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Consultations

 

There are a numbers of agencies and organisations seeking feedback and views of parent carers.
Below we have listed selected consultations which parent carers may wish to consider offering their views to.



Independent review of hospital services for children in Lincolnshire


United Lincolnshire Hospitals NHS Trust has asked the Royal College of Paediatrics and Child Health (RCPCH) to conduct an independent review of hospital services for children in Lincolnshire, particularly looking at staffing of the Pilgrim hospital. You can read more about the review on the RCPCH website here: (www.rcpch.ac.uk/invitedreviews).

 

You can share your views by completing the survey through the following link by Friday 13th July 2018 
www.surveymonkey.co.uk/r/RCPCHLincs

 

Thank you for taking the time to share your views and experiences, please pass the survey onto anyone else who may wish to share their views.

 

More information

The RCPCH is an independent organisation, separate from the Trust, Clinical Senate, government and the NHS. We are keen to hear your views directly but will also ask the Trust to share with us what people have told them so we have as much information as possible about what the service means to those who use it or work in it.

 

Why we want to hear from you
As part of the review, it is important that we listen to the experience and expectations of the people who use or work within the service. We want your views, particularly if you have used children’s hospital services in the last 18 months or are a member of staff.  

 

We want to know how families use the services when a child is unwell, and what arrangements in future will ensure that babies and children continue to receive safe, effective care, given the current difficulties in recruiting medical staff with the expertise to provide some of the more complex care.

 

What you tell us will be read carefully but remain confidential to the review team and we will summarise the responses we receive in our report for the Trust so that they are anonymous and you will therefore not be identified.

 

Please note that if you have a complaint or question about your child’s care then please contact the trust directly here . We are unable to respond to or resolve individual issues. 

 

If you would like to receive updates on the progress of the review, then please email us on  invited.reviews@rcpch.ac.uk.



Consultation on Childcare on Lincolnshire


Calling all parents!
Do you use childcare in Lincolnshire?
Have your say and help shape it's future!
Please fill in the online survey at www.lincolnshire.gov.uk/eycc
(and click on the parental survey button)
The survey is open from 4th June until 30th July 2018

 

We need your help! Like all other local councils, we have a duty, as far as is reasonably practicable, to ensure there is sufficient availability of childcare for the children of working parents (aged 0-14 years, or up to 18 years for disabled children).  The duty includes parents who are studying or training for employment.     

 

Throughout the year we work to do whatever we can to support local childcare providers to offer childcare services parents need and want. 

Part of this work includes an annual assessment report of the sufficiency of childcare.  Like all of our past assessments, further to our childcare sufficiency report for 2017 we now want focus on the views  of parents and carers.  Our online survey asks if parents and children are using childcare, and if they do, what they think about it.  We’re also asking if there are things that prevent families using childcare, and what more is needed. 

 

This will help us to plan new childcare, or support the 100’s of local group providers, nurseries, and childminders to consider changing their offer to meet parents’ needs.

 

We need your help in getting this message across to parents so that they can be signposted to engage with an online parental survey.

We have attached some social media messages that we invite you to use on your website and social media platforms and posters for you to print out and add to notice boards etc.

 

The findings of the survey will support us to plan these services, and to work with childcare providers to support the childcare needs of working parents, and parents studying or training for work.

 

The survey is open from Monday 4th June until 30th July 2018. You can find the survey here: https://www.surveymonkey.co.uk/r/LincolnshireParents

 

If you have any queries regarding the survey please contact Jill Laughton.



Consultation on elective home education


On 10 April 2018, the DfE published a consultation on elective home education.  The consultation is in two parts. The first one is a call for evidence, covering issues such as the registration of children educated at home, monitoring of home education provision and support for home providers. The second part is seeking comments on draft versions of two DfE guidance documents, one is targeted at local authorities and the other for parents.

 

Among the points that may be of particular interest in relation to SEN are:

  • Reports of schools encouraging parents to home educate as a response to behavioural or attendance issues
  • The process for a parent wanting to move their a child out of a special school and into home education
  • Material in guidance to local authorities and parents about the particular issues that arise if a child being home educated has SEN, complementing the material in the SEND Code of Practice

 

We would welcome your response to the consultation - particularly in relation to children and young people with special educational needs and disability who are home educated.

 

Both parts of the consultation can be found at this link:

https://www.gov.uk/government/consultations/home-education-call-for-evidence-and-revised-dfe-guidance



ULHT's on Paediatric Services

 

Welcome to the latest briefing on ULHT’s efforts to maintain safe children’s and maternity services at Pilgrim Hospital, Boston.
 
Paediatric staffing latest
Due to the successful recruitment of four short-term locum doctors, Pilgrim’s multi- disciplinary team have said they can now keep the services going, despite difficult circumstances, until the end of July. Many thanks to them, the nurses and all staff involved for making this happen.
 
With effect from 1 August 2018, it is expected that there will be only one substantive middle grade doctor on the rota at Pilgrim out of rota of 8, with the others being covered by agency staff.
 
The staffing situation is volatile and constantly changing as the service is very dependent on agency doctors and nurses. While we are working hard to recruit doctors to work longer contracts and permanent staff, the reality is there is a shortage of paediatricians in the UK so agency staff have the pick of places to work and often leave a placement at short notice. This makes it difficult to plan rotas.
 
Although it’s our preferred option to maintain existing services at Pilgrim, this means it’s looking difficult for children and maternity services at Pilgrim Hospital to be sustained in their current form beyond August unless additional middle grade doctors can be found to fill significant gaps in the rota or other innovative and safe staffing models to be found.
 
We are working relentlessly with medical agencies, irrespective of financial cost, to find agency and locum medical staff to support the rota at Pilgrim in order to keep the children’s services running safely.
 
To help support consultants and middle grades, we have committed to fund two extra locum paediatric consultants at Pilgrim.
 
Inpatient beds at Pilgrim
ULHT now has enough nurses to safely staff up to 12 children’s inpatient beds from a nursing perspective. The numbers of bed will flex up and down depending on the nurses available. This means that we can now carry out planned surgery on children at Pilgrim.
 
ULHT Trust Board review
I want to stress that no decision on the future of services has been made, and we are working hard to keep children’s and obstetric services at Pilgrim
 
The review to be carried out by East Midlands Clinical Senate on four of the potential temporary options has now been delayed. NHS Improvement and NHS England have asked them to offer their expert recommendations for which option(s) they consider safest on a temporary basis until a longer term solution can be agreed and delivered. As this won’t be finalised in time for our Board meeting on Friday 25 May but need to make a decision as soon as possible, our Board will still debate and discuss the four options. Board will receive a very detailed paper from the task and finish group set up with detailed equality and quality impact assessments to help us make an informed decision and build in time to make changes if needed ahead of 1 August.
 
If the Senate report is available in time, our June board will then consider the findings of the Senate’s report and amend decisions or plans accordingly.
 
We are listening
Over the last week, we have talked to lots of staff and the public.
 
A theme of people’s views is worry about where will parents and children go in an emergency if paediatric services were closed at Pilgrim. We want to assure people that A&E services will remain as they are now. That is if a child is taken ill with an asthmatic attack for example then paediatric staff in A&E will be there to support the emergency medicine staff.
 
Along with Dr Neill Hepburn and Sue Bennion, head of midwifery/nursing for women and children’s services, I attended a public meeting at Boston Grammar School on Thursday night. The campaign group SOS Pilgrim chaired the meeting and on the panel answering questions with us were local MP Matt Warman, the mayor of Boston and John Turner the lead for the STP.
 
As you’d expect the atmosphere was very passionate and many people present were anxious about the potential changes. I hope to have reassured some people that we are very much committed to keeping paediatric and maternity services running at Pilgrim, but due to the services being on a staffing knife-edge we have a duty  to prepare for the worst and have thoroughly worked up plans in place in case we need to change services.
 
Thanks to Philip Bosworth for organising and chairing the meeting.
 
Whilst there, we also took the names of a few nurses and a retired doctor who may come to help out on the bank, if they are adequately trained.
 
Dr Mel Iles, Associate Medical Director for NHS Improvement, and leading paediatrician, spent several hours with all our acute paediatricians to talk through the situation, offer her suggestions based on her experience elsewhere and provide support. Matt Warman, MP joined to offer his personal support and listen to the issues too.
 
ULHT also held its quarterly members locality forum in Sleaford Rugby Club on Tuesday 14 May where I took the opportunity to update members on children’s services. A few members challenged me on not accepting nurses who said they offered to work shifts for us. We seriously consider all registered, qualified staff and have offered bank shifts which often provide the flexibility requested. But the reality is many of the staff coming forward are no longer adequately qualified to do the work required.
 
Registered nurses across Lincolnshire are constantly being invited to join our nurse bank- to pick up flexible nursing work along with favourable NHS terms and conditions.
 
Our nurse bank is a really valuable resource for us, helping us to fill nursing shifts on our wards and departments safely. We would like to encourage more people to consider joining the bank.
 
There are huge benefits for those who join our bank, both in terms of career development and experience and job flexibility.
 
If you know any registered nurses, particularly registered children’s nurses,  ask them to apply to join the ULHT nurse bank today by calling 01522 573049 for shifts at Lincoln and Louth or 01205 446760 for Pilgrim and Grantham.
 
On Wednesday 16 May, along with Dr Neill Hepburn, Michelle Rhodes, Director of Nursing, Sue Bennion and Dr Rao Kollipara, consultant paediatrician, I presented to Lincolnshire’s health scrutiny committee on children’s services. We were questioned for nearly two hours on a range of issues from transport, to recruitment and midwifery led unit. All questions and statements were pertinent and intelligent and hope we reassured them that we are working hard to keep services going at Pilgrim, and in parallel working on plans for alternatives in case the staffing doesn’t improve. We agreed to go back to the meeting in June on the latest position.
 
We want you to help us in developing options for the future that best meet the needs of our population, please take few minutes to complete the survey below and please share with your networks. https://www.surveymonkey.co.uk/r/YBGC9LT
 
Staff from ULHT will also be attending a parish council meeting.
 
Once again, thanks to all staff working hard to help us continue to provide these services at such a critical time.

This closes on 1 July 2018.








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