# data[].attributes.headline
Joined up central line service - NNU / surgeons / interventional radiology

# data[].attributes.subject
Joined up central line service - NNU / surgeons / interventional radiology

# data[].attributes.headline
Improve access to digital working - BADGERnet EPR

# data[].attributes.subject
Improve access to digital working - BADGERnet EPR

# data[].attributes.headline
Hardware and the necessary supported software ( server size)

# data[].attributes.subject
Hardware and the necessary supported software ( server size)

# data[].attributes.headline
Utilise clinic appointments fully, including- reducing last minute cancellations,  ensuring patients/ parents are aware of their appointments. 

# data[].attributes.subject
Utilise clinic appointments fully, including- reducing last minute cancellations,  ensuring patients/ parents are aware of their appointments. 

# data[].attributes.headline
an agreed pathway for children to receive IV antibiotics at home 

# data[].attributes.subject
an agreed pathway for children to receive IV antibiotics at home 

# data[].attributes.headline
collaborative working with  CCG /HON/lead clinician gen paeds/matron 

# data[].attributes.subject
collaborative working with  CCG /HON/lead clinician gen paeds/matron 

# data[].attributes.headline
adequate nursing resource in the community to support the agreed  pathway

# data[].attributes.subject
adequate nursing resource in the community to support the agreed  pathway

# data[].attributes.headline
pathway needs to be agreed and LCH need to identify how much resource they require then recruit 

# data[].attributes.subject
pathway needs to be agreed and LCH need to identify how much resource they require then recruit 

# data[].attributes.headline
Establish LTV outreach pathways for physio service

# data[].attributes.subject
Establish LTV outreach pathways for physio service

# data[].attributes.headline
using the new LTV physio post review the training needs of colleagues and families and review patient care pathways

# data[].attributes.subject
using the new LTV physio post review the training needs of colleagues and families and review patient care pathways

# data[].attributes.headline
Physio CSM , new post recruitment and LTV team

# data[].attributes.subject
Physio CSM , new post recruitment and LTV team

# data[].attributes.headline
Ensure patients are seen in the appropriate service ie not cover the cracks for community services

# data[].attributes.subject
Ensure patients are seen in the appropriate service ie not cover the cracks for community services

# data[].attributes.headline
relationships and pathways in community service , avoid postcode lottery

# data[].attributes.subject
relationships and pathways in community service , avoid postcode lottery

# data[].attributes.body
Develop a pathway for cyp presenting with medically unexplained symptoms (MUS).

# data[].attributes.body
Develop inpatient service together with CAMHS crisis team for non DSH presentations.

# data[].attributes.body
Alistair Duff and team

# data[].attributes.body
Funding from cCg and ics

# data[].attributes.headline
Enuresis: Move enuresis management into the community, into a single point of access continence clinic, dealing with both bladder and bowel problems, supported by a community paediatrician and nurse specialist

# data[].attributes.subject
Enuresis: Move enuresis management into the community, into a single point of access continence clinic, dealing with both bladder and bowel problems, supported by a community paediatrician and nurse specialist

# data[].attributes.headline
Try to ensure better retention of admin staff - pay, promotion, feeling like they are heard

# data[].attributes.subject
Try to ensure better retention of admin staff - pay, promotion, feeling like they are heard

# data[].attributes.body
Either go back to precovid levelsof face to face clinics or have a standard protocol all teams are following for number of patients that can be seen in each clinic

# data[].attributes.headline
Ensure those that want to have the IT to work from home, and those that want to work in hospital have  appropriate space to do so, including remote clinics

# data[].attributes.subject
Ensure those that want to have the IT to work from home, and those that want to work in hospital have  appropriate space to do so, including remote clinics

# data[].attributes.body
Not everyone has an office to themselves - some share three desks with 7 other people!

# data[].attributes.headline
Get the software to work for us and our patients not for IT

# data[].attributes.subject
Get the software to work for us and our patients not for IT

# data[].attributes.headline
Development fo a physiology service including sleep technician

# data[].attributes.subject
Development fo a physiology service including sleep technician

# data[].attributes.headline
Ensuring adequate asthma nurse provision

# data[].attributes.subject
Ensuring adequate asthma nurse provision

# data[].attributes.headline
Developing a pulmonary hypertension clinic

# data[].attributes.subject
Developing a pulmonary hypertension clinic

# data[].attributes.headline
Finances, admin support, agreement with other teams

# data[].attributes.subject
Finances, admin support, agreement with other teams

# data[].attributes.body
Super regional centre pts travel long distances. Cost of alternative accommodation,cost of additional staffing required to flex up the bed numbers, GPs agreement to screen for CPO pre admission

# data[].attributes.headline
Time to establish local and regional protocols

# data[].attributes.subject
Time to establish local and regional protocols

# data[].attributes.headline
Childrens ID service consultant and CNS 

# data[].attributes.subject
Childrens ID service consultant and CNS 

# data[].attributes.body
To have dedicated consultant time for children’s Infectious Diseases and CNS support.

# data[].attributes.headline
Daycase pathway for elective  Liver pts and pre admission CPO screening 

# data[].attributes.subject
Daycase pathway for elective  Liver pts and pre admission CPO screening 

# data[].attributes.body
Maximise the bed utilisation on L50 to ensure day case patients can go through the ward. Utilising alternative accommodation to reduce number of bed days for common procedures. Pre admission CPO screen would maximise the available bed base.

# data[].attributes.headline
look at some minor procedures where maybe distraction or VR is an option. 

# data[].attributes.subject
look at some minor procedures where maybe distraction or VR is an option. 

# data[].attributes.body
Train up nurses to manage well LTV patients on the ward to free up PICU capacity

# data[].attributes.headline
Putting the right patients in the right areas - better discharge process from ICU areas

# data[].attributes.subject
Putting the right patients in the right areas - better discharge process from ICU areas

# data[].attributes.body
Patients are often sitting on ICU who are too well to be there while sick patients are struggling on the wards / DGHs for want of an ICU bed - we need to get the right patients into the right beds and not waste the limited ICU resource.

# data[].attributes.body
We need better collaboration between teams wrt accepting patients back on the wards and we need nursing input /education in trache management, epidurals etc

# data[].attributes.body
To function properly we need an MS teams set up that works consistently for handover and we need better IT generally to get everything else done.

# data[].attributes.headline
Establish backlog of activity and confirm plans for recovery

# data[].attributes.subject
Establish backlog of activity and confirm plans for recovery

# data[].attributes.body
Pathway changes can form a significant part of recovery, but risk being overlooked as a result of pressure to deliver against agreed targets

# data[].attributes.headline
Increase LTV capacity and release PICU capacity

# data[].attributes.subject
Increase LTV capacity and release PICU capacity

# data[].attributes.headline
Explore use of AI for patient consultations and family initiated reviews - acknolwedging safeguarding issues

# data[].attributes.subject
Explore use of AI for patient consultations and family initiated reviews - acknolwedging safeguarding issues

# data[].attributes.headline
Management and clinical leads are vital for all

# data[].attributes.subject
Management and clinical leads are vital for all

# data[].attributes.headline
Identifying the funding whilst remaining in a financially sound position

# data[].attributes.subject
Identifying the funding whilst remaining in a financially sound position

# data[].attributes.headline
repatriation of immunosuppression to hospital

# data[].attributes.subject
repatriation of immunosuppression to hospital

# data[].attributes.headline
More robust admin / data support to review national audit data /mortality data in a timely fashion 

# data[].attributes.subject
More robust admin / data support to review national audit data /mortality data in a timely fashion 

# data[].attributes.body
we are under so much scrutiny yet a huge amount of the data analysis etc is done by consultants when a decent data person could do it in half the time

# data[].attributes.headline
Improved oversight of medically complex cases

# data[].attributes.subject
Improved oversight of medically complex cases

# data[].attributes.headline
Ambulatory chemotherapy using CADD pumps

# data[].attributes.subject
Ambulatory chemotherapy using CADD pumps

# data[].attributes.headline
Promote day case liver biopsy and endoscopy procedures

# data[].attributes.subject
Promote day case liver biopsy and endoscopy procedures