THE CHALLENGES OF PROVIDING A COMMUNITY CHILDREN

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THE CHALLENGES OF PROVIDING A COMMUNITY
CHILDRENS NURSING SERVICE IN WALES

• NICOLA LEWIS
• CCN TEAM LEADER
• BRO-MORGANNWG NHS TRUST

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AIM OF THE SESSION

• IDENTIFY CCN SERVICES IN WALES IN COMPARISON TO
  THE REST OF THE UK.
• IDENTIFY THE CHALLENGES CCN SERVICES IN WALES
  HAVE TO PROVIDE AND DEVELOP THEIR SERVICES.
• HOW CCNS IN WALES PLAN TO ADDRESS THESE
  CHALLENGES.
• CREATE A DISCUSSION WITH COLLEAGUES AND SHARE
  EXPERIENCES.

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RCN CCN DIRECTORY 2006

• ENGLAND 185
• SCOTLAND 23
• NORTHERN IRELAND 12
• WALES 16
• CHANNEL ISLES 2
• ISLE OF MAN - 1

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(No Transcript)
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MODELS OF CCN SERVICES IN WALES (Eaton 2001)

• Model 1
• Model 2
• Model 3
• Model 4
• Model 5
• Model 6

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POLICY RECOMMENDATIONS

• 1962 MOH A hospital plan for England and
  Wales.
• 1971 MOH Hospital facilities for children.
• 1976 DHSS Fit for the future
• 2002 Carlisle review
• 2005 NSF

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CHALLENGES FOR CCN SERVICE DEVELOPMENT IN WALES.

• TRUST RECONFIGURATION
• ROLE OF CCN
• NURSE PRESCRIBING
• CONTINUING CARE PACKAGES/RESPITE
• EDUCATION
• EQUIPMENT
• TRANSITION
• ON CALL SERVICES
• FUNDING
• EQUITY AND ACCESSIBILITY
• MEDICAL RESPONSIBILITY
• EVALUATION OF OUR SERVICES

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WELSH CCNS VS THE WORLD !!!!

• RAISE OUR PROFILE
• ASSESS LOCAL NEED
• PUBLISH GOOD PRACTICE

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POLICY RECOMMENDATIONS

• HOUSE OF COMMONS HEALTH SELECT COMMITTEE (1997b)
• NSF (2005)

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CONCLUSIONS

• All children who are sick or have complex health
  needs have the right to be cared for at home by
  an appropriately qualified nurse.
• The frustration for Welsh CCNs is that
  investment and resources are needed to ensure
  equity,accessibility from WAG,Trusts and LHBs.

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ARE WE ANY DIFFERENT FROM THE REST OF THE UK?
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THANK YOU FOR LISTENING

• ANY QUESTIONS?