Integrated Paediatric Services Imperial College Healthcare Paddington, London

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Integrated Paediatric ServicesImperial College
Healthcare Paddington, London

• Mando Watson
• September 2008

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Why?

• EWTD
• Increasing efficiency
• Role substitution
• Preserve/enhance training, by
• closer knit teams
• increased consultant input
• well designed and organised services that promote
  'best practice'

• Targets
• 4 hour AE targets
• Payment By Results
• 18 weeks
• Specialist paediatrics
• Creation of the AHSC
• Partnership with local services
• Quality of care

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The Transformation of General Paediatric Services
and the creation of .

• A Short Stay Unit
• 6 x 24-hour beds
• 1 day bed, 1 day sofa
• OPD-style room
• Link nurses for
• constipation
• eczema
• asthma
• epilepsy
• diabetes for CGMS
• prolonged jaundice

• Integrated with 1o care
• Consultant delivered rapid referral clinic
• Consultant telephone line
• email query service
• Outreach clinics in health centres
• Care pathways
• Shared guidelines
• A merged CCNT
• Home visits
• Integrated with HH
• Single management structure
• Shared guidelines

demonstrated to work
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So far, we have .

• A Short Stay Unit ?
• 6 x 24-hour beds ?
• 1 day bed, 1 day sofa ?
• OPD-style room ?
• Link nurses for ?
• constipation
• eczema
• asthma ?
• epilepsy
• diabetes for CGMS ?
• prolonged jaundice

• Integrated with 1o care
• Consultant delivered rapid referral clinic ?
• Consultant telephone line ?
• email query service ?
• Outreach clinics in health centres ?
• Care pathways
• Shared guidelines
• A merged CCNT
• Home visits
• Integrated with HH ?
• Single management structure ?
• Shared guidelines ?

Shorter ward round 490 bed days 888 OP
appointments
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What next?

• Multiple integrated outreach clinics
• Single unified CCNT and ambulatory team
• Robust data study of an asthma care pathway
  associated intervention

• A whole system change
• GPs
• Other 1o care professionals
• PCT
• 2o care
• 3o care