Pediatric Care Response Changes and Innovations in NCL
Explore the transformative changes in pediatric care responses across NCL, including virtual clinic activities, enhanced support services, closures, and advantages/disadvantages of the new methods. Discover how COVID-19 influenced business continuity plans, leading to enhanced virtual consultations and follow-up care for patients.
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Presentation Transcript
Changes to paediatric inpatient activity across NCL Clinic activity became virtual Families required additional support PCCN service shut except 48 hour review staff redeployed
Paediatric inpatient ward at Whittington closed from March - July All inpatient activity to GOSH UCLH A&E closed Asthma/wheeze ED attendances down 50% from last year RFH A&E and paed inpatients closed Whittington became South Hub
Advantages Able to check PEF and inhaler technique and medications Insight into home environment Easier for patients to attend Disadvantages Reliant on patient/carer reporting of symptoms Difficult when interpreter needed Reliant on peak flow diaries not always kept/sent on
Multiple patients seen at the same time in a group setting for a clinical review Advantages: More time for more effective teaching Time saving and less repetition Parents learn from one another Parents bring up anxieties or questions they may not in a 1:1 appointment
Identified children for shielding Asthma friendly school nurse and school nursing team contacted families over the summer
CCN business continuity plan (2020) identified that the 48hr review was an essential service during COVID 19 due to the fact that it would help prevent hospital re-attendance rates. PPC clinics completed virtually from March 2020 to June 2020 Some patients not presenting when appropriate, resulting in fatalities across NCL. Patients were not able to be seen face to face following the 48hr review, this was the process prior to the COVID 19. PPC team spent longer completing the 48hr telephone reviews and scheduled more virtual follow up care for patients. Due to the requirement to do virtual consultations this highlighted to have review conducted by highly skill and competent HCPs.
