As the regional Paediatric Intensive Care Unit for North West London, we have been tasked to deliver a CQUIN to aid and improve the ability of local hospitals to provide high dependency care for children when appropriate. The National CQUIN scheme has been modified for the London region for 2018/19, and aligns to the next steps for the National PIC Review. For the year 2018/19, we have been asked to work with our local hospitals to set up a network of care for paediatric critical care, which aligns with a more general piece of work to set up a north London specialist paediatric network.
The primary objectives of the North West London PCC Network are:
CO-ORDINATE sERVICE DELIVERY
aSSESS SERVICE DELIVERY
North West London PCC Governance Group
The group of stakeholders will work across Trusts to improve patient outcome for children across the region. This will be achieved through:
A collaborative approach to the assessment of provisions and the identification of opportunities to develop within the network
Ensuring that the application of standards set out by specialist commissioning services are monitored and adhered to
Enabling opportunities to standardise care/ care pathways, education and training and improve overall quality of care.
Key Professionals and the Organisation
|Kathy Brennan||Regional Programme of Care Manager W&C||NHS England|
|Dr Ruchi Sinha||NWL PCCN Lead Consultant||St Mary’s (Imperial) (PIC)|
|Michelle Pash||NWL PCCN Lead Nurse||St Mary’s (Imperial) (PIC)|
|Margarita Burmester||NWL PCCN Lead Consultant||Royal Brompton (PIC)|
|Abhishek Narayanan||NWL PCCN Lead Consultant||Royal Brompton (PIC)|
|Eva Zizkova||NWL PCCN Nurse Lead||Royal Brompton (PIC)|
|James Woods||NWL PCCN Data Lead||Royal Brompton (PIC)|
|Caroline Scott-Lang||Consultant||St Mary’s (Gen Paeds)|
|Claire Murphy||Practice Educator||St Mary’s (Gen Paeds)|
|Dr Emily Byron||PCC Consultant||Hillingdon|
|Jas Khalsa||Practice Educator||Hillingdon|
|Lynn Sinitsky||PCC Consultant||Watford|
|Samantha Pollard||Practice Educator||Watford|
|Priya Kumar||PCC Consultant||Northwick Park|
|Jacqueline Waldon||Matron||Northwick Park|
|Martin Gray||PCC Consultant (Level 2 Lead)||Chelsea & Westminster|
|Anna Miles||Matron||Chelsea & Westminster|
|Stuart Adams||Practice Educator||Chelsea & Westminster|
|Nour El Hadi||PCC Consultant||West Middlesex|
|Tracy Armstrong||Matron||West Middlesex|
|Jade Funnell||Practice Educator||West Middlesex|
|Cathy Roberts||Practice Educator||CATS|
|Mark Clements||ANP/NWL Nurse Retrieval Lead||CATS|
|Dr Padmanabhan Ramnarayan||NWL Lead Retrieval Consultant||CATS|
The governance group will confirm and prioritise work streams to be developed from subjects highlighted by the Network. Working groups will then be identified to assist with the progression of these tasks.
Using the 2017/18 CQUIN review to identify areas in need of development, the network proposes three areas to standardise the delivery of care across the Network.
- Nurse Education
- Guideline/Pathway for Children requiring Long Term Ventilation
- Patient Journey – Communication and patient escalation/de-escalation between PCC units
Tools that can be made available via the North West London PCC Network are:
The North Thames Tool
This tool will allow individual hospitals to capture in a secure and efficient manner, daily intervention data related to Paediatric Critical Care Minimum Dataset (PCCMDS).
Gather – data platform
The Gather data collection platform allows its users to collect at patient level, fully compliant PBR data in a secure online setting. This tool will allow individual hospitals to capture in an efficient manner, the full Paediatric Critical Care Minimum Dataset (PCCMDS).
Educator – data manager
The Educator platform can transform how nurse educator teams manage and process large amounts of educational based data. Users can record, track and receive alerts on factors such as mandatory study days, internal/external study days, equipment training, competencies and study hours.
Clinical Skills Passport
The RCPCH publication ‘High Dependency Care for Children – Time to Move On’ identifies the clinical skills essential to care for children requiring critical care. We have produced an accompanying Skills Passport for all nurses caring for critical ill children to complete.
PICU Activity Tracker (PAT)
The PICU Activity Tracker (PAT) tool allows users to track and analyse multiple data factors from delayed discharges, refused admissions, cancelled surgical cases and daily capacity figures. National reporting data can be generated with ease using the trackers built-in reporting capabilities.