Children's Senior Leaders - Pathway Improvement 22/23 by https://padlet.com/kirstybray/j9vmc8g0ok46o0es en-us 2021-10-12 19:54:03 UTC 2022-04-13 13:29:55 UTC hello@padlet.com Improve theatre productivity kirstybray https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1811923443 2021-10-12 20:13:41 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1811923443 Increase nurse led follow up pathways kirstybray https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1811934517 2021-10-12 20:19:49 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1811934517 Improve outpatient waiting list times taniaamin https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814142027 2021-10-13 14:31:22 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814142027 Joined up central line service - NNU / surgeons / interventional radiology https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814142389 2021-10-13 14:31:27 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814142389 Improve access to digital working - BADGERnet EPR https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814143786 2021-10-13 14:31:51 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814143786 Hannah / Amelia / Molly Hegarty https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814145375 2021-10-13 14:32:17 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814145375 Hardware and the necessary supported software ( server size) https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814147313 2021-10-13 14:32:48 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814147313 care closer to home https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814156233 2021-10-13 14:35:15 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814156233 Utilise clinic appointments fully, including- reducing last minute cancellations, ensuring patients/ parents are aware of their appointments. taniaamin https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814158599 2021-10-13 14:35:54 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814158599 an agreed pathway for children to receive IV antibiotics at home https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814167945 2021-10-13 14:38:27 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814167945 collaborative working with CCG /HON/lead clinician gen paeds/matron https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814175386 2021-10-13 14:40:32 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814175386 adequate nursing resource in the community to support the agreed pathway https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814177398 2021-10-13 14:41:07 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814177398 pathway needs to be agreed and LCH need to identify how much resource they require then recruit https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814182734 2021-10-13 14:42:37 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814182734 Establish LTV outreach pathways for physio service https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814212892 2021-10-13 14:51:15 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814212892 using the new LTV physio post review the training needs of colleagues and families and review patient care pathways https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814216570 2021-10-13 14:52:18 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814216570 Physio CSM , new post recruitment and LTV team https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814218363 2021-10-13 14:52:48 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814218363 long back log of unmet need https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814220915 2021-10-13 14:53:35 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814220915 establish outreach LTVteam https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814223398 2021-10-13 14:54:19 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814223398 Ensure patients are seen in the appropriate service ie not cover the cracks for community services https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814228288 2021-10-13 14:55:43 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814228288 Physio team https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814229264 2021-10-13 14:56:01 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814229264 relationships and pathways in community service , avoid postcode lottery https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814230532 2021-10-13 14:56:24 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814230532 MUS pathway https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814275248 Develop a pathway for cyp presenting with medically unexplained symptoms (MUS).]]> 2021-10-13 15:09:23 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814275248 Psychology inpatient service https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814280334 Develop inpatient service together with CAMHS crisis team for non DSH presentations.]]> 2021-10-13 15:10:55 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814280334 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814281553 Alistair Duff and team]]> 2021-10-13 15:11:15 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814281553 Clinic capacity and infrastructure. https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814283585 Funding from cCg and ics]]> 2021-10-13 15:11:52 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814283585 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 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814469400 2021-10-13 16:09:29 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814469400 Look at coeliac clinics and pathway evelynward https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814499278 2021-10-13 16:20:06 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814499278 Dietetics and gastro evelynward https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814500171 2021-10-13 16:20:26 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814500171 Look at non IgE food allergy pathways evelynward https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814502659 2021-10-13 16:21:14 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814502659 dietetics and allergy evelynward https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814503825 2021-10-13 16:21:36 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814503825 Try to ensure better retention of admin staff - pay, promotion, feeling like they are heard https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814558965 2021-10-13 16:38:32 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814558965 Make sure clinics are fully utilised christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814845836 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]]> 2021-10-13 18:26:11 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814845836 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 christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814849423 Not everyone has an office to themselves - some share three desks with 7 other people!]]> 2021-10-13 18:27:46 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814849423 Get the software to work for us and our patients not for IT christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814850649 2021-10-13 18:28:20 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814850649 LTV transition clinics christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814854231 2021-10-13 18:29:54 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814854231 Development fo a physiology service including sleep technician christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814855128 2021-10-13 18:30:18 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814855128 Ensuring adequate asthma nurse provision christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814864849 2021-10-13 18:34:22 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814864849 developing a respiratory nurse post christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814865584 2021-10-13 18:34:41 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814865584 Developing a pulmonary hypertension clinic christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814866127 2021-10-13 18:34:56 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814866127 Finances, admin support, agreement with other teams christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814869052 2021-10-13 18:36:08 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814869052 Business support christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814871948 2021-10-13 18:37:24 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814871948 Focus on allergy support for DGHs christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814879023 2021-10-13 18:40:25 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814879023 Address allergy waiting times christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814879764 2021-10-13 18:40:46 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814879764 Ensure appropriate blood tests are done christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814881236 2021-10-13 18:41:27 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814881236 "buy in" from DGHs christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814881809 2021-10-13 18:41:42 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814881809 Appropriate triage protocols christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814882223 2021-10-13 18:41:53 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814882223 Time to develop local links christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814882740 2021-10-13 18:42:08 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814882740 Time to establish local and regional protocols christopheredwards11 https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814883253 2021-10-13 18:42:23 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1814883253 Childrens ID service consultant and CNS https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1815128290 To have dedicated consultant time for children’s Infectious Diseases and CNS support. ]]> 2021-10-13 20:48:23 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1815128290 Daycase pathway for elective Liver pts and pre admission CPO screening https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1815146662 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. ]]> 2021-10-13 21:00:09 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1815146662 Daycase Liver procedures https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1815153828 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 ]]> 2021-10-13 21:04:56 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1815153828 look at some minor procedures where maybe distraction or VR is an option. https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816368265 2021-10-14 08:05:30 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816368265 LTV patient https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816373794 Train up nurses to manage well LTV patients on the ward to free up PICU capacity

]]> 2021-10-14 08:08:30 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816373794 Putting the right patients in the right areas - better discharge process from ICU areas https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816380884 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.]]> 2021-10-14 08:12:28 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816380884 Work collaboratively https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816385754 We need better collaboration between teams wrt accepting patients back on the wards and we need nursing input /education in trache management, epidurals etc]]> 2021-10-14 08:15:11 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816385754 IT problems need sorting https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816390311 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.]]> 2021-10-14 08:17:37 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816390311 Establish backlog of activity and confirm plans for recovery https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816455141 Pathway changes can form a significant part of recovery, but risk being overlooked as a result of pressure to deliver against agreed targets ]]> 2021-10-14 08:51:31 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816455141 Reduce health inequalities https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816714092 2021-10-14 11:21:22 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816714092 Increase LTV capacity and release PICU capacity https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816715313 2021-10-14 11:22:09 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816715313 Explore use of AI for patient consultations and family initiated reviews - acknolwedging safeguarding issues https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816715901 2021-10-14 11:22:32 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816715901 Management and clinical leads are vital for all https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816716064 2021-10-14 11:22:39 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816716064 Identifying the funding whilst remaining in a financially sound position https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816717218 2021-10-14 11:23:20 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816717218 Clinical engagement and leadership https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816717872 2021-10-14 11:23:43 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816717872 repatriation of immunosuppression to hospital https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816719527 2021-10-14 11:24:41 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816719527 Home chemotherapy - bolus https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816719747 2021-10-14 11:24:49 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816719747 More robust admin / data support to review national audit data /mortality data in a timely fashion hannahshore https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816719972 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]]> 2021-10-14 11:24:57 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816719972 Improved oversight of medically complex cases https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816719986 2021-10-14 11:24:58 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816719986 Ambulatory chemotherapy using CADD pumps https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816720682 2021-10-14 11:25:21 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816720682 Promote day case liver biopsy and endoscopy procedures https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816721118 2021-10-14 11:25:37 UTC https://padlet.com/kirstybray/j9vmc8g0ok46o0es/wish/1816721118