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Thames Valley & Wessex Critical Care - Our Work

TV&W ACC Newsletters

TV&W ACC Newsletters

Please see below a link to all our Network Newsletters:

To join our Newsletter mailing list, please click here: http://eepurl.com/duPeBb

Thames Valley & Wessex Critical Care - Our Work

TV&W ACC Annual Reports

TV&W ACC Annual Reports

Please see below a link to all our Network Annual Reports:

Kent, Surrey & Sussex Neonatal - Our Work

Kent, Surrey & Sussex Neonatal - Our Work

Locked out - The impact of COVID-19 on parents and families

The impact of COVID-19 on parents and families

Kent, Surrey & Sussex Neonatal - Our Work

Locked out-The impact of COVID-19 on parents and families

Locked out-The impact of COVID-19 on parents and families

The impact of COVID-19 on Neonatal Care

Kent, Surrey & Sussex Neonatal - Our Work

What happens if my baby is born sick or prematurely?

They will need to be cared for in a neonatal unit. If your local hospital does not have the level of neonatal care your baby needs, your baby may have to stay in a different hospital until they are stronger.  You will be transferred either before your baby is born, or your baby will be transferred by a specialist team after they are born. As a network, we will always strive to give you and your baby the right care, in the right place at the right time.

Kent, Surrey & Sussex Neonatal - Our Work

Education Day 26th May 2021

We are proud to present the first Annual ODN Education Day 

For further details see below or click on the Link


Agenda includes:

Prof. Dominic Wilkinson – Risky Decisions: Resuscitation at 22 Weeks

Francesca Segal (Author of Mother Ship) -Through a Mother’s Eyes

Dr Alok Sharma – The Lollipop Man in Preterm Resuscitation

Dr Ben Carter – Life on the Other Side of the Curtain

Aberdeen NICU team – Encouraging Skin to Skin Care in Neonates

Dr Ilana Levene – Maximising Maternal Breastmilk for Very Preterm Babies: Why and How?

Alison Leonard – Introducing Oral Feeds – The SLT Perspective

Jo Macleod and Gemma Finch – The ANNP Career Journey

To register for a free place, please email medwayft.kssneonatalodn@nhs.net and you will be sent a Microsoft Teams invitation before the event.

Thames Valley & Wessex Neonatal - Our Work

COVID-19 Professional Information

NHS workforce. Supporting our people, a tool kit for rapid cross-skilling, supporting safe redeployment.                                                                                    December 2020                                                                                                                                                                                                             January 2021

Coronavirus (COVID-19) Infection and Pregnancy; Royal College of Obstetricians & Gynaecologists, published Wednesday 18th March 2020

Please click here for the guide to running clinics remotely using AccuRx

Information on Suction: Closed-suction Suction SOP 2018Suction Competencies 2018 – Ordering of (Inline suction catheters) via NHS supply chain – The brand is Trach Care – Supplier Avanos Medical UK Limited. Reference codes used for OUH are – 195-5, 196-4, 197-5, 198-5.

Maternity Transformation Programme Bulletin no.7 9th April 2020

SONeT update Covid-19 SOP Infants with Suspected or confirmed Covid-19 infection v3 14th April 2020 and Covid-19 PPE Guidance

Supplier for a Video Laryngoscope.

BAPM neonatal guidance FAQ 8th April 2020

BANNFU Guidance and Presentation for telephone and video Clinics

PPE Testing and Isolation Dr. David Evans

Template for Coivd-19 Parent information letter BPD

Guidance Recommendations for Covid 19 Screening of Neonates and their Parents

Kent, Surrey & Sussex Neonatal - Our Work

Parents and Transfers

Parents and Transfers

Parents and transfers

We realise that you will be worried about your baby before and during a transfer, and so will do our utmost to keep you fully informed. We will ensure that you see your baby before we leave the referring hospital, and we will contact you by phone when we arrive at the receiving Neonatal Unit.

It is sometimes possible to take one parent in the ambulance, sitting in the front with the ambulance driver. For understandable safety reasons we cannot take mothers who are less than 24 hours post delivery, or those who are still inpatients. The safe transfer of your baby is our main concern, and so the decision to allow a parent to accompany is made on an individual patient basis.

If you have any questions or concerns please speak to the transport team, and we will try to help.

Kent, Surrey & Sussex Neonatal - Our Work

Bliss Statement- Parental access during Covid-19

Bliss Statement- Parental access during Covid-19

Parental access during COVID-19 | Bliss

Kent, Surrey & Sussex Neonatal - Our Work

COVID-19: Impact on Neonatal Services                  by Tamsyn Crane

COVID-19: Impact on Neonatal Services by Tamsyn Crane

Please follow this link to read Tamsyn’s article published in Specialised Medicine Journal

This article was first published on the Specialised Medicine website in February 2021, and was developed by the expert authors, Tamsyn Crane, and Specialised Medicine. For more expert articles on clinical guidance, please visit: www.mgp.co.uk

Kent, Surrey & Sussex Neonatal - Our Work

COVID-19 FAQ

COVID-19 FAQ

Kent, Surrey & Sussex Neonatal - Our Work

KSS Neonatal ODN Practice Educators Group

From September 2020, the education leads from each of the neonatal units within the KSS region have established a group to meet regularly, in order to share education plans, events, resources and ideas. The first action has been to scope the current education provision of all the units, via an education audit. This will establish the priorities of the group moving forward. This will be reflected within the network education strategy, which is currently in development.

Kent, Surrey & Sussex Neonatal - Our Work

South East Neonatal Simulation Education Group

The SENSE group was established in 2020, with the first meeting held in December. The special interest group brings together various professionals from all the neonatal units of both the Thames Valley and Wessex ODN and Kent, Surrey and Sussex ODN, with expertise and interest in neonatal simulation. The aim is to share best practice and resources, and develop simulation education within the region.

Kent, Surrey & Sussex Neonatal - Our Work

Resources & Links

Resources and Links

Neonates in a Nutshell YouTube channel; Vanessa Sturt and ANNP team at St Peter’s

https://www.youtube.com/channel/UCXos6yvXV8wO0AvsIOESwzw

Videos on:

  1. NAS
  2. Cranial Ultrasounds
  3. CFM
  4. Gastroschisis
  5. Exomphalos
  6. Abdominal x-rays
  7. Abdominal x-rays 2 free air
  8. Infection control in practice
  9. Skin
  10. Skin 2 – infections
  11. Understanding neonatal blood gases
  12. Pulmonary haemorrhage

BAPM webinars:

  1. Optimising Early Maternal Breast Milk for Preterm Infants

https://www.bapm.org/resources/304-bapm-webinar-optimising-early-maternal-breast-milk-for-preterm-infants

Medtronic Clinical Education:

Managing Neonatal Stressors

https://www.medtronic.com/covidien/en-gb/clinical-solutions/manage-neonatal-stressors.html

E-learning catalogue

https://www.medtronic.com/covidien/en-gb/clinical-education/catalog.html

Wednesday Webinars

https://www.medtronic.com/covidien/en-us/clinical-education/catalog/webinar-wednesdays.html

Draeger:

Noise in the NICU: How sound affects premature babies

https://www.draeger.com/en_uk/Hospital/Neonatal-Care/Noise-In-The-NICU?cid=web-uk-2020-12-14-bapm

Neonatal Ventilation

https://www.draeger.com/en_uk/Hospital/Neonatal-Care/Ventilation-Lung-Protection?cid=web-uk-2020-12-14-bapm

BabyFirst.com

https://www.babyfirst.com/en/home/?cid=web-uk-2020-12-14-bapm

Vapotherm:

A guide to High Velocity Nasal Insufflation in Neonates

NICU eBook MKT-0357 Rev B.pdf

E-Learning for Healthcare:

https://portal.e-lfh.org.uk

  1. Avoiding Term Admissions Into Neonatal units (ATA)
  2. Breastmilk Provision for Preterm and Sick Neonates (BPN)
  3. Immunisation on Neonatal Units (NNI)
  4. Infant Feeding (IFE)
  5. Mental Health Awareness Programme (MHP)
  6. NHS Antenatal and Newborn Screening Programmes: cross-programme learning
  7. NHS Newborn Blood Spot (NBS) Screening Programme
  8. Reducing Avoidable Term Admissions (RAA)
  9. Blood Transfusion (blood)
  10. Allied Health Professionals Careers’ Resource
  11. Anaphylaxis
  12. Coronavirus (COVID-19)
  13. National Bereavement Care Pathway (NBC)
  14. Perinatal Mental Health (PMH)
  15. Preterm Birth (PTB)
  16. Preventing Cerebral Palsy in Preterm Labour (PReCePT)
  17. Saving Babies’ Lives (SBL)
  18. Simulation Faculty Development (SHP)
  19. Small Wonders (SWO)
  20. Supporting Self Care (SSC)
  21. Working with families to transition from neonatal units to home (TLS)
  1. 30 Minute Meditation: Mindfully Managing your Anxiety https://youtu.be/tod7n6VIpfc

SBK Healthcare Webinars:

  1. 30 Minute Meditation: Mindfully Managing your Anxiety https://youtube/tod7n6VIpfc

Thames Valley & Wessex Critical Care - Our Work

Thames Valley & Wessex ACC Transfer Service

Thames Valley & Wessex ACC Transfer Service

The Network has been working with our partners within SCAS and NHS England, and in mid-December went live with an interim Network Transfer Service.

There are three ways to utilise the service:

  1. Call 0300 303 4147
  2. Send an online referral via the Rescue website here
  3. Complete the booking request form. Each Trust should have a copy of the latest booking request form, but you can access a copy of the booking request form here. Booking request forms should be emailed to SCAS.ACCT@nhs.net

If you have any questions/discussions please call 0300 303 4147

Please see links below for tools and further information:

We’re keen to hear your views on the service and any feedback you can give will enable us to learn and improve. Please complete our short survey here

Also, if you encounter any transfer related adverse incidents, we request that all our Units complete our reporting form for transfer related adverse incidents by clicking here

Kent, Surrey & Sussex Neonatal - Our Work

Parent Advisory Group PAG

We are delighted to announce the beginning of our Parents advisory group.  We held our first virtual meeting on Monday 1st Feb 2021 with 6 parents attending, all with a huge variety of experiences in various units across Kent Surrey and Sussex. It is so exciting to begin this journey of increasing the parental input into shaping neonatal services for the future. Future meetings will be held every 6 weeks and we will publicise the dates when they have been confirmed. The first task is to produce a logo for the group!

The first Chair of the group was agreed to be Samuel Wilson who has already been invited to the Network clinical governance meeting being held on 8th April. Thank you Samuel for taking on this role and thank you all who are participating.

We would really love to include some parent stories so if you have any that you would be willing to share, we would like to put them on this website so that other families can benefit from your experiences. We aim to increase the numbers of parents as we progress and anyone with an interest in joining who has experienced neonatal services would be welcome.

Please contact Louise Proffitt Lead Nurse for our neonatal ODN  email –  louise.proffitt@nhs.net

South West Critical Care - Our Work

Retrieve

Retrieve

Retrieve is the new Adult Critical Care Transfer Service that has been set up to primarily transfer ICU patients around the South West area. The service has been set up by a small team headed by Dr Scott Grier, with help from the SWCCN. The service has already completed over 180 transfers from it’s inauguration only a few months ago. It has been hugely beneficial with the current wave of Covid, providing aid to hospitals in the South East.

Kent, Surrey & Sussex Neonatal - Our Work

KSS Nurse Education

Neonatal Foundation Programme

The KSS Neonatal Foundation programme will commence for the first time in September 2021.
It is a 6 month programme, aimed at newly qualified practitioners and staff that are new to
speciality; including nurses, allied health professionals, junior doctors and non-registered staff.


The programme will consist of 3 parts:
1. Preceptorship for newly qualified staff, providing peer support and personal development
through this transition period.
2. Foundation learning, covering the fundamentals of neonatal care. This will be via e-learning
and online tutorials.
3. Interprofessional face to face study days, centred around clinical simulation and human
factors training.

Thames Valley & Wessex Neonatal - Our Work

TV&W Guidelines, Policies and Information booklets

Respiratory

Chest Drain Guideline

Nasal HFT

Suction Guideline

Suction Competencies 

Suction SOP

Targeting Oxygen Saturations Guideline

TV Network Surfactant Guideline

Nursing Care of CPAP or Bi Phasic CPAP

Cardiovascular

TV PDA in Preterm Infants Guideline

Pulse Oximetry Screening Guideline

TV Wessex Cardiac Care Pathway 

Neurological

Therapeutic Cooling Guideline

Therapeutic Cooling Guideline Medical

TV Guideline for NAS

ROP

ROP Care Pathway Final Ratified 

Surgical

Wound Care Guideline

TV Wessex Surgical Care Pathway

Skin Integrity Guideline

Wessex Bilious Vomiting Pathway – Malrotation guideline 

Gastrointestinal/Nutrition

Non Nutritive Sucking Guideline

Non Nutritive Sucking – Parents Information Leaflet

Phototherapy Guideline

Wessex Guideline for Nutritional Care of Infants 

Access

Care of a PVL Guideline

CVL Guideline

IV Cannulation Workbook

Umbilical Cord Care Guideline

Developmental Care

Behavioural Cues

Consideration of Light Guideline

Mouth Care Guideline

Noise Guideline

Pain Management Guideline

Positioning and Handling on the Neonatal Unit

Positive Touch Guideline

Taste & Smell Guideline

Taste & Smell Booklet – Parents Information

Prematurity

Environmental Humidification

Extreme of Prematurity

Resus and Stabilisation of the <32 weeks

Parent Information booklet – Extremely high risk or 20-21wks gestation

Parent Information booklet – High risk or 22-24wks gestation

Parent Information booklet – Moderate risk or 25wks gestation

Postnatal Ward

Pulse Oximetry Screening Guideline

Wessex Postnatal Ward Guideline

Palliative and Spiritual Care

Palliative Care Guideline

Wessex Perinatal Palliative Care Guideline

Spiritual Care Guideline

Privacy Dignity  Respect

Immunisations/Discharge

Discharge Planning Guideline

Immunisation Competency Framework

Transfers

Neonatal Transfers Infection Control Guideline

Documentation

Documentation Guideline

Policies

Child Death SOP Policy and TOR

Escalation Framework Policy

Exception Reporting Policy

Mortality Review template 

Policy on Development of Policies

Repatriation of neonates from NICU-LNU to the local SCU

TOR ODN Death Overview Policy

TOR ODN Governance Policy

Transfer Policy for LNU SCU / Exception Reporting Policy 

Thames Valley & Wessex Neonatal - Our Work

Information for Parents and Carers; including COVID-19

The effects of COVID-19 are being felt all over the world, and the neonatal community is no exception. Bliss is keeping up yo date with the latest evidence and guidance in response to the Covid-19 outbreak, and we’ve already produced new information specifically for parents of babies born premature or sick.

Bliss, Statement Parental access and involvement during Coivd-19

NHSE/I have published two postnatal leaflets on 8th April 2020 please follow the links Illness on newborn babies and Coronavirus: Parent Information for newborn babies.

VCreate – Taking care of yourself during Covid-19, please watch this video ‘guide for parents with babies in neonatal units

Bliss  – Our vision is that every baby born premature or sick in the UK has the best chance of survival and quality of life.  https://www.bliss.org.uk/

best beginnings – Small Wonders are 12 bite-size films following families and their journey in neo-natal units. https://www.bestbeginnings.org.uk/small-wonders

Unicef – Valuing parents as partners in the care of their baby is at the core of the Baby Friendly Initiative neonatal standards  https://www.unicef.org.uk/babyfriendly/parents-as-partners-in-care/

Medicines for Children – Practical and reliable advice about giving medicine to your child. https://www.medicinesforchildren.org.uk/

Sands – Sands is the stillbirth and neonatal death charity. We work to reduce the number of babies dying and to improve care and support for anyone affected by the death of a baby https://www.sands.org.uk/

Contact for families with disabled children – For every shape and size of family, whatever they need and whatever their child’s disability, we’re here. https://contact.org.uk/

Healthier together – The Healthier Together programme relies upon patients and healthcare professionals working together to improve how local healthcare is delivered. https://what0-18.nhs.uk/

DadPad – Being a new dad can be a difficult thing to come to terms with. However, being the parent of a child in neonatal care potentially brings even more complex emotions and problems, as well as a wealth of complex information to digest. https://thedadpad.co.uk/neonatal/

Thames Valley & Wessex Neonatal - Our Work

TV&W Nurse Education

COVID-19 Information;

TV&W Neonatal Band 2-4 Nursing competencies 

Please click here for the Education Pack and Workbook , supporting a mother to establish lactation, build a milk supply and go on to breastfeed her premature or sick baby.

Please click here for a useful tool for the Provision of Breast Milk

Induction to NICU for non NICU Staff during COVID outbreak

Please follow this link to the homepage of the Thames Valley and Wessex Neonatal Nursing Qualified in Specialty (QIS) Pilot Programme.

Please follow this link to the Neonatal Medicines Management

Thames Valley & Wessex Critical Care - Our Work

TV&W ACC Long Stay Reporting

As a Network we are keen to gain a better understanding on long stay patients within ICUs within our Network. This process was used in the S.West where there were Complex Rehabilitation Case Managers within NHS England who could help facilitate any delays. It also gave commissioners an understanding on reasons behind and long stay patients they were commissioning.

We are keen to trial this process, and so we are requesting every Unit to complete this for every patient currently in their Unit with a length of stay > 28days (we will send a reminder to Lead Nurses at the start of each month – although do feel free to let us know if there is a better contact we should use).

Here is a link to the reporting form we are asking Units to complete

If you have any queries, then please feel free to email us: england.tv-w-criticalcarenetwork@nhs.net

Thames Valley & Wessex Critical Care - Our Work

TV&W ACC 2019 Study Day!

Primarily aimed for Nurses/AHPs, the Network Study Day is a great opportunity to hear updates from across the region & nationally!

The Programme for the day can be seen below, and you can register for the day here

 

Thames Valley & Wessex Neonatal - Our Work

TW&W Neonatal Transfer Group

SONeT Neonatal Transport Service

SONeT (Southampton Oxford Neonatal Transport Service) provides specialist transport for neonatal patients resident in Thames Valley & Wessex to be transferred to the nearest appropriate hospital for the level of care that they require. The service is collaboration between Oxford University Hospitals and University Hospital Southampton.

There is close co-operation between the SONeT hub teams and the regional Paediatric Intensive Care retrieval service SORT ( Southampton Oxford Retrieval Team) to provide a comprehensive service for Thames Valley and Wessex.

SONeT Guidelines

Thames Valley & Wessex Neonatal - Our Work

TV&W Neonatal SIM

This section is designed to provide units with suggested simulation scenarios which have been checked for accuracy and ratified for use. They may be used and adapted to local needs if required. Some scenarios may require more adaptation than others depending on local processes and protocols.
Scenarios are also available on the STAR App.

 

  PIER website
Any feedback, please contact mailto:england.tv-w.neonatalnetwork@nhs.net

Simulation Scenarios

Simulation photos

MRSA Infection Prevention

Bile stained vomiting

Fetomaternal haemorrhage.

Preterm stabilisation

South West Critical Care - Our Work

Cheltenham Easter Eggstravaganza Study Day

Presentations from our study day held on the 3rd April at Pitville Pumprooms.  A great day with many talks including Autonomic Dysreflexia, Saturation Probes, ICNARC and EMDR amongst others.

acc-se - Our Work

South East Critical Care Conference - 2020 CANCELLED

It is with profound regret that the 2020 SECCN Critical Care Conference  has been cancelled due to the unprecedented challenges associated with COVID-19

We plan to hold the annual event again in 2021 and a provisional date of Wednesday 19th May 2021 has been agreed. Details will follow in due course.

South West Critical Care - Our Work

Presentations from Delirium Day - 9th October 2018

The presentations that were shown at our Delirium Study Day on the 9th of October at the Southmead Hospital Learning and Research Department are now available to view and share.  This was a very successful day with full attendance and inspirational speakers, please feel free to take a look at the information and use in your units.  With thanks to all that attended and our speakers including: Kate Tantam, John Bell, Sam Heaton, Sonia Maisey, Tom Hulme, Natasha Rac, Allan Sinclair, John Warburton, Dr Roger Garrett, Graham Brant, Keith Davies and Ann Touboulic.

Please click here for the documents

If you would like any further information, please contact swccn@uhbristol.nhs.uk

 

Kent, Surrey & Sussex Neonatal - Our Work

Time=Brain

Time=Brain is a regional Neonatal Therapeutic Hypothermia project devised and led by Dr. Peter Reynolds and supported by South East Neonatal Network and the Maternity, Children & Young People’s Strategic Clinical Network.

The South East Neonatal Network (SENN) Time=Brain project aims to enhance the protection of babies’ brains when there is evidence of moderate or severe encephalopathy through optimising the use of therapeutic hypothermia (cooling).

There are four key aims to this project:

  1. To ensure that the decision to cool babies is consistently applied across the SEC region
  2. To achieve the target temperature range safely & promptly, avoiding under- or over- cooling
  3. To achieve the target temperature (33-34°C) within 6 hours of birth (or postnatal collapse event)
  4. To maintain the target temperature during handover and transport of babies

The key message for Time=Brain is that there is sufficient time to examine and document the baby’s neurology, diagnose the Grade of Encephalopathy and start servo-controlled cooling for moderate and severe grades, to reach the target temperature within 6 hours of birth according to NICE Guidelines.

NICHD Scoring for HIE

The NICHD chart (downloadable/printable below) should be used to guide clinicians as to when to commence cooling. This replaces the previously used Thompson/BadgerNet scoring. The criteria for babies being at particular risk of HIE has not changed. We continue to encourage clinicians to take time to evaluate the baby on the neonatal unit, with repeated clinical examinations, use of CFM where available, and discussion with a senior clinician at the local NICU, before initiation of cooling. Starting cooling on delivery suite is not recommended.

In line with current NICE guidance, we aim for babies to be at the target temperature of 33-34 degrees C. The use of servo-controlled cooling devices will normally achieve this within an hour of commencing cooling.

TimeBrain NICHD Chart

acc-se - Our Work

Useful Links

Evelina London Children’s Healthcare – South Thames Retrieval Service (STRS) 

The South Thames Retrieval Service (STRS) is an intensive care service, transporting critically ill children from local hospitals to intensive care units (PICUs). The team is made up of doctors and nurses from their intensive care unit who are specially trained in stabilising and transferring critically ill children. The team give advice to staff at district general hospitals before their arrival to retrieve a child. They then provide intensive care to the child before they leave hospital, while they are travelling in an ambulance, helicopter or plane and when they are settling in to a PICU. Two teams are available to transport children 24 hours, 7 days a week. When they are not transporting children, the team are working within the intensive care unit. For comprehensive advice on referrals; clinical guidelines and drug calculations; medical formulas; information for patients and relatives visit: https://www.evelinalondon.nhs.uk/our-services/hospital/south-thames-retrieval-service/overview.aspx

London and South East England Burns Network

The LSEBN serves a population of around 21 million people, living in London, the East of England, Kent Surrey and Sussex, Thames Valley and Wessex: http://www.lsebn.nhs.uk/

South West London and Surrey Trauma Network

Serves the population of South West London and Surrey.  The Major Trauma Centre is St. George’s Hospital which is supported by 7 Trauma Units: https://www.swlandstn.com/

South East London Kent and Medway Trauma Network

Serves the population of South East London and Kent and Medway. The Major Trauma Centre is King’s College Hospital which is supported by 7 Trauma Units: http://www.selkam.org.uk

Sussex Trauma Network

Serves the population of Sussex. The Major Trauma Centre is the Royal Sussex County Hospital which is supported by 4 Trauma Units: http://sussextrauma.org/

acc-se - Our Work

Rehabilitation

The optimisation of recovery from critical illness, rather than mere survival, has developed increasing prominence as the physical and psychological ramifications of a stay in critical care have become widely acknowledged. Research on the longer term consequences of critical illness has shown that significant numbers of patients surviving critical illness have important continuing problems.

“For many, discharge from Critical Care is the start of an uncertain journey to recovery characterised by, among other problems, weakness, loss of energy and physical difficulties, anxiety, depression, post-traumatic stress (PTS) phenomena and, for some, a loss of mental faculty (termed cognitive function). Family members become informal care givers, and that itself can exert a secondary toll of ill-health; family relationships can become altered and financial security impaired.” (NICE 2009)

Information for patients and relatives

SECCN Critical Illness Poster – Information for patients and relatives

FPH Anxiety Resource 2015

FPH Depression Resource 2015

National Institute for Health and Care Excellence (NICE)

Recognition of the unmet clinical needs of patients surviving critical illness prompted NICE to publish guidelines for rehabilitation – Clinical Guidelines 83 and Quality Standards 158:

NICE CG83

NICE QS158

SECCN guidance documents to support critical care units to deliver rehabilitation throughout the critical illness pathway

SECCN Rehabilitation Summary Document September 18

SECCN Rehabilitation Pathway Standards September 18

SECCN Short Clinical Assessment September 18

SECCN Patient Diary Guidelines

Handover

The handover of care to fellow health professionals, both when a patient leaves critical care to go to the ward and when being discharged from hospital, is paramount to ensuring the smooth transition of care and on-going rehabilitation based on a patients needs and goals. The following documents may help to structure the handover and are free to use:

Rehabilitation Handover June19 FINAL

Post ICU syndrome- GP leaflet SECCN logo

Useful links

Link to Frimley Park Hospital on line training for patient diaries:   http://www.frimleypark.nhs.uk/e-learning/PatientDiaryTraining/launch.html

ICU Steps – Intensive Care Patient Support Charity: http://www.icusteps.org

 

 

 

 

 

Kent, Surrey & Sussex Neonatal - Our Work

Our Units

South East Neonatal Network covers Kent, Surrey & Sussex; there are 11 Acute Trusts and 13 units in the Network. Two acute Trusts straddle the borders with Thames Valley & Wessex Neonatal Network, we work collaboratively to ensure that patient flows are appropriate for the level of care required.

South East Neonatal Network consists of 4 Neonatal Intensive Care Units, 3 Local Neonatal Units and 6 Special Care Units. South East Coast Neonatal Transfer Service operates across the Network, undertaking both emergency retrievals and repatriation back to local units.

Hospital Contacts
Medway Maritime Hospital

Medway

Oliver Fisher Neonatal Unit

NICU

Lead Clinician: Dr Aung Soe
Ward Manager: Anna Francis
Darent Valley Hospital

Dartford

Special Care Baby Unit (Walnut Ward)

SCU

Lead Clinician: Dr Abdul Hasib
Ward Manager: Annette Pope/Kathy Wood
Queen Elizabeth the Queen Mother Hospital

Margate

Special Baby Care Unit

SCU

Lead Clinician: Dr Kalu Ogbureke
Ward Manager: Louise Ruiz
William Harvey Hospital

Ashford

Neonatal Intensive Care Unit

NICU

Lead Clinician: Dr Vimal Vasu
Ward Manager: Louise Ruiz
The Tunbridge Wells Hospital at Pembury

Neonatal Unit

LNU

Lead Clinician: Dr Hamudi Kisat
Ward Manager: Julia Moat & Lou Mair
Royal Sussex County Hospital,

Brighton

Trevor Mann Baby Unit

NICU

Lead Clinician: Dr Phil Amess
Ward Manager: Julia Simpson
Conquest Hospital,

St Leonards on Sea

Special Care Baby Unit

SCU

Lead Clinician: Dr Mani Kandasamy
Ward Manager: Wendy Thompsett
Princess Royal Hospital

Haywards Heath

Trevor Mann Baby Unit

SCU

As for Royal Sussex
St Peters Hospital,

Chertsey

Neonatal Unit

NICU

Lead Clinician: Dr Peter Martin
Ward Manager: Sara Robertson
East Surrey Hospital

Redhill

Neonatal Unit

LNU

Lead Clinician: Dr Abdul Khader
Ward Manager: Ingrid Marsden
Frimley Park Hospital

Frimley

Special Care Baby Unit

LNU

Lead Clinician: Dr Sanjay Jaiswal
Ward Manager: Jennifer Lomas
Royal Surrey County Hospital

Guildford

Neonatal Unit

SCU

Lead Clinician: Dr Michael Hardo
Ward Manager: Geizel Pulanco
Worthing Hospital

Worthing

Beeding Ward

SCU

Lead Clinician: Dr Katia Vamvakiti
Ward Manager Abi Seal

acc-se - Our Work

SECCN About Us

The South East (formerly South East Coast) Critical Care Network was established in April 2013 as a result of the merger between the critical care networks of Kent & Medway; Surrey and Sussex.

The role of the network is to enable Critical Care Services to work together to promote the highest quality of care for people in the South East of England. Critical Care is a vital hospital service for people with life threatening injuries and illnesses. Critical Care encompasses intensive care and high dependency care units and is where the sickest patients in hospitals are treated. Critical Care staff also provide support to ward areas to ensure the early recognition and response to acutely ill patients wherever they are in the hospital.

The SECCN promotes clinical engagement and collaboration across the South East region to ensure the delivery of safe and effective services for critically ill patients throughout the patient pathway. It provides guidance on service standards to ensure equity of the care patients and their families and loved ones receive. Critical care pathways are audited and best practice identified to serve as a benchmark for service improvement.

The SECCN provides a link between commissioners and providers of critical care to promote integration and coordination of services. The SECCN assists commissioners and providers to coordinate resources to secure the best outcomes for patients. Critical Care activity is monitored across the region to assist capacity planning and to forecast demand, to ensure that supply and demand of Critical Care services are matched even at times of peak activity.

Members of the SECCN work collaboratively to share learning, experience, knowledge and skills; to enable staff to have the skills and confidence to develop Critical Care services in line with initiatives and progress in medical practice and to meet the expectations of commissioners and the public.

Our network hospitals:

Hospital Lead Clinician Lead Nurse
Darent Valley Hospital Dr Mike Protopapas Maria Crowley
Kent & Canterbury Hospital Dr Martin Mayall Julie Cristall
Maidstone General Hospital Dr Dan Moult Angali Clifton-Fearnside
Medway Maritime Hospital Dr Paul Hayden Jane Westhead
Queen Elizabeth the
Queen Mother Hospital
Dr Craig Guest Deirdre McFarlane
Tunbridge Wells Hospital
at Pembury
Dr Dan Moult Jane Sansom
William Harvey Hospital Dr Mark Snazelle Jane Kirk-Smith
East Surrey Hospital Dr Claire Mearns Caroline Allison/
Chris Beevers
Frimley Park Hospital Dr Mark Blackmore Mary Virtue
Royal Surrey Hospital  Dr Amish Patel Jackie Yeruva
St Peter’s Hospital Dr Tony Parsons Christine Redmond
Eastbourne General Hospital Dr James Evans Sylvia Harris
Princess Royal Hospital Dr Owen Boyd/
Dr John Kilic
Clare Hebditch
Queen Victoria Hospital Dr Matt Lees Claire Tait
Royal Sussex Hospital Dr Owen Boyd/
Dr John Kilic
Clare McGregor
St Richards’s Hospital Dr Justin Dickens Daisy Rosser
The Conquest Hospital Dr James Evans Caroline Ellis
Worthing Hospital Dr James Nicholson Adam Rogers

 

 

 

 

 

 

 

 

 

 

 

 

 

acc-se - Our Work

SECCN Transfer of the critically ill

Patients who are critically ill in hospital may, during the course of their care, require transfer to another hospital or to another department within the same hospital.
Indications for transfer include specialist investigation or treatment; lack of availability of a staffed critical care bed, repatriation to a local hospital from a specialist center and transfer back to a local critical care unit from a more distant hospital.
Transferring a critically ill patient evokes risks but having a clear pathway of referral, risk assessment and clinical protocol the risk is minimised.

Transfer and Handover Forms

The SECCN transfer form and checklist for inter hospital ensure appropriate risk assessment prior to and preparation for transfer.

For ordering details: SECCN transfer charts ordering details

To view: Transfer form 1.0 FINAL2

To view: Checklist 1.0 FINAL2

 

 

 

The principles of safe transfer are applicable to patients transferred between hospital departments. The SECCN intra hospital risk assessment and transfer form is available for printing in A4:

SECCN Intrahospital transfer form V2 September 2018

 

 

 

Safe handover of care from one team to another is promoted by a standardize controlled process.

The SECCN standard operating procedure for handover is available for printing in A4:

SECCN Handover Form September 2018

 

 

Transfer guidelines

The SECCN transfer guidelines are currently being updated and will be uploaded as soon as possible. In the interim, please contact caroline.wilson2@nhs.net for any information or access the Intensive Care Society guidelines for the critically ill adult:

transfer_critically_ill_adult_2019

Critical Care Transfer Training

Each critical care unit runs transfer training for staff. An Intensive Care Society accredited simulation based transfer course (STricT) has been developed by St Peter’s Hospital and Royal Surrey County Hospital critical care units supported by SECCN and Health Education Kent, Surrey & Sussex. This course is also run at East Sussex Hospitals. For further information on STricT please visit https://strictcourse.co.uk or contact strictcourse@gmail.com,

Useful Links

The North West London Critical Care Network website contains comprehensive critical care transfer information and can be found at: www.londonccn.nhs.uk

acc-se - Our Work

SECCN Annual Critical Care Conference

SECCN has held a critical care conference annually since 2014 and the event continues to go from strength to strength. We are fortunate to be able to attract renowned speakers from within and outside the network and our conferences are attended by members of all health professional groups working in critical care. The event is kindly sponsored by a variety of companies which ensures that the event is free to delegates. A poster competition is held each year as well as a short quiz and each has a small prize for the winner.

** 2020 date to be announced soon **

The 2019 conference was held on 11th June at the Crown Plaza Hotel, Crawley.

The event was attended by over 100 delegates and supported by a range of sponsors who participated in a fun quiz competition. Presenters came from Critical Care across Kent Surrey and Sussex and we were delighted to have Dr James Haslam for Salisbury NHS Foundation Trust as our special guest speaker.

2019 SECCN Critical Care Conference Programme

2019 SECCN Critical Care Conference List of Speakers

Presentations from the day

Becky Coles-Gale – The Role of Critical Care Psychology

Claire Rowley – Improving the recognition of deteriorating patients – one hospital’s journey

Deb Dykes and Dr Tim Martindale – Lung USS – What Is It?  Developing Physiotherapy Competence

Development of Critical Care Research

Jo Jones – Building a Critical Care Research Portfolio

Marco Arrighi – Psychological Care of Patients in ICU

Tina Whitfield – Examining PTSD after ICU

Mariam Davey – Longer Term Outcomes of Elderly ICU Patients

 

An absorbing presentation

A chance to Network

Some feedback from our delegates

“Good topic selection, I particularly enjoyed the clinical psychology …  and the Lung Ultrasound Demonstration”

“Useful and interesting talks that have been thought provoking”.

“Very good – everyone was very passionate about the presentations”.

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 2018

SEC Critical Care Conference Programme 2018

Speaker notes

Presentations

CRRT with Regional Citrate Anticoagulation on ESHT ICU – The first 8 years

Respiratory Weaning in Spinal Injury Rehabilitation

Sarcopenia and Muscle Wasting on ICU – a dietetic perspective

The Physiotherapy Role in Critical Care Outreach – stretching professional boundaries (2)

We’ve always doen it this way – Is it time to explore new ways of sharing information

Posters

The use of high-flow nasal oxygen therapy (HFNOT) outside critical care – a deanery wide survey
Dr P T Thorburn, Dr I Francis and Dr F Baldwin (Brighton & Sussex University Hospital)

 

 

 

Use of Simulation Based Learning in Critical Care Transfer Training
R.Mody, P. Wilder (Frimley Health)

 

 

 

Audit: Use of stress ulcer prophylaxis in critically ill patients
Dr. Sinan Bahlool, Dr. Krushna Patel, Dr. Andrew Baigey (East Kent Hospitals)

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2017

SECCN Conference List of Speakers 2017

SECCN Critical Care Conference Programme 2017

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2016

SECCN Conference List of Speakers 2016

SECCN Critical Care Conference Programme 2016

 

 

Kent, Surrey & Sussex Neonatal - Our Work

South East Neonatal Transfer Service

South East Neonatal Transfer Service

The Kent, Surrey and Sussex Neonatal Transfer Services is comprised of three separate teams which operate to cover the entire region and offers a comprehensive planned and unplanned neonatal transfer service. This enables the movement of critically ill patients 24 hours a day, 7 days a week across the region and the elective transfer of less unwell infants.

Kent, Surrey & Sussex Neonatal Transfer Service is part of the London, Kent, Surrey and Sussex Neonatal Transport Service coordinated through the Emergency Bed Service. During the daytime two teams operate over the three regions between 08:00 – 20:00 for planned and unplanned transfers. From 20:00 – 08:00 one of the three teams offers the night cover for the region on a rotational basis.

Trevor Mann Baby Unit at Royal Sussex County Hospital
Oliver Fisher Special Care Baby Unit at Medway Maritime Hospital
Neonatal Unit at St. Peter’s Hospital

The Kent Surrey and Sussex Neonatal Transfer Service (KSS NTS) has 3 teams, based at Medway, Chertsey and Brighton. Each team has a doctor, senior nurse and ambulance crew, all trained in the transport of newborn babies, and a dedicated neonatal ambulance.

KSS operate a 24/7 dedicated neonatal transfer service, and do approximately 1200 transfers per year. We transfer sick babies, those who are born too early, and babies needing surgery to specialist centres. We also repatriate babies back to their local special care baby units.

Our ambulances and transport incubators are specially designed and equipped so that we can provide intensive care during the journey if this is required. All babies will have their oxygen saturations and heart rate monitored throughout the journey.

We can only transfer one baby at a time, so twins will need to be moved separately.

 

Thames Valley & Wessex Critical Care - Our Work

Thames Valley & Wessex ACC Transfer Group (+ Transfer Documents)

The Network has an active Transfer Group, led by Carolyn Barrett & Nikos Makris (Thames Valley) with Sim supporting in his role as Network Transfer Lead (focusing on setting up our Network Transfer Service).

Recent priorities for the group include standardising the Network Transfer Form and a Network Competency Workbook, as well as an audit of the current provision of Transfer Training that is being delivered within the Network and Transfer Equipment.

View the Network Transfer Policy

View the Network Transfer Form – Thames Valley

View the Network Transfer Form – Wessex

View information on the Network Transfer Adverse Event Reporting Form (or direct link to form here)

Thames Valley & Wessex Critical Care - Our Work

NHS England South – Adult Critical Care Improving Value (QIPP)

Combined quality improvement work with NHS South is ongoing and a NHS South strategy for capacity, currency and costing is being developed. This will necessitate active engagement with STP’s and CCG’s as well as provider trusts. A programme of engagement events will continue throughout 2018/19 and units will be supported to complete a demand, capacity and costing review by a programme of network visits.

More details to follow.

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Life is not measured by the number of breaths we take, but by the moments that take our breath away. Maya Angelou

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