the child / young person
within the context of the family unit. We believe that parents and family members
are the primary carers, and that effective care delivery depends upon negotiation
and partnership between ourselves and the family.
The provision of support and education from the team is based upon respect for
the child / young person and their family. Each child / young person and their
family have individual needs which will be assessed and a jointly agreed,
appropriate plan of care will be offered to them in partnership with the family.
Principles of Service Delivery and Key Aspects of Care:

To assess and plan care in conjunction with the child / young person and their
family

To facilitate early discharge through inter-agency and multi-disciplinary liaison

To reduce unnecessary hospital admissions and provide co-ordination and
continuity of specialist paediatric care

provide continuity of care at home for children / young people with additional
and complex health needs

teach and support children / young people and their families, enabling them to
become as independent as possible

offer co-ordination and collaboration of care

continuously assess and evaluate care delivery to meet the individual needs of
the child / young person and their family
The CCN service is provided in the family’s home, or in community settings for
children / young people requiring:

Wound care, post-operative care, support and advice on discharge from
hospital

Administration of SC injections for children with Crohn’s disease or rheumatoid
arthritis e.g. Methotrexate.

Support to oncology children / young people and their families in Fife e.g.
regular blood sampling

Support of home enterally fed children / young people in collaboration with the
multi-disciplinary team.
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
Support of preterm infants and children / young people on home oxygen.

Support to children / young people at home with compromised airways
requiring assisted support with NP airways or tracheostomies.

Support, advice and co-ordination of care for children / young people with
complex health needs. This role encompasses that of the key-worker and links
closely with education, social work and voluntary services.

Care and support for children / young people with chronic illnesses and their
families

Orthopaedic home traction care

Teaching and education for children / young people, parents and staff

Additional support and education for schools and other professionals involved
in the child / young person’s care

Palliative care at home, supported by our pathway.

Short-term acute conditions requiring nursing intervention: e.g. diarrhoea /
Bronchiolitis / Asthma
Children up to the age of 16 years, or young people who still receive extended
education can be referred to the team (we would not consider any new referral to
the team if they are over 16 years and not already on the caseload) by any
professionals, parents and / or carers.
Each child / young person will be
individually assessed by the receiving community children’s nurse and parental
consent is always required before a referral can be accepted. Referrals can be
made to the CCN team in writing via fax / hard copy.
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Community Children’s Nursing
Here is a list of the different services and agencies that the community children’s
nurses are in regular contact.
G.P.
Special
Health
Visitor
Schools
Child
Community
Protection
Pharmacist
Service
Glenmar
Acute &
Tertiary
Respite
Services
House
Community
Nursing
Team
Rachel
Social Work
House
Nurse
Voluntary
Specialist
Services
Nurses
CDC’s
AHP’s
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Structure of Home Visits
Community work is very different than the day to day workings of an acute area.
There is a structure that the community children’s nurses follow when they visit a
child / young person’s home to deliver care. For you to fully appreciate and
understand this process we will be asking you to complete a mini reflection after
complex visits.
There are mainly 2 types of visits’:1. Simple visits – requiring minimal input requiring only one or two visits e.g. day
cases.
2. Complex visits – Requiring longer term intervention and CCN making contact
with one or more agencies.
Structure
1. Introductions – Introduce yourself and state the purpose of your visit in a
welcoming manner, respecting at all times that you are a visitor in the family’s
home.
2. Overall health / social assessment or clinical intervention dependant on the
purpose of the visit.
3. Main Body of the visit – where you maybe fact finding, gleaning information and
planning with the family for effective care at home. Allowing the family / child /
young person the opportunity to express how they are feeling.
Key considerations would be:

Care planning in relation to the child / young person’s age, ability and condition.

Utilising appropriate resources for the family and home circumstances: e.g.
support at home from statutory & voluntary agencies, respite care, equipment.

Education and support needs of the family and other carers.

Funding and financial issues e.g. application for PIP (Personal Independence
Payment) etc.

Responsibility for medical supervision (liaising with G.P.s, Hospital Consultants)
and liaising with the wider multi-agency team.
“Summing up” – You would discuss fully with the family the main points covered in
the visit, if there are outcomes of items requiring to be taken forward you would
state these and explain what you will do as a result. If there are members of the
Children and Young People Community Nursing Service January 2014
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multi-agency team you would liaise with you should state that you will be making
contact.
Final opportunity for any further questions from family / child / young person is
offered.
Return Visit – Arrange a subsequent visit at that time or advise when you will be
back in contact by telephone if required.
Give CCN information leaflet with the teams contact details.
Sick Leave
Please give as much notice as possible when requesting sick leave. During office
hours please speak to someone in person. Do NOT leave a message as it may not
be picked up. When you are fit to return to work you must let the office know. You
must also follow University Policy for Sick Leave over and above informing the
office.
Confidentiality
We cannot stress the importance of maintaining confidentiality. Due to the nature
of the job it is very easy to discuss confidential matters verbally or via text / social
networking sites with parents and members of staff. Under no circumstances
should this happen and if confidentiality is broken your programme leader will be
informed.
Equality and Diversity
Equality and diversity are at the heart of the NHS strategy. Investing in the NHS
workforce allows us to deliver a better service and improve patient care in the
NHS. Equality is about creating a fairer society in which everyone has the
opportunity to fulfill their potential. Diversity is about recognising and valuing
difference in its broadest sense. (1) See Appendix 1 for more information.
Family-centred Care
Family-centred care can be defined as: ‘The professional support of the child and
family through a process of involvement, participation, and partnership,
underpinned by empowerment and negotiation’. (2)
We, as care givers, have to remember to take into account everyone’s feelings /
suggestions, including parents + siblings, in the giving and planning of care for
each child / young person in our care.
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Appendix 1
Equality and
Diversity
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Equality and Diversity in NHS Fife
NHS Fife is committed to the promotion of equality for staff and service users in
Fife. To improve our health care services we want to communicate effectively and
to be accessible and open.
We believe that diversity should be celebrated as strength so that we can create
conditions where all staff are treated on the basis of their merits, abilities and
potential. We want NHS Fife to be an employer of choice.
NHS Fife aims to ensure that individuals are treated fairly, with dignity and respect,
regardless of Race, Disability, Gender, Sexual Orientation, Age, Religion and
Belief.
A fundamental value of NHS Fife is equity of access, everyone should have equal
access to our services and these should be sensitive to individual needs.
The vision is that equality becomes central to NHS Fife with:

Everyone committed to the goal of equality and diversity underpinning all
service delivery.

That all staff feel involved and motivated to have equality and diversity central
to all work undertaken

That at all times NHS Fife considers and respects people’s similarities and
differences.
Why be committed to Equality and Diversity?

We must make informed decisions that achieve effective health outcomes

We know that equality effects all service users and employees

By law we must not discriminate on the grounds of the six groups listed above.
What is Equality and Diversity?
Equality is about affording everyone equal access to opportunities, resources and
services. It does not mean treating everyone in exactly the same way. It is about
creating a fairer society where everyone can participate and have the same
opportunity to fulfill their potential and is backed by legislation.
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Diversity – The concept of diversity encompasses acceptance and respect. It
means understanding that individuals and groups are unique and recognising and
valuing differences. It is about generating a workforce who have their full potential
utilised.
We will do this by:

Involving local communities by building on existing trust

identifying, sharing and embedding good practice

continuing to provide a high quality service

respond to and develop policy and practice

getting rid of discrimination

communicating effectively

creating a common understanding of people’s similarities and differences
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References
(1) www.nhsemployers.org
(1) Smith et al (2002) as cited in Coleman, V, (2003) Enhancing consumer
participation using the Practice Continuum Tool for family-centred care. Paediatric
Nursing, Vol 15, No 8. pp 28 – 31
National Drivers
Better Health Better Care (2007)
http://www.scotland.gov.uk/Resource/Doc/206458/0054871.pdf
Curam – Scotland Cares (2009)
http://www.scotland.gov.uk/Resource/Doc/254463/0075344.pdf
Delivering for Health (2006)
http://www.scotland.gov.uk/Resource/Doc/76169/0018996.pdf
Getting it Right for Every Child (GIRFEC) (2008)
http://www.scotland.gov.uk/Resource/Doc/1141/0065063.pdf
Living and Dying Well (2008)
http://www.scotland.gov.uk/Resource/Doc/239823/0066155.pdf
Quality Standards for Practice Placements (2008)
http://www.nes.scot.nhs.uk/media/323817/qspp_leaflet_2008.pdf
Visible, Accessible and Integrated Care (2006)
http://www.scotland.gov.uk/Resource/Doc/181958/0051706.pdf
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