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United Kingdom

Barnsley

Barnsley District General Hospital is situated in the town of Barnsley, South Yorkshire, in the north of England. It is a busy general hospital serving a population of 50,000 children and young people under the age of 18 years.

There are two general paediatric medical and surgical wards, a Day Care unit, and also a neonatal unit that looks after the sick and premature infants among the 2200 babies born each year at the hospital. There are strong links with community healthcare for children and their families, including dedicated nursing outreach teams based at the hospital and a consultant on call rota involving consultants from both the acute and community services.

Numerous outpatient clinics are held at the hospital by both on site and visiting consultants. Children that require further specialist services are referred to hospitals in Sheffield and Leeds, both within an hour by road.

Barnsley has decided to look at the following Standards:

Standard 5 - Children and their parents/carers are kept consistently and fully informed and involved in all decisions affecting their care.

Standard 7 - The physical and psychological pain and discomfort of children is assessed and controlled.

Barnsley hospital is also supporting the development of a Play worker in the Mulago hospital in Uganda. This will be initially for a period of 12 months but will hopefully continue.

Ulster

Ulster Hospital is a general hospital situated in the town of Dundonald, close to the city of Belfast in Northern Ireland. Covering a population of 90,000 children, the self contained Children's Unit is separate from the rest of the hospital and cares for infants and children from 0 - 14 years.

The medical and surgical wards have 53 beds between them, and the Neonatal unit has 12 cots including 2 designated for high dependency and 1 for intensive care. In addition there is a Day Care Unit with 10 beds and an Assessment Unit with 6 beds that provide a rapid response service to children referred by their family doctor.

Although wide range of surgical procedures are undertaken on site, children with medical and surgical conditions requiring more specialised services are referred to the Royal Hospital for Sick Children in Belfast.

A multi-disciplinary Child Development Centre (CDC) is also on site attached to the department and an integrated approach is taken to providing care in both hospital and community.

There are numerous out patient clinics both at the Ulster Hospital and also the hospitals at Ards and Bangor, where nurse led minor injury units operate using pre agreed protocols and tele-medicine links to the main Accident and Emergency Departments at Ulster.

The Ulster Hospital Maternity Unit was the first unit in Northern Ireland to achieve WHO / UNICEF Baby Friendly status in February 2000, and amongst the ongoing initiatives and planned services are the development of a dedicated unit for adolescents.

Derby

The Derbyshire Children's Hospital is a purpose built, self contained hospital on the same site as the Derby City hospital, in the city of Derby to the north of central England. Covering a population of 110,000 children, there are 3 general medical and surgical wards together with dedicated departments for Accident and Emergency, Intensive Care, Operating theatres, and Outpatients clinics. All departments and disciplines that complement these services such as X-ray and Pharmacy are also dedicated entirely to children and there is a multi-disciplinary Child Development Centre (CDC) on the same site.

Community nurses specialising in both specific and general conditions are based from the hospital and consultants regularly hold outreach clinics in local health centres as well as at the hospital.

The maternity services and neonatal unit are based in the adjoining Derby City Hospital, and is accredited as achieving WHO / UNICEF Baby Friendly status.

Shared care for children with certain conditions is practised in partnership with regional referral centres and children requiring further specialised services are usually referred to the Queens Medical Centre in Nottingham.

Derbyshire is addressing the following Standards:

Standard 5 - Children and their parents/carers are kept consistently and fully informed and involved in all decisions affecting their care.

Standard 7 - The physical and psychological pain and discomfort of children is assessed and controlled

Bridgend

The Princess of Wales Hospital is based in Bridgend, Wales. The Women and Children's Services Directorate provides advice, treatment and support for women and children primarily served by the Bridgend and Neath/Port Talbot Local Health Groups. Services are provided in the community and the acute hospital sites of the Bro Morgannwg NHS Trust. The Princess of Wales Hospital has a 35 bed Children's Ward which receives planned and emergency medical admissions and has a 10 bed surgical facility. A 15 cot Neonatal Care Unit provides support for infants born from 28 weeks gestation.

They have chosen the following Standards:

Standard 8 - When children are severely ill, undergoing surgery, or have been given systemic analgesia and/or sedation, trained health workers and the necessary resources are available to provide appropriate critical and emergency care.

Further information will follow shortly.

Royal Hospital for Sick Children, York Hill, Glasgow

Further information about this hospital is currently being prepared and will be updated shortly.

York Hill recently assisted the CFHI in trialling the assessment tools for:

Standard 7 - The physical and psychological pain and discomfort of children is assessed and controlled.

Standard 8 - When children are severely ill, undergoing surgery, or have been given systemic analgesia and/or sedation, trained health workers and the necessary resources are available to provide appropriate critical and emergency care.

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