COVID-19: General Paediatrics service guide

May 2020

Scope

This information provides guidance on the management of general paediatric patients across Northern locality during the COVID-19 pandemic.

The information is based on guidance from the Royal College of Paediatrics & Child Health. This guide is for young people seen by the Child Health Paediatric service in North Devon (based at North Devon District Hospital- NDDH).

National guidance

2WW referrals

Any referrals for childhood cancer should be discussed with the Paediatric Consultant on call. They can be contacted in the usual way via switchboard telephone: 01271 322577 – ask for the consultant on bleep 340 - 9am-9pm Monday to Friday and through the Paediatric middle grade (bleep 341) out of these hours. They can then arrange for them to be seen on Caroline Thorpe ward.

For skin lesions - after discussion with on call consultant as above- urgent referrals can then be sent to the Dermatology team to arrange review as before (for queries contact 01271 312850).

Conditions with specific guidance

We are continuing to accept referrals for our specialist services and will continue to review patients on our follow up pending lists within the service. Specialist clinics (including visiting Consultants from Bristol Children's Hospital) will be undertaken where necessary either by telephone or video conference or face-to-face if required.

Urgent referrals

All urgent referrals will continue to be accepted as normal and are being triaged regularly and decisions made as to whether patient requires either a telephone or video consultation or if necessary a face-to-face appointment.

Children and young people will be seen either in the children's outpatient clinic or at Caroline Thorpe ward.

Routine referrals

All new routine referrals will be clinically triaged and will either be added to a waiting list or, if appropriate, A&G will be given.

Please ensure that a practice-based system is in place to check daily for returning referrals with A&G.

Prior to making a routine referral, please ensure that any appropriate Policy or CRG has been reviewed and that all the suggested investigations and management options have been considered.

Existing new and follow-up routine appointments have been cancelled and changed to telephone / video consultation where appropriate.

Regular blood clinics are taking place for patients, but with reduced capacity. These are being prioritised to those children where these tests will change their short term management or are urgent (department can be contacted directly by the practice to arrange).

These will take place in the children's outpatient clinic and slots for socially distancing the families (with only one family at a time in the department) should be booked via 01271 322701 or 349121 (forms to be given to the family to bring with them).

Consideration should be given to exploring if young people (over 12 years) could be accommodated within the practice, where possible.

Urgent advice

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

We are continuing to deliver am urgent advice service, and the Paediatric Consultant can be contacted in the usual way via switchboard telephone: 01271 322577 – ask for the consultant on bleep 340 and you will be given advice as to where/if the child needs to attend the Hospital. This service is available 9am-9pm Monday to Friday.

Advice & Guidance/Teledermatology services

As above, advice continues to be available from our service as usual. We are seeking to liaise with young people and families via telephone consultation or video calls where this is appropriate and are happy to make contact with professionals by the same methods.

High risk

All children considered high risk have received some form of communication from Child Health (letter or telephone call).

Young people will not be seen in clinic if they or their family are currently isolating or shielding unless this is felt to be clinically urgent. Contact can be made via paediatric secretary number on telephone: 01271 314140.

North Devon contact information

  • General queries: Via Paediatric secretaries on 01271 314140
  • Paediatric Assessment Consultant (PAC): 01271 322577 – ask for bleep 340

Pathway Group:

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

Last updated: 04-05-2020

 

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