Paediatric diabetes operational 1745.pdf - East Cheshire NHS Trust

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Purpose of the MDTThe aim of the MDT is to help ensure a coordinated approach to the diagnosis, treatmentand on‐going care for all children and young people diagnosed with diabetes in EastCheshire.The MDT is committed to achieving the highest standard of care and patientoutcomes through:1. A consistent approach2. Incorporating new research and best practice into patients’ care.3. Providing comprehensive information to patients, carers and their relatives.4. Involving patients in assessment and redesigning of the service.5. Following National and CYPDN guidelines6. The collection of high quality audit data.7. The analysis of such data in audit cycles allied to the CYPDN.8. The involvement in local, national and international research studies.The Operational Policy for the MDT will be reviewed every 2 years at theDiabetes MDT meetings or more frequently according to service needs/changes.Service SpecificationIt is the intention of the East Cheshire CYPD MDT to work within the framework of Local,National and International diabetes guidelines, including NICE, Every Young Person withDiabetes Matters, Diabetes NSF and ISPAD consensus Guidelines.(http://www.ispad.org/FileCenter.html?CategoryID=5)(http://www.nice.org.uk/nicemedia/live/10944/29390/29390.pdf(http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digital asset/dh_073675.pdf)Telephone advice serviceThere is direct telephone access to a member of the diabetes team from 9.00am to 5.00pmfive days a week. During this time young people and their families have direct access to theCYPD MDT via the PDSN office number or mobile. Calls will be answered as soon aspossible. The numbers are given to new patients at the time of diagnosis and are includedin the written information given out to families. The consultant will be contactable throughhis secretary at all times during office hours or can be bleeped through switch board if offsite. In the evenings and at weekends families have access to advice via children’s wardand the on call paediatric registrar and consultant. The ward has access to all diabeticguidelines/policies which are kept in a folder in the children’s ward. Policies are alsoaccessible through the stre@mline database and the shared drive.Parents of newly diagnosed children are informed of the access arrangements at diagnosisand existing parents are reminded at outpatient visits and via the twice yearly newsletter.Contact numbers are included in written information given to families at diagnosis. All staffare encouraged to seek assistance from the CYPD team if there is any doubt as to theadvice to be given.The PDSN contacts the ward after the weekend to see if any patients have been admittedover the weekend and will inform the consultant if further advice is required.Children’s Diabetes MDT Operational Policy May 23, 2012 6
Leadership Arrangements and ResponsibilitiesThe Lead ClinicianThe Lead Clinician for the Children’s Diabetes MDT is Dr Surendran Chandrasekaran.Responsibilities of the Lead clinician:• Lead the clinical activity of the multidisciplinary team, workingto agreed guidelines, ensuring a high quality integrated servicewhich meets local, regional and national targets.• Attend and contribute to the North West Paediatric Diabetes regionalnetwork meetings or send a representative.• Ensure that the clinical management guidelines are produced andrevised regularly.• Organise “management meetings” of the MDT and ensuredeliberations are recorded.• Establish an audit program and review of outcomes• Ensure an annual report for the CYPDN is produced• Lead on or nominate lead for service improvement.• Overall responsibility for ensuring that MDT work towards meetingpeer review quality measures.• Ensure that the outcomes of the meeting are clearly recorded andclinically validated and that appropriate data collection is supported.• To ensure that guidelines and the Diabetes Networkrecommendations are reviewed and implemented locally.• Take overall responsibility for the function of the MDTCYPDN MembershipThe Lead paediatric diabetes clinician will attend the North West Paediatric Diabetes regionalNetwork meetings or facilitate the attendance of a nominated representative. The MDT willparticipate in the activities and endeavor to implement developments suggested by theCYPDN.Core Nurse MembersThe Lead and only Nurse for the Children’s Diabetes MDT is Nicola Birtwistle, Band 6. Coverfor her post is by the Children’s Community nursing team.Responsibilities of the PDSN• Working closely with and supporting the lead Physician in their role• Contributing to the multidisciplinary discussion and patientassessment/care planning decisions of the team at their regular meetings• Providing expert nursing advice and support to other health professionals inthe nurses’ specialist area of practice.• Involvement in clinical audit.• Leading on patients’, carers’ and relatives’ communication issues andCo‐ordination of the patients’ pathway for patients referred to the team.• Facilitating access to members of the MDT where requested by patientsChildren’s Diabetes MDT Operational Policy May 23, 2012 7
Page 1 and 2: Paediatric and Adolescent Diabetes
Page 3: Table of contentsIntroduction……
Page 8 and 9: and their carers.• Contributing t
Page 10 and 11: Membership Arrangements Members of
Page 12 and 13: The MDT MeetingsWeekly MeetingsWeek
Page 14 and 15: Patient InvolvementThere is an acti
Page 16 and 17: Adherence to GuidelinesThe MDT look
Page 18 and 19: Equality Analysis (Impact assessmen
Page 20 and 21: From the evidence available does th
Page 22: 7. Any actions identified: Have you

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