Policy for the Discharge and transfer of children and young people ...

Appendix 9 – Paediatric Discharge Liaison Co-Ordinator PathwayCommunity professionals includeHealth Visitors, School Nurses,Community Therapies, Communitynurses and communityPaediatricians… and any othercommunity services involved.PATHWAY FOR CHILDREN’S WARDS (HDU, POLKERRIS, HARLYN, FISTRAL)Attend wards to gather information regarding any new admissions and on-going casesConsider priority/complexity of presenting casesROUTINE PRESENTATIONe.g – non-complex planned admissions,minor infections/injuries, children who will not needadditional support after dischargeRe-assess on regular visits to wardand review in the event of anychangeWhere there is no changeand the presentation remainsroutine, discharge should bestraightforward andcompleted without theadditional need for supportfrom the PaediatricDischarge/Liaison Co-OrdinatorHealth Visitors and School Nursesmay not be informed of routine, noncomplexadmissions unless theyspecifically request to be informedIn the event ofchanges topresentation, followpathway for ComplexPresentationSafeguardingconcerns identifiedshould be shared bythe wards with theNamed Nurse forSafeguarding, andrelevant policies andprocedures followedChildren meeting the Criteriafor Outreach will besupported by OutreachNurses – e.g. Respiratory,Oncology, Diabetes, etc.These discharges are likely toproceed without additionalneed for supportCOMPLEX PRESENTATIONe.g – long term illness, disability, life limiting conditions, or childrenwho will require additional support after dischargeWork with the wards to ensure any relevant community professionalshave been informed and this has been documented in ward notes (andby Discharge/Liaison Co-Ordinator on Electronic Records when availableand where appropriate, * for community notes ensure that any call isfollowed up with email to add to patient community notes.)* Responsibility for contacting relevant professionals remains withthe ward, and community professionals maintain responsibility forcommunication with the ward, unless there are specific, significantcomplications that would benefit from intervention by the PaediatricDischarge/Liaison Co-OrdinatorIt remains the responsibility of community professionals to attend relevantmeetings – in the event of significant difficulties attending meetings thePaediatric Discharge/Liaison Co-Ordinator can attend and provide feedbackto the communityAfter involvement in Discharge Planning Meeting, where appropriate,discharge may be followed with a call to the family to ensure that thedischarge plan is being followed and to ensure that the family have therelevant contact details for the community teams/professionals.A follow up meeting in the community may also take place if appropriate.If a child is identified as a Looked After Child it is the ward/departments responsibility to inform Child in Care Team of admission/discharge. Paediatric Discharge/Liaison Co-Policy for the Discharge and Transfer of Children and Ordinator Young People can from assist Child with Health this and will double check that information has been sharedPage 35 of 38