Services for Children and Young People with Special Educational Needs and Disabilities. Lancashire s Local Offer. Lancashire s Health Services

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1 Services for Children and Young People with Special Educational Needs and Disabilities Lancashire s Local Offer Lancashire s Health Services 1. Name of the service and what the service provides Lancashire Care NHS Foundation Trust - Children s Integrated Therapies and Nursing Service - Children s Complex Needs Nursing The service completes a health needs assessment for children with complex needs who require continuing care. This is completed to identify the nursing needs. Following assessment the team will contact the commissioning body for allocation of the package of support. The nurses will work in partnership with the agency delivering the package The nurses also provides support to parents, educational settings and social care in respect of children that have been identified with complex nursing needs whose needs cannot be met by other services such as; health visitors and school nurses. Typical activities include: Home visits Care as identified during assessment following protocols and procedures and individual holistic approach to care for the child and their family Support for the parents in caring for their child Supply and maintenance of medical devices and/or consumables Providing a link worker Working in close partnership with other professionals and agencies. The service contributes to better outcomes for children and young people with special educational needs and disabilities by: Enabling children to access education and social activities Enabling children to reach their maximum potential and reduce hospital admission Support will be provided on an individual basis dependant on the child s needs. For cases where on-going support is required, the child may be referred back to universal services if this is deemed more appropriate. 1

2 2. Address and contact details and area covered This service is provided only in West Lancashire, Greater Preston and Blackburn with Darwen. The teams are based within the three localities, with details and contact below: Daniels Lane, Skelmersdale Tel Ashton Health Centre Preston Tel Daisyfield Mill, Blackburn Tel Contacts are mainly carried out in patient home. The service is not commissioned out of hours. 3. The service is for This service is for children and young people who have complex health needs from the ages of 0-19 years. Assessments are carried out on an individual basis to address whether the child or young person is eligible to receive the service and if so, what level of support is required. The service does not provide for learning disability or mental health issues without physical complex needs. Complex Needs Nursing service would refer to other services as appropriate if they are unable to carry out interventions. The service also contributes to the Team around the Family meetings, Child in Need meetings and Education, Health and Care (EHC) Planning. 4. Accessing the Service Children and Young People or Parents and carers should be able to make direct contact with their practitioner handling their care. The service provided is free of charge and other professionals involved with the child can refer to the service. There is currently no waiting list to receive the service. The evidence and outcomes that show the service helps Children and Young People and their families show a reduction in hospital admissions with care being given in the service user s own home and enabling the child/young person to access education and social activities. 2

3 5. Decision making processes used to determine who is eligible to receive a service. Following the Health Needs Assessment, the service has to discuss the recommended package with the commissioners. The nurses receive referral for direct patient care and make the decision based on the information received. All the recommendations of packages are discussed with the parents and staff visit parents to explain the recommendations using the decision making tool. 6. Methods of communication with service users/patients and how they are involved in decision making/planning. Previous methods of communication with service users and patients has involved the use of questionnaires to generate attitudes towards what the service does well and what can be improved. Other methods of communication include: Home visits Telephone Information leaflets; Customer Care, Sharing Information With us. Feedback forms The service uses Language Line and interpreters to communicate with families whose first language is not English. The child remains cared for in their home environment and therefore the parents or carers will be informed and updated on how their child is doing. The service can provide competency based training to parents or carers on request and if funded to do so. 7. Service Accessibility. Contacts are carried out in the most appropriate place to provide the support the service user needs which could be patients home, school, respite facility and hospital. All service areas will have been risk assessed to ensure they meet the needs of the service user. All venues are wheelchair accessible, provide disable toilet facilities and meet the needs of the services users as appropriate. Clinic environments have been adapted and designed to enable the therapists to deliver the service. 3

4 This service is not commissioned for out of hours. 8. Workforce Skills and Training All staff have competency based training at least annually and will comply with statutory and mandatory training. Further training would be identified at personal development reviews. Specialist training would also be provided as identified. Staff may also be able to deliver training to parents and carers as appropriate. 9. Contacts for further information The first point of contact for a parent/carer or young person to discuss something about the care would be the Children s Complex Nurses. If this was deemed inappropriate or the service user has any urgent worries, all the CITN teams have a team coordinator who would be the next point of contact. All staff within the Children s Integrated Therapy and nursing team and other professionals have a role in providing support for children and young people. The service is not commissioned out of hours. 10. Feedback If a service user wishes to make a complaint or give a compliment, they can firstly discuss these with the nurse or therapist working with your child. If you felt that this was not appropriate, all the CITN teams have a team coordinator who would be the next point of contact. However if you wish to make a formal complaint or compliment we advise you to follow the Trust process detailed on the website: or direct to the service As a service we welcome feedback regarding your experience, this can be given directly to the nurse or therapist providing the support or to the team coordinator as detailed above. 4

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