- Telephone: 01273 696955 Extension 3125 / 01273 523125
- Fax: 01273 523126
- Team Leader: Sheena McClure
The Children’s Community Nursing Team office is open from 8am to 4.30pm Monday to Friday and from 08.30 to 12.30 on weekends and Bank Holidays.
Referrals can be made by a children’s trained nurse & will be under the care of a BSUH NHS Trust consultant. Children / young people will be accepted onto the caseload that have a nursing need or are technology dependent.
The team provides holistic and specialist nursing care, thereby supporting the patients physical, emotional, and social development. The team participate in and help to facilitate discharge planning enabling early discharge and helps to reduce the need for attendance at hospital by undertaking investigations. Specific education is provided to children and their family with acute and chronic health needs. One of the aims of the team is to empower patients, with conditions that affect daily life, together with their parents or carers, so that they can better manage their conditions and become more independent.
Nurses work within and outside of the hospital, visiting patients within two-hour time bands. Referrals for investigations/teaching are booked according to urgency. The team provides a link between primary and secondary care for children or young people with complex conditions. There is strong inter-agency communication and collaboration with other professionals.
Patients are discharged from the service when they have no further nursing needs, education is complete, their care is being managed within community provision or they are transferred to adult services.
There is also a 24-hour on-call for children at the end of life.
Children’s Diabetes Nursing Team
|Telephone Number:||01273 696955 Extension 3140/2371|
|Fax Number:||01273 523126|
|Children’s Diabetes Nurse Specialist:||Caroline Spence|
This service operates from 8am to 4.30 pm Monday to Friday, with evening clinics for 16 to 19-year-olds from 4.30pm to 7pm.
There is a 24-hour on-call service for children commencing continuous subcutaneous insulin infusions, and 24-hour advice is available from the Medical Ward on Level 9.
The nursing team provides high quality care for children and young people with diabetes, and advice and help for their families or carers. In this way, children are supported so that they can optimise control of their blood glucose levels, and their physical, psychological, intellectual, educational and social development.
Children will be under the care of a BSUH consultant. All young people with diabetes will be transferred to the adult diabetes service at an appropriate age agreed with them.
The service is for patients diagnosed with the following conditions:
- Type 1 insulin-dependent diabetes
- Type 1 diabetes with associated coeliac disease and/or hypothyroidism
- cystic fibrosis related diabetes
- complex syndromes, such as Freidreich’s Ataxia and Maturity Onset Diabetes of the Young.
The Children’s Diabetes Nursing team works to:
- Facilitate early discharge following diagnosis or readmission
- Provide a specialist ongoing programme of nursing care that includes education, support and guidance
- Reduce the risk of acute complications and lower readmission rates as a consequence of illness, non-compliance and poor glycaemic control
- Reduce the risk of costly complications by working with children and their families
- Facilitate a smooth transition of care from children’s to adults’ services
- Provide specialist pre and post surgery care
- Liaise with multi-disciplinary teams in both acute and community settings.
- The paediatric diabetes specialist nurse provides advice for patients requiring complex management, such as insulin pump therapy or with complex diabetes related conditions.
Newly diagnosed children are referred by their GP for same day assessment and admission, as any delay could lead to an acute, life threatening medical emergency. Currently GPs refer from Brighton and Hove, East and West Sussex.
Children and young people with diabetes who are moving into the area can be referred by their local GP.
Patients with diabetes requiring readmission can go directly to the Paediatric A&E. Children requiring surgery are referred in writing by consultant paediatric surgeons, including those outside the BSUH Trust.
The ACORNS children’s community nursing team was newly established in 2018 to provide a service to children admitted to the children’s emergency department. The team work with children and their families to support their early discharge from the emergency department, avoiding hospital admission. The team provide home visits and telephone support to families following a visit to the emergency department.