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If you want to go far, go with others”
African Proverb

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Paediatric Neurosciences - Our Work

Finn's SDR Journey

Finn's SDR Journey

During the pregnancy at around 28 weeks, Finn’s mum had, threatened preterm labour, which was stopped with medication, the pregnancy then progressed normally and Finn was born at 38 weeks an uncomplicated water birth, Finn was born with normal apgars and breastfed like a dream. 

At around 9 months, Finn was seen by his health visitor for his 9 month-1 year check, where is became apparent that he wasn’t meeting his physical mile stones, he had never pulled himself up, wasn’t cruising furniture and also had a dominant right hand. A referral was made to a children’s physiotherapist and Finn was seen a few weeks later, this coincided with the family relocating to Hampshire but thank to the initial physio’s making contact with local services in Hampshire, Finn was seen by a physio and consultant, where an official diagnosis of Cerebral Palsy (Bilateral Diplegia of the Lower limbs with some upper limb involvement) was made. This was a complete an utter shock to us as a family. 

With endless hospital, physiotherapy, OT appointments, Finn has come on leaps and bounds since his diagnosis. He has gone from not walking, to using a walking frame, to now at the age of 5 completely walking independently and attending mainstream school. He wears orthotic splints and uses his wheelchair out and about, as gets tired easily and falls over a lot. He also suffers with regular night cramps, which are heart-breaking, we tried medication but unfortunately for Finn he suffered a lot from the side effects. 

Last year we made the decision that we would consider SDR for Finn and we were referred to Bristol Children’s Hospital. At the beginning of this year (2019), we were given the exciting news that Finn fulfilled the NHS SDR criteria as he was GMFC level 2 and could have the surgery. Finn had his surgery on 09th August, we hope it will reduce his need for further orthopaedic surgery in the future, and will give him more independence and a better quality of life in the future, as well as reduce his pain. We know the 2 year rehabilitation is going to be hard, but Finn is one happy, determined little man and knows the hard work is going too totally be worth it.

The Start of Finn’s Journey  

On Friday 09th August Finn had his SDR surgery in Bristol, although Finn’s surgery has been long in the planning and the surgery all went well, nothing could prepare us for how tough the last 72 hours have been as parents, an absolute rollercoaster of emotions, we have had to constantly remind ourselves why we have done this. Day 3 is hopefully our turning point but where the hard works now begins, after 72 hours of lying completely flat, Finn was able to sit up for the first time, each day is now little baby steps closer to a better future for Finn. 

Day 5 following SDR, Finn’s first day stood up and our little superhero achieved this, as well as being able to kick a football. Another emotional but amazingly proud day for us as parents. Click on the below link to see Finn in action.

Day 5 Vblog

Day 10 Well done Finn, your a little superstar. Click on the below link to see how well Finn is doing.

Day 10 Vblog

Finn’s 2 month post op update

Out little super hero is doing so well, here’s a few pictures of him doing his physio at home.

He has an extremely busy weekend ahead as he is taking part in the Great South Run!! Go Finn.

The Great South Run

What an amazing achievement, we had 89 people running the Great South Run for Finn last weekend and managed to raise around £16000, which is fantastic. Finn took part in the junior/mini run and walked across the finish line!

He had amazing coverage from itv meridian news, made it onto channel 5’s GSR coverage and into today’s Portsmouth news!

Watch Finn in action what a true Superhero.

Video Great South Run

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 Critical Care - Our Work

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

Simulation Scenarios

Simulation photos

MRSA Infection Prevention

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.

South East Critical Care - Our Work

South East Critical Care Conference - 2020

The 2020 SECCN Critical Care Conference is to be held on 19th May at the Arora Hotel, Gatwick 

Registration details will be detailed soon.

The conference programme will include research, audit and practice improvement from across SECCN – please contact caroline.wilson2@nhs.net with offers to present or with suggestions for topics to be included.

A poster competition will be run again in 2020 with a prize for the poster deemed the most creative and informative.

We hope to attract sponsors to support the event and we will run our fun quiz for delegates with a prize for the winner.

For details of previous conferences please see the general SECCN conference page.

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

 

South East 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

Thames Valley & Wessex Neonatal - Our Work

TV&W Guidelines and Policies

Nursing Guidelines

Behavioural Cues

Discharge Planning Guideline

Light Guideline

Mouth Care Guideline

Nasal HFT

Noise Guideline

Non Nutritive Sucking Guideline

Non Nutritive Sucking – Parents Information Leaflet

Nursing Care of CPAP or Bi Phasic CPAP

Phototherapy Guideline

Positioning and Handling on the Neonatal Unit

Positive Touch Guideline

Skin Integrity Guideline

Spiritual Care Guideline

Suction Guideline

Targeting Oxygen Saturations Guideline

Taste & Smell Guideline

Taste & Smell Booklet – Parents Information

Therapeutic Cooling Guideline

Umbilical Cord Care Guideline

Wound Care Guideline

Clinical Guidelines

Therapeutic Cooling Guideline Medical

ROP Care Pathway Final Ratified V1.1 Aug 2018

TV Wessex Cardiac Care Pathway Final August 2018

TV Wessex Surgical Care Pathway Final Aug 18

TV Network Surfactant Guideline – Final Feb ’17 – v4 approved

TV Guideline for NAS – v2.1 FINAL Oct 2017

Wessex Bilious Vomiting Pathway – Malrotation guideline final Feb ’15 – reviewed Apr’17 v1.9 approved

Wessex Guideline for Nutritional Care of Infants – UHS May ’16 – v2 Final October 2017

Postnatal Guidelines

Wessex Postnatal Ward Guideline

Policies

Exception Reporting Policy -reviewed June 18 Final version

Mortality Review template FINAL Dec 2016 Ratified Oct 17

Repatriation of neonates from NICU-LNU to the local SCU

Transfer Policy for LNU SCU 2018 Final Version ratified Sept 2018Exception Reporting Policy -reviewed June 18 Final version

 

South East Critical Care - 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/

South East Critical Care - 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

 

 

 

 

 

Paediatric Critical Care - Our Work

Education & Training

The Paediatric Critical Care network prides itself on maintaining a focus on training and education for all staff in the network to support paediatric critical care work in our Trusts.  Where possible education will be free to attend.

All current courses available for paediatrics can be viewed on the Wessex PIER website.

In addition, keep your eyes peeled for specific ODN offerings such as the annual education day (May), and annual M&M (September).

If there is something you would like us to be focusing on, please get in touch and let us know.

Paediatric Critical Care - Our Work

TV&W PCC ODN Quality Dashboard

The idea behind the dashboard was to develop a simple set of metrics which could demonstrate outcomes of our services, and more importantly could be used to monitor trends in performance so Trusts can explore and understand variation in performance.

The metrics focus on quality data measures such as;

  • Unplanned PICU admissions,
  • Medication Errors reaching the patient,
  • Deaths,
  • Sepsis performance and,
  • Time Critical Transfers.

The dashboard was started in early 2017 and some of our Trusts have done great work in using it to raise the profile of paediatric services within their Trusts.

Paediatric Critical Care - Our Work

Paediatric Nursing Competencies - Level 1

The Nursing Competencies programme has been designed from the national Time to Move On document (RCPCH 2014) and offers a short course (2 days) for nurses wanting to refresh or develop their Level 1 Critical Care skills.  Funding by Health Education England, the course is free to attend and is available six times a year across Thames Valley & Wessex locations.

Alongside the study days, a competency document must be completed back at your place of work. For more information and to book your place visit PIER website.

South East 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

South East Critical Care - 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

 

 

 

 

 

 

 

 

 

 

 

 

 

South East Critical Care - 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

South East Critical Care - 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”.

**************************************************************************************

 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)

**************************************************************************************

2017

SECCN Conference List of Speakers 2017

SECCN Critical Care Conference Programme 2017

**************************************************************************************

2016

SECCN Conference List of Speakers 2016

SECCN Critical Care Conference Programme 2016

 

 

South East Neonatal - Our Work

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

Thames Valley & Wessex Critical Care - Our Work

Thames Valley & Wessex ACC Transfer Group

The Network has an active Transfer Group, led by Carolyn Barrett & Nikos Makris (Thames Valley) and Neil Johnson (Wessex). 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 the Network Incident Form

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.

Paediatric Neurosciences - Our Work

Delivering work up for Epilepsy Surgery closer to home

Delivering work up for Epilepsy Surgery closer to home

The team has been working with the Children’s Epilepsy Surgery Service (CESS) based at Bristol Children’s Hospital, and the epilepsy teams at Southampton and Oxford Children’s Hospitals. The project aims to ensure that children with complex epilepsy from the Wessex and Thames Valley regions who are being considered for epilepsy surgery are able to receive as much of their pre-surgical care and diagnostics at their home tertiary centre as possible. This means less travel for the families and improved consistency of care from the epilepsy teams that they already have a relationship with.

A ‘hub and spoke’ model has been developed with the regional centres to ensure that access to paediatric epilepsy clinical care, neuro-psychological and psychiatric assessment, MRI, Video EEG and other diagnostic requirements can be provided as close to home for the patients as is appropriate.

There is a set tariff for pre-surgical evaluation (PSE) for epilepsy surgery and we have negotiated a division of the tariff between the CESS centre and the tertiary neurosciences centres to support the teams delivering the care.

From 1st April 2018 all PSE for children from the Wessex region will be delivered at Southampton Children’s Hospital. A similar arrangement for children from the Thames Valley region is being developed at Oxford Children’s Hospital.

Sign up to our newsletters for all the latest from our NHS South ODNs

To be kept up-to-date with the latest news and updates, select from any of the networks below to be added to that mailing list. Your details will only be stored for the purposes of being kept informed via email on an infrequent basis. You can unsubscribe at anytime.

Paediatric Networks

Neonatal Networks

Adult Critical Care Networks

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

Events Calendar

26
Event: SWCCN Outreach Group Meeting
Networks: South West Critical Care
Location: Junction 24, Bridgwater
Date: 26th June 2019
Time: TBC
Information: For more details please contact us Find out more
17
Event: South West Critical Care Network Lead Nurse and Board Meeting
Networks: South West Critical Care
Location: Junction 24, Bridgwater
Date: 17th October 2019
Time: 10:30 - 13:30
Information: Lead nurse meeting – 10:30 to 12:30 Board Meeting – 13:00 to 15:30 Location – Junction 24 conference centre, Bridgwater Find out more
17
Event: Wessex Neonatal Clinical Forum
Networks: Thames Valley & Wessex Neonatal
Location: Meeting room 2, Oakley Road Southampton, SO16 4GX
Date: 17th October 2019
Time: 10:00 - 12:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more
24
Event: Paediatrician Expertise in Cardiology (PEC) Day
Networks: Paediatric Critical Care
Location: Shaw House, Newbury, RG14 2DR
Date: 24th October 2019
Time: 10:00 - 15:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more
5
Event: TV Clinical Forum
Networks: Paediatric Critical Care
Location: Womens Centre Meeting Room, John Radcliffe
Date: 5th November 2019
Time: 09:00 - 11:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
7
Event: Thames Valley & Wessex ACC Clinical Study Day – November 2019
Networks: Thames Valley & Wessex Critical Care
Location: The Ark, Dinwoodie Drive, Basingstoke, RG24 9NN
Date: 7th November 2019
Time: 09:00 - 16:30
Information: If interested in attending to represent your Unit, please email england.tv-w-criticalcarenetwork@nhs.net You can register for the day here Find out more
11
Event: Wessex Clinical Forum
Networks: Paediatric Critical Care
Location: Oakley Road
Date: 11th November 2019
Time: 09:00 - 12:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more
13
Event: TV & W ODN Clinical Forum, Governance and Morbidity Meeting
Networks: Thames Valley & Wessex Neonatal
Location: Shaw House, Newbury, RG14 2DR
Date: 13th November 2019
Time: 09:00 - 16:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more
13
Event: Thames Valley & Wessex Nenatal ODN Joint clinical Forum, Governance and Morbidity Meeting
Networks: Thames Valley & Wessex Neonatal
Location: Shaw House, Newbury, RG14 2DR
Date: 13th November 2019
Time: 09:00 - 17:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more
19
Event: Neonatal Nurses Association Conference 2019
Networks: Thames Valley & Wessex Neonatal
Location: The Hilton, East Midlands Airport
Date: 19th November 2019
Time: 08:30 - 16:00
Information:  This years Neonatal Nurses Association Conference will be held on the 22nd November 2019 at The Hilton at the East Midlands Airport  Make sure you Save the Date and Register Now. Early registration is advised as places are limited.  To register please visit the NNA website and follow the Eventbrite links for tickets.  Poster presentations; […] Find out more
20
Event: SECCN Rehabilitation Group Meeting
Networks: South East Critical Care
Location: TBC
Date: 20th November 2019
Time: 10:00 - 13:00
Information: Find out more
21
Event: Thames Valley & Wessex ACC Rehab Meeting – November 2019
Networks: Thames Valley & Wessex Critical Care
Location: Shaw House, Newbury, RG14 2DR
Date: 21st November 2019
Time: 10:00 - 15:00
Information: If interested in attending to represent your Unit, please email england.tv-w-criticalcarenetwork@nhs.net Find out more
22
Event: SECCN Clinical Psychology Group Meeting
Networks: South East Critical Care
Location: TBC
Date: 22nd November 2019
Time: 10:30 - 12:30
Information: Find out more
26
Event: SECCN VAP Meeting
Networks: South East Critical Care
Location: Maidstone Hospital
Date: 26th November 2019
Time: 10:00 - 13:00
Information: Find out more
27
Event: ODN Board/Sort & Governance Meeting
Networks: Paediatric Critical Care
Location: Seminar Room, Tidbury Farm, SO21 3QQ
Date: 27th November 2019
Time: 09:00 - 15:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
27
Event: SECCN Assurance Visit BSUH
Networks: South East Critical Care
Location: BSUH
Date: 27th November 2019
Time: 09:00 - 16:30
Information: Find out more
5
Event: Thames Valley & Wessex Neonatal Infant Feeding and Development Leads
Networks: Thames Valley & Wessex Neonatal
Location: Seminar Room, Tidbury Farm SO21 3QQ
Date: 5th December 2019
Time: 10:30 - 16:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more
6
Event: Thames Valley & Wessex ACC Transfer Leads – December 2019
Networks: Thames Valley & Wessex Critical Care
Location: Shaw House, Newbury, RG14 2DR
Date: 6th December 2019
Time: 09:30 - 15:30
Information: If interested in attending to represent your Unit, please email england.tv-w-criticalcarenetwork@nhs.net Find out more
17
Event: Thames Valley & Wessex ACC Clinical Forum – December 2019
Networks: Thames Valley & Wessex Critical Care
Location: Shaw House, Newbury, RG14 2DR
Date: 17th December 2019
Time: 10:00 - 15:30
Information: If interested in attending to represent your Unit, please email england.tv-w-criticalcarenetwork@nhs.net Find out more
10
Event: Thames Valley & Wessex ACC Outreach Meeting
Networks: Thames Valley & Wessex Critical Care
Location: Seminar Room, Tidbury Farm SO21 3QQ
Date: 10th January 2020
Time: 10:00 - 15:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
14
Event: Thames Valley & Wessex Neonatal Critical Care
Networks: Thames Valley & Wessex Neonatal
Location: Seminar Room, Tidbury Farm SO21 3QQ
Date: 14th January 2020
Time: 10:00 - 13:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
14
Event: Thames Valley & Wessex Neonatal Palliative Care
Networks: Thames Valley & Wessex Neonatal
Location: Seminar Room, Tidbury Farm SO21 3QQ
Date: 14th January 2020
Time: 10:00 - 13:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
30
Event: Thames Valley & Wessex ACC Practice Educators
Networks: Thames Valley & Wessex Critical Care
Location: Seminar Room, Tidbury Farm, SO21 3QQ
Date: 30th January 2020
Time: 10:00 - 15:00
Information: If interested in attending to represent your Unit, please email england.tv-w-criticalcarenetwork@nhs.net You can register for the day here Find out more Find out more
25
Event: Thames Valley & Wessex ACC Clinical Forum
Networks: Thames Valley & Wessex Critical Care
Location: Shaw House, Newbury, RG14 2DR
Date: 25th February 2020
Time: 10:00 - 15:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
25
Event: Thames Valley Neonatal Clinical Forum
Networks: Thames Valley & Wessex Neonatal
Location: To be Confirmed
Date: 25th February 2020
Time: 10:00 - 12:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more Find out more Find out more
3
Event: 9th Thames Valley & Wessex neonatal ODN Multi-professional Clinical Day
Networks: Thames Valley & Wessex Neonatal
Location: The Ark, Dinwoodie Drive, Basingstoke, RG24 9NN
Date: 3rd March 2020
Time: 08:30 - 16:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more
27
Event: British Association of Neonatal Neurodevelopmental Follow Up (BANNFU)
Networks: Thames Valley & Wessex Neonatal
Location: The UCH Education Centre, 1st Floor West, 250 Euston Road, London, NW1 2PG
Date: 27th March 2020
Time: 08:30 - 17:00
Information: Venue: The UCH Education Centre, 1st Floor West, 250 Euston Road, London, NW1 2PG SAVE THE DATE: Friday 27th March 2020 endorsed by BAPM British Association of Perinatal Medicine You are invited to the 1st National Conference on Neonatal Neurodevelopment Who should attend? Any professional involved in the care of babies in neonatal units and […] Find out more
23
Event: Thames Valley & Wessex Neonatal Lead Nurse and PE
Networks: Thames Valley & Wessex Neonatal
Location: Seminar Room, Tidbury Farm, SO21 3QQ
Date: 23rd April 2020
Time: 09:30 - 16:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more
24
Event: Thames Valley & Wessex ACC Outreach Meeting
Networks: Thames Valley & Wessex Critical Care
Location: Seminar Room, Tidbury Farm SO21 3QQ
Date: 24th April 2020
Time: 10:30 - 15:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
30
Event: Thames Valley & Wessex ACC Practice Educators Meeting
Networks: Thames Valley & Wessex Critical Care
Location: Seminar Room, Tidbury Farm, SO21 3QQ
Date: 30th April 2020
Time: 10:00 - 15:00
Information: If interested in attending to represent your Unit, please email england.tv-w-criticalcarenetwork@nhs.net You can register for the day here Find out more Find out more
12
Event: Thames Valley & Wessex Neonatal Palliative Care
Networks: Thames Valley & Wessex Neonatal
Location: Seminar Room, Tidbury Farm SO21 3QQ
Date: 12th May 2020
Time: 10:00 - 13:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
5
Event: Thames Valley & Wessex ACC Transfer Group Meeting
Networks: Thames Valley & Wessex Critical Care
Location: Shaw House, Newbury, RG14 2DR
Date: 5th June 2020
Time: 09:30 - 15:30
Information: If interested in attending to represent your Unit, please email england.tv-w-criticalcarenetwork@nhs.net You can register for the day here Find out more Find out more
10
Event: Thames Valley & Wessex neonatal ODN Joint Clinical Forum, Governance and Mortility Meeting
Networks: Thames Valley & Wessex Neonatal
Location: Shaw House, Newbury, RG14 2DR
Date: 10th June 2020
Time: 09:00 - 17:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more
16
Event: Thames Valley & Wessex ACC Clinical Forum
Networks: Thames Valley & Wessex Critical Care
Location: Shaw House, Newbury, RG14 2DR
Date: 16th June 2020
Time: 10:00 - 15:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
10
Event: Thames Valley & Wessex ACC Outreach Meeting
Networks: Thames Valley & Wessex Critical Care
Location: Seminar Room, Tidbury Farm, SO21 3QQ
Date: 10th July 2020
Time: 10:00 - 15:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
30
Event: Thames Valley & Wessex ACC Practice Educators Meeting
Networks: Thames Valley & Wessex Critical Care
Location: Seminar Room, Tidbury Farm SO21 3QQ
Date: 30th July 2020
Time: 10:00 - 15:00
Information: If interested in attending to represent your Unit, please email england.tv-w-criticalcarenetwork@nhs.net You can register for the day here Find out more Find out more
8
Event: Thames Valley & Wessex Neonatal palliative Care
Networks: Thames Valley & Wessex Neonatal
Location: Seminar Room, Tidbury Farm SO21 3QQ
Date: 8th September 2020
Time: 10:00 - 13:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
17
Event: Thames Valley & Wessex Neonatal Lead Nurse and PE Group
Networks: Thames Valley & Wessex Neonatal
Location: Seminar Room, Tidbury Farm SO21 3QQ
Date: 17th September 2020
Time: 09:30 - 16:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more
22
Event: Thames Valley & Wessex ACC Clinical Forum
Networks: Thames Valley & Wessex Critical Care
Location: Shaw House, Newbury, RG14 2DR
Date: 22nd September 2020
Time: 10:00 - 15:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
23
Event: Wessex Neonatal Clinical Forum
Networks: Thames Valley & Wessex Neonatal
Location: Oakley Road
Date: 23rd September 2020
Time: 10:00 - 12:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more Find out more
6
Event: Thames Valley Neonatal Clinical Forum
Networks: Thames Valley & Wessex Neonatal
Location: To be Confirmed
Date: 6th October 2020
Time: 10:00 - 12:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more Find out more Find out more
9
Event: Thames Valley & Wessex ACC Outreach Meeting
Networks: Thames Valley & Wessex Critical Care
Location: Seminar Room, Tidbury Farm, SO21 3QQ
Date: 9th October 2020
Time: 10:00 - 15:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
29
Event: Thames Valley & Wessex ACC Practice Educators Meeting
Networks: Thames Valley & Wessex Critical Care
Location: Seminar Room, Tidbury Farm, SO21 3QQ
Date: 29th October 2020
Time: 10:00 - 15:00
Information: If interested in attending to represent your Unit, please email england.tv-w-criticalcarenetwork@nhs.net You can register for the day here Find out more Find out more
11
Event: Thames Valley & Wessex neonatal ODN Joint Clinical Forum, Governance and Morbidity Meeting
Networks: Thames Valley & Wessex Neonatal
Location: Shaw House, Newbury, RG14 2DR
Date: 11th November 2020
Time: 09:00 - 17:00
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more Find out more Find out more Find out more
4
Event: Thames Valley & Wessex ACC Transfer Group Meeting
Networks: Thames Valley & Wessex Critical Care
Location: Shaw House, Newbury, RG14 2DR
Date: 4th December 2020
Time: 09:30 - 15:30
Information: If interested in attending to represent your Unit, please email england.tv-w-criticalcarenetwork@nhs.net You can register for the day here Find out more Find out more
15
Event: Thames Valley & Wessex ACC Clinical Forum
Networks: Thames Valley & Wessex Critical Care
Location: Shaw House, Newbury, RG14 2DR
Date: 15th December 2020
Time: 10:00 - 15:30
Information: If you are interested in attending this event and representing your unit please email england.tv-w-neonatalnetwork.nhs.net Find out more Find out more Find out more
View all events

What's new

News: SECCN Newsletter September 2019
Networks: South East Critical Care
Date: 14th October 2019
Information: SECCN National, Regional and SECCN update Sept 2019 Read more
News: TV&W ACC Newsletters
Networks: Thames Valley & Wessex Critical Care
Date: 5th August 2019
Information: Please see below a link to all our Network Newsletters: August 2019 May 2019 February 2019 November 2018 August 2018 May 2018 To join our Newsletter mailing list, please click here: http://eepurl.com/duPeBb Read more
News: SECCN 2018/19 Annual Report
Networks: South East Critical Care
Date: 17th July 2019
Information: SECCN Annual report 201819 (for website) Read more
News: SECCN Newsletter March 2019
Networks: South East Critical Care
Date: 6th March 2019
Information: The SECCN March 2019 is now live and can be accessed via the following link: SECCN Newsletter March 2019 Read more
News: SECCN New Year Newsletter 2019
Networks: South East Critical Care
Date: 31st December 2018
Information: The SECCN New Year Newsletter 2019 is now live and can be accessed via the following link: New Year Newsletter 2019 Read more
News: South West Critical Care Network Newsletter
Networks: South West Critical Care
Date: 3rd October 2018
Information: Our summer newsletter for the South West is available to view, please click here for more.  If you would like to comment on content or add something to the next newsletter, please email us at: swccn@uhbristol.nhs.uk Read more
News: SECCN Newsletter September 2018
Networks: South East Critical Care
Date: 7th September 2018
Information: The September 2018 newsletter is now live. If you wish to view the newsletter (or subscribe to future newsletters), then please click the link below. September 2018 newsletter  Please do also get in touch if you have content that you would like added for future newsletters! Read more
News: Thames Valley & Wessex ACC ODN : New Transfer Forms
Networks: Thames Valley & Wessex Critical Care
Date: 30th July 2018
Information: Our new Network Transfer Forms are now available on our website! The link to these forms can be found on our Transfer Group page: https://southodns.nhs.uk/projects/thames-valley-wessex-acc-transfer-group/ Read more
News: SECCN Newsletter January 2018
Networks: South East Critical Care
Date: 18th May 2018
Information: New Year newsletter Read more
News: Network Newsletter – May 2018
Networks: Thames Valley & Wessex Critical Care
Date: 15th May 2018
Information: Our First network newsletter is now live! If you wish to view the newsletter (or subscribe to future newsletters), then please click the link below. https://mailchi.mp/4e7847fc0f50/tvwacc-network-newsletter Please do also get in touch if you have content that you would like added for future newsletters! Read more
News: New Website – TV&W ACC
Networks: Thames Valley & Wessex Critical Care
Date: 10th May 2018
Information: Welcome to our new website, we hope you find it useful. If you are part of the Thames Valley & Wessex Critical Care Network, and you have any relevant news or events that you would like added to the site (or our newsletter), then please email: england.tv-w-criticalcarenetwork@nhs.net Read more
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