COVID-19: Community Paediatrics service guide

May 2020

Scope

This information provides guidance on the management of paediatric patients across North Devon during the Covid-19 pandemic for:

  • Children with learning, developmental or neurodevelopmental conditions,
  • Looked After Children - LAC
  • Adoption and Fostering Services
  • Community Children's Nursing Team
  • Paediatric Bladder and Bowel Care Team

The information is based on Northern Devon Health care Trust policies, guidance from the Royal College of Paediatrics & Child Health and coram BAAF. This guide is for young people seen by the Community Paediatric services in North Devon.

It is important for children and young people that possible serious illness continues to be recognised, referred on and will be seen where clinically appropriate.

National guidance

Conditions with specific guidance

Autism Assessment Service:

Community Paediatrics team is involved in paediatric reviews and MDT meetings in these assessments. We are still accepting referrals and paediatric reviews are done by telephonic or video consultations. There is on-going contribution to MDT Meetings via Microsoft Teams.

Looked After Children (LAC) Reviews :

Initial Health Assessments are being conducted by telephonic and video consultations. Physical examination where needed will be arranged once face to face clinics resume but if it is considered urgent then arrangements will be made for that.

National guidance

Adoption and Fostering Services:

Adult Health Reports for Adoption and Fostering Panels are still being provided based on self-declaration forms completed by prospective adopters or foster carers.

Adoption Medicals for children will be conducted via video or telephonic consultations.

National Resources

Community Clinics :

Clinics are being conducted as telephonic or video consultations.

Paediatric Bladder and Bowel Care Team:

The Bladder and Bowel care team are continuing to support new and existing patients by means of telephone consultation appointments, unless there is an identified clinical need that required the child to be seen face-to-face. Due to restrictions around face-to-face contact our flow study and bladder emptying scan clinics have been postponed unless an urgent clinical need has been identified. Therefore initiation of some treatments will be put on hold for now and reassessed when adequate monitoring facilities are available.

Please see the following resources for more information:

Urgent referrals

Urgent referral should clearly highlight concerns. These young people may require a more urgent face-to-face appointment.

Routine referrals

Referrals to Community Paediatrics service will continue to be accepted as normal, with appointments predominantly taking place by telephone or video consultation. However, there may be delays in aspects of our service which require a face-to-face appointment such as assessments for neurodevelopment conditions.

We may still, where it is felt necessary, request additional information from schools to assess whether referrals are appropriate for our service. Whilst we appreciate that school are not functioning as normal, staff should be available for administrative purpose throughout the COVID-19 restrictions. We are also continuing to liaise with other services across North Devon to discuss referrals where appropriate.

The Children's Community Nursing team continue to accept appropriate referrals from colleagues.

The Paediatric Bladder and Bowel Care team continue to accept appropriate referrals from GP's, Public Health Nurses and staff at NDDH Hospital, with appointments predominantly taking place via telephone consultation. The need for a face-to-face appointment will be assessed on an individual basis.

Urgent advice

Advice continues to be available from our services as normal. We would ask that, as usual, requests to expedite appointments are put in writing with appropriate justification.

COVID-19 High risk patient advice

Young people will not be seen in clinic if they or their family are currently isolating or shielding. Contact can be made via telephone.

If contact is required (for example, patients with long-term conditions known to our Community Nursing team) then this can be arranged at the patient's home, with clinicians having access to appropriate PPE.

North Devon Community Paediatrics contact information

Reception: 01271 341512

Email: ndht.communitypaeds@nhs.net

Supporting Information

The following organisations are collating resources for young people with special educational needs and disabilities during the COVID-19 pandemic

Contact:

Council for Disabled Children:

Disabled Children's Partnership:

Pathway Group:

This guideline has been signed off on behalf of the NHS Devon Clinical Commissioning Group

Last updated: 28-05-2020

 

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