Specialist Community Children’s Healthcare The Children’s Directorate brings together all the specialist community services for children and young people across Birmingham and offers a co-ordinated approach for child health care. We work closely with local acute paediatric services, maintain good links to other local providers of care for children, including the Primary Care Trusts, Birmingham City Council Children’s Service and Voluntary agencies. MISSION STATEMENT: Our aim is to deliver high quality, cost effective and evidenced based practice in partnership with the children, young people and families that we serve. For further information or advice contact:Anne Aukett, Director of Children’s Services or Donna Darbyshire/Pat Hackett, Associate Directors Carnegie Centre Hunters Road Hockley Birmingham B19 1DR Tel: 0121 465 3756 Service Specification March 07 2 Specialist Community Children’s Healthcare PAEDIATRIC PHYSIOTHERAPY SERVICE Paediatric physiotherapy is the treatment, by physical means, of conditions seen in children, which affect or compromise normal childhood development. The Community Paediatric Physiotherapy Service provides assessment and treatment/management for children and young people referred from across the whole of Birmingham, working closely with families, other carers and other professionals to enable them to manage the child/young person’s needs. The service is delivered within children’s homes, special schools, mainstream schools, Child Development Centres and health centres. Our aims are to: Enable children and young people to reach their full potential Maximise function and independence and promote normal movement Prevent or limit contractures and deformity Improve quality of life This is a large service which includes Physiotherapists, Physiotherapy Assistants and support staff. Referrals are accepted from Doctors and other Therapists, and we also accept referrals from the Education Outreach Service. Parents and Health Visitors who request an assessment may be asked to first seek a doctor’s opinion. A referral form can be found on our website at:http://www.southbirminghampct.nhs.uk/_services/childrens/docs/ReferralForm.pdf The Head of the Paediatric Physiotherapy Service is Sarah Tomlinson and her contact details are: Lansdowne Health Centre 34 Lansdowne Street Winson Green Birmingham B18 7EE Telephone 0121 465 4273/4 Service Specification March 07 3 Specialist Community Children’s Healthcare OCCUPATIONAL THERAPY SERVICE The Paediatric Occupational Therapy Service aims to help children to maximise their abilities to become more independent in everyday life. We support children in their abilities to increase their independence with bathing, dressing, feeding and taking part in classroom activities and their play. We adapt the task or the environment to suit the child and ensure they have maximum independence. The service is for children who have functional difficulties with one or more areas in their daily life. Priority is given to children in the following situations: Children who have a terminal illness Children diagnosed as having a deteriorating condition Urgent equipment needs (child/carer at risk) Children requiring ongoing treatment who have transferred from outside of Birmingham locality Where intervention is required at a critical transition time, e.g. pre nursery, primary or secondary education Exceptional social circumstances The service can be accessed via a written referral from Doctors, Physiotherapists, Speech & Language Therapists, Psychologists, Outreach Teachers, or Occupational Therapists outside of the Birmingham locality. This service is currently being reviewed as the demand for the service far outweighs the funded staff establishment. In order to ensure that the finite resources are targeted to deliver the best possible outcomes for the children seen, we are currently revisiting referral criteria and how best to work in partnership with other professionals. The service will transfer to be directly provided by the Directorate as of April 2007 and we will be accepting referrals for children under 7 years, 11 months, whilst the service is reviewed. The Team Leader for Occupational Therapy is Clare Tooth and her contact details are: Paediatric Occupational Therapy Service Waterlinks House, 5th Floor Richard Street, Nechells Birmingham B7 4AA Tel: 0121 465 8551 Service Specification March 07 4 Specialist Community Children’s Healthcare SPEECH AND LANGUAGE THERAPY SERVICE A service is provided for children from birth to 19 with communication and/or feeding difficulties. This includes client related assessment, diagnosis and intervention. An enabling training programme is also delivered to groups involved in the care and/ or service delivery to children across multi agency settings. There is an emphasis in the Speech and Language Therapy Service on collaborative working, supporting others to work most effectively with children. This is a large service, which includes Speech and Language Therapists, Speech and Language Therapy Assistants and support staff. The service offered to the children is carried out within health centres, special schools, mainstream schools and nurseries, special educational units, Child Development Centres and with the children at home. There is an open referral system to the Speech and Language Therapy Service and details on how to refer and a referral form can be found on our website at http://www.southbirminghampct.nhs.uk/_services/childrens/docs/ReferralForm.pdf. We currently only accept telephone referrals to the service from parents. The Head of Speech and Language Therapy is Emma Mays and her contact details are: Children’s Speech and Language Therapy Victoria School Bell Hill Northfield Birmingham B31 1LD Tel: 0121 411 1109 Service Specification March 07 5 Specialist Community Children’s Healthcare PAEDIATRIC EYE SERVICE In the South of the City, the Paediatric Eye Service is delivered by the Directorate. Elsewhere across the city, this is provided from the 3 respective acute hospitals (Birmingham and Midland Eye Centre, Good Hope Hospital and The Heart of England Foundation Trust). Every child is offered an eye test during their reception year in school. This service is offered in all primary schools in Birmingham, Special Schools and Child Development Centres. During the eye-screening, the child’s eyes are tested for squints, for visual co-ordination difficulties and for any other visual problems. The south service currently has a small team of qualified staff who in the community setting, treat eye problems detected as part of the screening service. If additional specialist advice or treatment is required, children in the south of the City are referred to The Birmingham Children’s Hospital. The Head of the Paediatric Eye Service is Ruth Wickens who can be contacted at Quinton Lane Care Centre. Other centres are also listed below. Broadmeadow Health Centre Keynell Covert Kings Norton Birmingham B30 3QT Tel: 0121 433 4949 Northfield Health Centre 15 St Heliers Road Northfield Birmingham B31 1QT Tel: 0121 478 2000 Quinton Lane Care Centre 27 Quinton Lane Quinton Birmingham B32 2TR Tel: 0121 427 2511 Hall Green Health 979 Stratford Road Hall Green Birmingham B28 8BU Tel: 0121 325 6059 / 6058 Service Specification March 07 6 Specialist Community Children’s Healthcare SPECIAL SCHOOL NURSING Special School Nurses undertake a range of activities within 33 special schools and 6 behaviour units across Birmingham, aimed at improving the health of children at school and promoting healthy lifestyles in adulthood. This is supported through: Undertaking health interviews and screen for vision, hearing and growth to identify health problems early and start appropriate care and referrals. Implementing immunisation programmes within the school setting. Offering health education, support and advice to individual pupils during confidential drop-in sessions. Assisting with the identification of children who are at risk of failing to reach their full potential due to neglect, abuse or family dysfunction. Working with teachers and other agencies to provide ongoing support for children and parents or carers experiencing a range of difficulties, such as bed-wetting, substance abuse and behavioural problems. Clinical treatment, monitoring and support for children with additional health care needs and/ or disability. Education and support to school staff concerning children who require medication. Delivering health education sessions within schools as part of the National Curriculum. Topics may include nutrition, smoking cessation, puberty and healthy lifestyles. Within the Special School Nursing Service there are approximately 25 full and part time staff, including qualified nurses, nursing assistants and support staff. The Team Leader for the Special School Nursing Service is Sarah Cox her contact telephone number is 0121 627 1627 Ext 53401. The Senior Manager is June Blackwell, whose contact details are: Carnegie Centre Hunters Road Hockley Birmingham B19 1DR Tel: 0121 465 3752 Service Specification March 07 7 Specialist Community Children’s Healthcare SPECIALIST NURSING SERVICES There are a number of nursing services offering specialist advice and training to other staff and agencies as follows: Immunisation Nurse The Immunisation Nurse provides training and advice to School Nurses and others undertaking immunisation programmes with children. We have one qualified nurse in this post. The current post holder also undertakes various mandatory training sessions for Directorate staff (i.e. Conflict Resolution, Diversity, Confidentiality and Healthcare, Consent). Nurse Advisors, Medical Needs in Schools and Pre School Settings The Nurse Advisors provide training to Education staff in relation to management of severe allergies and common disorders such as asthma, within the school setting. There are currently 7 qualified nurses in this service, 2 support staff. The pre-school element of the service is funded through Early Years and this includes 3 qualified nurses. Respite Care Nurse Educators (based at Barbara Hart House) The Nurse Educators provide training to Social Care staff and foster carers about clinical procedures required to enable children with chronic nursing needs to access Local Authority respite care. The team consists of 2 part-time qualified nurses and one part time clerical officer. ADHD (Attention Deficit Hyperactivity Disorder) Nurse The ADHD Nurse offers support and training to children, families and education staff relating to the management of ADHD, mainly within North East Birmingham and follows up children who attend ADHD clinics at Heartlands Hospital. The Senior Manager of the Specialist Nursing Services is June Blackwell and her contact details are: Carnegie Centre Hunters Road Hockley Birmingham B19 1DR Tel: 0121 465 3752 Service Specification March 07 8 Specialist Community Children’s Healthcare BARBARA HART HOUSE RESPITE CARE Barbara Hart House provides respite nursing care for children aged 0 – 19 years with chronic illness or disability. In addition, it provides some day care for pre-school children with similar needs. The 6 bedded unit is open 3 to 4 days and nights per week but does not deliver a 24 hour, 365 day service. The unit aims to provide a homely, safe environment and a range of activities for children with support and expertise on hand from our qualified Children’s Nurses and Nursing Assistants. We are currently working with Birmingham City Council Children’s Service to develop closer working and to improve assessment and provision for respite care for children with additional health needs. The unit has a team of approximately 10 staff working full and part-time and is made up of qualified nurses, nursing assistants and support staff. Contact details for Barbara Hart House Respite Care are shown below. Unit Manager Barbara Hart House 132 Monyhull Hall Road Kings Norton Birmingham B30 3QJ Telephone 0121 451 3721 Service Specification March 07 9 Specialist Community Children’s Healthcare COMMUNITY CHILDREN’S NURSING AND PALLIATIVE CARE ‘FOOTPRINTS’ SERVICE Community Children’s Nurses provide highly skilled nursing care for children with acute and chronic health needs within their own home. The nurses support children and their families with their health needs through assessment, care and treatment. The team provides support and education for parents on clinical and emotional needs of the child and family. They also provide advice and education to health professionals and teachers about nursing care for children. The Nurses work closely with G.P.s and hospital staff and refer on to other health professionals and agencies as and when appropriate. The CCN service has a team of approximately 25 full and part time. There are, in addition, a small team that make up the Palliative Care ‘Footprints’ Service. This team is made up of qualified nurses, community workers and support staff. The Footprints team works closely with the Consultant Community Paediatrician with an interest in palliative care and other agencies such as the Acorns Hospice. The service was set up via funding from Big Lottery which has now been mainstream funded and will support families with children with life-limiting conditions enabling them to remain at home for the terminal phase of their life. To make a referral to the CCN and Palliative Care Team visit our website on http://www.southbirminghampct.nhs.uk/_services/childrens/docs/ReferralForm.pdf If you wish to contact the team, details are given below:SOUTH BIRMINGHAM Telephone 0121 627 8732 HEART OF BIRMINGHAM Telephone 0121 465 5444 NORTH EAST BIRMINGHAM Telephone 0121 465 5444 ALL TEAMS Saturday / Sunday / Bank Holidays - 0121 693 4171 Service Specification March 07 10 Specialist Community Children’s Healthcare SAFEGUARDING CHILDREN SERVICE Child Protection Service The Child Protection Service provides training and clinical supervision on all aspects of child protection for staff working in the Birmingham Primary Care Trusts, and when requested, staff from other Trusts. All members of this Specialist Nursing Team are Health Visitors with additional training and experience within the child protection area and there is a named Specialist Nurse Advisor for each Primary Care Trust. There is a small team of staff within the Safeguarding Children Service, which includes qualified nursing and support staff. Paediatric Liaison Health Visiting Service The Paediatric Liaison Health Visiting Services offers effective communication between primary, secondary and tertiary care, which facilitates continuity of care for the clients/children and their families. A follow-up service of children attending Accident and Emergency Departments is carried out, in order that ‘best’ care is given. The service aims to reduce the accident and emergency attendance of children by education and liaison, in order that care is given in an appropriate setting. The team also offers promotion and advance continuity in child protection cases by liaising with hospital and community staff to facilitate decision making and formulate care packages. There is a small team of staff in the Liaison Health Visiting Team, consisting of qualified health visitors and service support staff. To contact a member of the Liaison Health Visiting Team, please see details below: Birmingham Children's Hospital Team - 0121 459 9604 City Hospital Team - 0121 465 4254 Good Hope Hospital Team - 0121 378 2211 ext:2558 Heartlands Hospital Team - 0121 465 2509 Service Specification March 07 11 Specialist Community Children’s Healthcare LOOKED AFTER CHILDREN NURSING SERVICE This team provides non-qualified nursing assistance to doctor-led health assessment clinics for Looked After Children. The qualified nursing staff run nurse led health assessments and deliver a ‘health promotion service’ to Looked After populations. The staff also provide training to Birmingham City Council staff, such as foster carers and social workers on health related issues, provide health promotion in a home setting and perform liaison work following health assessments. There is a small team providing this service, of which one post is currently funded from the Local Authority. The Head of Safeguarding Children Service is Marie Dulewski and her contact details are: Head of Safeguarding Children Service Carnegie Centre Hunters Road Hockley Birmingham B19 1DR Tel: 0121 465 3763 Service Specification March 07 12 Specialist Community Children’s Healthcare CHILD DEVELOPMENT CENTRES We currently have five Child Development Centres (CDCs) covering all three Birmingham PCT areas. The service within each of the CDC’s is delivered by a multi-disciplinary team made up from a range of professionals in partnership with the child’s parent/carer to pre-school children who have complex developmental conditions. As well as working directly with the child and family, the service liaises with and provides advice to the Local Authority and contributes towards statements and reviews under the Education Act together with responsibilities relating to social services under the Children Act. It is important that each CDC has comprehensive local knowledge and close working relationships with primary care, education, social care, parents and voluntary groups in order to provide the best possible packages of care. The five CDCs are listed below. Birmingham Community Children’s Centre, 61 Bacchus Road, Winson Green, B18 4QY, Tel. No. 0121 507 9500 Maas Road Child and Family Centre, 142 Maas Road, Northfield, B31 2PR, Tel. No. 0121 476 6969 Park House Child and Family Centre, Park Road, Sparkhill, Birmingham, B11 4JB, Tel. No. 0121 773 8400 Child Development Centre, Birmingham Heartlands Hospital, Bordesley Green East, B9 5SS, Tel. No. 424 3688 Child Development Centre, Castle Vale Health Centre, Tangmere Drive, Castle Vale, Birmingham B35 7QX, Tel: 465 1582 The Senior Manager of the CDCs is Jenny Caton and her contact details are: Carnegie Centre Hunters Road Hockley Birmingham B19 1DR Tel: 0121 465 3752 Service Specification March 07 13 Specialist Community Children’s Healthcare COMMUNITY PAEDIATRIC MEDICINE Community Paediatricians are doctors experienced in child health who offer high quality services centred on the child and family. These medical services are provided for both pre-school and school age children and their families and carers. This is usually up to age 16 but, for some children with special needs, may be up to age 19. Our services include: Specialist Community Paediatric Clinics for children with developmental and other problems Health services for children who are looked after and children in need Medical advice on adoption and fostering Child Development Centres Child Protection School Medical Service A ‘Well Children’ Service which includes Child Health Surveillance and Immunisation Advice to Birmingham City Council Children’s Service Close working with local hospitals Children can be seen at home, Health Centres and Clinics, GP surgeries, Good Hope, Heartlands and City Hospital, Child Development Centres, Schools and Nurseries. Referrals are received from other professionals within health, education and social care. Community Paediatric Medicine consists of Consultant Community Paediatricians, other qualified medical staff permanently employed in the Directorate and medical training posts. The team is supported by administration staff across the various bases within the City. The Lead Consultant is Dr Anil Baxi and the Clinical Director is Dr Anne Aukett whose contact details are:Children’s Services Carnegie Centre Hunters Road Hockley Birmingham B19 1DR Tel: 0121 465 3756 Service Specification March 07 14